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This is a 2-day didactic/hands-on workshop to promote neonatology point-of-care ultrasound. The workshop is aimed at increasing the adoption of these emerging practices in neonatology and facilitating the foundational basis of POCUS for frontline neonatal providers. We designed a variety of didactic lectures that include basics of ultrasound, cardiac views, non-cardiac views, and various clinical applications/scenarios. A special focus of this workshop will include hands-on learning at teaching stations to cover cardiac, noncardiac clinical and procedural applications. An ample number of instructors and live models will be present to provide a solid practical experience for participants. Additional focus this year will be on sessions that discuss steps and challenges in development of a POCUS program, educational curricula in POCUS and in providing preparatory aids to supporting POCUS at participants’ home institutions. Meals will be provided.
It was my second CME Forum after Amsterdam in 2016.
Remaining Memories were, apart a nice meeting in a nice place in a nice city, near the railway station, the impression of direct or indirect involvement of many drug companies in CME.
Congresses are and will be different now. Virtuality does not allow to evaluate the audience although a poll indicated that it comprised either Providers, Accreditors and Educators, I was the only « Learner ».
CME was before the major term in use.
Now CPD is becoming more significant. It includes other types of learning, more and more informal as well as
Workplaced based,
Microlearning,
Point of Care learning…
Active learning versus (part time) passive learning as it occured during classical medical meetings
CPD concerns also many other health professionals. Individually or in multidisciplinary, multiprofessional contexts or in team-based education.
Involvement of patients in CPD individually or through associations is developping everywhere.
Positive consequences of going virtual
A recent international virtual meeting attracted many more women (more than 50%) than previous live events, as well as more people from developing countries…
Challenges and opportunities were largely discussed :
Some speakers are obviously concerned by the changes and possible disparition of the model of the money-making huge congress.
Others have already imagined many alternatives (platforms, virtual meetings with or without avatars, social media…).
Of course, faculties will have to modify their way of presenting. I was shocked by the way they are only considered as manpower of providers. Do medical educators deserve it, due to sometimes previous attitudes in traditional medical congresses ?
Outcomes and Assessment remain a major challenge. Not only quantifying presence at a live meeting, but evaluating teaching and learning efficacy,...but accreditation and administration of credits should also change.
Competences (able to) versus capabilities (manage, provide) might be the approach.
Engaging the learner is also a challenge, but will he have enough free time to invest himself into active learning ?
In the session moderated by Lawrence Sherman, "From teacher to learner" model (Trevor Gibbs) might be the future.
Positive points of the meeting
Rather good Interactivity according to the organizators’ choice of tools, but sometimes not enough time to participate through chat.
Negative points of the meeting
Only posters accepted, two presented orally.
Not as Global as I thought it will be … not much discussion on Asia, Africa
Absence of Medical Faculty and University participants or so few in speakers and attendees
Information on participants (e-mails, social networks) only available on posters
and
Virtual meeting are tiring,
of course, no travel to a nice location…
Glossary of new terms (a reference with a glossary inside to come)
REGISTER FOR THE 2020 VIRTUAL RAD-AID CONFERENCE The 2020 RAD-AID Conference on Global Health Radiology for Low-Resource Regions & Medically Underserved Communities is in its 12th year! Registration is now open. This is an important annual event on Nov 7-8 for the RAD-AID community in bringing together our leadership, volunteers, partners, and supporters. See Preliminary Agenda. Usually, RAD-AID Conference is hosted by the World Health Organization at the Pan American Health Organization Building in Washington DC. To strengthen our community and continue radiology capacity-building during this unprecedented time of pandemic and COVID-19 travel restrictions, RAD-AID 2020 will be a virtual online event for presentations, networking, and team-building. CME/CE will be available for participants, including physicians, technologists, nurses, rad-onc therapists, and sonographers. Our events will include interactive sessions so that our participants can “meet” each other and hear more about global health radiology projects to bring essential life-saving medical imaging to resource-poor regions throughout the world. [Note: Technologist CE will be granted by ARRT recognized continuing education evaluation mechanisms. Physicians CME will be granted in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education.] We will be announcing more details on formats of the Conference sessions in the coming months. There will be 2 days of short presentations, panel discussions, and group break-out sessions on global health radiology topics on November 7-8. Topics will include: Challenges & Opportunities of Web-Based Outreach during COVID-19 Impact of COVID-19 on radiology global health AI and Global Health Ethics AI and Global Health Radiology Capacity Building ASRT 100th anniversary: the ASRT/RAD-AID Partnership for Global Health Operational Strategies for Mentorship and Leadership Development The Agile Organizational Model at RAD-AID: Agile Management & Global Health Nursing for Global Health Radiology: CT safety, maternal-infant health, health navigation, cancer screening, medical systems management, and more. RAD-AID Learning Center: Educational Innovation for Global Health Outreach Medical Physics and QA/QC for Image Quality and Safety PACS, Cloud, and IT Infrastructure Training Breast Imaging in Low-Resource Communities: The path towards earlier detection Interventional Radiology Programs in Kenya, Tanzania, Vietnam, and Ethiopia. Ultrasound training for Midwives during COVID19: Safeguarding maternal-infant health Simulators and Virtual Reality for IR training in low-resource settings RAD-AID USA: Serving the Underserved in US shortage areas The role of portable ultrasound in global health: point-of-care versus diagnostics 3D or 2D and role of AI: the future of breast imaging in low-resource communities What is Radiology-Readiness after 12 years of RAD-AID? RAD-AID Country-Reports – a resource for volunteer-preparedness and health service development Strategies for global health team-building: creating a vision, mentoring, and achieving outcomes Mentorship in Radiology Global Health Geographic Information Systems and Aircraft-based Mobile Outreach Pediatric Radiology in underserved regions Thirty-Five Countries will be covered throughout presentations (see map below) Medical Students: preparing the next generation of global health leaders RAD-AID Chapters: Global Health Mentorship & Project Development Medical supply chains in radiology capacity-building: challenges and opportunities Radiation Oncology and the Low-Resource Cancer Care Pipeline REGISTER FOR THE 2020 VIRTUAL RAD-AID CONFERENCE
POC-Based Assessment of Coagulopathy in Adult Cardiac Surgery Patients IRCCS Policlinico San Donato – Piazza Edmondo Malan 2 San Donato Milanese (MI), Italy – March 20, 2020 A one-day full immersion masterclass aimed to consolidate the basic knowledge on coagulation and haemostasis processes, in particular in cardiac surgery and surgery related procedures and to update on the latest discoveries in coagulation monitoring and bleeding management in cardiac surgery. At the end of the Course, the participants will acquire a solid knowledge of coagulation derangements occurring in cardiac surgery operations and differential diagnosis of postoperative bleeding complications through point-of-care monitoring devices and correction of eventual deficiencies of coagulation abnormalities by specific drugs. The EACTA MASTERCLASS – POC-BASED ASSESSMENT OF COAGULOPATHY IN ADULT CARDIAC SURGERY PATIENTS, San Donato Milanese (MI), Italy, 20/03/2020-20/03/2020 has been accredited by the European Accreditation Council for Continuing Medical Education (EACCME®) with 7 European CME credits (ECMEC®s). Each medical specialist should claim only those hours of credit that he/she actually spent in the educational activity. STATEMENT EACTA informs all participants that: during practical sessions will be used specific medical devices there is a variety of different similar products that participants can use beyond the one provided at the event ORGANIZING AND SCIENTIFIC COMMITTEE prof. Marco Ranucci Head of Cardiothoracic and Vascular Anesthesia and Intensive Care IRCCS Policlinico San Donato, Milan, Italy Scientific director and Masterclass chair With the support of the EACTA Haemostasis and Transfusion Committee prof. Hanne Berg Ravn Clinical Professor Department of Clinical Medicine, Rigshospitalet, København, Denmark Chair of the EACTA Haemostasis and Transfusion Committee
Dear Intensive Care Doctor We are a group of health professionals aiming to make your CPD/CME stress-free, low-cost, high-impact, and perhaps even enjoyable! Like you, we believe that Continuing Professional Development can be frustrating and unfair. Let's take the international conference as an example: It is probably the holy grail of continuing education, where the top researchers in the world share best practice. But only a lucky few can attend. And, it is costly, requires time away from work and family, and there's probably too much information crammed into a few short days. So, a faculty of the worlds’ leading Critical Care researchers are collaborating to bring you ‘The Global Grand Round Lecture Series’ - fortnightly lectures on hot topics in Critical Care. No one needs to travel, which is great for the environment, and you’ll be supporting healthcare projects in low-resource countries. You can watch live or recorded, plus you can take notes, download slides, ask questions, and discuss with other users in the global forums. Try for free and see why we have users from 46 countries, and a 100% satisfaction score. Plus, you get a free certificate accredited for 1 CPD point or 1 AMA PRA Category 1 Credit. Click on the orange button to register and learn why CPD/CME can be hassle-free. Continulus - good for you, good for everyone (and every thing).
