Thursday, May 6, 2010

Hands-on Education: Make It Practical

The Status of CME
For years, we’ve been educating physicians about the latest therapies and medical devices. However, equal emphasis should now be placed on helping them to integrate the educational information into changes in performance and to navigate the complexities of the current healthcare system to ensure that barriers to implementation are removed or overcome.

Diagnostic and therapeutic challenges faced by physicians continue to increase, while the escalating requirements and expectations of insurance companies leave them (and their patients) exasperated. The end result is that physicians are left to figure out how to do it all.

As CME providers, how can we continue to help physicians overcome the barriers of improving their clinical practice? The answer may be simpler than you think: Use CME to complete the educational cycle and provide clinicians with tools and strategies to implement what we've taught them.

Make it Simple
In a recent CME activity, clinicians were educated about a new surgical procedure and how to coordinate patient follow up with their non-physician staff. This single educational intervention resulted in a profound reduction in adverse events noted after the procedure due to improved patient screening before the procedure and follow up at the right time. Patient care and health outcomes were improved. How was this accomplished? By giving physicians a simple plan of action to implement what was taught. Of equal importance, the activity raised awareness of potential barriers that should be avoided in the physicians' clinical practices.

If we develop CME activities that address the administrative realities of modern clinical practice, the results can be profound. Here are a few ideas to consider:
  • Provide education that gives a hands-on or informal discussion component to accelerate integration into physicians’ clinical considerations.
  • Addresses the administrative components of the physicians' and non-physicians’ daily duties.
  • Include resource materials that can serve as follow up education that can reinforce and sustain the learning related to the content of the CME activities.
Efforts such as these can arm clinicians with strategies that can be put into practice immediately and may contribute to improvements in patient care.

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Continuing Medical Education for Medical Devices - The Time Is Now

Continuing Medical Education: Now vs. Later
There has never been a better time to consider the incorporation of Continuing Medical Education into your corporate strategy. The Food & Drug Administration's Center for Devices and Radiological Health has released a plan for significant changes to the 510(k) and PMA approval processes. The changes are expected to go into effect this year and are designed to encompass a "total product life cycle approach" that will enhance communication and transparency, and address unmet public needs. The changes will intensify the scrutiny of new applications and could extend the time for device approval.

Due to changes in FDA approval and potential delays in product approval targeted CME could become a required part of your educational strategy in the near future.

Do Physicians Want CME?
Physicians not only want, but demand evidence-based education that can be immediately applied to their practice. Survey results demonstrate that the location, relevance of the topic, and ease of access to an educational event are primary considerations for clinician attendance at a CME activity. Currently, non-accredited hands-on training offered by medical device companies is the primary source for education of doctors about new devices.

Physician interest in evidence-based CME-accredited education has increased significantly in the past few years. Unfortunately with only few hands-on CME courses currently available, they rapidly fill to capacity and cannot accommodate the large population of participants that would have benefited from the education.

Although a standard didactic CME course can be effective at increasing clinician knowledge, without follow up intervention, clinicians begin to forget the education within 3 weeks of attendance (Magazine HI, et al., Alliance for CME 31st Annual  Conference; 2006). Professional Education officials at various medical device companies have indicated that in the past, "there wasn't much value in the CME activity" and that "most of the discussion was beyond our corporate interests."

Our studies have demonstrated that the educational content of many CME courses currently offered is too diffuse and doctors may lose interest. A successful CME activity will provide education on a limited area of validated education need and provide the education in a setting and format that interests and engages the physician participant.

Science Care CME
A Science Care hands-on CME course is an example of optimized education. We conduct our CME activities at either of our state-of-the-art facilities in Phoenix or Denver or at any of our many partner facilities. Courses can be stand-alone, part of a regional initiative or provided to reinforce education at a Congress or annual meeting the doctors may already be attending. By incorporating adult educational principles with opportunities to reinforce the educational objectives with a hands-on component, clinicians are more engaged, have greater retention and may be prepared to change clinical practice after only one educational activity.

Our hands-on CME courses have resulted in improvements in physician competence (Figure 1) and have accelerated appropriate use of devices within the physician's clinical practice. The use of educational outcomes assessment tools Science Care has demonstrated rapid changes to clinical practice and significant improvement in patient outcomes (Figures 2, 3).

Figure 1:


Figure 2:


Figure 3:


Science Care hands-on CME courses provide:
• Intensive education focused on an area of validated educational need
• Evidence-based education limited to "relevant" medical devices including those that have not yet received
   510(k) approval
• Opportunities to improve physician competency and performance
• Educational outcomes that validate improved knowledge or competence, and rapid incorporation of    
   enhanced clinical skills into their practice

Science Care CME has significant value compared to standard didactic CME and can complement the ongoing professional education conducted by your organization.

To find out more about Educational Outcomes and Performance Improvement Metrics or about Hands-on Education at Science Care email CME@sciencecare.com  or call 800.590.8132.

