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Volume 1, Number 3
Spring, 2009
ACCME Announces New Accreditation Criteria for CME
Some of you may already be familiar with our new CME Application which was
recently re-designed to meet many of the new ACCME Criteria. Due to the
CME Division
Carver College of Medicine complexity of some of the criteria, we now require an initial face to face meeting
100 Medicine Administration Building with course directors so we can provide additional examples, explanations, and
The University of Iowa
Iowa City, IA 52242
suggestions as to how to proceed with the planning process. Please contact us well
in advance of your program so we are better able to answer all your questions.
Phone: 319/335-8599
Fax: 319/335-8327 Some of the new requirements from the ACCME:
Web: www.medicine.uiowa.edu/cme
Administrative Director
♦ document a professional practice gap that was identified for your specific
Susan Zollo 335-8597 target audience;
susan-zollo@uiowa.edu
Event Planning
♦ determine whether that educational gap exists because of a need to improve
Lori Bailey Raw 335-8601 physician knowledge, competence, or performance.
lori-bailey@uiowa.edu
♦ follow up with attendees after your CME program to determine whether (and
Grants/Exhibits
Teri Thomann 353-3023
how) outcomes of the educational intervention improved their competence,
teresa-thomann@uiowa.edu performance, or patient outcomes. Use this data to plan future programs;
Outreach
Molly James 384-2931
♦ ensure that the format of content delivery is optimal for the education you are
molly-james@uiowa.edu delivering;
Office Manager ♦ develop content designed to improve physician attributes such as those
Katie Coleman 335-8600
kathleen-coleman@uiowa.edu
developed by ABMS, ACGME, or IOM.
Registrations ♦ incorporate non-educational strategies to improve physician practice; for
Christine Land 335-8599 example, patient reminders and feedback.
s-land@uiowa.edu
Mailings ♦ identify barriers that impede CME goals to improve physician performance
Peggy Bush (W-F) 335-7491 and patient outcomes;
peggy-bush@uiowa.edu
Syllabi
♦ use quality improvement data to design internal series such as Grand Rounds,
Britt Deerberg 384-4418 Case Presentations, etc.
brittain-deerberg@uiowa.edu
Accounts
Pauline Cole 335-8598
pauline-cole@uiowa.edu
Please note that CME staff are always available to answer your
questions and assist you in the process of applying for CME credit.
Please call 5-8599 for assistance.
Page 2 CME Spring 2009
…..We’re All in
Guest Column:
Mixing Business, Medicine, and Maybe a Little Pleasure.
By Bill Radl
Google the phrase “gap analysis” and you will receive a fine list of links to a variety of
sites that explain the phrase as a common business assessment tool. It is used by
companies to compare actual performance with potential performance. Again and
again it is described as a method that formalizes and quantifies the questions "Where
are we?" and "Where do we want to be?"
Mixing business and medicine has been controversial for decades – but it has pro-
ceeded with an inevitability that now affects how continuing medical education is designed and presented. As a course
director you must now present a business plan: what is your needs-assessment and how can you demonstrate a gap
analysis that justifies the program you want to present? This requirement comes from the Accreditation Council for Con-
tinuing Medical Education (ACCME), the folks who give the Carver College of Medicine CME Division the authority to ap-
prove programs for CME credit. (And audit our files to make sure we deserve that privilege!)
A graduate of a medical school (not a business school) may be tempted to answer the question “Where are we?” with
“We’re seeing lots of sick people, that’s where we are.” And she might be tempted to answer the question “Where do we
want to be?” with “We want to be seeing healthier patients.” But however obvious this may seem, we no longer have the
luxury of simply assuming that an educational program for clinicians presented by clinical experts will close the manifest
gap. How do you know that this program is needed? In what way is it intended to improve health care and how will you
measure the presumed improvement? If you want CME credit for your program, you are going to have to think about all
this and then make your pitch (by filling out the new application form).
The good news is that here we are, smack dab in the middle of a pretty darned good academic medical center where
smart people talk about how things could be different and then design smart ways to make that difference all the time.
Sometimes this is about patient care, sometimes it’s about science, and sometimes it’s about teaching. Still, eyes roll
back and sighs roll out when we talk to CME course directors about the new ACCME requirements. They just know the
program is going to make a difference, so why can’t they just do it and give attendees CME credit?