Efficacy and safety of abrocitinib for atopic dermatitis: results of a phase III trial European Academy of Dermatology and Venereology Congress 2019 Following the approval and adoption of dupilumab in the United States (US), Europe and Japan, several agents with novel mechanisms of action are now being reviewed as alternative treatment options for patients with atopic dermatitis (AD). At the 28th Annual Congress of the European Academy of Dermatology and Venereology (EADV), held 9-13 October 2019 in Madrid, Spain, researchers presented new data on several investigational therapies evaluated in phase II and III randomised controlled trials (RCTs). Among the therapies discussed was abrocitinib, a selective oral Janus kinase (JAK) inhibitor that targets JAK1. At EADV 2019, Professor Eric L Simpson reported on the efficacy and safety of abrocitinib therapy for patients with moderate-to-severe AD enrolled in the phase III JADE MONO-1 study.1 In this week’s commentary, we present their findings. JADE MONO-1 study JADE MONO-1 is an international multicentre, double-blind, placebo-controlled RCT (NCT03349060). Eligible patients were adolescents and adults (≥12 years of age) with AD for 1 year or more, inadequately controlled by topical medication or requiring systemic therapy. All patients had moderate-to-severe AD, measured by: Investigator’s Global Assessment (IGA) score ≥3 Eczema Area and Severity Index (EASI) score ≥16 Body surface area (BSA) coverage ≥10% Peak Pruritus numerical rating scale (NRS) score ≥4 The 387 randomised patients underwent 12-week dosing with a 4-week follow-up, and were allocated to either: Abrocitinib 200 mg once daily (QD) (n = 154) Abrocitinib 100 mg QD (n = 156) Placebo QD (n = 77) The mean age (± standard deviation [SD]) across groups was 32.5 ± 16.0 years and 56.8% of patients were male. Co-primary endpoints included IGA and ≥75% improvement in EASI score from baseline (EASI-75) responses at Week 12. Efficacy of abrocitinib In adults and adolescents, abrocitinib 200 mg or 100 mg once daily significantly improved signs and symptoms of moderate-to-severe AD compared with placebo. IGA and EASI-75 responses to the abrocitinib doses were significantly greater relative to placebo as early as Week 2 and continued to improve until Week 12 without plateau (Figure 1). Figure 1. Co-primary endpoint patient responses at Week 12. EASI-75, ≥75% improvement in EASI score from baseline; IGA, Investigator’s Global Assessment. Significant early (i.e. 1 day after treatment initiation) reduction in pruritus severity was observed and continued to Week 12. In the abrocitinib groups, the Peak Pruritus NRS response (≥4-point improvement), a key secondary endpoint, was significantly greater at Weeks 2, 4 and 12 when compared to placebo (Table 1). Other secondary endpoint measurements, including the proportion of patients achieving ≥50% (EASI-50) and ≥90% (EASI-90) improvements in EASI score from baseline at Week 12 and the Scoring Atopic Dermatitis (SCORAD) percentage change at all timepoints, were also improved in the abrocitinib groups relative to the placebo group. Table 1. JADE MONO-1 secondary endpoints. EASI-50, ≥50% improvement in EASI score from baseline; EASI-75, ≥75% improvement in EASI score from baseline; EASI-90, ≥90% improvement in EASI score from baseline; EASI, Eczema Area and Severity Index; NRS, numerical rating scale; SCORAD, Scoring Atopic Dermatitis. aNRS ≥4-point improvement. bP ≤0.001 versus placebo. cP ≤0.0001 versus placebo. Safety of abrocitinib Abrocitinib was well tolerated with an acceptable short-term safety profile (Table 2). The rate of treatment discontinuations because of treatment-emergent adverse events was low in both treatment groups compared to the placebo group. There were no deaths, malignancy or major adverse cardiovascular events. Clinical laboratory evaluations of haemoglobin, neutrophils and lymphocytes showed no clinically significant changes; however, dose dependent changes in lipid levels were observed, with ~10% increase in low-density lipoprotein and ~20% decrease in high-density lipoprotein. Table 2. JADE MONO-1 summary of adverse events. AE, adverse event; TEAE, treatment-emergent adverse event. In summary, encouraging new data from the JADE MONO-1 study has shown that abrocitinib may be a promising novel treatment option for adults and adolescents with moderate-to-severe AD. Action Eczema To find out more about the mechanisms of action and use of established and emerging topical and systemic therapies in adult patients with AD, explore our online CME courses: To test your knowledge of eczema treatment and management as part of patient-centred care, try our ‘Self-assessment in atopic dermatitis’ and ‘Case challenge: 32-year-old woman with worsening skin symptoms’ modules. Interested in reading more about the AD research presented at EADV 2019? Sign up to Action Eczema and be notified when our EADV 2019 Congress Report is available online for viewing and CME credit. References Simpson EL, Sinclair R, Forman S, et al. Efficacy and safety of abrocitinib in patients with moderate-to-severe atopic dermatitis: results from the phase 3, JADE MONO-1 study. Presented at the European Academy of Dermatology and Venerology (EADV) 2019. 9-13 October 2019; Madrid, Spain. Oral session.
EACTA Masterclass on Coagulopathy EACTA MASTERCLASS POC-BASED ASSESSMENT OF COAGULOPATHY IN ADULT CARDIAC SURGERY PATIENTS IRCCS Policlinico San Donato - Piazza Edmondo Malan 2 San Donato Milanese (MI), Italy - March 20, 2020 A one-day full immersion masterclass aimed to consolidate the basic knowledge on coagulation and haemostasis processes, in particular in cardiac surgery and surgery related procedures and to update on the latest discoveries in coagulation monitoring and bleeding management in cardiac surgery. At the end of the Course, the participants will acquire a solid knowledge of coagulation derangements occurring in cardiac surgery operations and differential diagnosis of postoperative bleeding complications through point-of-care monitoring devices and correction of eventual deficiencies of coagulation abnormalities by specific drugs. Click here for the programme of the event An application has been made to the EACCME® for CME accreditation of this event STATEMENT: EACTA informs all participant that: during practical sessions will be used specific medical devices. there is a variety of different similar products that participants can use beyond the one provided at the event REGISTRATIONS (VAT INCL) CLICK HERE TO REGISTER Until Feb. 16, 2020 From Feb. 17, 2020 and onsite Registration fee € 250 € 300 Reduced fee for nurses and residents* € 150 € 150 *A proof document is requested for the special fee for nurses and residents Refreshment during the masterclass is included in the fee For any assistance or information, please contact eactamc2020@aimgroup.eu ORGANIZING AND SCIENTIFIC COMMITTEE prof. Marco Ranucci Head of Cardiothoracic and Vascular Anesthesia and Intensive Care IRCCS Policlinico San Donato, Milan, Italy Scientific director and Masterclass chair With the support of the EACTA Haemostasis and Transfusion Committee prof. Hanne Berg Ravn Clinical Professor Department of Clinical Medicine, Rigshospitalet, København, Denmark Chair of the EACTA Haemostasis and Transfusion Committee
Clinical Practice Points Clinical Outcomes Associated With Sickle Cell Trait. A Systematic Review In the United States, 2.5 million to 3 million persons live with sickle cell trait (SCT), including an estimated 6% to 9% of the African American populations. Is SCT a benign carrier state? This systematic review examines evidence regarding risks for 24 adverse clinical outcomes in children and adults with SCT. Use this study to: Ask your learners why SCT is so common. Ask a hematologist to review the blood smears of patients with sickle cell anemia and SCT with your team. How does SCT come to the attention of medical providers? In what clinical situations is the finding of SCT relevant? Ask your learners what risks of SCT are. What does this review find? How would your learners counsel a patient with SCT who inquires about the importance of this trait for her or his health? Should it alter his or her care or behavior? The Next Stage of Buprenorphine Care for Opioid Use Disorder This special article addresses current evidence and recommendations regarding buprenorphine care for opioid use disorder. It debunks prior thinking regarding the use of buprenorphine (e.g., that it cannot be safely started at home or used in combination with benzodiazepines, and that patient relapse indicates treatment failure). Use this paper to: Ask your learners when buprenorphine therapy is indicated. When is it contraindicated? When indicated, how should it be started? Read each of the “Previous approach” statements to your learners. How do they respond to each? Then, review what the authors say current practice and recommendations should be. The authors note that a requirement for traditional counseling is ill advised. Why? Use the accompanying editorial to help frame your discussion. Ask your learners who may prescribe buprenorphine. Who provides buprenorphine care at your institution, and how should your learners arrange for the care of a patient in need? Invite a specialist in opioid use disorder treatment to join your discussion. Annals Graphic Medicine - Paused This comic (yes, a comic!) visually captures the experience of a patient with menopausal symptoms. Use this feature to: Start a teaching session with a multiple-choice question. We've provided one below! Ask your learners to list the possible symptoms of menopause. Which are more common? Which might be overlooked? Use the information in DynaMed Plus: Menopause, a benefit of your ACP membership. Do your learners ask patients about menopausal symptoms? Is testing required to diagnose menopause? What options are available for treatment of vasomotor symptoms? How do menopausal symptoms affect a patient's quality of life? What do your learners tell their patients about the likely duration of menopausal symptoms? In the Clinic In the Clinic: Nonalcoholic Fatty Liver Disease Nonalcoholic fatty liver disease (NAFLD) has significantly increased in prevalence in parallel with increasing obesity and is now the most common cause of chronic liver disease in the United States and worldwide. With increasing rates of obesity and metabolic syndrome, NAFLD is now the leading cause of liver enzyme abnormalities in the United States. Do your learners know how to recognize it, why it is important, and how to manage patients? Use this feature to: Ask your learners how NAFLD is defined. How does it differ from nonalcoholic steatohepatitis, and why is the distinction important? Use Table 1 to help. Who is at risk for NAFLD? How is the diagnosis made? Are there symptoms? What is the differential diagnosis? What testing should be considered, and why? Use Table 2. When should liver biopsy be considered? How should patients with NAFLD be managed? When should a gastroenterologist be consulted? Log on to answer the multiple-choice questions and earn CME/MOC credit for yourself! Use the questions to help introduce topics for teaching. Practicing Medicine Compensation Disparities by Gender in Internal Medicine This brief research report evaluated physician compensation by gender among American College of Physician internists. Use this study to: Ask your learners whether they believe women and men receive equal pay for equal work in fields other than medicine. What about physicians who practice internal medicine and its subspecialties? What did this study find? Are your learners surprised? What do your learners think are the potential reasons for the lower median compensations to women than men? What barriers continue to impede remedying the long-recognized discrepancy in pay? What remedies do your learners think are needed? Use the accompanying editorial to help frame your discussion. How will these issues affect your learners when they apply for and accept positions following their training? How should they approach the issue when discussing payment with potential employers? To whom may your learners turn for advice? Ten Principles for More Conservative, Care-Full Diagnosis Physicians must navigate a balance between under- and overdiagnosis, both of which may harm patients. The authors discuss core principles to help find this balance and foster a thoughtful, patient-centered, more