Application form for CAS Accredited Group Learning Activities Appendix 1 CMA POLICY GUIDELINES FOR PHYSICIANS IN INTERACTIONS WITH INDUSTRY (Updated 2007) Continuing Medical Education/Continuing Professional Development (CME/CPD) 21. This section of the Guidelines is understood to address primarily medical education initiatives designed for practicing physicians. However, the same principles will also apply for education events (such as noon-hour rounds and journal clubs) which are held a part of medical or residency training. 22. The primary purpose of CME/CPD activities is to address the educational needs of physicians and other health care providers in order to improve the health care of patients. Activities that are primarily promotional in nature, such as satellite symposia, should be identified as such to faculty and attendees and should not be considered as CME/CPD. 23. The ultimate decision on the organization, content and choice of CME/CPD activities for physicians shall be made by the physician-organizers. 24. CME/CPD organizers and individual physician presenters are responsible for ensuring the scientific validity, objectivity and completeness of CME/CPD activities. Organizers and individual presenters must disclose to the participants at their CME/CPD events any financial affiliations with manufacturers of products mentioned at the event or with manufacturers of competing products. There should be a procedure available to manage conflicts once they are disclosed. 25. The ultimate decision on funding arrangements for CME/CPD activities is the responsibility of the physician-organizers. Although the CME/CPD publicity and written materials may acknowledge the financial or other aid received, they must not identify the products of the company(ies) that fund the activities. 26. All funds from a commercial source should be in the form of an unrestricted educational grant payable to the institution or organization sponsoring the CME/CPD activity. 27. Industry representatives should not be members of CME content planning committees. They may be involved in providing logistical support. 28. Generic names should be used in addition to trade names in the course of CME/CPD activities. 29. Physicians should not engage in peer selling. Peer selling occurs when a pharmaceutical or medical device manufacturer or service provider engages a physician to conduct a seminar or similar event that focuses on its own products and is designed to enhance the sale of those products. This also applies to third party contracting on behalf of industry. This form of participation would reasonably be seen as being in contravention of the CMA’s Code of Ethics, which prohibits endorsement of a specific product. 30. If specific products or services are mentioned, there should be a balanced presentation of the prevailing body of scientific information on the product or service and of reasonable alternative treatment options. If unapproved uses of a product or service are discussed, presenters must inform the audience of this fact. 31. Negotiations for promotional displays at CME/CPD functions should not be influenced by industry sponsorship of the activity. Promotional displays should not be in the same room as the educational activity. May 2012- Appendix 2 Page 1 Application form for CAS Accredited Group Learning Activities 32. Travel and accommodation arrangements, social events and venues for industry sponsored CME/CPD activities should be in keeping with the arrangements that would normally be made without industry sponsorship. For example, the industry sponsor should not pay for travel or lodging costs or for other personal expenses of physicians attending a CME/CPD event. Subsidies for hospitality should not be accepted outside of modest meals or social events that are held as part of a conference or meeting. Hospitality and other arrangements should not be subsidized by sponsors for personal guests of attendees or faculty, including spouses or family members. 33. Faculty at CME/CPD events may accept reasonable honoraria and reimbursement for travel, lodging and meal expenses. All attendees at an event cannot be designated faculty. Faculty indicates a presenter who prepares and presents a substantive educational session in an area where they are a recognized expert or authority. Electronic Continuing Professional Development (eCPD) 34. The same general principles which apply to “live, in person” CPD events, as outlined above, also apply to eCPD (or any other written curriculum-based CPD) modules. The term “eCPD” generally refers to accredited on-line or internet-based CPD content or modules. However, the following principles can also apply to any type of written curriculum based CPD. 35. Authors of eCPD modules are ultimately responsible for ensuring the content and validity of these modules and should ensure that they are both designed and delivered at arms’-length of any industry sponsors. 36. Authors of eCPD modules should be physicians with a special expertise in the relevant clinical area and must declare any relationships with the sponsors of the module or any competing companies. 37. There should be no direct links to an industry or product website on any web page which contains eCPD material. 38. Information related to any activity carried out by the eCPD participant should only be collected, used, displayed or disseminated with the express informed consent of that participant. 39. The methodologies of studies cited in the eCPD module should be available to participants to allow them to evaluate the quality of the evidence discussed. Simply presenting abstracts that preclude the participant from evaluating the quality of evidence should be avoided. When the methods of cited studies are not available in the abstracts, they should be described in the body of the eCPD module. 