CME, the much ignored outlier on the medical education continuum, has finally come in from the cold. The same intel-
lectual rigor that academicians apply to every other aspect of their professional lives must now be applied to CME and it
only makes sense. Sixty-two boards in forty four states (Colorado, Indiana, Montana, New York, South Dakota and Ver-
mont are the exceptions) have CME requirements for physician licensure. Some states mandate specific content. Con-
gressional and public pressure hurried the new ACCME requirements along so that the once popular tax-deductible, in-
dustry sponsored CME-vacation package would become a relic of the past. Our surveys of Iowa physicians show that
they want affordable, high quality education that fits their schedules. Patient surveys show that they also want value;
they want physicians on top of their game who can be trusted to do the right thing at the right time. The result is that the
Mickey Rooney/Judy Garland days of “Hey, kids! Let’s put on a musical (substitute CME program here)!” are over.
A business plan, a needs assessment, gap analysis, objectives and outcomes may be hot terms in industry, but they
don’t add up to anything more or less than a cooler vocabulary for the scientific method. And where, if not in an aca-
demic medical center, is the scientific method more alive and more vigorous? The new CCOM CME application may look
like another layer of bureaucratic nonsense separating experts of good will from customers of real need, but the truth is,
we need to be better at this and better starts with a solid hypothesis. C’mon, you love hypotheses…take a minute and
you’ll come up with one for your CME program. The CME Division staff will help you build the test and record results and
maybe, just maybe, we can figure out how to make a real difference.
We Deliver!....................................................................
Spring 2009 CME Page 3
…..We’re All in
Anesthesia CME Event hosted in San Jose del Cabo, Mexico
By Lori Bailey Raw, Event Planner, CME Division
Amidst a US State Department travel advisory for Mexico, a poor
economy, and a soon-to-be H1N1 (Swine) Flu outbreak, the Depart-
ment of Anesthesia held its “3rd Annual Iowa International Anesthe-
sia Symposium” from March 7-10, 2009 in beautiful San Jose del
Cabo, Mexico. Under the direction of Javier Campos, MD, the pro-
gram had excellent attendance and participant feedback was posi-
tive. The international symposium is an extension of the “Iowa An-
esthesia Symposium” which has been held annually since 2001.
This year, 5 faculty members from the Department of Anesthesia and 1 guest speaker presented
didactic lectures and hands-on workshops to 86 participants from the United States, Mexico, Can-
ada, and the Netherlands. Faculty members included Javier Campos, MD; Bradley Hindman, MD;
Robert Raw, MD; Richard Rosenquist MD; Michael Todd, MD; and
guest faculty Peter Slinger, MD from Toronto General Hospital.
The program was approved for 19.5 AMA PRA Category 1 Credits TM
As always, the hands-on workshops were a favorite of symposium at-
tendees and topics included Regional Anesthesia, Fiberoptic Broncho-
scopy, and Ultrasonography. Here’s what participants had to say.
“Excellent faculty, speakers committed to meeting objectives and al-
ways available to answer questions.” “Great speakers-each an ex-
pert.” “The fiberoptic scopes were awesome to use.” “They are all professionals and very accessi-
ble.”
In addition to the educational experience, free time was built into the
schedule for whale watching, horse back riding, snorkeling, shopping, and
sight seeing. Plans are already underway for the “4th Annual Iowa Interna-
tional Symposium” in 2010.
The Carver College of Medicine’s CME Division currently accredits other
international CME activities as well. On June 25-29, 2009, Dr. Hitchon will
host a Neurosurgery Conference in Lebanon and in 2010 the Department
of Pediatrics will jointly sponsor an international program in Pediatric Continuous Renal Replace-
ment Therapy in Rome, Italy. If you would like more information about sponsoring a national or in-
ternational meeting, please contact Lori Bailey Raw at 5-8601 for additional information.
Page 4 CME Spring 2009
Regularly Scheduled Series…..We’re All in This Together!