conservative approach to diagnosis. Use this paper to: Ask your learners what factors contribute to over- and underdiagnosis. Why is each potentially harmful? The authors emphasize that we need to accept uncertainty as part of the diagnostic and caring process. Why? In what way must we “rethink symptoms”? Do your learners agree? How might the approach advocated by the authors help to improve diagnostic approaches and patient care? MKSAP 17 Question A 54-year-old woman is evaluated for severe hot flushes that started about 12 months ago. They occur several times each night, waking her from sleep. They also occur throughout the day, disturbing her concentration at work. She reports being tired with emotional lability. She does not feel depressed but is very frustrated by her symptoms and moodiness. She also reports vaginal dryness with intermittent dyspareunia and is using lubricants with minimal relief. She does not have dysuria and has not noted any abnormal vaginal discharge. She has tried black cohosh, yoga, and increased exercise, but her discomfort persists. Medical history is otherwise significant for hypertension and negative for thromboembolism or cardiac disease. She underwent hysterectomy 5 years ago for fibroids. She is up to date with scheduled health screening interventions, including mammography. Her only medication is hydrochlorothiazide. On physical examination, blood pressure is 136/80 mm Hg, and her other vital signs are normal. Speculum examination shows pale vaginal mucosa with decreased rugae. The remainder of the physical examination, including the breast examination, is normal. Which of the following is the most appropriate treatment? A. Oral estradiol-progestin B. Oral progestin C. Transdermal estradiol D. Vaginal estradiol Correct Answer C. Transdermal estradiol Educational Objective Treat severe menopausal vasomotor symptoms in a woman whose uterus has been removed. Critique Transdermal estradiol without a progestin is the most appropriate choice for this patient with severe vasomotor symptoms of menopause that are refractory to conservative treatment and are affecting her quality of life. Systemic estrogen improves both hot flushes and genitourinary symptoms. She has had a hysterectomy and therefore does not require the use of a progestin to oppose the proliferative effects of estrogen on the endometrium, making therapy with estrogen alone an appropriate treatment option. The use of hormones to treat menopausal symptoms requires balancing potential benefits and risks, and an individualized risk profile must be considered. This patient is recently menopausal, younger than 60 years, and does not have a history of thromboembolism or cardiac disease or have an increased risk for breast cancer. Treatment with systemic estrogen would be a reasonable choice and can be administered orally or transdermally by patch, gel, or spray. There is some evidence that transdermal estrogen may be associated with less thromboembolic risk than oral estrogen by avoiding the hepatic first-pass effect. All formulations are equally effective for treating vasomotor symptoms. Current evidence does not support the use of progestin alone to treat vasomotor symptoms. Although progestins may improve vasomotor symptoms, safety data for progestin alone are lacking. Also, in the Women's Health Initiative, the risk of breast cancer was increased in the estrogen and medroxyprogesterone acetate arm, but not in the estrogen-alone arm, raising concern that the risk of breast cancer may be related to progestin use. Therefore, a progestin alone is not the most appropriate choice for the management of vasomotor symptoms. Vaginal estradiol therapy is useful in treating menopausal genitourinary symptoms, including dryness, itching, dysuria, and dyspareunia. However, local topical treatment does not alleviate vasomotor or other systemic menopausal symptoms. In this patient who has both vaginal symptoms and severe vasomotor symptoms, vaginal treatment alone would not be adequate. Key Point In women without a uterus taking systemic estrogen therapy for management of menopausal symptoms, concurrent progestin is not indicated. Bibliography ACOG Practice Bulletin No. 141: management of menopausal symptoms. Obstet Gynecol. 2014 Jan;123(1):202-16. Do you like reading Annals for Educators? Receive it direct to your inbox. Sign up for the Annals for Educators alert today.
Background Community health workers (CHWs) provide critical services to underserved populations in low and middle-income countries, but maintaining CHW’s clinical knowledge through formal continuing medical education (CME) activities is challenging and rarely occurs. We tested whether a Short Message Service (SMS)-based mobile CME (mCME) intervention could improve medical knowledge among a cadre of Vietnamese CHWs (Community Based Physician’s Assistants–CBPAs) who are the leading providers of primary medical care for rural underserved populations. Methods The mCME Project was a three arm randomized controlled trial. Group 1 served as controls while Groups 2 and 3 experienced two models of the mCME intervention. Group 2 (passive model) participants received a daily SMS bullet point, and were required to reply to the text to acknowledge receipt; Group 3 (interactive model) participants received an SMS in multiple choice question format addressing the same thematic area as Group 2, entering an answer (A, B, C or D) in their response. The server provided feedback immediately informing the participant whether the answer was correct. Effectiveness was based on standardized examination scores measured at baseline and endline (six months later). Secondary outcomes included job satisfaction and self-efficacy. Results 638 CBPAs were enrolled, randomized, and tested at baseline, with 592 returning at endline (93.7%). Baseline scores were similar across all three groups. Over the next six months, participation of Groups 2 and 3 remained high; they responded to >75% of messages. Group 3 participants answered 43% of the daily SMS questions correctly, but their performance did not improve over time. At endline, the CBPAs reported high satisfaction with the mCME intervention, and deemed the SMS messages highly relevant. However, endline exam scores did not increase over baseline, and did not differ between the three groups. Job satisfaction and self-efficacy scores also did not improve. Average times spent on self-study per week did not increase, and the kinds of knowledge resources used by the CBPAs did not differ between the three groups; textbooks, while widely available, were seldom used. Conclusions The SMS-based mCME intervention, while feasible and acceptable, did not result in increased medical knowledge. We hypothesize that this was because the intervention failed to stimulate lateral learning. For an intervention of this kind to be effective, it will be essential to find more effective ways to couple SMS as a stimulus to promote increased self-study behaviors. Trial Registration ClinicalTrials.gov NCT02381743
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Dear Friends, Greetings from Medanta-Medicity, Gurugram, India! Critical care is an integral part of Nephrology. The practice of Nephrology has changed much with the availability of bedside point of care ultrasound and now with the introduction of newer modalities of KRT, including hybrid therapies like SLED and CRRT, CARPEDIEM and others. However, these facilities are not available everywhere and expertise is often lacking. In many centres, often there are no pediatric and adult nephrologists to manage patients with AKI in ICU. Keeping this in mind, we have decided to conduct this CME and Certificate Course on Critical Care Nephrology both for adults and pediatrics this time. The content will include state of art lectures on topics of practical importance like- KRT in ICU, Fluid management, biomarkers, use of inotropes in sepsis etc. Additionally, we would also have talks and discussions on the use of newer treatments for sepsis-like extracorporeal therapies in sepsis and ECMO therapy. We would also have hands-on workshops on CRRT, SLED, Peritoneal Dialysis, vascular access, and point of care ultrasound for adults and pediatric nephrologists. We are fortunate to have renowned national and international faculty in adult and pediatric critical care, Nephrology which include- Dr Andrew Devenport from the UK, Dr Abhilash Koratala, Dr Jevier Neyra, Dr John Mahan, Dr Timothy Bunchman and Dr Rupesh Raina from the USA, Dr Mignon McCulloch from South Africa, Dr Martin Bitzan from Dubai, and Dr Yap from Singapore among others. The conference would start on 3rd March Friday at 4 pm. The venue of the meeting will be Hotel Westin, Gurgaon. The next day, the venue would be Medanta-The Medicity Hospital, where we would have a couple of talks in the morning followed by workshops. The early bird registration charges are Rs- 6000 for the delegates and a discounted rate of Rs 3000 for students till 31st January 2023. You can visit our website www.picunephrologycourse.com for further details of the meeting. We are sure, that this meeting would be very useful for both adults and pediatric nephrologists in this changing time. Hope to meet you soon at the meeting! Warm Regards Course Directors
Introduction Traditional learning in medical education is predominantly based on didactic in-person interactions with teachers, peers and patients. In residency training, besides didactic teaching, learning includes various formal and work-based formats including bedside rounds, out-patient clinics, resident-led seminars and research-based learning. Pandemics like the coronavirus disease 2019 (COVID-19) have caused significant disruption in this learning model as social distancing, team segregation and reorganization of workflow protocols take effect. This has necessitated several changes in education and training for students, residents and clinicians. Although the concept of e-learning has existed for several years, the COVID-19 pandemic has pushed digital education to the forefront of medical education. The severe acute respiratory syndrome (SARS) outbreak in 2003 necessitated the closure of medical schools and resulted in barring of medical students from patient contact. The education of residents and fellows was also severely affected in the impacted countries. The resultant severe disruption of medical education sensitized educators and policymakers to the fact that education of students and residents must continue in the face of such pandemics with all necessary safety measures [1,2]. Thus, innovative approaches such as video/audio recordings, mannequin simulators, virtual patients, webcasting and online chatrooms were successfully adopted by training programs during the outbreak. High stakes entrance and exit exams were also shifted to telephone-based or digital modules. The COVID-19 pandemic has already caused unprecedented social and economic devastation across the globe and continues to evolve. Healthcare systems are being severely disrupted in many countries and the future course is unpredictable [3]. As September 12, 2020, more than 28 million cases have been diagnosed worldwide with over 0.9 million deaths (Johns Hopkins tracker, https://coronavirus.jhu.edu/map.html). The impact on medical education, residency training and continuing medical education (CME) for providers is expected to last for a long and unpredictable duration in many countries. The ever-increasing globalization and high probability of future pandemics mandates measures and contingency plans to mitigate the impact of future pandemics on medical education. Impact on Oncology Care, Research, Education and Oncology Conferences: Need for Virtual Platform The rapid spread of COVID-19 has profoundly impacted cancer care globally. Cancer patients face the dual risks of acquiring the infection with a potentially higher probability of severe morbidity and mortality from COVID-19 and the adverse impact of delaying anti-cancer therapies [4]. Strict lockdowns, lack of public transport facilities and containment measures also preclude patients from access to care [5]. Measures to prevent the transmission including limiting face-to-face consults, work flow modifications, delaying surgical procedures, re-distribution of oncology workforce towards other areas for pandemic control can all result in significant delays in cancer diagnosis and treatment which will ultimately impact