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					Continuing Professional
 Development (CPD)


      Debbi Marais
               What is CPD?
• Section 26 of the Health Professions
  Act, 1974 (Act No 56 of 1974)

  – Serves to maintain and enhance the knowledge,
    skills and ethical attitudes of practitioners so as to
    facilitate good quality of health care

  – Should meet an EDUCATIONAL AND
    DEVELOPMENTAL need and provide an
    effective learning experience for the participants
             CPD for Dietetics

• Continuous
• Directly related to dietetics/nutrition
   – Therapeutic nutrition, community nutrition and/or
     food service management and administration
• Beyond entry level
• Refers to any activity where the individual has
  learned something new and/or where a new
  skill has been acquired
  Development of CPD system
• 1994: ADSA CPD system
• 1995-1998: Trial period
  – 3 year cycle = 30 points
• 1997: HPCSA Government Gazette
      “Compliance with certain conditions relating to
       education and training [is] a prerequisite for
                continued registration.”

• 2001 - compulsory
Development of CPD system cont.
• 2003 – re-evaluation by HPCSA
   – Solutions:
         –   Role of providers
         –   Role of accreditors
         –   CPS system for 2 years
         –   Electronically available on HPCSA website
         –   All Professional Boards use same system
• 2004: HPCSA draft of standardised CPD system for all
  professions
• 2005: Pilot by 2 boards (Medical Technology and
  Optometry and Dispensing Opticians
• APRIL 2006: Professional Board for Dietetics:
  Transitional phase of new system
• Jan 2007: New system compulsory
Role Players
                                            Prof Board
CPD Division      CPD Committee
                                           for Dietetics



                        NAF                Accreditor




           Accredited         Accredited          Accredited
            Service            Service             Service
            Provider           Provider            Provider
  Role of the HPCSA CPD division of
       Registrations department

• Administers and monitors entire CPD process
• Compliance checks of professionals’ CPD point
  status
   – Annually
   – Randomly selected sample
        Role of the HPCSA CPD
               committee
•   Develop policy for CPD
•   Random quality assurance checks of Accreditors
•   Scale of fees/fees (+ NAF)
•   Deferment, non-compliance and restoration
•   Representation by Prof Boards (Roy Kennedy)
•   Accountable to HPCSA
 National Accreditors Forum (NAF)
• Role
  – Advise HPCSA CPD committee
     •   Problems and critical incidents
     •   Policy matters regarding HPCSA CPD system
     •   Standardisation of accreditation activities
     •   Scale of fees/fees
     •   Peer review of other Accreditors

  – Representation by Accreditor (ADSA – D Marais)
Professional Board for Dietetics
• Role
  – Appoint and approve Accreditors

  – Quality assurance

  – Consultation by CPD committee regarding
    deferment, non-compliance and restoration
Accreditor
            “Old system”
• Accreditation of ALL activities
• Capturing of points from attendance
  registers
• Capturing of points from individual
  activities
• Financial management – CPD admin fee
• Annual point status update
 Functions of the Accreditor
1. ANNUAL accreditation of Accredited Service
   Providers
      1. Receive application forms (Form CPD2) + fees
      2. Refer to committee for approval
      3. Allocate dedicated ID number per provider
        Functions of the Accreditor
2. AD HOC accreditation of activities
   1.   Receive individual’s & non-accredited Service Providers ONCE-OFF
        application forms (Form CPD 2A) + fees




   2.   Refer to committee for approval if necessary
   3.   Allocate activity number
   4.   Monitor activities on a random basis
   5.   Revise CEUs allocated (Service Provider failed to comply)
      Functions of the Accreditor

3. Record-keeping for 3 years of:
  •   Accredited Service Providers & activities (non-
      accredited providers / individual applications)
  •   Reports of Accredited Service Provider activities
  •   Minutes of committee meetings
4. Regular communication with Providers and
   Dietitians regarding CPD
5. Suggestions to CPD Committee
Accredited Service
    Providers
           “OLD SYSTEM”

Responsibilities of the Provider
• Apply for accreditation before the time
• Advertise and offer the activity
• Keep an attendance register and forward to
  the CPD Officer
• Issue attendance certificates
             What is an Accredited
              Service Provider?
    • Tertiary training institutions
   • Professional Associations
    • Formally constituted professional interest groups
      (aligned with a TTI/PA or international institution)