40. If the content of eCPD modules is changed, re-accreditation is required. May 2012- Appendix 2 Page 2 Application form for CAS Accredited Group Learning Activities Appendix 2 CANADIAN ANESTHESIOLGISTS’ SOCIETY GUIDELINES APPROVAL PROCESS FOR A CONTINUING PROFESSIONAL DEVELOPMENT ACTIVITY FOR RCPSCP SECTION 1 CREDITS (ACCREDITED GROUP LEARNING ACTIVITIES) NOT-FOR-PROFIT NON-ACCREDITED PHYSICIAN ORGANIZATION 1. The CAS is an accredited provider under the Royal College of Physicians and Surgeons of Canada Maintenance of Certification program and may approve a CPD activity for Section 1 (Accredited Group Learning Activities) on behalf of a not-for-profit non-accredited physician organization without necessarily co-developing the CPD activity. 2. The CAS may delegate the planning, implementation, and evaluation of the CPD activity to the physician organization. 3. The CAS will be recognized as the accrediting body on the program materials. 4. The physician organization accepts responsibility for keeping records of attendance and will provide the attendees with certificates of attendance. 5. The physician organization will provide the CAS the evaluation results of the educational activity. 6. The physician organization will provide records of the CPD activity (materials, attendance) to the Credit Validation program of the Royal College of Physicians and Surgeons of Canada Maintenance of Certification program on request. 7. The following criteria must be met: a) The educational needs of the target audience must be considered when deter-mining session objectives. These may be determined by having members of the target audience sit on the planning committee, by conducting surveys, or by convening focus groups. b) Course objectives need to be printed in the syllabus that describes what the participants may learn or achieve by attending the session. c) The session must formally incorporate opportunities for interactive learning using planned discussion periods (totaling 25% of course time or more) or small-group interactive sessions. Although not mandatory, course planners are encouraged to meet these other criteria: d) Some learning objectives for the session should be based on self-assessment tests or practice audits. e) Participants should receive feedback on their learning. Documentation demonstrating that these criteria have been met, as well as the final program and list of speakers, must be submitted to the CAS Accreditor for approval. 8. Approval of the event for Section 1 (Accredited Group Learning Activities) will be recognized by the following statement on program materials: “This event is approved as an accredited group learning May 2012- Appendix 2 Page 3 Application form for CAS Accredited Group Learning Activities activity as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada and the Canadian Anesthesiologists’ Society.” May 2012- Appendix 2 Page 4 Application form for CAS Accredited Group Learning Activities CANADIAN ANESTHESIOLOGISTS’ SOCIETY GUIDELINES RELATIONSHIPS WITH INDUSTRY SPONSORS AND FOR-PROFIT PHYSICIAN GROUPS/ORGANIZATIONS IN CONTINUING PROFESSIONAL DEVELOPMENT ACTIVITIES The Canadian Anesthesiologists’ Society (CAS) works with industry to achieve our goals in continuing professional development. With regards to financial support for continuing physician professional development (CPPD activities), certain guidelines must be followed to ensure that there is no conflict of interest between the aims of those providing or participating in the educational activity and those of the company that is supporting the program. Educational and professional development activities organized by the CAS are not a forum to advertise products and must be free of commercial bias. Events related to commercial products must present objective information about those products predicated upon valid scientific assessment of evidence generally accepted in the medical community. Identifying Products, Reporting on Research, and Discussing Unlabelled Uses of Products: 1. The generic names for drugs must be used in presentations, discussions, and enduring material. 2. In the course of educational discussions, speakers must disclose when a commercial product is not labeled for the use under discussion or when the product is still investigational. 3. No product advertisement may appear on, or with, any of the written material (preliminary or final programs, brochures or advance notifications) for an event. Exhibits and Other Commercial Activities: 4. When commercial exhibits are part of the overall program, arrangements for these should not influence planning or interfere with the presentation of CPD activities. 5. Representatives of corporations providing commercial support may attend educational activities in accord with CAS meeting regulations. These representatives should not actively participate in the discussion nor promote their products, which should be restricted to venues specifically convened for this purpose. Acknowledgment of Support: 6. Acknowledgment of support may be included in the course program or on the enduring material, but without mention of any specific product. Commercially Supported Social Events: 7. The value of social functions at CPD events is recognized. However, they should neither compete with, nor take precedence over, the educational events. It should be clear at all times that the scientific content is the primary focus of the meeting, and not the venue nor social activities. May 2012- Appendix 2 Page 5 Application form for CAS Accredited Group Learning Activities Policy on Disclosure of Faculty and Sponsor Relationships: 8. All faculty and planning committee members participating in accredited CPD must provide a written Disclosure of their relationships with industry as defined by the Canadian Medical Association. This also pertains to other corporations whose products or services are related to the presentation topics 9. All faculty and planning committee members must disclose all relevant relationships with industry (not just those directly related to the topic or content being discussed at the event) for the prior two years. Disclosure is required with respect to: grant/research support, industry consultancy, speaker’s bureau for industry, major stockholder or other financial or material support (including being paid an honorarium by a corporation for participation in any activity of the meeting or being enrolled as a featured speaker for a corporation). This disclosure requirement extends to immediate family members of the speaker. Such disclosure will be given in writing by all speakers using the CAS standard disclosure forms. 