Continuing Medical Education in Neurology

Abstract

Continuing medical education (CME) is designed to keep physicians up-to-date on ever-changing practices and guidelines to provide patients with high quality care. CME is especially important in the field of neurology due to rapidly evolving knowledge and medical advances, and is a required element of maintenance of certification. CME itself has evolved from a passive, didactic approach to a learner-centered approach which utilizes new technologies, online learning, and simulations. CME improves knowledge, skills, and, to a lesser extent, patient outcomes, with multimodal, interactive interventions found to be most effective in teaching health care professionals. However, little data are available on CME in neurology. There is a significant gap in knowledge about CME interventions that work for neurologists. Rigorous education research, as well as making effective CME interventions more readily available to neurologists, is critical to optimize lifelong learning of physicians in the field of neurology.

Keywords

continuing medical education - CME - neurology

• References

• 1 21st Century Milestones. ACCME. Available at: http://www.accme.org/21st-century-milestones . Accessed January 11, 2018
• 2 Accreditation Council for Continuing Medical Education. ACCME Data Report: Growth and Evolution in Continuing Medical Education–2016. Available at: http://www.accme.org/sites/default/files/754_20170712_2016_Data_Report_3.pdf . Accessed January 11, 2018
• 3 CME content: definition and examples. ACCME. Available at: http://www.accme.org/requirements/accreditation-requirements-cme-providers/policies-and-definitions/cme-content-definition-and-examples . Accessed January 11, 2018
• 4 ACCME at a glance. ACCME. Available at: http://www.accme.org/for-media/accme-at-a-glance . Accessed January 11, 2018
• 5 Determining your eligibility. ACCME. Available at: http://www.accme.org/cme-providers/first-time-applicant/determining-your-eligibility . Accessed January 11, 2018
• 6 Accreditation Council for Continuing Medical Education. The ACCME Accreditation Requirements; 2017. Available at: http://www.accme.org/sites/default/files/626_20171106_Accreditation_Requirements_Document.pdf . Accessed January 11, 2018
• 7 Search Results. CMEfinder. Available at: http://www.cmefinder.org/ActivitySearchResults . Accessed January 11, 2018
• 8 American Academy of Neurology. A neurologist's guide to MOC. Available at: https://www.aan.com/globalassets/16-neurotracker-brochure-v506.pdf . Accessed June 14, 2018
• 9 American Board of Psychiatry and Neurology. Maintenance of certification program; 2017. Available at: https://www.abpn.com/wp-content/uploads/2015/05/ABPN_MOC_Booklet-1.pdf . Accessed January 11, 2018
• 10 Neuro SAE. American Academy of Neurology. Available at: https://www.aan.com/education-and-research/online-learning-programs/neurosae/ . Accessed January 11, 2018
• 11 American Board of Psychiatry and Neurology. American Board of Psychiatry and Neurology announces changes in program for lifelong learning and continuous certification; 2017. Available at: https://www.abpn.com/wp-content/uploads/2017/09/ABPN-Changes-in-MOC-Program.pdf . Accessed January 11, 2018
• 12 MOC Program regulations and policies for Fellows. Royal College of Physicians and Surgeons of Canada. Available at: http://www.royalcollege.ca/rcsite/cpd/moc-program/fellows/moc-regulations-policies-for-fellows-e . Accessed February 8, 2018
• 13 General Medical Council. Supporting information for appraisal and revalidation. Available at: https://www.gmc-uk.org/static/documents/content/RT___Supporting_information_for_appraisal_and_revalidation___DC5485.pdf_55024594.pdf . Accessed February 8, 2018