patient outcomes. Cancer research has suffered a significant slowdown due to the current pandemic and the impact is likely to continue for a long term [6]. Recruitment of new patients to ongoing trials have been hit due to various factors like patient reluctance, change in hospital policies into more convenient and less toxic treatment regimens and logistic reasons. Traditional teaching in oncology is predominantly based on didactic lectures, resident-led seminars, bedside clinics, out-patient interactions and conferences with the goal of developing skills and expertise for a safe and effective workplace practice. As physical distancing norms, segregation and re-organization of teams take effect, education and training activities are likely to be severely disrupted. Infection among healthcare workers, assignment of alternative clinical responsibilities for faculty and residents, cancellation of ongoing academic programs and rescheduling or cancellation of examinations are all likely to take a toll on training and education. The unprecedented situation warrants a rapid adaptation and transition towards leveraging technology to maintain education and assessment of trainees and providers. Most global and national meetings of various anti-cancer organizations were either re-scheduled, cancelled or changed to a virtual platform. Predominant among these were the annual meetings of the American Association of Cancer Research (AACR) which was rescheduled and changed to a virtual format and the American Society of Clinical Oncology (ASCO) which was revised to a virtual only format. The ASCO 2020 Annual Meeting was conducted in an entirely virtual format with practice changing data presented from May 29–31, 2020 and a virtual education program conducted between August 8–10, 2020. There was no registration fee for members and the fee for non-members was considerably less when compared to those of the previous meetings. The meeting had more than forty thousand participants and practice changing data and research findings from many trials and studies were presented. The virtual platform also introduced a feature for virtual networking including one-on-one chatting or video calls with other attendees, ASCO staff or industry representatives to recreate the onsite meeting experience. Registered participants also have the option to view the sessions or content at their convenience. Similarly, the Annual Meetings of European Society of Medical Oncology (ESMO) and the American Society of Radiation Oncology (ASTRO) will be conducted in a virtual format in 2020. These are dramatic changes for organizers, presenters and attendees who are accustomed to traditional in-person conferences. Technological advances in video-conferencing and telecommunications have made these virtual meetings feasible and accessible globally. Advantages of the virtual model include significant savings of time, money and effort especially in terms of travel, accommodation and rescheduling of clinical duties. The environmental benefits of reduced greenhouse emissions from travel and hospitality can be huge. The pandemic may thus drastically alter the way scientific meetings are conducted in the future [7,8]. Currently, various guidelines have been proposed to assist organizers as future events are being converted to virtual or hybrid (on-site and virtual) formats [9,10]. While most of the “usual business” of an onsite meeting can be shifted to the virtual platform, it would still be insufficient to recapitulate the entire experience given the missing expressions and emotions of interpersonal communication. Live presentations at these meetings represent a major avenue for professional development and career advancement for fellows and junior faculty and a virtual format may not replace this experience. The virtual formats also risk potential disruptions due to technical or connectivity issues. Current Status of E-Learning in Oncology: Modifications and Adaptations in Residency Training during Pandemics Technological innovations over the last two decades have enabled e-learning in many aspects of medical education. Complementary teaching aids such as virtual patients, video vignettes, e-learning modules, virtual three-dimensional (3D) anatomy modules and simulators are already being incorporated into medical education. These tools are highly useful aids during pandemics like the COVID-19 where they can enable uninterrupted remote learning in the face of ongoing challenges. Video-conferencing and online meeting software such as Zoom (Zoom Video Communications, San Jose, CA, USA), Webex (Cisco Webex, Milpitas, CA, USA), Skype (Skype Technologies, Palo Alto, CA, USA), GoToMeeting (LogMeIn Inc., Boston, MA, USA), Teams (Microsoft Corporation, Redmond, WA, USA), Google Meet (Google, Mountain View, CA, USA), etc., with features like screen sharing, chat and video based interactions have made didactic teaching possible in a virtual classroom format. Feedback from residents and fellows has demonstrated a high degree of satisfaction and even a preference for these online teaching tools compared to traditional classroom learning. Students have reported a higher comfort less and lower inhibition and senior intimidation to interacting remotely with faculty and peers when compared to in-person teaching. In a recent study 88% of trainees felt more comfortable raising questions through videoconferencing compared to traditional didactics [11]. Tumour boards form an important component of learning and multi-disciplinary co-ordination in oncology. As tumour board discussions also transitioned to virtual formats, feedback from stakeholders suggested increasing satisfaction and a preference to continue the virtual format beyond the pandemic. The virtual model has the advantage of enhanced participation from trainees in rotation duties, those in quarantine and allows multi-centre collaboration [12]. Experience from some centres also demonstrated that e-learning, online collaborations and working during the pandemic also provided the opportunity for residents to revamp their basic medical skills and obtain important lessons in resilience, teamwork and empathy [13]. A systematic review showed a higher or similar effectiveness for e-learning compared to traditional interventions in surgical training [14]. Similarly, a long-term review of e-learning for students and resident education in otolaryngology reported higher satisfaction and significantly enhanced objective knowledge compared to traditional learning [15]. The “flipped classroom” model of blended learning incorporates interactive online lectures with discussions, under the guidance of a mentor. The study material in lecture format (audio/video) is usually shared with the participants prior to the online class so that the actual class assumes a more interactive format shifting the instruction to a learner-centric model. These formats can make learning more self-directed, less didactic and studies have shown that it is received more enthusiastically by students [16]. A meta-analysis of 28 studies showed an overall significant effect in favor of flipped classrooms over traditional classrooms for health professions education [17]. It also showed that incorporation of a quiz at the beginning of the class made the learning more effective. For radiation oncology residents, better utilisation and practising on virtual environments for contouring and radiotherapy planning and evaluation can be very useful considering the shift in their work load. The ASTRO EduCase, Radiotherap-e (eIntegrity e-Learning, Hertfordshire, UK), eContour, FALCON (Fellowship in Anatomic Delineation and Contouring) by the European Society for Radiotherapy and Oncology, etc., are a few examples of such virtual learning platform. Highly Interactive Technology-Based Solutions in Medical Education With advances in telecommunications, smartphones, point of care tools, decision making apps, mobile-based medical calculators are now in common usage by residents, fellows and providers. These devices provide real-time point of care information in bite-sized portions that can support learning and clinical care [18,19]. Various apps for cancer diagnosis, clinical decision support, symptom assessment, pain management, chemotherapy planning, dose calculations, drug interactions and research data collection are currently in use in oncology clinics [20]. Virtual reality (VR) simulation refers to the creation of scenarios as complex, computer-generated images. The virtual display simulates the real world and user interactions within that simulated (virtual) world. VR is being increasingly incorporated into medical education especially training in surgical and procedural skills and can prove to be a highly useful tool for learning complex procedures in cancer surgery and robotic assisted procedures [21]. Use of high-fidelity manikins with many interactive features including display of physical signs is also being adopted increasingly in medical and surgical training [22]. Wearable technologies like Google Glass can provide real-time, hands-free dynamic learning in the clinic and on-the-go [23,24]. Online game-based learning offers another engaging and interactive format to enhance learning objectives and has been effectively used to improve clinical and surgical skills. It focuses on problem solving over memorizing content [25,26]. Advantages of E-Learning in Oncology A virtual learning platform can tremendously impact education of students and residents both during the pandemic and beyond as it broadens the horizons of continued education, interactive learning and collaboration. It will be extremely useful for faculty and trainees in any situation where physical presence is not feasible and enable learning from otherwise difficult to access experts. It can serve as a cost-effective solution for low resource settings. Digital solutions allow recording, cloud-based storage and on-demand retrieval [27]. Online learning offers the flexibility to adapt the format and content to make education more learner-centric. It makes learning active rather than passive and offers the possibility of multi-institute and even global collaborations including sharing of educational resources among organizations [28]. Studies show that “interactivity” in education is highly valued by trainees. An online learning module which offers the ability to meaningfully interact with faculty and peers and the opportunity to obtain ongoing constructive feedback is highly desirable and sustainable [29]. Pre and post session quizzes can effectively promote learner engagement and assess learning outcomes [18]. Team‐based learning is an interactive teaching method that is learner centred and instructor directed. Post-lecture discussions with spaced repetitions of content in an easily digestible format can be highly effective [30]. Debate style teaching can be highly engaging for participants while providing clarity on controversial topics and multiple perspectives on clinical problems [31]. Most oncology conferences include debate-based sessions and post session audience polls which promote active participation and are effective learning opportunities. Real-time polls, chats and break-out group discussions can be highly engaging and serve to reinforce concepts. Scheduling and tracking apps can assist faculty and trainees in planning their routines and assessing their progress. Technological solutions can also be used for ongoing mentoring of trainees and fellows and providing mental health services for physicians and trainees. E-learning has the distinct potential to revolutionize education in remote areas and community-based practices. Online assessments, practice assignments and simulation of procedures can ensure uninterrupted learning. Social media can be a powerful tool for the current and future generations to maintain ongoing education [32,33]. Digital technology can also facilitate research-based education for trainees by utilizing telemedicine to monitor patients on research protocols and video-conferencing for data monitoring and committee meetings. Online platform was successfully utilised by many academic institutes for final exit exams for the oncology residents [34]. Transitioning Towards a New Era in Residency Training and Provider Education It is important to ensure that all potential users are familiarized with how to optimally utilize the online application. All users should also learn