cme ppp may 280510
DESCRIPTION
Author's own remarks and observation after serving at the UAE's Ministry of Health for 5 years and Academia for 2years.TRANSCRIPT
Developing aNational Continuing Professional
Development - CME /CPD Program forHealth Professionals
Dr. Yousuf H. QureshiJP MNZIM MD DPH FACP DAB PhD
Technical Adviser CME / CPD/ CNE & Advocacy
Health Systems Strategy LLC
Dubai
UAE
04/09/2023 Dr Yousuf H. Qureshi 2
Continuing ProfessionalDevelopment (CPD/CME)
CPD/CME is a specific form of professional development that helps health professionals maintain competence and learn about new and developing areas of their fields.
Continuous updating of professional knowledge and the improvement of professional competence throughout a person’s working life.
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Continuing ProfessionalDevelopment (CPD/CME)
Lifelong Learning
Formal Education
Birth Death Continuing Professional
Development
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Continuing ProfessionalDevelopment (CPD/CME)
Characteristics of CPD/CME Program Continuous / life long learning; Should be structured / formal; Outcome oriented; Everyone participates; Specific to national healthcare needs; Should not be a costly affair; Voluntary !! / Mandatory!!!!
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(CPD/CME)Existing Global CPD/CME Model
In most of the countries with relatively mature CPD/CME Programs:
CPD/CME is regulated by the Professional Societies/ Universities / Colleges;
CPD/CME is provided by a large number of Medical
Organizations; CPD/CME is accredited by some Accreditation Agencies; CPD/CME is measured in the form of credit hours/points; Recertification and renewal of licenses are being
increasingly linked with formal CPD/CME requirements.
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(CPD/CME) in the UAE
Health Professionals in the UAE: > 10,000 Registered Medical Practitioners; Over 1000 Registered Dental Practitioners; Over 2,000 specialist doctors; Over 200 TCAM Practitioners; Tens of thousands of nurses and
technicians
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Continuing ProfessionalDevelopment (CPD/CME)
UAE doctors, nurses, technicians
and other health professionals have
life-long learning needs as in any other Civilized Country.
A strong CPD/CME Program is needed to
fulfill the learning needs of health professionals practicing in the UAE.
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CME/CPD/CME in the UAE
CME/CPD/CNE has always existed in teaching hospitals in the form of medical education activities:
Clinico- pathological meetings Mortality & Morbidity meetings Journal clubs Grand rounds Lectures, workshops, seminars.
Limited CME/CPD/CNE opportunities for
private sector doctors BUT INCREASING!!
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CME/CPD/CNE in the UAE
UAE Policy Makers and Decision Makers need to learn from the
experiences of others and start a National CPD/CME Program on right lines right from the
beginning.
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Proposed Strategy forCPD/CME Program in the UAE
Define CPD/CME (from UAE’s CPD/CME needs perspective); Perform assessment of situation (tools like SWOT analysis); Set vision, mission and values of the National CPD/CME
program; Set strategies for the National CPD/CME Program; Set rules and regulations for the National CPD/CME Program; Establish infrastructure needs, CPD/CME policy, role and
responsibilities
of key stakeholders; Set goals and objectives of the program (Operational plan); Identify funding needs and mechanisms (Financial plan).
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Define CME/CPD/CNE in the UAE
CPD/CME in the UAE means:
Continuous improvement of professional knowledge and competence of ALL health professionals, through an integrated CPD/CME system with a special emphasis on improving the quality of healthcare services through addressing the healthcare needs of the country.
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CME/CPD/CNE in the UAESTRATEGY
Vision UAE will have an integrated CPD/CME
system to fulfilling the professional development needs of all health professionals, through a specially designed CPD/CME curriculum specific to the needs of the UAE healthcare system, to improve the health of the nation.
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CME/CPD/CNE in the UAESTRATEGY
Mission UAE has a well organized and
structured CPD/CME program that integrates key stakeholders to address the lifelong learning needs of its health professionals, in order to improve the health of the nation.
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CME/CPD/CNE in the UAESTRATEGY
Values Life long learning for all health
professionals; Integrated system; Well regulated system; Addresses the national healthcare needs; Affordable system; Model for developing countries.
