The Continuing Medical Education Project

What is a CME?

Continuing Medical Education – or CME – is pretty much what it sounds like: “…a specific form of continuing education (CE) that helps those in the medical field maintain competence and learn about new and developing areas of their field” (en.wikipedia.org). Each state mandates how many hours of CME health professionals must earn every year to maintain their licenses. Each state’s requirements vary slightly and some have subject content specified along with number of hours. For a look at the 2010 regulations, see the American Medical Association’s summary here: http://www.ama-assn.org/ama1 /pub/upload/mm/40/table16.pdf  (the average is 40 hours every 2 years).

There are also non-CME courses that don’t count towards license renewal but may be useful to individual providers. Non-CMEs usually target a specific treatment or therapy, and are usually delivered by sponsoring organizations/corporations. What is the difference between CME units and non-CME units? The biggest difference is bias. Ethically speaking, CMEs are supposed to be objective and informative, similar to scientific publication. And just as in publication, any conflicting financial relationships are supposed to be disclosed up front. Non-CMEs, on the other hand, usually focus on specific treatments or therapies and are assumed to be biased toward those from the outset. This doesn’t make non-CMEs evil by definition! But the smart reader always looks for potential sources of conflict when deciding which information to use. Recently, CMEs have been scrutinized more carefully because so many were being sponsored by pharmaceutical companies. In response, certifying agencies such as the Society for Academic Continuing Medical Education (covering the U.S., Canada, Great Britain, and Europe) were formed to oversee the CME creation process.

For health providers, CMEs are a fact of life. CMEs worth higher credit hours are usually offered at professional conferences; health providers pay for the conference, but may pay relatively little for the particular CME course. Recently, another model for smaller CMEs has emerged, hosted by specific institutions or companies via the web. Fortunately, web-based CMEs are usually free of charge. These CMEs vary tremendously in subject and length. Generally speaking, the shorter the CME, the less credit is conferred, with some CMEs counting for as little as .25 a unit hour. However, these shorter ones can be finished in as little as 15 minutes, and provide excellent, highly focused insight into a particular area of health practice.

The CME Project

For your final project, you will work with a small group to create a short, highly focused CME, similar to the ones that count for .25 a credit hour. The audience will be a mix of general and some specialist practitioners. You will be given a specific template to work with that reflects what is found on the “simpler” kinds of web-based CMEs, such as on Medscape. Your group will deliver the CME as though at a conference, in a final presentation lasting approximately 20 minutes (including Q/A time).

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