the basic etiquette for online conferencing including muting their microphones when not speaking, refrain from interrupting another speaker and optimal use of video and background blur for a more interactive experience. Users should also learn how to effectively moderate a session and troubleshoot minor technical issues [35]. Kotter’s Change Management Model (https://www.kotterinc.com/8-steps-process-for-leading-change/) offers insights into transitioning into, adopting and incorporating a new paradigm into routine practice [28]. A robust and sustainable modification to educational approaches is the need of the hour. Academic medical centers should prepare themselves to recognize new threats that can potentially disrupt learning. A proactive response is required that incorporates a risk-adapted approach with restructuring of academic programs to technology enabled formats without compromising continuity and quality [36]. Telemedicine can be effectively utilized for various aspects of cancer care and education [37]. Challenges of E-Learning Major challenges include availability of infrastructure and willingness of the stakeholders to adopt the technology. Lack of time, technological skills and confidence can be a significant deterrent for teaching faculty [38,39]. E-learning can also be challenging in resource limited settings [40]. A negative attitude towards change and poor institutional support can preclude a successful implementation [41]. It is therefore imperative that these issues are addressed to effectively transition towards technology based learning [42]. Emotional engagement with the audience can be a challenge as facial expressions, body language and visual cues which enable real-time interpretation of participant engagement and understanding may be lacking. Besides the lack of a friendly arm and psychological support during these times of isolation and anxiety can negatively impact learning objectives. It has also been shown that distractions and disruptions can be more frequent during online learning compared to traditional classroom teaching [43,44]. Fatigue of trainees could also become a significant barrier to effective learning especially when they’re expected to fulfil their increased work responsibilities along with completing their learning tasks. It is also undeniable that online learning cannot replace the requirement for procedural and experiential learning although simulation [45], virtual reality, tele-consults and virtual patients can circumvent these challenges to some extent. Future Directions A traditional face to face teaching and learning method is undoubtedly irreplaceable. But the current pandemic has steered residency training towards technologically driven learning and will provide direction and information on best practices to maintain and enhance training through these difficult times and beyond. It has provided the opportunity to leverage technology and incorporate concepts of pedagogy to the training of residents and physicians. Academic Institutes and professional societies should now focus on creating a structured and focused content to design pedagogically informed online courses which are interactive and learner-centric. The crisis can provide an impetus towards multi-institute and global collaboration in oncology training [28,46]. Oncology societies like ASCO and ESMO, with their large international membership and a vast repertoire of educational resources, can take the lead in initiating and facilitating innovative approaches in learning. Over the past decade ASCO has greatly expanded its educational resources and is continuously working towards enhancing the learning experience for its members [47]. The ASCO eLearning catalogue features an increasing suite of educational resources designed to address learning needs of oncology fellows and providers (https://elearning.asco.org/). The ESMO also provides a vast variety of educational content through the OncologyPRO section on its website (https://oncologypro.esmo.org). Both these professional societies also have vast amount of COVID-19 related resources which are continuously updated to provide the latest updated information on oncology care during the pandemic [48,49]. Future educational initiatives should leverage advances in knowledge and technology to create innovative solutions based on current concepts in cognitive learning theory. It is important to promote student engagement and minimize distraction. Interactivity and corrective feedback should be incorporated. An ongoing mechanism to access impact and effectiveness of the system will inform improvement to a dynamic and flexible system. The module should analyse learning outcomes utilizing tools for formative and summative assessments [34]. Academic institutes need to systematically plan and organize initiatives for blended learning. Digital platforms can also be effectively utilized for objective structured teaching examination (OSTE) for a transparent assessment of teaching faculty and support career and professional development initiatives [50]. Conclusion E-learning ensures a safe environment to maintain education during a pandemic. The enhanced audio-visual tools can be effectively utilized to engage learners, promote interactivity, provide feedback and assess progress. A dynamic and flexible model ensures active learning with individually tailored instruction in easily digestible bits. An effective system should also incorporate spaced repetition, practice assignments and objective assessment. Stakeholders should work towards standardizing e-learning into routine educational modules and create a system of credibility and accountability. The long-term social, environmental and professional advantages of adopting e-learning at the Institute and global level are potentially enormous. Moving forward, technology enabled learning is well poised to become an integral part of education in oncology.
100 Milestones of Physical Therapy 1921 1921 APTA’s Founders Meet At Keens Chophouse In New York City. APTA’s founders met at Keens Chophouse in New York City. The participants decided to create an association with the name American Women’s Physical Therapeutic Association. Dues were established at $2. 1921 Mary McMillan Is Elected The First President Of The American Women’s Physical Therapeutic Association. World War I had just ended. Throughout the war, reconstruction aides, the predecessors to modern physical therapists, worked tirelessly to do their part, treating the many casualties of war and getting soldiers back on their feet. These strong women had proven their value as medical professionals – war heroes –..Read More 1921 The Association’s Journal, P.T. Review, Debuts. The association’s journal, P.T. Review, debuted in 1921. The issue was held in production awaiting election results for the new officers and executive committee. Mary McMillan was elected president. Free to members, annual subscriptions to the quarterly publication were available to the public for $1. The journal’s name eventually evolved..Read More 1922 1922 The AWPTA Becomes The American Physiotherapy Association. The AWPTA had closed out its first year, which was a busy one. The members were planning for their first annual convention that summer. They also were seeking official recognition from the American Medical Association, were working to lay a strong foundation for the profession, and emphasizing the need to..Read More 1922 First Annual Conference Held In Boston. The association’s first annual conference was held in Boston, September 13-16, at the Boston School of Physical Education. Sixty-three reconstruction aides attended. The association’s name was changed to American Physiotherapy Association to be more inclusive. 1926 1926 P.T. Review Changes The Name To Physiotherapy Review. In 1926 Gertrude Beard was elected president of APA. Under her leadership, APA saw much change. Significantly, she was the first president who had not served as a reconstruction aide. With her election came a shift in association leadership from the east coast, where it had traditionally been concentrated, to..Read More 1926 Franklin D. Roosevelt Establishes The Georgia Warm Springs Foundation. Franklin D. Roosevelt contracted polio in 1921. In 1926, Roosevelt was introduced to Alice Lou Plastridge. She was an experienced physical therapist in the field of polio and had been successfully treating him when he began visiting Warm Springs, Georgia, to swim in the thermal spring waters there after hearing..Read More 1927 1927 NYU Creates Bachelor Of Science Program For Physical Therapists. As the profession continued to grow and APA continued to advocate for stronger standards and increased education, the New York University became the first to launch a full, four-year bachelor of science program for physical therapists. Graduates now earned a BS degree, raising the level of education available and with..Read More 1928 1928 Standards For Accreditation Are Developed. Ever focused on improving the profession and recognizing the importance of standardization in order to do so, APA developed the first standards for accreditation, with guidance of John Stanley Coulter. Most accredited institutions then were hospital-based and awarded postbaccalaureate certificates. 1935 1935 APA Adopts A “Code Of Ethics And Discipline.” Following closely on the heels of establishing an outside registry came APA’s first Code of Ethics and Discipline, adopted at its annual conference in Atlantic City, New Jersey. This code not only expanded on the primacy of the physician’s diagnosis and prescription in carrying out physical therapy treatments, but it..Read More 1935 The American Registry For Physical Therapy Technicians Is Created. One issue that kept nagging at APA leaders was concern about the credentialing process. After a few failed attempts to address it, a viable solution came along. In 1935, under the guidance of John Coulter, author of the Minimum Standard for a Physical Therapy Department of a General Hospital, the..Read More 1940 1940 A Major Shift In Educational Programs Occurs. In 1940 the majority of physical therapy educational programs shifted from the hospital to the university setting. This marked the start of an important new trend in physical therapist education. 1940 Catherine Worthingham Becomes Wartime President Of APA. Catherine Worthingham, a noted Stanford educator, became the association’s two-term president during World War II. She served an unprecedented five years as president from 1940 through 1944 at the request of the executive committee, which felt that the war years were no time to install new, inexperienced officers. Worthingham was..Read More 1941 1941 First Special Interest Sections Meet At Annual Conference. The first special interest sections met at the association’s annual conference in Palo Alto, California. 1941 PTs Contribute During World War II. In the summer of 1941, six months before the bombing of Pearl Harbor, Emma Vogel — who began her Army career as a reconstruction aide, was trained by Mary McMillan at Reed College in Oregon, and was a founding figure in the physical therapy profession — initiated the first War..Read More 1941 The First Physical Therapy CE Programs Are Held. APA’s annual meetings during the war years became more professional, offering continuing education programs at Stanford University in connection with APA’s 1941 annual conference. Thirty-seven members signed up for the 1941 program, gaining credits in advanced kinesiology, therapeutic gymnastics, skeletal muscle and motor activity in health and diseases, and “the..Read More 1943 1943 The Special Women’s Medical Service Corps Program For African-Americans Launches. World War II was raging and there was a continuing need to quickly increase the number of trained physical therapists to meet the demands of war. The success of Emma Vogel’s 1941 War Emergency Training Course of WW II led to the launch of several more across the country, among..Read More 1944 1944 First Official Headquarters Founded. The association moved into its first official headquarters in New York City, where the organization was founded. Mildred Elson became the first executive director of APA. 1944 House Of Delegates Created At 1944 Annual Meeting. The association’s House of Delegates was created at the 1944 annual meeting. Margery L. Wagner of California was elected first chair of the body. 1947 1947 House Of Delegates Votes To Change Name To APTA. The House of Delegates voted to change the association’s name to the American Physical Therapy Association from the American Physiotherapy Association, which had been its name since 1922. 