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Key Stakeholders inUAE CPD/CNE Program Ministry of Health (largest employer of Health
Professionals) Dubai Health Authority Health Authority Abu Dhabi Proposed Health Authority of Northern Emirates Professional and specialty societies (EMA and
others). Medical Colleges & Universities Other Institutions – Pharmaceutical Companies
etc. etc.
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SWOT Analysis ofthe Existing CPD/CME System
Strengths & Weaknesses: Motivated staff eager to learn and improve. Medical Education increasingly being valued at the
Medical Colleges/Universities’ level. Fragmented, unstructured CPD/CME system, mostly
limited to teaching hospitals; No formal CPD/CME requirements at any level; System is not supported by stakeholders (MOH,
DHA, HAAD etc.); Rules and regulations do not exist, universally, to
operate the system.
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CME / CPD Requirement
A minimum number of credit points are required, within a period of FIVE years
Medical & Dental Practitioners: 30 Points /year Pharmacy practitioners: 20 Points /year Nurses : 15 Points /year Technicians: 10 Points / year Allied Health Professionals TCAM* 15 Points /year
MANDATORY to acquire, at least, 50% points at regular CME activities, designed, for Medical Fraternity
(Source: MoH News in Khaleej Times – March 2010)
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SWOT Analysis ofthe Existing CPD/CME System
Opportunities and Threats: Enormous opportunities in the field. If we do not act
now, others will invade and takeover the system. If the system is not implemented, UAE Health
professionals will become isolated from global developments in health services.
CME CREDIT POINT SYSTEM is increasingly becoming globalized.
UAE Health Professionals will look towards external sources of CPD/CME in the absence of a National
CPD/CME System.
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Setting Strategies forthe UAE CPD/CME Program
The DHA should involve key stakeholders (MoH, HAAD. New Authority, Universities) to perform brainstorming and assessment studies to introduce an organized CPD/CME program in the UAE.
Review existing global CPD/CME programs at the MoH / DHA / HAAD.
Establish rules and regulations for CPD/CME program and define constitutional responsibilities of key stakeholders.
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Setting Strategies forthe UAE CPD/CME Program
Establish mechanisms to introduce CPD/CME system in the UAE.
Establish CPD/CME Accreditation and Regulatory System through the establishment of UAE Council for Continuing Professional Development.
Introduce CPD/CME Curriculum that is based on National Health Policy and Priorities.
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Challenges in ImplementingCPD/CME System in the UAE Bringing key stakeholders on one table (MOH,
DHA, HAAD, Medical Universities, EMA , Emirate Nursing Council etc.);
Defining the role of different stakeholders; Developing law, rules and regulations for
CPD/CME system; Developing an affordable CPD/CME system; Defining country specific CPD/CME curriculum; CPD/CME outreach program to capture all health
professionals in different beurucratic locations.
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CME / CPD Present Points Awarding Structure To gain the credit hours / points the CME
activities are divided into 3 Categories
Category 1 Be sponsored by an organization accredited
by the MoH. Conform to the Definition of CME / CPD. Be based on a perceived or demonstrated
educational need which is documented Be intended to meet the continuing
education needs of an individual physician or specific group of participants
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CME / CPD Present Points Awarding Structure
Category 1 (Continued)
Have stated educational objectives for the activity Have content which is appropriate for the
specified objectives Use teaching/learning methodologies and
techniques which are suitable for the objectives and format of the activity
Use evaluation mechanisms defined to assess the quality of the activity and its relevance to the stated needs and objectives
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CME / CPD Present Points Awarding Structure
Category 2 Category 2 activities are not formally
designated Online Medical research and study Using non-designated enduring materials Teaching of medical or
healthcare professionals Reading authoritative medical literature Attendance at conferences, lectures, and
seminars not designated in Category 1.
