Society for Academic CME October 28, 2006 CONJOINT COMMITTEE ON CME Reforming and Repositioning Continuing Medical Educa

1. Society for Academic CME October 28, 2006 CONJOINT COMMITTEE ON CME Reforming and Repositioning Continuing Medical Education Bruce E. Spivey, MD, MEd, MS Deputy Executive Vice President Council of Medical Specialty Societies

2. Comments About: HISTORY INTENT STAKEHOLDERS PRESENT STRUCTURE ACTIVITIES CME SUMMITS

3. CMSS Task Force (February 2001-March 2002) Repositioning for the Future of Continuing Medical Education • Analyze and Characterize Present CME • Identify Changes to make Quantifiable and Sustainable Improvement in CME System • Create Prioritized Recommendations to Reposition CME • Collaborate with other Stakeholder Organizations to Achieve Optimal Results

4. CME Stakeholders Agree Conjoint Committee on CME (CCCME) (Convened October 2002) • Conceptual Agreement Among Representatives of 15 Organizations • Refined Recommendations and created Next Steps • Dashboard Created to Monitor Progress of Goals and Initiatives • Organizations continue to meet by conference call or face to face.

5. Intent Desire to Enhance Effectiveness of CME • Create Best Learning Systems for Continuous Professional Development • Promote and Facilitate Physician Learning to Improve Practice Performance and Quality of Care • Design Systems to Measure Practice Improvement and Patient Outcomes • Focus on end user – the practicing physician

6. Stakeholder Organizations • Accreditation Council for Continuing Medical Education (ACCME) • Accreditation Council for Graduate Medical Education (ACGME) • Alliance for Continuing Medical Education (ACME) • American Academy of Family Physicians (AAFP) • American Board of Medical Specialties (ABMS) • American Hospital Association (AHA) • American Medical Association (AMA) • American Osteopathic Association (AOA)

7. Stakeholder Organizations • Association of American Medical Colleges (AAMC) • Association for Hospital Medical Education (AHME) • Council of Medical Specialty Societies (CMSS) • Federation of State Medical Boards (FSMB) • Joint Commission on Accreditation of Healthcare Organizations (JCAHO) • Liaison Committee on Medical Education (LCME) • National Board of Medical Examiners (NBME) • Society for Academic Continuing Medical Education (SACME)

8. Recommendation Topics • Medical Education Continuum • Self-Assessment and Lifelong Learning • Core Curricula and Competencies • Valid Content: Evidence–based Medicine • Performance and Continuous Improvement • Metrics to Measure and Recognize Physician Learning and Behavioral Change • Resources and Support (20 Action Items within these topic areas)

9. Present Structure & Process • Conjoint Steering Committee formed January 10, 2006 • CHARGE ADOPTED • To act as an advisory group regarding direction and activities for the committee to pursue with approval of the full committee • Continuous Dashboard Progress Reports • Website Resource of Links to Member Initiatives • Expanding issues

10. Recommitment to Achieve Goals through Partner Organizations when possible, and create new activity only when necessary. • Align with Member Organizations’ Strategic Plans • Achieve a Culture of Improvement • Agreement of Value represented in Dashboard Contents

11. MISSION CME will facilitate a culture of improvement in medical practice. VISION We envision medical practices in which physicians are continually demonstrating improvements in knowledge and practice which are linked to improved patient outcomes.

12. Opportunities for Communication & Collaboration Issues In Play • Greater emphasis on education continuum • New CME formats • Funding opportunities and challenges • Continued focus on linking quality with education • Non-certified physician competence • State-mandated CME Content Requirements • Definition of “Curriculum”

13. Examples of Current Initiatives and Aspirations in Support of a Culture of Improvement • AAMC Institute on Medical Education • AMA Initiative to Transform Medical Education: Educational Forum • AAFP Point-of-Care and Quality Improvement • ACCME Linking CME with AHRQ’s Performance Outcomes Project • CMSS/ABMS Joint Committee Focusing on cooperation relating to MOC

14. Examples of Current Initiatives and Aspirations in Support of a Culture of Improvement (cont’d) • ABMS and FSMB Committees on MOC and MOL Working in Concert • ABMS Progress on MOC • ACGME Competency Initiative and Learning Portfolios • CCCME Task Force on Curriculum • CMSS/ABMS Joint Committee Focusing on cooperation relating to MOC

15. 2005 CME Summit Repositioning CME Summit: Commitment, Communication and Collaboration • Focus on Self-Assessment, Curriculum and Practice Performance and Quality Improvement • Audience of Physician Leadership, National CME Leadership and Consumers of CME and Representatives From the Pharmaceutical Industry • Strive to Better Understand and Attempt to Define Curriculum Across All Specialties • Effective Self-Assessment Linked to Practice Performance and Quality Improvement Represents Focus of 2006 Summit

16. 2006 CME Summit  CME as a Strategic Asset for Physician Self-Assessment November 16, 2006 Embassy Suites O’Hare Focus: Current perceptions of Self-Assessment, its evolving definition, and its future role. Partial Faculty: Dave Davis, Kevin Eva, Bob Galbraith, Dan Duffy, Steve Schabel, Bill Jacott