Monday, April 5, 2010

Cost-cutting Strategies for Professional Education

The doctors were delighted, the educational session was flawless and the venue and staff support all met expectations at your important event. So why are you feeling a bit anxious? Your boss has asked you to once again sharpen your pencil and reduce costs…yet you are still accountable for even higher productivity. Something’s got to give!

Clarify the Problem
A common reaction is to locate vendors that can provide services at a lower cost, but is this really the best approach? A reduced-cost vendor may have a lot of unexpected or hidden pass-through expenses, that result is a much higher cost in the long run. Companies are often not fully aware of how much they are actually paying for a meeting because they only considered the fixed costs, such as facility fees and fees for procuring tissue. It’s the pass-through charges, however, that can really add up. What is the cost of food and beverage per person? Is there a separate charge for personal protective equipment (PPEs), tissue disposal and clean up?


Vendor travel is also an area where cost can easily get out of control. Booking air travel early can result in huge savings, but there is no incentive for a vendor to do so if it’s a pass-through cost. Make sure you are examining all the costs, fixed and hidden, as well as the vendors’ policies, procedures and their general culture and values of how they do business.


Initial savings with a reduced-cost vendor can result in a failed event if the vendor is unable to properly implement your event. Tissue that is not of sufficient quality to achieve the educational objectives of the program will leave a negative impression with the doctors. Also, mistakes that result in legal or safety concerns can be potentially devastating to the health of your attendees and the reputation of your company. In the end, is it worth cutting costs when quality and safety are concerned?

Take control
If you are working with vendors that have served you well in the past, ask them to sharpen their pencils. Are they willing to consider a reduction in fees in exchange for a guarantee of greater business volume? Volume discounts are a win-win for clients and vendors alike. Make a list of expenses that commonly spiral out of control and have a conversation with your vendor about your concerns. Request bundled fees when possible. Science Care has recently moved to a model where staff support fees are fixed (including staff time, airfare, lodging, meals, and local transportation. In general, this results in a significant savings to our clients and guarantees that they know the final cost of their event, up front.


Reaching Success
You and your company can mitigate potential risk by being assured of the highest quality and safety standards. Working with a high quality and ethical partner will achieve your desired results every time, and you may also enjoy a reduced cost for your event.



The views expressed in this Blog are my own and do not necessarily reflect the views of Science Care.




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Human Tissue for Research and Education: Use of Human Tissue for Medical Research and Education: Is It Time to Regulate the Industry?

Sunday, April 4, 2010

Scrutiny of the Pharmaceutical and Medical Device Industry: Its Time for Change

Continuing Medical Education has experienced extreme scrutiny over the past few years, a trend that is expected to intensify. Unfortunately the defense of the industry and appropriate business practices has been slow to come. In my opinion we have failed to demonstrate that educational events can improve healthcare and reduce costs.


In this economy we all need to be innovators in this industry and elevate our level of performance. We must collectively publish our educational outcomes data, but, even more importantly, we must have meaningful data to publish. Our success stories must be showcased at national meetings and receive the media attention they deserve. Only then can we assume our place as catalysts for improvements in healthcare delivery.


On a daily basis, we meet individuals who have been silently touched by CME. The woman walking in the street who would have been debilitated by severe asthma, the custodian whose rheumatoid arthritis is in remission and can still work, and even closer to home — the beloved family member who, in her battle against advanced lung cancer, has responded to new therapies when standard chemotherapy had failed. In each instance, off-label use of agents, which is openly discussed in CME activities, has dramatically improved the lives of these individuals. These stories are now commonplace because of industry, government, and foundation support that has led to increased availability of CME. As providers, we must all work harder to ensure that clinicians continue to receive cutting-edge CME that addresses their validated educational needs, and that the benefits of CME to society are transparent to all. Perhaps Mahatma Gandhi said it best: “Be the change you want to see in the world.” Let's all heed that call.


This post has been adapted from the original article that appears in the citation below


http://meetingsnet.com/cmepharma/cme/meetings_fight_cme/


The views expressed in this Blog are my own and do not necessarily reflect the views of Science Care.



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Friday, April 2, 2010

Use of Human Tissue for Medical Research and Education: Is It Time to Regulate the Industry?

I work at Science Care in Phoenix, Arizona. We are one of the largest American Association of Tissue Banks (AATB)-accredited non-transplant tissue banks. Only a few of the organizations that supply human tissue for use in medical education and research are accredited. As a former professor and medical researcher I feel all organizations that supply human tissue for research and education should be accredited.

Why is this important? Accredited organizations have rigorous procedures they must follow to ensure the safety of the individuals that use the tissue (and the staff in their employ) and the quality of tissue that is procured. Organizations that are accredited have external validation of their businesses practices to confirm that they are safe and that the vendors they use have been evaluated and are trustworthy. Perhaps if there were increased regulation that required all organizations that supply human tissue be accredited, human remains would not have ended up in a truck at a Kansas medical waste facility as reported by Maria Sudekum Fisher of the Associated Press on March 30th.

What do you think? Is accreditation the answer or are things ok the way they are?

The views expressed in this Blog are my own and do not necessarily reflect the views of Science Care.




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