Moving Research Forward: a Collaboration of National CME/CPD and KT Researchers

1. Moving Research Forward: a Collaboration of National CME/CPD and KT Researchers SACME Annual Meeting, New York, April 9 2011 Joan Sargeant PhD CME, Dalhousie University, Halifax, Nova Scotia, Canada

2. Goal of this presentation • Describe a CIHR funded meeting to bring together researchers in two parallel but rarely intersecting fields, KT and CPD CME/CPD KT

3. CIHR – Funded Meeting:Moving Research Forward: a Collaboration of National CME/CPD and KT ResearchersHalifax NS , June 5,6 2010

4. Meeting attendees - CPD Researchers

5. Meeting attendees - KT Researchers

6. A story about building a relationship… First date…

7. First date jitters - Will we hit it off? Will we be able to make it work?

8. Background: IOM Report on CE • Institute of Medicine (2010) report on CPD highlights limitations in our current system: • emphasis on regulatory requirements instead of tailored interventions to address gaps in patient care, • use of traditional and ineffective learning methods, • silo-ed approach • under-developed evidence base to inform the selection of CPD strategies, and • CPD requirements that vary by region and profession.

9. Background – who are we? • CME? • CE? • CEHP? • CPD? • We chose CPD as more inclusive and suggests more action on the part of the physician/ HP

10. KT (knowledge translation) • Very simply - • “getting new evidence into practice”, • “ensuring practice is evidence-based” • “the methods for closing the gaps from knowledge to practice” • The same as implementation science?

11. KT - Bridging “valleys of death” between research and outcomes (CIHR) Valley 1 Valley 2 Clinical Practice & Health Decision Making Basic Biomedical Research Clinical Science & Knowledge Translational Continuum

12. Canadian Context • AFMC, Standing Committee on Continuing Professional Development • www.afmc.ca • KT Canada • http://ktclearinghouse.ca/ktcanada

13. Our dating agency… • CIHR: KT Meetings, Planning and Dissemination grant (about $20,000) • History of success - Quebec City 2009 • 22 CPD, KT researchers and knowledge users (F Legare, F Borduas)

14. Meeting Planning Committee (kt) • Michael Allen, MD MSc(c) Dalhousie University • Francine Borduas, MD Université Laval • France Légaré, MD PhD Université Laval • Jocelyn Lockyer, PhD MHA University of Calgary • Ian Graham, PhD Vice-President, Knowledge Translation, Canadian Institutes of Health Research • Jeremy Grimshaw, MBChB PhD Ottawa University • Tanya Hill, MSc Dalhousie University • Francesca Luconi, PhD McGill University • Joan Sargeant, PhD Dalhousie University • Ivan Silver, MD MEd University of Toronto • Ingrid Sketris, PharmD MPA Dalhousie University • Sharon Straus, MD MSc University of Toronto • Heather Stenerson, MEd University of Saskatchewan

15. Meeting Goal: Build capacity for CME-KT researcher exchange & collaboration Objectives: • provide opportunity for networking between CME-KT research communities • identify current trends and future directions in CME and KT research, where they fit in the KTA cycle, and perspectives which inform them • identify common and unique interests, approaches, skills • develop a shared research agenda and working groups to address them Methods: • 1.5 day interactive meeting

16. Relationship-building: Socializing Good CME –includes food and networking!

17. Results • Learning about each other… • We each have a circular framework • But CPD/CME and KT both focus on individual practitioner

18. Education Curriculum Design Cycle (Kern et al., 1998)

19. Knowledge-to-Action Cycle (Graham et al., JCEHP, 2006)

20. Evidence and theory bases • CPD: Adult education: • Weak evidence for effectiveness • Simplistic view that education will directly produce behavior change • KT: Theories of individual change: • Theory of planned behavior • How do individuals change?

21. What both fields overlook – influence of context • Realist evaluation (Pawson, Tilley 1997) • Asks not just what are the outcomes, but … “Under what conditions and for whom are the outcomes achieved?” • Intervention + Context = Outcome

22. Meeting Results • Continued collaboration • Wish to move to a national collaborative organization • Monthly teleconferences • Collaborative CPD-KT grants, provincial and national funders: • Mike Allen et al, Dal • Simon Kitto, et al ? • Liz Lindsay, Jeremy Grimshaw et al, U Ottawa

23. Results: CIHR Network Catalyst Grant, KT Branch (3 years) “A national network for patient-centered Evidence- based continuing professional development” • Purpose: enable collaboration of two groups essential to informing evidence-based physician practice: knowledge-producers (KT, CPD researchers), and knowledge-users (CPD providers)

24. CPD-KT EVIDENCE network grant: • Objectives: • Enhance evidence-based CPD practice • Develop a KT research agenda to meet the needs of CPD knowledge-users and further establish expertise in the field • Develop sustainable, synergistic collaboration between researchers and CPD knowledge-users • Research team - 53 members (Canada, US, Europe): 22 researchers, 12 knowledge-users, 19 collaborators (includes patient representative)

25. Results: CPD-KT paper series Journal of Continuing Education in the Health Professions, 4 manuscripts in progress, hopefully Sept 2011: • Exploring research in two worlds: continuing professional education and knowledge translation • Knowledge translation research: developing the science of moving research into policy and practice • How can we improve the design of CPD interventions? • Partnership in Knowledge Exchange: Improving Continuing Professional Development • Collaborative initiative - almost all meeting attendees involved as authors, idea-generators, reviewers

26. Lessons Learned: Life together after our first date.. • New friends, colleagues • Value of working together, a will to collaborate • Relationship-building requires: • respect • relevant and shared goals, • time to get to know each other • work and effort • sincere curiosity: How can I learn from you?

27. Longer term Goal – Marriage? • A single organization for CPD and KT • KT researchers will become members of SACME, attend CPD meetings, etc

28. Your comments and questions?