• 14 McMahon GT. What do I need to learn today? The Evolution of CME. N Engl J Med 2016; 374 (15) 1403-1406
• 15 Cook DA. Web-based learning: pros, cons and controversies. Clin Med (Lond) 2007; 7 (01) 37-42
• 16 Elkind MS. Teaching the next generation of neurologists. Neurology 2009; 72 (07) 657-663
• 17 Fordis M, King JE, Ballantyne CM. , et al. Comparison of the instructional efficacy of Internet-based CME with live interactive CME workshops: a randomized controlled trial. JAMA 2005; 294 (09) 1043-1051
• 18 Cook DA, Garside S, Levinson AJ, Dupras DM, Montori VM. What do we mean by web-based learning? A systematic review of the variability of interventions. Med Educ 2010; 44 (08) 765-774
• 19 Chhetri SK. E-learning in neurology education: principles, opportunities and challenges in combating neurophobia. J Clin Neurosci 2017; 44: 80-83
• 20 Ellaway R, Masters K. AMEE Guide 32: e-Learning in medical education Part 1: learning, teaching and assessment. Med Teach 2008; 30 (05) 455-473
• 21 Salinas GD. Trends in physician preferences for and use of sources of medical information in response to questions arising at the point of care: 2009-2013. J Contin Educ Health Prof 2014; 34 (Suppl. 01) S11-S16
• 22 Musacchio Jr MJ, Smith AP, McNeal CA. , et al. Neuro-critical care skills training using a human patient simulator. Neurocrit Care 2010; 13 (02) 169-175
• 23 Cook DA, Hatala R, Brydges R. , et al. Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. JAMA 2011; 306 (09) 978-988
• 24 Reeves S, Fletcher S, Barr H. , et al. A BEME systematic review of the effects of interprofessional education: BEME Guide No. 39. Med Teach 2016; 38 (07) 656-668
• 25 Stern BJ, Lowenstein DH, Schuh LA. Invited article: neurology education research. Neurology 2008; 70 (11) 876-883
• 26 Mazmanian PE. Commercial support of continuing medical education in the United States: the politics of doubt, the value of studies. J Contin Educ Health Prof 2009; 29 (02) 81-83
• 27 Cervero RM, Gaines JK. The impact of CME on physician performance and patient health outcomes: an updated synthesis of systematic reviews. J Contin Educ Health Prof 2015; 35 (02) 131-138
• 28 Gifford DR, Mittman BS, Fink A, Lanto AB, Lee ML, Vickrey BG. Can a specialty society educate its members to think differently about clinical decisions? Results of a randomized trial. J Gen Intern Med 1996; 11 (11) 664-672
• 29 Gifford DR, Holloway RG, Frankel MR. , et al. Improving adherence to dementia guidelines through education and opinion leaders. A randomized, controlled trial. Ann Intern Med 1999; 131 (04) 237-246
• 30 Hayward RS, Wilson MC, Tunis SR, Guyatt GH, Moore KA, Bass EB. Practice guidelines. What are internists looking for?. J Gen Intern Med 1996; 11 (03) 176-178
• 31 Seifan A, Mandigo M, Price R. , et al. Education research: can my electronic health record teach me something?: a multi-institutional pilot study. Neurology 2013; 80 (10) e98-e103
• 32 Kash KM, Leas BF, Clough J. , et al. ACGME competencies in neurology: web-based objective simulated computerized clinical encounters. Neurology 2009; 72 (10) 893-898
• 33 Seneviratne U, Ding C, Bower S, Craig S, Leech M, Phan TG. Video-based training improves the accuracy of seizure diagnosis. J Neurol Neurosurg Psychiatry 2014; 85 (04) 466-470
• 34 Lakhan SE, Tepper D, Snarski RD, Mays M. Opinion and special articles: electronic media in neurology education: progress, promise, and pitfalls. Neurology 2013; 81 (08) e47-e50
• 35 Stern BJ, Rodmyre SK. The imperative for neurology education research. Neurology 2006; 67 (08) 1521
• 36 McColgan P, McKeown PP, Selai C, Doherty-Allan R, McCarron MO. Educational interventions in neurology: a comprehensive systematic review. Eur J Neurol 2013; 20 (07) 1006-1016
• 37 McMahon GT. Advancing continuing medical education. JAMA 2015; 314 (06) 561-562