Welcome to the August 2020 edition of AOE Compliance Connection, AOE’s monthly newsletter. As summer draws to a close, we hope this finds you and your team enjoying the final weeks of the season and gearing up for a productive fall! This month, AOE’s newsletter includes three featured articles. We’ll continue looking at how social justice connects with CE by providing a recap of an important, recent webinar hosted by the ACCME. Additionally, we will connect you with our annual analysis of the ACCME 2019 Annual Report Data and keep you abreast of upcoming changes to the American Board of Pathology Continuous Certification Program. As always, you can follow us on Twitter and Facebook for weekly compliance tips and other timely updates!
Social Justice in CE: ACCME Webinar Recap
As part of its Meeting Challenges Together webinar series, the ACCME recently hosted a public conversation on racism and inequity with a focus on how CE professionals can take action to address these problems.
Held on July 13th, the webinar, “Advancing Social Justice with Accredited Continuing Education,” featured Dr. Aletha Maybank, Chief Health Equity Officer and Vice President at the AMA, and Dr. David Ansell, Senior Vice President for Community Health Equity at Rush University. The educational session included an overview of diversity, inclusion and equity issues in healthcare and CE and provided attendees with a wide range of resources to be used by providers of CE when incorporating social justice initiatives into their accredited programs.
The speakers provided an overview of racial disparities and inequities in healthcare, inclusive of why they exist and how they are perpetuated. Participants were challenged to identify their own biases and were then given strategies for how to enhance objectivity and construct accredited activities in a way that can address systemic inequities
Dr. Maybank and Dr. Ansell provided valuable insight regarding the importance of defining terms and understanding root causes of healthcare inequities. These speakers stressed that diversity and inclusion without building equity into the healthcare system are not enough to effectively address the problem.
Key reflections and actions for those wanting to enhance diversity, inclusion, and equity in their organizations and accredited CE programs were highlighted, and include:
- Be humble and curious, rooted in the understanding that there is always more to learn. CE providers should prioritize listening to those affected by racism and inequity to understand their lived experiences, and have a sense of urgency about these issues.
- Understand that white supremacy is built into all of our systems and institutions, and it is perpetuated by prioritizing individualism over the collective good and by the myths of American Exceptionalism.
- Train, both internally and externally, on implicit bias and anti-racism and teach the history of racism in healthcare.
- Shift resources and capital within organizations to prioritize equity and then track and monitor progress with goals, objectives and outcomes to create accountability.
- Implement equity training in all CE projects and policies regardless of whether equity is the focus of the project.
- Incorporate impacted community members into the planning of programs and activities.
A recording of this webinar can be accessed on the ACCME’s Advancing Social Justice Resources page, which also includes a list of resources for CE providers as they incorporate social justice initiatives into accredited CE programs.
AOE Analysis: ACCME 2019 Annual Report Data
Annually, AOE conducts a detailed analysis of the ACCME’s annual report data across provider-types. AOE’s 2019 analysis and summary includes specific trend analyses to assist in evaluating the large amount of data found within the report.
The ACCME’s 2019 Annual Report data was released on July 31, 2020. The report highlights continued growth in several key areas, analyzing data from over 1,700 accredited CME providers that offered nearly 190,000 accredited CME activities. Analysis shows a noteworthy shift in data regarding participants attending CME activities.
For the second straight year, non-physician participants (53%) attending CME activities surpassed physician participants (47%), though non-physician participants decreased in 2019 as compared to 2018. Three-year trend data below illustrates that the number of physician participants has increased by 11.01% while the number of non-physician participants at CME activities has increased by 52.85% since 2017.
The number of physician learners increased in 2019 by nearly two million after remaining steady the previous three years, while the number of non-physician learners decreased for the first time this year by approximately one million. The number of educational activities and participants continue to increase and have each year since 2010.
Effectively, the CME enterprise continues to evolve and make available high-quality, CME activities that promote interprofessional learning and improvements across clinician competence, performance, and patient outcomes.