1948 1948 Physiotherapy Review Is Renamed Physical Therapy Review. In 1948 APA’s widely respected journal went from a bimonthly to a monthly publication, nearly doubling the number of pages from 320 to 584 annually. At the same time the publication’s name was changed to Physical Therapy Review. 1949 1949 The First Edition Of “Muscles Testing And Function” Is Published. Florence P. and Henry O. Kendall were pioneers in research in the field of physical therapy, conducting groundbreaking research at the height of the polio epidemic to establish baselines for normal function in children and young adults. They believed that no modern PT should treat “abnormal” conditions without knowing what..Read More 1950 1950 Korean War Begins. Congress had just passed a law establishing the Women’s Medical Specialist Corps (WMSC) within the U.S. Army in 1947. Major Emma E. Vogel was chief officer of the corps and promoted to the rank of colonel. This law provided for the first time full military recognition for women physical therapists..Read More 1951 1951 First Planning Session Of The World Congress For Physical Therapy. The World Confederation for Physical Therapy held its first formal meeting in Copenhagen. Mildred Elson, APTA’s first executive director, was elected to serve as WCPT’s first president. Five years later, in 1956, APTA would cohost the second WCPT World Congress in New York City, where Elson would be one of..Read More 1954 1954 APTA Develops Standardized Competency Exam For State Licensing Boards. Recognizing the need to protect and advance the profession, APTA leadership began to push more strongly for state practice acts that would regulate the use of relevant occupational titles such as physical therapy and control the right to practice within those regulated professions in the name of protecting the public..Read More 1955 1955 Salk Vaccine For Polio Is Introduced. By the 1950s, poliomyelitis was surging, with 58,000 new cases, and 3,000 deaths, reported in the United States in 1952 alone. At the same time physician Jonas Salk was continuing work to develop his vaccine to combat the polio epidemic. In 1953, his preliminary tests, carried out at the D...Read More 1955 First House-Approved Membership Section Is Founded. The 1950s brought with them a significant spirt of growth for APTA. Membership was increasing at a significant rate. Similarly, there was immense growth in state chapters. In 1951 all but four states or territories had at least one chapter, and by 1955 all of them had representation. (Early on,..Read More 1957 1957 The Physical Therapy Fund Is Established. Over the years there had been many articles in Physical Therapy Review about physical therapists providing better scientific data on their work, one of the hallmarks of a true profession. A few members obliged with worthy contributions to the research literature. Among the more impressive works were Margaret Moore’s three-part..Read More 1960 1960 First Two-Year Graduate Program In Physical Therapy Launched. The earliest effort to launch a two-year graduate program for the basic education of the physical therapist appeared at Western Reserve University (now Case Western Reserve University) in Cleveland, Ohio, in 1960. Catherine Worthingham approached the university because it already had established graduate programs in other health professions, including speech..Read More 1964 1964 First Mary McMillan Lecture. The earliest and most prestigious recognition offered by APTA for achievement is the Mary McMillan Lecture Award, which was established in 1962 by the Board of Directors in memory of the association’s beloved first president and physical therapy trailblazer. Mildred O. Elson delivered the first lecture in 1964, and Helen..Read More 1964 1962/1964 Physical Therapy Review Evolves Again. In 1961, Helen J. Hislop took over as editor of Physical Therapy Review. With that came a reexamination of the publication’s name. From time to time someone would suggest that a new name was needed, one that would include the designation “journal” and the name of the association in its..Read More 1965 1965 Medicare Legislation Is Enacted. Among the many initiatives launched during Lyndon Johnson’s presidency, none had a greater impact on physical therapists than enactment in 1965 of the Medicare and Medicaid programs. Medicare (which was appended to the 1935 Social Security Act as Title XVIII) provided federal funding for many of the medical costs of..Read More 1966 1966 The First PTs Go To Vietnam. Since John F. Kennedy’s inauguration as president in 1961, the U.S. military involvement in Vietnam had grown, culminating in the deployment of American ground troops in the spring of 1965 under President Lyndon Johnson. The first physical therapist on the scene was Army Medical Specialist Corps Colonel Barbara Gray, a..Read More 1967 1967 First Lucy Blair Service Award Established. The Lucy Blair Service Award was established in 1969 to honor the long and dedicated service of Lucy Blair, to be given to one or more members each year for contributions of exceptional value to the association. Blair was the sole first recipient in 1969, and service pins were awarded..Read More 1969 1969 First Two Classes Of PTAs Graduate And Enter The Workforce. The first two classes of physical therapist assistants (PTAs) graduated and entered the workforce. The first PTA education programs had been established earlier at Miami-Dade Community College in Florida and St. Mary’s Junior College in Minnesota (now St. Catherine University). 1970 1970 Temporary Affiliate Membership Offered To PTAs. In 1964 APTA’s Board of Directors appointed an ad hoc committee to look into bringing non-physical therapist assistive personnel into some kind of formalized relationship with physical therapists. As a result of the committee’s favorable findings, APTA in 1967 adopted a policy statement that set the foundations for the birth..Read More 1970 Headquarters Relocated To Washington, D.C. APTA relocated its headquarters from New York City, where the association was founded, to Washington, D.C., in order to have a stronger advocacy presence on Capitol Hill. 1971 1971 American Registry Of Physical Therapists Dissolved. In the early days of the profession, before APTA had created its own system of professional certification, registration through the American Registry of Physical Therapists (ARPT) (formerly known as the American Registry of Physical Therapy Technicians) — controlled by the American Medical Association (AMA) — had provided a limited form..Read More 1972 1972 Social Security Amendments Of 1972. The year 1972 was a pivotal one for the Social Security Administration. On October 30 that year, President Richard Nixon signed into law the Social Security Amendments of 1972, which provided Independent billing authority for physical therapists added to Medicare Part B program, with a $100 cap on services per..Read More 1973 1973 Physical Therapy Political Action Committee Created. APTA was no stranger to working to shape policy, and leadership had always well understood the importance of maintaining a strong voice on Capitol Hill. To protect and champion the needs of the profession and its members APTA needed to be heard by lawmakers. That had been one reason for..Read More 1973 NYU Launches First PhD Program In Physical Therapy. New York University has rightly been called a trailblazer in the history of physical therapy education. It holds the distinction of having started not only the first four-year bachelor’s degree program for physical therapists in 1927, but also the first postprofessional PhD program for physical therapists in 1973, under the..Read More 1974 1974 First PT Department At A Historically Black College Or University Established At Howard University. Early in physical therapy education, individuals of racial or ethnic minority groups attended predominantly white institutions because no minority-serving institutions had established physical therapy programs. Prior to the 1960s, due in part to institutional discrimination, there were fewer opportunities for minority students than there were for their white counterparts to..Read More 1975 1975 APTA’s House Of Delegates Embraces The Concept Of Specialization. In her McMillan lecture at APTA’s 1975 annual conference Helen J. Hislop made clear that without its own mechanism for producing certified clinical specialists the profession would be challenged and potentially overshadowed by other health care disciplines. She called on her colleagues to develop programs that would train and certify..Read More 1975 Education For All Handicapped Children Act (Public Law 94-142) Becomes Law. On November 29, 1975, President Gerald Ford signed into law the Education for All Handicapped Children Act, later called the Individuals with Disabilities Education Act (IDEA). This was significant to the physical therapy profession because with it its passage physical therapist practice began moving increasingly into the public school systems...Read More 1975 “The Not So Impossible Dream” McMillan Lecture Delivered By Helen J. Hislop. With widening access to health care and momentous advances in medicine and medical technology, a new health care environment was emerging. One of its more notable features was the explosion of information, which was rapidly overwhelming the capacity of most generalists to keep even nominally informed in all areas. Whether..Read More 1976 1976 First Combined Sections Meeting Held In Washington, D.C. The first Combined Sections Meeting (CSM) was held in Washington, DC. It drew more than 1,000 attendees. By 2018, CSM was attracting more than 17,000 attendees per year. 1978 1978 APTA Brings Academic Accreditation “In House.” APTA’s collaborative arrangement for accreditation of physical therapy education programs that had been worked out in 1959 with the American Medical Association’s Council on Medical Education (CME), which originally was the sole accrediting agency, had not proved satisfactory, and the resulting friction was wearing the relationship down. Former APTA president..Read More 1979 1979 The Commission For Certification Of Advanced Clinical Competence Appointed By House Of Delegates. In 1978, as a part of APTA’s efforts to establish a mechanism within the physical therapy profession for training and certifying clinical specialists, the association’s Task Force on Clinical Specialization produced a specialist certification program designed to give formal recognition to individuals with advanced knowledge, skills, and abilities in a..Read More 1979 PT Fund Evolves Into The Foundation For Physical Therapy. Despite an enthusiastic launch in 1957, the PT Fund had been struggling in its first two decades, disbursing less than $80,000 in grant funds toward its goal to foster scientific, literary, and educational advances in physical therapy. Charles Magistro, who had completed a term as APTA president in 1976, recognized..Read More 1980 1980 House Of Delegates Sets 1991 As Target For Raising Minimum Entry-Level Education To Postbaccalaureate Degree. The profession’s efforts to enhance postbaccalaureate education in physical therapy are at least as old as the mid-1940s, when Stanford University pioneered a post-entry-level certificate program in physical therapy. Other schools followed with postbaccalaureate certificate programs, notably at Boston University, the University of Southern California, New York University (NYU), and..Read More 1981 1981 World War I Reconstruction Aides Made Veterans. The reconstruction aides of World War I played an integral role in the war effort. They often worked 14-hour days caring for the wounded, with their workload growing as the war raged on. By the end of the war the aides had treated thousands of wounded. After World War I..Read More 1981 First Henry O. And Florence P. Kendall Practice Award For Outstanding Achievement In Clinical Practice Presented. The Henry O. Kendall and Florence P. Kendall Award for Outstanding Achievement in Clinical Practice originally was developed by APTA’s Maryland Chapter to recognize outstanding clinicians for excellence in clinical practice. The award celebrates the nationally recognized husband and wife clinician team who were prominent leaders in physical therapy. Through..Read More 1982 1982 Catherine Worthingham First Recipient Of Catherine Worthingham Fellow Designation. Catherine Worthingham was the first recipient of the fellow program that bears her name. The Catherine Worthingham Fellow designation (FAPTA) is the highest honor among APTA’s membership categories. 