By Katie Coleman, CME Division
The Application and Renewal Process for Regularly Scheduled Series, previously known
as Regularly Scheduled Conferences is in full swing as we go to press with our newslet-
ter. A Regularly Scheduled Series (RSS) is defined as an activity that is planned to have
1) a series with multiple sessions that 2) occur on an ongoing basis (offered weekly,
monthly or quarterly) and are primarily planned by and presented to the accredited or-
ganization’s professional staff. Examples of activities that are planned and presented as
a RSS are Grand Rounds, Tumor Boards, and M&M Conferences. RSS are approved
for and annual educational cycle from July 1st – June 30th).
RSS programs are designed to change clinical competence, performance or patient out-
comes (ACCME Criteria 3) and they must also be designed in order to measure change
in competence, performance or patient outcomes (ACCME Criteria 11). Change may be measured at the learner, team,
or system level and each RSS must strive to ensure focus is based on practice based learning and improvements.
Documentation is required to demonstrate that each series matches the content to the scope or potential scope of the
learner. This is achieved through the use of the RSS Planning Document and periodic evaluations and follow up evalua-
tions to measure change.
RSS conferences can be set up by department to encompass all of the scheduled lectures for the department. The de-
partment of Neurology decided to do just that for the coming year. The have one application for the 6 individual pro-
grams. The application covers all the requirements needed to provide credit for all of the courses/lectures provided all
the documentation is on file in the department for audit and review.
The University of Iowa Carver College of Medicine currently manages 98 active Regularly Scheduled Series for the
2008-2009 academic year. We anticipate nearly the same number for the next year. As an academic medical center,
we are one of the few with 50 or more RSS programs per year.
In previous years, the ACCME allowed the Carver College of Medicine’s CME Division to internally audit and monitor
compliance of RSS activities. Audits prior to 2009 were done exclusively on paper. In 2009, 25% of the RSS programs
were audited live by a member of the CME Staff. This process will continue yearly and the percentage of series audited
will increase. The ACCME will be auditing records of RSS programs during our next re-accreditation cycle which will
begin in 2012. We would expect those audits to include the new criteria and measurements.
We are all in this together and we are always here to help you with applications, planning, and all of your education
needs. Please contact me at (319)-335-8600 or kathleen-coleman@uiowa.edu if you need any assistance with your
RSS application.
We Deliver!....................................................................
Spring 2009 CME Page 5
• vance of your meeting. When asked on a recent survey about the biggest barrier to attending UI CME meetings, the most frequent response
Harvard University Hosts
National Meeting on Conflict of
Interest (COI) in Medicine Did you ? ?
?
Sponsored by the AAMC, Harvard University,
Brigham and Women’s Hospital, Massachusetts
General Hospital, and Partners HealthCare, this
Know....?
conference will focus on conflicts of interest in
research, clinical care, and continuing medical
education. The meeting will address the most
current issues and trends relating to COI across • The maximum amount for a U of I CME honorarium is
the missions of academic medicine. $1500 per presentation. In certain cases, a special
The program is titled, Forum on Conflict of Interest exemption to this policy may be applied for by first
in Academe and will be held from June 28-30 at contacting the CME office at 5-8597.
the Fairmont Copley Plaza in Boston., MA
• In addition to providing CME credit for your educational
The agenda features speakers from Harvard , program, our office also offers a full array of event
Johns Hopkins, Stanford, Duke, AAMC, Mayo, planning services.
Washington University, University of Michigan
and many other academic medical centers. For • If you are applying for unrestricted educational grants for
additional information, please visit the your CME program, staff in our office are available to
conference web site: http://www.aamc.org/ complete the grant application process on your behalf.
meetings/focia/2009/start.htm
• The CME Division now offers full online registration
services for your attendees. Check out our web site at
http://www.medicine.uiowa.edu/cme/ and click on
‘Upcoming Conferences.’
• The two busiest months for U of I CME programs are
April and September. If you are planning a program
during those months, please be sure to give our office
sufficient advance notice.
• Disclosures and conflicts of interest are not one and the
same. You may have disclosures that do not create a
conflict and do not require management. To disclose
for CME programs as a speaker or planning committee
member, please click here
https://webapps1.healthcare.uiowa.edu/CMEDisclosure
/OutUI_Login.aspx and follow instructions as they
appear on the screen.
• Hand-held audience response system ‘clickers’ are
available on a first-come, first-served basis for pre-and
post testing of your attendees.
• In FY ‘08, over 7,000 health care providers from 80 Iowa
counties attended CME programs that were sponsored or
jointly sponsored by the Carver College of Medicine.