AOE’s analysis, along with helpful visuals, can be accessed here.
American Board of Pathology SAMs Requirements
Recently, the American Board of Pathology (ABPath) announced two changes to its Continuing Certification (CC) Program. Click here for the full announcement. Beginning in 2021, the ABPath will no longer require:
- Self-Assessment Modules (SAMs) for Part II Lifelong Learning of the Continuous Certification program
- A Patient Safety Course
The changes have been approved by the American Board of Medical Specialties (ABMS) and align with the ongoing effort to streamline, simplify and align the Maintenance of Certification (MOC)/Continuous Certification (CC) processes to better meet the needs of all stakeholders. The ABPath is one of six ABMS certifying boards that collaborates with the Accreditation Council for Continuing Medical Education (ACCME). The collaboration means that accredited CME providers are not required to submit MOC applications for approval. Instead, CME activities that meet MOC requirements are registered in the ACCME Program and Activity Reporting System (PARS).
According to the ABPath, the SAMs requirement was first developed to ensure that at least 20 of the required 70 CME credits had a self-assessment component. As the ACCME requires that accredited providers analyze changes in learners’ competence, and/or performance and/or patient outcomes, achieved as a result of the overall program’s educational interventions, the “…SAMs requirement is no longer necessary and is burdensome for diplomates and CME providers.” In other words, the requirements set forth by the ACCME for accredited CME fulfill what the SAMs requirement initially sought to achieve. Specifically, per the ACCME, accredited providers no longer need to provide feedback and rationales as part of the evaluation component, which were requirements for ABPath self-assessment credit. These methodologies are still encouraged, however. Lastly, the ABPath indicated via its announcement that the ABPath’s CertLink® longitudinal assessment was approved by the ABMS as a permanent change to the CC program, and it provides diplomates with self-assessment of medical knowledge.
Moving forward, ABPath diplomates will still be required to complete and report a minimum of 70 CME credits for each two-year CC reporting period. As the change regarding SAMs will not take effect until 2021, diplomates who must report to the ABPath this year must still report SAM-eligible CME. However, diplomates who report in 2021 and later will not need to report SAM-eligible CME.
Ultimately, the shift announced by the ABPath speaks to the ongoing refinement and updates to the ABMS MOC/CC program and ACCME and ABMS collaboration. While no other ABMS member boards have confirmed this change, it is a realistic, future possibility.
Via e-mail correspondence with accredited providers, the ACCME addressed several questions pertaining to the ABPath announcement. See below.
Questions Addressed by the ACCME
My activity is currently registered for self-assessment (SAM) credit and it ends in 2020. Do I need to change anything?
No, you do not need to make any changes. You can continue to report SAM credit for learners who completed your activity in 2020. If you need to report missed or late learner participation from 2020 in 2021, you will still be able to report it, as long as the completion date is in 2020.
Can I still offer self-assessment (SAM) credit for activities that are not yet entered in PARS that will occur in 2020?
Yes, you can continue to register new activities and report SAM credit for activities that learners completed in 2020.
I registered a 2021 reporting year activity for SAM credit that will have learner participation in 2020 and 2021. What should I do?
You do not need to make any changes to your activity. You can continue to report SAM credit for any learner completions that take place in 2020. We ask that when you begin reporting learner participation that has happened in 2021 that you only report Lifelong Learning and Improvement in Medical Practice credit.
Upcoming Activities/Education Opportunities
- ACCME Newcomers’ Introduction to Accredited Continuing Medical Education
September 1, 2020, Online
Read More >> - CME for MOC: Using PARS to Your Advantage
September 1, 2020, Online
Read More >> - ACPE CPE 2020 Conference: Commitment to Excellence
September 29-30, 2020, Chicago, IL
Registration Information TBD - ANCC Virtual Summit
October 7-8, 2020, Online
Read More >> - Planning and Evaluation in Support of CME for MOC Webinar
November 10, 2020, Online
Read More >>