    •   Public/Private hospitals
    •   Private non-profit groups
    •
   •
        Schools
        NGO’s
    •   Individuals
    •   Commercial enterprises/companies that support health
        professionals through products/services
   Criteria for Accredited Service
           Provider status
• Evidence to support existence of:
  – Dedicated, contactable admin support and CPD
    coordinator
  – Facilities for presenting activities and providing all
    necessary admin (Attendance records, Certificates of
    attendance, Formal evaluation procedure)
  – Outline of program for year
Functions of the Accredited Service
             Providers
1. Apply annually to ADSA        •   Provide activity
   Accreditation Office (Form    •   Monitor attendance
   CPD2) + pay fee               •   Issue attendance certificates
2. Activities provided on one    •   Provide records of activities
   of 3 levels:                      to Accreditor + HPCSA and
   • Receive application             keep for 3 years:
      forms + fees if relevant        – Name and number of Accredited
                                        Service Provider
   • Accredit and allocate            – Topic
      CEUs & activity number          – Level and no of CEUs
   • Advertise                        – Dates (start-finish) presented
                                      – Attendance record (names and
                                        HPCSA numbers) of attendees
                                      – Program
         Approval of activities
• Ethically acceptable
• Of educational value
• Provides a balanced view
• Not unduly promotional / Free of undesired
  commercial influence
• Avoid conflict of interest (financial gain by
  Accreditor/Provider)
• Submission to another Accreditor & outcome
The Health
Professional
               “OLD SYSTEM”
Responsibilities of the dietitian
•   Attend activities
•   Sign attendance register
•   Apply for individual activities
•   Apply for cross-accreditation
• CEU = Continuing Education Units
  – Value attached to a learning activity for CPD




  – Shelf life = Valid for 24 months
  – From date that activity took place / ended




  – Any of 3 levels
                    Ethics
According to the “Rules Relating to Continuing
  Education and Training for Registered Health
  Practitioners”, published in the Government
  Gazette, 23 March 2007 :
“a practitioner must accumulate at least 30
  continuing education units, of which 5 must be
  on human rights. ethics and medical law,
  within every year”
     RESPONSIBILITY OF
 INDIVIDUAL PROFESSIONALS
• CPD activity (Form CPD 1) + Attendance
  certificates for each event (Levels 1 & 2) /
  Certified copies of qualification (Level 3)
   – Paper or electronic

• Submit past 3 years CPD activity records to
  HPCSA within 21 working days of the audit call

• Give feedback to Accreditor regarding Providers
            Attendance certificates
  – on completion of activity/within 1 month
• Name & no of Accredited
  Service Provider / individual
  activity accreditation number
• Topic
• Level
• No of CEUs
• Attendance/completion date
• Name and HPCSA registration
  no of attendee
LEVEL 3



    LEVEL 2



          LEVEL 1
              CEUs: Level 1
• No measurable outcome
• 1 CEU = 1 hour (MAX 8 / day)
• Small groups eg. Breakfast meetings,
  departmental meetings, lectures
• Large groups eg. Conference, symposia, short
  course, lecture
• Accreditation - Provider to provide attendance
  certificate and certificate to presenters
                  CEUs: Level 2
• Publications
  –   Principle author 15 CEUs
  –   Co-author 5 CEUs
  –   Review 3 CEUs
  –   Accreditation - Form CPD 2A (Unless Accredited Journal –
      provide copy of cover and article)
• Presentations (all authors)
  – Presenter of paper/poster at congress/refresher course 10 CEUs
  – Co-presenter of paper/poster at congress/refresher course 5 CEUs
  – Interactive skills workshop/short course 10 CEUs and 5 CEUs per
    participant
  – Accreditation - Provider to provide attendance certificate unless
      • International Form CPD 2A
                   CEUs: Level 2
• MCQ’s
  – pass rate 70% 3 CEUs
  – Accreditation - Provider to provide certificate
• Students
  –   Guest/occasional lecturer at accredited institution 3 CEUs/lecture
  –   Public sector supervising students 2 CEUs/student (MAX 16/year)
  –   External examiner M/PhD theses on completion 5 CEUs
  –   Accreditation - Provider to provide attendance certificate
• Ethics
  – Dedicated workshops/lectures/seminars 2 CEUs/hour
  – Accreditation - Provider to provide attendance certificate unless
           – International Form CPD 2A
                   CEUs: Level 2
• Single modules of Masters degree (part-time
  enrolment) 5 CEUs
  – Accreditation - Provider to provide attendance certificate