10. A written description of the relationships of faculty and planning committee members must be provided to participants. This must either be part of the written conference material or described in the second slide at the time of presentation. 11. The intent of this policy is not to prevent a speaker with a potential conflict of interest from making a presentation. It is intended that any potential conflict of interest should be identified openly so that the participants may form their own judgments about the presentation with full disclosure of the facts. It remains for the audience to determine whether the speaker’s outside interests are reflected in a possible bias in the presentation or written materials. 12. These guidelines are consistent with and reflect the Code of Ethics of the Canadian Medical Association, and the guidelines of the Royal College of Physicians and Surgeons of Canada, the College of Family Physicians of Canada, and Section 4 of Rx&D, Canada’s Research Based Pharmaceutical Companies Code of Conduct. October 2007 May 2012- Appendix 2 Page 6 Application form for CAS Accredited Group Learning Activities CANADIAN ANESTHESIOLOGISTS’ SOCIETY GUIDELINES APPROVAL PROCESS FOR A CONTINUING PROFESSIONAL DEVELOPMENT ACTIVITY FOR RCPSCP SECTION 1 CREDITS (ACCREDITED GROUP LEARNING ACTIVITIES) CO-DEVELOPMENT WITH NON-PHYSICIAN ORGANIZATIONS Events sponsored by organizations that do not meet the definition of a physician organization must be co-developed by an accredited provider to obtain Maintenance of Certification credits. Such organizations, hereafter called industry, include pharmaceutical companies or their advisory groups, medical supply and surgical supply companies, communication companies, for-profit physician led and other for profit organizations and ventures/activities. These programs may or may not occur at a CAS sponsored event. There is a fee payable to CAS for the co-development of such an educational activity in addition to logistical support. In order for industry-sponsored CPD activities to be accredited, a CAS-appointed representative must be involved in the planning process to ensure that the content of the CPD activity is of educational value and is unbiased, and that the speakers deal objectively with the subject matter. The CAS in its role as the codeveloping accredited provider, through its representative, has ultimate authority over program content and speakers, including the right to propose or veto speakers. If CAS co-development guidelines are not met, participants must be informed that the educational event is not part of the official program. This information must be printed on course material and announced at the commencement of the activity. Note: All industry-sponsored Satellite Symposia at the CAS must be co-developed if they are to be included in the official scientific program book or brochure. If the symposium is not co-developed by the CAS, the name of the co-developing accredited provider must be included along with the Satellite Symposium listing. For co-developed status: 1. The CAS must be integrally involved in the planning process from the beginning, be represented on the planning committee, and participate in the assessment of needs, program design, implementation, and evaluation. 2. To achieve this purpose, the CAS will appoint a representative to the planning committee. 3. For CAS-related co-developed educational activities, this representative will be selected by the Chair of the CAS Continuing Education and Professional Development Committee. With respect to the Satellite Symposia that are held concurrently with the CAS Annual Meeting, the CAS Annual Meeting Chair will select and appoint this representative 4. Each of the following criteria must be met: a) The educational needs of the target audience must be considered when determining session objectives. These may be determined by having members of the target audience sit on the planning committee, by conducting surveys, or by convening focus groups. b) Course objectives need to be printed in the syllabus that describes what the participants may learn or achieve by attending the session. May 2012- Appendix 2 Page 7 Application form for CAS Accredited Group Learning Activities c) The session must formally incorporate opportunities for interactive learning using planned discussion periods (totaling 25% of course time or more) or small-group interactive sessions. Although not mandatory, course planners are encouraged to meet these other criteria: d) Some learning objectives for the session should be based on self-assessment tests or practice audits. e) Participants should receive feedback on their learning. 5. Documentation demonstrating that criteria a), b), and c) have been met, as well as the final program and list of speakers, must be submitted to the CAS Accreditor for approval. 6. Co-development of the CPD activity by the CAS must be recognized on program materials. 7. All payments to speakers for travel, accommodation and honoraria must flow from the planning organization through the CAS Office to the speaker. This is done so as to remove the perception of industry directed control of the content of the presentation. 8. The CAS accepts responsibility for maintaining registration records and will provide registrants with certificates that show potential maximum educational credits. It remains with the individual attendee to exercise appropriate discretion when claiming actual credits for Maintenance of Certification. 