Continuous Professional Development (CPD) Dr. Abdul Sattar Khan MBBS, MPH, MCPS, DCHM, MRCGP (UK), FRIPH (UK) Assistant Professor Family Medicine Department drsattarkhan@gmail.com Is information changing rapidly? • 285 of 474 conclusions (60%) were still considered to be true, • 91 (19%) were considered to be obsolete, • and 98 (21%) were considered to be false. Poynard T, Munteanu M, Ratziu V, Benhamou Y, Di Martino V, Taieb J, Opolon P. Truth Survival in Clinical Research: An Evidence-Based Requiem? Annals of Internal Medicine 2002;136(12):888-895 ASK Learning Objectives At the end of the session, the participants will be able to: • Describe professional development • Differentiate CME and CPD • Define board recertification • Discuss the half life of medical knowledge • Explain the CPD cycle ASK Professionalism 3/16/2016 ASK 4 Professionalism The words "profession" and "professional" come from the Latin word "professio,“ which means a public declaration with the force of a promise. Professional – Definition and More from the Free Merriam-Webster Dictionary. Merriam-webster.com (2010-0813). Retrieved on 2011-09-13 3/16/2016 ASK 5 What is Professional Development? Professional development in health care involves developing workers’ knowledge, skills and attitudes in order to ensure that they can work confidently and effectively www.ibms.org/includes/act_download.php?download=cpd-joint...pdf 3/16/2016 ASK 6 What is CPD?.............. Proactive professional development ensures the creation of a learning culture in the workplace, increasing individual and team competence, confidence and morale, thus resulting in a more effective health care service. 3/16/2016 ASK 7 CME: Continuing Medical Education CME is a process of life-long continuing education within the fields of knowledge of medical practice 3/16/2016 ASK 8 CPD: Continuous Professional Development It is the means by which members of professional associations maintain, improve and broaden their knowledge and skills and develop the personal qualities required in their professional lives. 3/16/2016 ASK 9 CPD Non-competence Personal & Social skills CME 3/16/2016 ASK 10 Half life of Medical knowledge • Any new information we may gather has a half-life of 5 years. Emanuel E. "A half-life of 5 years" Can Med Assoc J 112:572, 1975 • Lifelong learning is important, but no more important than clinical judgment, common sense and a critical evaluation of new information. A. J. MACGREGOR. Half-life of medical knowledge. CMA JOURNAL/MAY 17, 1975/VOL. 112 1165 3/16/2016 ASK 11 How to start? 3/16/2016 ASK 12 SWOT Analysis Development Plan is based upon the individuals SWOT Analysis. S = Strengths W = Weakness O = Opportunities T = Threats 3/16/2016 ASK 13 Home Work Do SWOT analysis for yourself to develop professional development plan? 3/16/2016 ASK 14 You may ask to yourself… • How good a medical student am I? • How well do I perform? (How do I know and compare it? • How up to date am I? • How well do I work in class/group? • What resources and support I need? • How well I meeting my curriculum objectives? • What are developmental needs? 3/16/2016 ASK 15 CPD cycle ASK 16 Simple six steps for CPD Evaluate Assess Define Design Reflect Act ASK Start with this template What developmen t needs do I have? 3/16/2016 Expected Outcome How I address them? ASK Time scale Completed? 18 Check your learning style 3/16/2016 ASK 19 Kolb’s Experiential Learning David Kolb (1984) found that four combinations of perceiving and processing determine the four leaning styles. • Activist: Active experimentation • Reflector: Reflective observation • Theorist: Abstract conceptualization • Pragmatist: Concrete Experience 3/16/2016 ASK 20 Sources for learning • • • • • • • • • • Textbooks Medical literature (journals) Short term courses Long term trainings (Masters, PhD…) Educational meetings (Conferences, panels..) Information from the media Exchange of experience with colleagues Reviving personal experience Collecting experience out of school Learning on own initiative CURRENT APPROACHES TO CME|CPD • In 1982, the Standing Committee of European Doctors (CP) adopted the Declaration of Dublin. • The Declaration, which was revised in 1993, established that it is an ethical obligation for each doctor continuously throughout his professional life to participate in continuing medical education. 3/16/2016 ASK 22 CURRENT APPROACHES TO CME/CPD……. • In 1994, the European Union of Medical Specialists (UEMS) published a charter about the individual doctor’s personal obligations and right to maintain his or her professional level of competence and the obligation and right of medical organizations to influence the activity of Continuing Medical Education. 3/16/2016 ASK 23 CURRENT APPROACHES TO CME/CPD……. • The European Union of General Practitioners (UEMO) Declaration from 1994 is built on the principles of the Declaration of Dublin, supplemented with more precise proposals aimed specifically at general practitioners. • Saudi commission for health specialties needs credit hours for registration …. 3/16/2016 ASK 24 Board Exams • The Turkish Association of Family Physicians has finished preparations for board exams. • Announcements are done through their web page and applications being collected / 27 25 http://www.tahud.org.tr/hakkimizda/yeterlilik-kurulu/tahud-board-sinavi/49 CME credits: TAHUD • The aim of Turkish Board of Family Physicians – CPD (TAH-SMG) credits system: – To support scientific improvements of family physicians by encouraging participation to high quality educational activities. 26 http://www.tahud.org.tr/hakkimizda/yeterlilik-kurulu/surekli-mesleki-gelisim/48 Turkish Union of Medical Doctors CME-CPD Credits • Group 1 – Educational activities demanding full time participation: Conferences, symposia… – Courses: Aiming to improve professional level – Activities related with peer rewieved journals: Yearly subscription, completing tests, quizzes etc. – Educational activities with audiovisual materials: material sources have to be mentioned and evaluation at the end should be done. – Other activities: publications, book writing, presenting, teaching, master, PhD… 27 http://www.ttb.org.tr/index.php/ttb/kredilendirme • Group 2 – Activities of trainers not mentioned in Group 1 (journal clubs, audit mettings, mortality meetings..) – Distance learning activities – CME/CPD activities not mentioned in Group 1 ABFM • Founded in February 1969 • Certification candidates must have satisfactorily completed three years of training in a Family Medicine residency program • Currently certificates are valid for a seven-year period https://www.theabfm.org/ / 27 Canada • All licensed physicians in Canada must participate in a recognized revalidation process in which they demonstrate their commitment to continued competent performance. • The revalidation process came into effect January 1, 2010, and consists of mandatory compliance with continuing professional development (CPD) requirements. www.cfpc.ca UK • All licensed physicians in UK must participate in a recognized revalidation process in which they demonstrate their commitment to continued professional development www.gmc-uk.org/doctors Benefits of CPD • • • • • • Up to date Build confidence and credibility Earn more Achieve your career goals Cope positively with change Be more productive and efficient How CPD benefits the organisation • Helps maximize staff potential by linking learning to actions and theory to practice. • Helps set SMART (specific, measurable, achievable, realistic and time-bound) objectives • Promotes staff development. • Hhelps give a positive image/brand to organizations. Recall..... • Is there any difference between CME and CPD? • What do you mean by professional development? • What is the approximate half life of medical knowledge? • Is CPD cycle important for professional development? / 27 Thanks 3/16/2016 ASK 35