1983 1983 The House Of Delegates Approves Physical Therapist Assistant Affiliate Special Interest Group. The assemblies within the House of Delegates came about as a means of allowing physical therapist assistant members a structure through which they could meet their unique needs. In 1983 several affiliate members, including Virginia May, Cheryl Carpenter, and Tricia Garrison, petitioned the House for recognition as a nonvoting component,..Read More 1983 APTA Purchases And Moves To New HQ In Alexandria, Virginia. APTA purchased and moved to new buildings at 1111 North Fairfax Street in Alexandria, Virginia, with two neighboring buildings being purchased in 1993 and 1996. This marked the first time the association owned the buildings that house its headquarters. 1985 1985 First Exams For Specialist Certification Held. As APTA’s special interest sections developed, a natural extension was the continued growth of specialist certification. The complex process of creating the appropriate mechanism for voluntary certification, which started in the mid-1970s, began to bear fruit in 1985, when the first three candidates — Linda Crane, Scot Irwin, and Meryl..Read More 1988 1988 Minority Scholarship Fund Established. In 1986, as one of its efforts to address the scarcity of financial support for minority students enrolled in physical therapy education programs, APTA’s Office of Minority Affairs began working with the Foundation for Physical Therapy to establish the Minority Scholarship Fund. This was in response to a recommendation from..Read More 1989 1989 Affiliate Assembly For PTAs Is Established. The assemblies within APTA’s House of Delegates came about as a means of affording physical therapist assistants — who since 1973 had been granted affiliate membership in the association —- a structure within the organization. In 1983 several affiliate members, including Virginia May, Cheryl Carpenter, and Tricia Garrison, petitioned the..Read More 1989 Marquette Challenge Launched. The Marquette Challenge was created in 1989 by physical therapy students at Marquette University as an annual student-led fundraiser to support physical therapy research through the Foundation for Physical Therapy. The idea was for physical therapy programs to compete against each other to raise money during each yearly campaign. The..Read More 1990 1990 The Americans With Disabilities Act Of 1990 Becomes Law. Equal opportunity in employment was federally mandated in 1973, but it soon became apparent that lack of specific language and implementation guidelines made progress toward nondiscrimination extremely slow. Subsequent efforts to make what were widely agreed to be basic human rights available culminated in 1990 when on July 26 President..Read More 1991 1991 Student Assembly Formed. The Student Assembly was formed to enhance the role of student members and lend a voice to the future leaders of the profession. 1992 1992 First National Physical Therapy Month. Spurred by requests for a national celebration of physical therapy by the House of Delegates dating as far back as the mid-1960s, APTA and participating components began to celebrate Physical Therapy Week in the early 1980s. The week was initially observed in conjunction with APTA’s annual conference in June and..Read More 1993 1993 PT Magazine Launched. As the academic rigor of APTA’s scientific journal increased over the years, non-scientific topics that focused more on news of the profession were inevitably displaced. The existing Progress Report had been created in the early 1970s to cover news and ongoing topics of national and component business, and it had..Read More 1993 Creighton University Inaugurates Pioneer “Professional” Doctor Of Physical Therapy Program. By the early 1990s, the profession had evolved significantly and there were two levels of degrees with which a physical therapist could graduate: a four-year bachelor’s degree and a professional master’s degree. While the bachelor’s degree was being offered, by this point more than half of the 148 physical therapist..Read More 1995 1995 APTA Launches First Website. Technology was rapidly evolving, and the internet was the new frontier for businesses and nonprofits alike. People were eager to learn more and sought new ways to make the internet and the information super-highway work for them. There was a coordinated effort at all levels of APTA to ensure the..Read More 1995 APTA Hosts WCPT’s 12th Congress. In 1995 the World Confederation for Physical Therapy (WCPT) convened its 12th Congress in Washington, D.C., marking only the second time it had met in the United States since its inception in 1951. At the 1995 gathering, which drew more than 8,000 delegates from the U.S. and overseas, attendees had..Read More 1995 First Edition Of The “Guide To Physical Therapist Practice” Published. By the 1990s, APTA strongly believed it was critically important that those outside the profession understood the role of physical therapists in health care and the unique services they provide. The association was committed to informing consumers, federal and state governments, and third-party payers of the benefit of physical therapy..Read More 1996 1996 First John H.P. Maley Lecture Delivered. In 1996, Shirley A. Sahrmann became the first recipient of the prestigious John H.P. Maley Lecture Award. The award was established to recognize an APTA physical therapist member who demonstrated clinical expertise and significant contributions to the profession, with the recipient delivering a lecture at APTA’s annual meeting. Sahrmann presented..Read More 1997 1997 Balanced Budget Act Passed. Enactment of the Balanced Budget Act (BBA) in 1997 placed an annual cap on rehabilitation services under Medicare. Almost immediately Congress recognized the cap’s potential harmful effect on Medicare beneficiaries and moved to provide an annual exceptions process to prevent the actual implementation of a hard cap on physical therapist..Read More 2000 2000 Vision Statement For The Physical Therapy Profession Established. In 2000, APTA was focused on strategic change. The organization felt change was critical to the future of the profession, the association, and the patients and consumers its members treat. As a result, APTA’s House of Delegates adopted “Vision 2020,” a new path forward for the profession. The vision included..Read More 2000 First Clinical Residency And Fellowship Programs Are Approved For Credentialing. A physical therapy clinical residency is a planned program of postprofessional clinical and didactic education, designed to advance a resident’s expertise in the management of patients and clients in a defined area of clinical practice. In 1997, a five-member Committee on Clinical Residency Program Credentialing was established by APTA’s Board..Read More 2003 2003 APTA Hosts PT Day On Capitol Hill — A Physical Therapy March On Washington. In 2003 APTA and its components were working to push through two important pieces of legislation. One, the Medicare Patient Access to Physical Therapists Act, would provide for direct access to physical therapists under Medicare, and the other, the Medicare Access to Rehabilitation Services Act, would repeal the Medicare therapy..Read More 2003 Licensing For Physical Therapists Is Achieved In All 50 States. After World War I, the American Congress of Physical Medicine created the American Registry to confer the title “registered physical therapist” on physical therapists who passed an exam. By the late 1940s, APTA called for the enactment of state practice acts and state licensure. In 1954, APTA developed, with the..Read More 2005 2005 PTA Caucus Is Established. The National Assembly (NA) for PTAs was a great idea for its time. All PTA members automatically were members of the NA, which was a forum for PTAs to discuss issues related to motions coming before the House of Delegates and decide which to support or oppose. But, as the..Read More 2005 First PTAs Graduate From The Advanced Proficiency For The Physical Therapist Assistant Program. The Advanced Proficiency for the Physical Therapist Assistant program was launched in 2004 to recognize PTAs who achieved advanced proficiency in the areas of cardiovascular and pulmonary, education, oncology, acute care, wound management, geriatric, integumentary, musculoskeletal, neuromuscular, and pediatric physical therapy. The first class of 79 PTAs received their recognition..Read More 2006 2006 Open Door Portal To Physical Therapy Research Databases Is Launched. To support APTA’s Vision 2020, APTA in 2006 launched Open Door, a members-only online portal to peer-reviewed literature. Through subscriptions secured by APTA, Open Door provided members free online access to two databases that together offered access to the full text of more than 1,000 scientific journals to help PTs..Read More 2008 2008 Physical Therapist Centralized Application Service Is Launched. On August 1, 2008, APTA introduced the Physical Therapist Centralized Application Service (PTCAS), a Web-based tool developed to simplify the application process for prospective PT students and facilitate the admissions process for professional PT education programs by allowing applicants to use a single application and one set of materials to..Read More 2009 2009 APTA Hosts International Summit On Direct Access And Advanced Scope Of Practice In Physical Therapy. Achieving direct access had long been a major initiative for APTA. In October 2009, the association hosted and led the International Summit on Direct Access and Advanced Scope of Practice in Physical Therapy, a conference that was organized to investigate advanced models of physical therapist practice both in the United..Read More 2009 PT—Magazine Of Physical Therapy Is Renamed PT In Motion. After 16 years as PT—Magazine of Physical Therapy, APTA’s monthly magazine was ready for change. The publication had undergone a restructuring in 2000 for a more modern look to go with the new millennium and to coordinate with a new weekly web-based newsletter, PT Bulletin Online, by publishing a digest..Read More 2009 APTA Hosts PASS — The Physical Therapy And Society Summit. A first-of-its-kind event for APTA and the physical therapy profession, PASS — held in a think tank-type atmosphere at a prominent retreat center outside Washington, D.C. — brought together physical therapists with non-physical therapists representing government, health policy, academia, engineering, bioscience, and information technology. Its specific aim, per the 2006..Read More 2013 2013 APTA Hosts Innovation Summit: Collaborative Care Models. In March 2013, following on the heels of implementation of the Affordable Care Act, APTA hosted the Innovation Summit: Collaborative Care Models, a groundbreaking event that brought together physical therapists, physicians, large health systems, and policy makers to discuss the current and future role of physical therapy in integrated models..Read More 2013 The American Council Of Academic Physical Therapy Is Designated As A Component By APTA’s House Of Delegates. The American Council of Academic Physical Therapy (ACAPT) was formed to provide a unified voice for academic physical therapy — supporting excellence in research and scholarship, professional and community service, and academic and professional leadership. Previously, academic institutions were represented through a special interest group of academic administrators within APTA’s..Read More 2013 New Vision Statement Focused More On Society Established By House. By early in the second decade of the 21st century, the feeling within APTA was that the goals of Vision 2020 — the association’s existing vision statement that had been adopted 13 years earlier—had largely been met or were moving crisply in that direction. The statement primarily focused inward, aspiring..Read More 2015 2015 All 50 States Achieve Some Form Of Direct Access. The multi-decade struggle to achieve direct access in every state and locality was all about celebrating successes, conveying momentum, and encouraging chapters’ efforts to fight access restrictions. Given fierce opposition from