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Volume 25 (3)
Volume 25, Issue 3, Summer 2005
J Contin Educ Health Prof 2005; 25(3):174-182
INNOVATIONS
Accreditation For Learning And Change: Quality And Improvement As The Outcome
Kate Regnier, MA, MBA
Murray Kopelow, MD, MSC, FRCPC
Dorothy Lane, MD, MPH
Errol Alden, MD
A b s t r a c t
Increased accountability for facilitating and demonstrating the continued competence of physicians and improvements in the quality of health care are being called for by government, the public, and organized medicine. Areas of critical skills have been identified by the Institute of Medicine, the Accreditation Council for Graduate Medical Education, and the American Board of Medical Specialties. These "competencies" serve as the framework around which medical school curricula, residency programs, and continuing medical education (CME) can be built. Much discussion revolves around the reform of CME, and the organizations most involved have developed innovative plans and initiatives to ensure that CME is optimally positioned to support physicians in learning and change.The Accreditation Council for Continuing Medical Education (ACCME) supports a new and expanded role for the CME provider in physicians' lifelong learning, including periodic self-assessment and practice performance improvement. CME providers can assist in the determination of need (self-assessment) by the physician, the delivery of education to meet that need, and the evaluation of education used to meet the need, especially as it relates to the practice performance of the physician. The ACCME, working with accredited providers, has embraced these expectations and believes that CME can meet these challenges with an approach that also expects independence from commercial interests and freedom from commercial bias. The CME enterprise is uniquely positioned to deliver effective education for learning and change.
Lessons for Practice
- For CME to remain relevant, it must be effective in improving the care that physicians deliver to their patients.
- Quality and improvement in health care are the needs that drive CME and the outcome of effective CME.
- Accredited providers must move toward a competency-based approach to education that supports physicians’ MOC and maintenance of licensure
- CME is well positioned to support professional development that is based on continous improvement in knowledge and performance-in-practice
- While there are health care delivery system and societal issues that have strong impacts on the abilities of physicians to learn and change, CME can be the facilitator of change and the forum for addressing those system and social issues
Key Words: ACCME; Effective CME; Accreditation; Quality and Improvements in Health Care; Continuum of Medical Education; Self-Assessment; Practice Performance; Accreditation Requirements; Maintenance of Certification; Maintenance of Licensure
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