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CME / CPD Present Points Awarding Structure
Category 3 Category 3 activities are not designated in
either categories 1 & 2 and cater, solely, for research oriented CME activities
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CME / CPD Present Points Awarding Structure
Table1. Menu of CME / CPD Activities
Category 1
Type of Activity CME / CPD credit points / hour or part of Workshops An hour /More than one hour 1 Credit point
Lecture series 1 credit point Symposia 1 credit point Seminars 1 credit point Group Learning Sessions/Group Activities 0.5 cr. point Practical Training Sessions 0.5 credit point Clinical Training Sessions 0.5 credit point
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CME / CPD Present Points Awarding Structure
Table 2. Menu of CME / CPD Activities Category 2: Type of Activity CME / CPD credit points / hour
or part of
Patient care review meetings 0.5 point Teaching – Medical & Other Health Professionals 0.5 point Writing Questions for Examinations 0.5 point
Journal Clubs 0.5 point Self Assessment Examinations 0.5 point
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CME / CPD Present Points Awarding Structure
Category 2 (Continued)
Type of Activity CME / CPD credit points / hour or part
of
Approved Self Instructions 0.5 credit point Computer Assisted Instructions 0.5 credit point Audio- Visual Instructions 0.5 credit point Distance Learning / Web based Learning 0.5 credit point Reading scientific Papers for Journals 0.5 credit point Self – directed Study for Examinations 0.5 credit point
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CME / CPD Present Points Awarding Structure
Table 3. Research & Related
Category 3 Type of Activity CME / CPD credit points Scientific Papers published in related journals - 1st or Single Author (solo) 5 credit points - 2nd Author 3 credit points - 3rd Author 2 credit points Review Articles in related specialty - 1st (Or Single) author 5 credit points - 2nd author 3 credit points - 3rd author 2 credit points
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CME / CPD Present Points Awarding Structure
Table 3. Research & Related Category 3
Chapters in a book in related specialty - 1st (Or Single) author 5 credit points - 2nd author 3 credit points - 3rd author 2 credit points Scientific Paper presentations in related specialty - International Conference 5 credit points - Local, Regional or National level 3 credit points - Chairing / Co chairing a session 2 credit points - Writing a book in related specialty 10 credit points
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CME/CPD/CNE in the UAESTRATEGY
Key stakeholders MUST unite to introduce
structured CPD/CME Program in the UAE
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CME/CPD/CNE in the UAE
Mistakes are painful when they happen.
BUT YEARS LATER COLLECTION OF
MISTAKES IS CALLED EXPERIENCE,
WHICH SHOULD LEAD TO SUCCESS.
WE CANNOT AFFORD MAKING MORE
MISTAKES….
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CME/CPD/CNE in the UAE
NO ONE CAN GO BACK AND CHANGE A BAD
BEGINNING BUTANYONE CAN START
NOW AND CREATE A SUCCESSFUL ENDING
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CONCLUSION
CPD/CME System is already in crises in the UAE. We DO NOT have a system to address the professional
development needs of our fellow colleagues. Our Healthcare leadership must wake up NOW to
establish the system before it is too late…. Who will take the lead ? MOH ? DHA ? HAAD ? EMA ? ACADEMIC Institutions Someone else?
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Food for Thought
Responsible and accurate portrayal of best clinical practice in the context of Evidence Based Medicine, using current clinical practice as a reference point.
Transparency on relationships and matters of conflict of interest.
Structures in place to avoid potential influence from commercial supporters or single issue organizations.
Expert authors of the appropriate level of expertise and relevance to the target audience.
(European CME-CPD Academy)
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Food for Thought
Clarity of support and involvement: all institutions and supporters are clearly identified and differentiated where they have had any involvement and under what conditions.
Clearly laid out learning objectives and expectations for participation in order to complete the activity, including timings and evaluation or testing requirement.
All our programs are accredited for CME or approved for CPD by the relevant authority to the target audience profile of each individual activity.
(European CME-CPD Academy)
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Food for Thought
European CME-CPD Academy is dedicated to the delivery of high quality accredited continuing education for healthcare professionals in Europe.
Can we form an Academy, here, in the UAE that would serve all the GCC Countries, other neighboring countries and Indo - Pak Subcontinent.
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Revenue Generation by CME
Any organization wish to use DHA/MoH /HAAD Logo MUST be charged x – y K depending on the size of the event and worth of the organization.
IF DHA/MoH /HAAD facilities are used for any CME activity they should levy some charges.
All certificates issued by the organizers MUST be charged a Prorate say 50 dirham / certificate (Irrespective whether the organizers are charging the participants or NOT) DHA/MoH /HAAD fraternity exempted.
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CME/CPD/CNE in the UAE
THANK YOU