• Professional Interest Groups, incl Journal Clubs
  (OUTCOME)
  –   Regular program
  –   Min 6 meetings/year
  –   Max 3 CEUs per meeting
  –   Accreditation - Provider to provide attendance certificate
                   CEUs: Level 3
• Structured learning / formal program
• 30 CEUs
• Postgrad degrees (VALID for 48 months) /diplomas
  recognised as additional qualifications by Prof Board
   – Accreditation - Provider to provide attendance certificate
• Short courses >25 hours direct contact time + clinical
  hands on training + formal assessment
   – Accreditation - Provider to provide attendance certificate
• Learning portfolios
   – Accreditation - Form CPD 2A
• Practice audit
   – Accreditation - Form CPD 2A
          Activities that do NOT
            qualify for CEUs

• Time spent planning, organising or facilitating any activity
• Published congress proceedings
• Non-referenced letters to the editor of accredited journals
• Written assignments
• Compilation of student training manuals for internal use
• Staff and/or administrative meetings
• Tours and/or viewing of exhibits and technological
  demonstrations
• Membership of professional bodies/boards or holding of
  portfolios on executive or council structure
            “Special cases”
• Not compulsory during Community Service
  year BUT may accrue CEUs
• PRACTITIONERS ABROAD
  – Comply in countries where a CPD system is in
    place
    • retain documentary proof of attendance at CPD
      activities
  – For re-registration documentary proof from
    the accrediting authority in the country
    concerned
 Non-compliance,
deferment & erasure
            NON-COMPLIANCE
• Action by the HPCSA CPD committee & Prof Board
   – Letter requesting a reason for the non-compliance within two
     weeks of receipt.
       • Explanation acceptable - six months to comply with the CPD
         requirements
       • Not comply - name forwarded to the Committee of Preliminary
         Enquiry (may decide on the basis of evidence, to grant a final
         additional 6 month period to comply with the CPD requirements)
       • Still not comply, one of the following actions will be taken:
           – Registration in a category that will provide for supervision as
             considered appropriate by the relevant Professional Board;
           – A remedial programme of continuing education and training as
             specified by the Professional Board;
           – An examination as determined by the Professional Board;
           – Suspension from practice for a period of time as determined by the
             Professional Board; or
           – Any other action as recommended by the Professional Board.
                   DEFERMENT
• CPD Committee reviews applications individually on an
  ad hoc basis
• Strong motivation needed
• Granted for 1-3 years
• Deferment may be granted in the case of:
   – outside South Africa for > 12 months and is not practising his/her
     profession;
   – outside of South Africa and practising in a country where formal
     continuing professional development does not take place;
   – a practitioner who is registered for an additional qualification but
     will not meet the outcome within two years
          DEFERMENT cont.
• To re-enter the system after deferment will be
  subject to the following conditions:
  – <2 years, proof of full employment in the profession -
    recommence the CPD year immediately
  – >2 but <3 years, proof of employment - on the
    recommendation of CPD Committee, be required to
    complete a period of supervised practice as determined by
    the Professional Board in his/her area of practice, and will
    recommence the CPD year immediately
  – Did not practice profession - required to complete a period
    of supervised practice as determined by the Professional
    Board in his/her area of practice
 VOLUNTARY REMOVAL FROM
 REGISTER: DE-REGISTRATION
• Apply in writing to the HPCSA before the last
  day of March
• Request for a reinstatement:
  – If after 1-3 years
     • period of supervised practice as determined by the
       Professional Board
     • written and clinical examination in relevant areas of practice
  – If after 3 years
     • written and clinical examination as determined by the
       Professional Board will be conducted in relevant areas of
       practice
    RESTORATION AFTER ERASURE
•       >1 < 2 years and attending CPD activities:
    –         submit proof of CEUs
    –         if at least 67% of the required CEUs for that period and complies
              with the other requirements for restoration, may approve the
              application
    –         submit further proof of CEUs collected within 3 months following
              restoration
•       >1 < 2 years and NOT attending CPD activities
    –         resolution may be any or all of the following:
          •      passing a Professional Board examination;
          •      working under supervised practice; and
          •      collecting at least one year’s total CEUs.
•       >3 years or more
    –         resolution may be any or all of the following:
          •      passing a Professional Board examination;
          •      working under supervised practice; and
          •      collecting at least one year’s total CEUs.

				
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