9. Approval of the event for Section 1 (Accredited Group Learning Activities) will be recognized by the following statement on program materials: “This event, co-developed by the Canadian Anesthesiologists’ Society, is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification program of The Royal College of Physicians and Surgeons of Canada.” 10. The CAS logo shall appear on the program. Information and instructions on its correct usage appear in Appendix 1. 11. The Program Planners and Organizer will provide the CAS with all documentation (minutes, correspondence etc.) related to the planning of the program. This documentation requirement is needed so that the CAS can meet its obligation as the responsible organization overseeing the planning of the program i.e. the same requirements as when the CAS organizes its own educational program. May 2012- Appendix 2 Page 8 Application form for CAS Accredited Group Learning Activities How to use the Canadian Anesthesiologists’ Society (CAS) logo Format Only the official CAS logo may be used. The official logo consists of: The red leaf, blue snake and blue staff Official association names The leaf, snake and staff must always be accompanied by the association name in English and French Canadian Anesthesiologists’ Society Société canadienne des anesthésiologistes The original PMS colours for the CAS logo are 186 (red) and 273 (blue). The CAS logo may be reproduced in 4-colour (CMYK) mode. If the logo is to be reproduced in black and white please request the grayscale version of the logo. Legibility The logo may be resized as needed, provided it is scaled proportionately. It must still be legible at a smaller size. Note that the logo will lose definition and impact if reproduced any smaller than .25” or 6 mm. The CAS logo must be reproduced on a background that ensures good legibility. Do not place the logo on a cluttered or insufficiently contrasting background. Style The CAS logo shall not be revised or rearranged in any way, hand-drawn or altered versions (such as change in type or colour) are not permitted. Do not incorporate any part of the CAS logo with another logo to result in a new logo. Do not place any graphic elements with or around the CAS logo (such as a box) that could be interpreted as part of the CAS logo. Do not add or remove graphic elements or letters. Do not obstruct the logo with other images. Usage on the Web When used on the Web, the logo must be an active link to http://www.cas.ca For web use, we recommend using a jpeg, with a minimum resolution of 100 dpi Questions? The CAS Webservices Manager is always available to consult with you regarding proper logo usage. May 2012- Appendix 2 Page 9 Application form for CAS Accredited Group Learning Activities Should you have any questions or concerns please contact webservices@cas.ca May 2012- Appendix 2 Page 10 Application form for CAS Accredited Group Learning Activities DEFINITIONS Continuing professional development (CPD) CPD extends beyond traditional continuing medical education, which is perceived to focus on updating medical knowledge. In CPD, practitioners define competencies that they see as relevant to their individual practice needs. CPD covers subject matter such as doctor-patient communication, interdisciplinary team skills and risk management, as well as other competencies defined by the Royal College’s CanMEDS 2005 Framework. CPD activities utilize a wide variety of education and content delivery formats. Accredited Provider of CPD Activities A National Specialty Society or University Office of CME that has been deemed by the Royal College of Physicians and Surgeons of Canada Continuing Professional Development Accreditation Committee to meet the requirements of an Accreditor Organization. An Accredited Provider can approve Section 1 and 3 programs submitted by either Physician (Group A) or Non-Physician (Group B) organizations. Co-development An educational program or activity that is planned and developed jointly by a physician and nonphysician organization with specific roles and responsibilities required by each organization. The physician organization is ultimately responsible for the program content, delivery and fiscal activities of the program and must use the appropriate accreditation statement. Group A (Physician) Organization A non-profit group of health care professionals with a formal governance structure accountable to, and serving its membership with regards to continuing professional development, clinical standards and /or research activities. Group A organizations include but are not limited to National Specialty Societies and their Provincial/Territorial Divisions, Hospital and University Departments and Medical Organizations such as the Canadian Medical Association and its Divisions and the Health Branch of the Canadian Armed Forces. Group B (Non-Physician) Organization Organizations that do not meet the definition of a physician organization. Group B organizations include pharmaceutical companies or their advisory groups, medical supply and surgical supply companies, communication companies, for-profit physician led and other for profit organizations and ventures/activities. Educational activities sponsored by Group B organizations must be co-developed by an accredited provider if they wish to obtain Section 1 or 3 Maintenance of Certification credits for their educational activity. Program Organizer The group or organization planning the educational activity. This can be either a Group A or Group B organization. Commercial Bias Commercial bias is defined as an unfair influence or distortion of the facts. In its commonest form it presents as a commercial slant to the benefit of a particular manufacturer of pharmaceuticals or health care technologies that may result in the application of knowledge gained in a physician’s professional practice that is not necessarily of benefit to patients. May 2012- Appendix 2 Page 11