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La Quinta Resort, La Quinta, California
November 6-11, 2005

NEW CME FORMAT - BETA TEST

The CME format at La Quinta had a new profile. Attendees earned their 17.5 Category 1 equivalent hours after doing some homework, taking quizzes, printing the quiz results (all on the internet using their personal computers or at a nearby library), then attending the formal meeting and participating in discussion of the articles. The format was well received and resulted in lively and informative discussion.

In the distant past we purchased speakers (back in the 60s, 70s, and even the 80s). As our organization (and funds from dwindling dues) dropped from 1400 members to less than 200 active members, adequate funds were no longer available and we started using free member-lecturers, which they did out of the goodness of their hearts.

Additionally, the sum of our meeting CME dropped to 12 hours, less than acceptable for many physicians who have to convince bosses and colleagues that the trip is necessary. And, finally, we have had to appeal to an agency to “grant” credit status. First we used a group in Colorado who charged a large fee per meeting to issue certificates. Their charges increased dramatically a few years ago at which time we said “forget it”. That’s when we went to the American Academy of Family Practice and met their requirements for certification. Since I am a member, I qualify for use of that service and it costs us $100.00/meeting. Mind you, I did all the organizing, record keeping, form-filling, etc., the Academy simply reviewed the proposed meeting records and issued a statement of agreeing the meeting met their requirements for Category I CME certification. As expected, the Academy has raised charges recently. All this has led to a consideration for change.

With recognition that lecture-learning isn’t a very successful method of learning/reviewing (too passive) and the lecture time necessary for 4 or 5 hours/day makes it impossible to run any kind of sports activity, a new format for meeting CME was conceived and then tested at our La Quinta meeting. It was a success. I must admit surprise at how faithful members were in completing the tests and making copies of the results. It seems our colleagues have become more comfortable with using computers and the internet than when we first started using them in our 500 bed hospital in Burbank in the 70s.

The logic used in designing this format is based on the existing practice of many of the specialties using self-study on the internet then submitting completed quizzes for CME credit. These self-study programs are freely available to all physicians for their personal education. Additionally, use of self-study is somewhat better than lecture for effectiveness of education, but self-study followed by group discussion with colleagues is even better (considering that the initial study material is reinforced and expanded by input from field-experienced colleagues).

How was this Beta test accomplished? Here’s how it worked:

Those physicians asking for CME credit awere asked to, at their home computer, or in their office or a local library computer:

  • review selected articles (available free from internet sources)
  • take the quizes thereto related
  • make a copy of the completed quiz page (not the entire quiz, just the answer page)
  • bring the copies to the CME meetings
  • At the meetings the articles were reviewed and discussed by the participants, the quiz results were handed in, all of which can be accomplished expeditiously.

    Those physicians, wishing to qualify for a certificate of attendance and CME, signed in as before at the meetings and turned in copies of their completed quizzes. Their certificate stated they have attended a meeting involving activity qualifying them for up to 16 hours Category 1 CME. Signed daily attendance lists and completed quizzes are kept at the AMTA office. We did have four hours of lecture from members who submitted their CVs, abstracts, disclosure statements, again on file at the AMTA office. Thus, through our own individual efforts, we all participated in medical education without middle-man involvement through use of publicly available resources and our own experience and education. And we all carried the burden of CME activity rather than the few who gave the lectures.

    I know this is a dramatic change but I ask you to try it honestly at our next meeting (Virginia).

    I took the first day’s assignment and completed it in 1hr and 40 minutes. You guys are smarter, faster, younger, so you could complete the reading and test taking in less time once you get the hang of using the necessary computer/internet process.

    Below is a simple example you can try at your leisure.

    Alonzo Olsen, MD
    Director of CME
    OSMR - Scientific Arm of the AMTA


    INSTRUCTIONS FOR COMPLETING THE HOME-PORTION OF CME Click here for printer friendly instructions

  • Access the web address http://www.aafp.org/afp2005.xml (the screen should look like the image below)

  • Once you access that page, click on link for January 1 edition “Jan 1; 71(1): 1-208”
  • Next click on and review each article (4 of them) (On the right of each article title is the option for using a PDF version, which I suggest is the best format to print the article if you would like a paper copy.)

  • After reviewing each article return to the page where articles are listed (us “Back” button in your browser)
  • Scroll down to READERS SERVICES
  • Click on the link for “Clinical Quiz”

  • Scroll down to 1 January 2005 quiz and click on link
  • Answer the questions
  • Click on “Check Your Answers” found at the bottom of the quiz
  • Highlight the text of the quiz by clicking on Edit at the top of your computer screen and click on “select all”
  • Print the Quiz by clicking on “file” at the top of your computer screen then click “Print” and “OK”
  • Bring the Quiz to our meeting and hand in with your name on the quiz
  • Attend the review of the articles with discussion from the group and personal input from your experience in medical practice

    Do the same for the following editions:

  • 15 January 2005 “Jan 15; 71(2): 209-394”
  • 1 June 2005 "June 1; 71(11):2019-2220"
  • 1 August 2005 "Aug 1; 72(3):349-542"

    Total articles reviewed: 16

  • Imaging for Suspected Appendicitis
  • Procedural Sedation in the Acute Care Setting
  • Insertion and Removal of Intrauterine Devices
  • Understanding and Interpreting Serum Protein Electrophoresis
  • Dysmenorrhea
  • Undiagnosed Vitamin D Deficiency in the Hospitalized Patient
  • Management of Epistaxis
  • Selecting Medications for the Treatment of Urinary Incontinence
  • Traveler's Diarrhea
  • Treatment of Edema
  • Evaluation and Prevention of Diabetic Neuropathy
  • Management of Heatstroke and Heat Exhaustion
  • Family History: The Three-Generation Pedigree
  • Diagnosis and Management of Uncomplicated Urinary Tract Infections
  • Health Literacy: The Gap Between Physicians and Patients
  • Child Safety Seat Counseling: Three Keys to Safety

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