This figure does not include attendance at our internal
series such as Grand Rounds, Clinical Case Conferences,
Journal Clubs, etc.
Page 6 CME Spring 2009
from physicians was, “Not enough advance notice!”
Support for the CME Division
The charge to the CME Faculty Committee is to advise CME staff on matters relating to ACCME re-accreditation, compliance
with UI and CCOM policies, and managing day-to-day decision making. The Committee meets once every other month for an
hour (12:00-1:00 pm) and the expected membership term is three years. The Chair of the Committee is Joel Gordon, MD, who also
serves as the Director of the CME Outreach program. The Committee currently is seeking faculty representation from the
following departments: Orthopaedics, Otolaryngology, Family Medicine, Pediatrics, and Surgery. If you would like more
information about the CME Committee or would like to become a member, please email joel-gordon@uiowa.edu.
Mark Wilson, MD, currently serves as the Chair of the Conflict of Interest Advisory Group for CME. The charge to this
Group is to assist CME staff in interpreting and managing conflict of interest issues mandated by the ACCME and other
groups. This Advisory Group, formed in 2004, has representation from faculty, legal counsel, and staff from UI’s VP Office
for Research. The COI Group meets for 90 minutes every other month. Several members of this Group have been invited to
join UI Health Care’s Task Force on Conflict of Interest.
The Accreditation Council for Continuing Medical Education (ACCME) is a physician-led group that monitors all
(700+) accredited CME Providers in the U.S. If we provide CME credit for your course, a file is created in the CME office
and that file is eligible for audit by the ACCME.
CME Division Organizational Chart
University of Iowa Carver College of Medicine
Chair, CME Committee Medical Director, CME Chair, COI Advisory Group
Consultant: Bill Radl Administrative Director Consultant: Chad Ruback
Internal Medicine Susan Zollo, M.A. Ass’t VP, External Affairs
Grants Outreach Event Coordinator
Teri Thomann Molly James Lori Bailey Raw
Account Clerk RSC Manager and Office Coordinator
Pauline Cole Kathleen Coleman
Secretary II (65%) Secretary II Secretary III (50%) Student Assistant
Peggy Bush Christine Land Brittain Deerberg Fionnuala Carey
We Deliver!....................................................................
Spring 2009 CME Page 7
Upcoming Conferences
June 19, 2009:
Managing the Catastrophic Medical Emergency; Genesis Heart Institute, Davenport, IA;
Hans House, MD
June 19, 2009:
Cardiovascular Medicine Symposium; UI Kinnick Press Box;
Mark Anderson, MD
June 20, 2009:
Iowa Chapter of the American College of Cardiology Annual Meeting; hotelVetro and
Conference Center, Iowa City, IA;
Nancy Grubb
September 25-26, 2009:
Iowa Radiological Society 2009 Fall Meeting; hotelVetro and Conference Center,;
Lee Bennett, MD
September 25, 2009:
Current Topics in Allergy & Clinical Immunology; Sheraton, Iowa City Hotel;
“Outstanding Mary Beth Fasano, MD
conferences, October 2, 2009:
Medical Management of Lipid Disorders; Sheraton, Iowa City Hotel;
excellent Byron Vandenberg, MD
speakers, October 8-9, 2009:
Progress in Internal Medicine; Marriott Hotel & Conference Center, Coralville, IA;
excellent topic Joel Gordon, MD
selection, very October 16, 2009:
practical/useful Psychiatry Postgraduate Fall Conference; Marriott Hotel & Conference Center, Coralville,
IA;
for everyday Chris Okiishi, MD
October 16, 2009:
practice” HIV 2009: An Interdisciplinary Conference; hotelVetro and Conference Center, Iowa City;
Jeffrey Meier, MD
October 23-24, 2009:
Surgery Postgraduate Conference; UI Medical Education Research Facility (MERF)
Thomas Collins, MD
October 30, 2009
31st Annual Iowa Healthcare Symposium; Iowa City Sheraton; Lawrence Prybil
November 12-13, 2009
Ob/Gyn postgraduate Conference; UI Medical Education Research Facility (MERF)
Marcy Grace Elson, MD
To register for these or other CME programs, please call 319/335-8599
or visit our web site at http://www.medicine.uiowa.edu/cme/
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