HRH Research ForumKhartoum

30/3/2010 Dr. Alfonso Negri

Secretary General

Rome CME/CPD Group   

Defining and Assuring Quality in CME/CPD

Alfonso Negri, 03/11

Relation between CPD, appraisal and revalidation

Consideration of quality versus effectiveness

How to ensure quality in CPD

The learning partnershipAlfonso Negri, 03/11

CPD

Doctor’s behaviour

Improved patient

care

What is the aim of CPD? Patients and

public expect their doctors to be up to date and professionally competent.

Alfonso Negri, 03/11

Quality and Effectiveness

of CPD

Alfonso Negri, 03/11

Efficacy – the ability to bring about learning in the most favourable circumstances

Effectiveness – the degree to which learning is, in fact, achieved

Efficiency – the ability to reduce the resources needed without diminishing attainable learning

Alfonso Negri, 03/11

Acceptability – conformity to the needs, wishes and expectations of learners

Legitimacy – conformity to ethical principles, laws and regulations

Equity – conformity to a principle of what is just and fair in availability of learning opportunities

Alfonso Negri, 03/11

Well-designed educational activity

Change in behaviour

Doctor satisfaction

Change in knowledge

Patient care

improved

Alfonso Negri, 03/11

Well-designed educational activity

Change in behaviour

Doctor satisfaction

Change in knowledge

Patient care

improved

Alfonso Negri, 03/11

Well-designed educational activity

Change in behaviour

Doctor satisfaction

Change in knowledge

Patient care

improved

Alfonso Negri, 03/11

Quality represents the degree to which a CPD activity is likely to produce a good outcome

Effectiveness is the degree to which a CPD activity can be shown to produce a good outcome

Alfonso Negri, 03/11

Activity Satisfaction

Knowledge

Behaviour

Outcome

QualityEffectiveness

Alfonso Negri, 03/11

Ensuring Quality – the learning partnership

Alfonso Negri, 03/11

Assessment of learning needs Interaction among peers Practising skills / active learning Variety of educational activities Sequencing of education Relevant & targeted to patient

care Engaging and reinforcing

Alfonso Negri, 03/11

Set learning goals based on needs Select targeted educational

activities Participate in activities that have

clear learning objectives Choose activities that will allow you

to:

Learn Practise Learn

Alfonso Negri, 03/11

Provide an opportunity to reflect upon present and desired levels of performance

Facilitate interaction between participants

Design activities which support the model of:

Learn Practise Learn

Commercial sponsorship/vested interestsdeclareddo not influence structure or

content Defined learning objectives Appropriate target audience Effective teaching methods Expert teachers Satisfactory evaluation

Alfonso Negri, 03/11

Decision-tree methods Objective self-assessment

pre- / post-testingvarious question formats

Personal reflection

Alfonso Negri, 03/11

Summary

Alfonso Negri, 03/11

Ongoing Interactive Contextually relevant Based on needs assessment

Instead of asking “Is CME effective?” researchers should ask “What kinds of CME are effective?”

Alfonso Negri, 03/11

A. Negri, March 2011

Dr. Alfonso Negri