physician groups, chiropractors, and others, every win — however large or small — was considered important. In some cases,..Read More 2015 PTA Full Vote At The Component Level Established By The House Of Delegates. In 2005 the PTA Caucus succeeded the PTA’s National Assembly and its representative body. The caucus gave PTAs better organization and representation from all chapters. It gave the ability to be more engaged and more actively involved within the profession. It also gave them a presence in the House of..Read More 2015 Foundation For Physical Therapy Grant Creates The Center On Health Services Training And Research. A long-anticipated dream to create a center specifically targeted to foster stronger physical therapist leadership in health policy and health services research was born in 2015. Named the Center on Health Services Training and Research (CoHSTAR), the project was brought into being by the Foundation for Physical Therapy with an..Read More 2016 2016 The Clinical Doctorate (Or “DPT”) Becomes The Only Degree Conferred By CAPTE-Accredited Educational Institutions. Physical therapy education has changed dramatically over the decades. When the profession began, physical therapists (PTs) earned a bachelor’s degree in another closely related field and then obtained a certificate in physical therapy. As time went on, the profession created and adopted the entry-level physical therapy bachelor’s degree. Later, education..Read More 2016 Three New Councils Created (FiRST, Health Systems, And Prevention And Wellness). To support APTA’s mission to advance and enhance the profession, APTA launched three new councils to focus on various areas of practice. The Frontiers in Rehabilitation, Science, and Technology (FiRST) Council was established in February 2016 as a community for interested stakeholders. FiRST grew out of identification of high-priority areas..Read More 2016 APTA Launches “ChoosePT” National Opioid Awareness Campaign. At the start of the emerging national opioid epidemic, APTA took a leadership role and unveiled a broad public relations effort to educate consumers about the opioid epidemic and urge them to choose physical therapy (#ChoosePT) to manage pain without the risks of opioids. The campaign grew to include award-winning..Read More 2016 PTA Recognition Of Advanced Proficiency For Physical Therapist Assistant Transitions To PTA Advanced Proficiency Pathways (APP). To increase PTAs’ knowledge and skills in a select area of physical therapy, in 2004 APTA established a program called Recognition of Advanced Proficiency for the Physical Therapist Assistant. In 2014 APTA launched a companion program, PTA Advanced Proficiency Pathways (PTA APP). By 2016 it was clear that PTA APP..Read More 2017 2017 Physical Therapy Licensure Compact Launches With 10 Participating States. A dream to make it possible for PTs and PTAs to practice in multiple states through a single license began to become reality when Washington became the 10th state to sign on to the Physical Therapy Licensure Compact. The system needed to reach 10 participating states in order to become..Read More 2017 Physical Therapy Outcomes Registry Launched. The transition to value-based care requires accountability for patient outcomes, evaluating the effectiveness of interventions, and making technical and organizational changes — all within an evolving and sometimes complicated payment system. The ability to demonstrate and quantify the value of physical therapist interventions is powerful leverage, when it comes to..Read More 2017 Association Membership Surpasses 100,000 Mark. Association membership surpassed the 100,000 mark after a collaborative push by APTA, its components, and members. To put that accomplishment into perspective, APTA surpassed 25,000 members in 1975 and 50,000 members in 1990. 2018 2018 Hard Cap On Physical Therapist Services Under Medicare Is Eliminated. Enactment of the Balanced Budget Act (BBA) in 1997 placed an annual cap on rehabilitation services under Medicare. Almost immediately Congress recognized the cap’s potential harmful effect on Medicare beneficiaries and moved to provide an annual exceptions process to prevent the actual implementation of a hard cap on physical therapist..Read More 2018 APTA Board Of Directors Adopts A New Mission Statement. “Building a community that advances the profession of physical therapy to improve the health of society” became the official mission statement for APTA in 2018. Developed by the APTA Board of Directors after the 2017 House of Delegates entrusted the Board to update and maintain the association’s mission, the statement..Read More 2019 2019 Number Of Board-Certified Clinical Specialists Exceeds 27,000. In 1978, as a part of APTA’s efforts to establish a mechanism within the physical therapy profession for training and certifying clinical specialists, the association’s Task Force on Clinical Specialization produced a specialist certification program designed to give formal recognition to individuals with advanced knowledge, skills, and abilities in a..Read More 2019 APTA Breaks Ground On The APTA Centennial Center, Its New Headquarters. On January 22, 2019, current and former APTA leaders gathered in Alexandria, Virginia, to celebrate the groundbreaking of APTA Centennial Center, a 7-story, 115,000-square-foot building that would become the association’s headquarters beginning in 2021. The decision to build a new headquarters was carefully considered. An exploratory work group of APTA..Read More 2020 2020 APTA Launches New Brand And Logo. At the national level, APTA had long maintained a “house of brands” approach, with dozens of individually branded products, services, and events. This approach extended to APTA’s chapters and sections, which used their own distinct names and, often, abbreviations. The result was branding gumbo and alphabet soup, with no meaningful..Read More 2021 2021 APTA Opens New Headquarters In Alexandria, Virginia. To begin the association’s 100th year, APTA will open a new headquarters in Alexandria, Virginia. The building will support APTA’s workforce of the future and be more welcoming to our members and the public. APTA Centennial Center is a tribute to APTA’s mission, vision, and values. 2021 APTA Celebrates Its 100th Anniversary. January 15, 2021, marks 100 years to the day since the first meeting of APTA’s founders at Keens Chophouse (now known as Keens Steakhouse) in New York City. That initial meeting of these courageous and dedicated founding women led to the start of what became one of America’s largest associations,..Read More Load More
A systematic review to compare the effectiveness of face-to-face versus online (including blended learning) delivery of CME/CPD for healthcare practitioners (HCPs).
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Provided by the UConn School of Medicine and Office of Community and Continuing Medical Education Target Audience: Licensed Physician Faculty, UConn Health Program Duration: March 1, 2018 through February 28, 2021 In an effort to support the School of Medicine’s CME strategic plan, the Office o
More 1 hour GPs,GP trainees Guideline focus: Recognition and management of sepsis in primary care Practical tips and case scenarios to help GPs improve early recognition of patients who are at risk of sepsis. This module covers the key points for primary care from the NICE sepsis guideline and the NHS England implementation action plan. Learning outcomes After completing this module, you should know: When to consider the possibility of sepsis Which groups of patients are at raised risk of developing sepsis How to conduct a structured sepsis risk assessment for a patient who presents with signs of infection The criteria to consider when deciding which patients need emergency transfer to hospital and which can be safely managed in the community with appropriate safety netting Pitfalls that can lead to sepsis being missed in primary care. Contributors: More Miles Payling Peer reviewed by: More Ron Daniels Last updated 11 Dec 2018 Release date 11 Dec 2018 Accreditation Accreditor credit Accreditation statement ASCOFAME 1:00 hour BMJ Learning has assigned 1 hour of CPD/CME credit to this module. BMJ Learning modules are being certified for ASCOFAME VIRTUAL (Colombia). Australian College of Nursing 1 credit, 1:00 hour ACN 3LP participants can claim 1 CNE point per hour of active learning for modules that are directly related to their area of nursing practice (no limit). Austrian Academy of Physicians 1 credit, 1:00 hour BMJ Learning modules have been certified for DFT Punkte. DFT Punkte are accepted in Austria Azerbaijan: The Scientific-Medical Council of the Ministry of Health of Azerbaijan Republic 1 credit, 1:00 hour The Scientific-Medical Council of the Ministry of Health of Azerbaijan Republic has formally accredited all BMJ Learning modules for medical doctor`s continuous professional development. Completion of one module is considered as the equivalent of 1 credit or 1 hour of learning. BMJ Learning 1 credit, 1:00 hour BMJ Learning has assigned one hour of credit to this module Bahrain Defence Force Hospital 1 credit, 1:00 hour The Bahrain Defence Force Military Hospital represented by the Ministry of Defence Bahrain recognises BMJ Learning as being accredited for the purpose of continuous medical education (CME)/continuous professional development (CPD) in BDF. Healthcare professionals can thus claim continuous professional development credits for their activity in BMJ Learning. Completion of one module is considered the equivalent of one credit or one hour of learning. Bhutan Medical and Health Council 1 credit, 1:00 hour Bhutan Medical and Health Council has formally accredited all BMJ Learning online modules for continuous professional development. Bhutan Medical and Health Council will accept the CME credit provided by BMJ Learning to any registered members of Bhutan Medical and Health Council for renewal of their registration. Dubai Health Authority 1 credit, 1:00 hour BMJ Learning is approved as a CME resource by the Dubai Health Authority (accreditation number 0013/18) Federation of Royal College of Physicians of the UK 1 credit, 1:00 hour Accredited by the RCP for one hour of external credit. Iraqi Ministry of Health 1 credit, 1:00 hour The Iraq Ministry of Health has accredited BMJ Learning for the purposes of CME. One module is the equivalent of one hour or one credit point. Karnataka Medical Council 1 credit, 1:00 hour Karnataka Medical Council (KMC) has assigned 1 hour of CPD/CME credit to this module. Kuwait Institute for Medical Specialization 1 credit, 1:00 hour Kuwait Institute for Medical Specialization (KIMS) of the Ministry of Health, State of Kuwait is the authority responsible for organising all aspects of postgraduate training of medical practitioners and other health professionals in Kuwait. Users within Kuwait can claim one hour or one credit per hour of learning completed. Lam Dong Medical College 1 credit, 1:00 hour This is to state that Lam Dong Medical College recognises BMJ Learning as being accredited for the purposes of continuing professional development in Vietnam. Healthcare professionals and doctors can claim continuing professional development credits for their activity on BMJ Learning. Oman Medical Specialty Board 0.5 credits The Oman Medical Specialty Board accredits this module for 0.5 credit points under Category II Pakistan Society of Family Physicians 1 credit, 1:00 hour The Pakistan Society of Family Physicians has assigned 1 hour of credit to this module. Royal Australasian College of Physicians 1:00 hour The RACP does not accredit CPD activities, but MyCPD Program guidelines state that fellows can claim a maximum of 50 credits per year for online learning under 'Category 6 - Other Learning Activities'. SOGIMIG 1 credit, 1:00 hour This is to state that Associacao de Obstetricia e Ginecologia de Minas Gerais recognises BMJ Learning as being accredited for the purposes of continuing educational development. Healthcare professionals and students can thus claim continuing professional development credits for their activity on BMJ Learning. Completion of one learning module is the equivalent of 1 credits or 1 hour of learning. The Ministry of Internally Displaced Persons from Occupied Territories, Health, Labour and Social Affairs of Georgia 1 credit, 1:00 hour The Ministry of Internally Displaced Persons from Occupied Territories, Health, Labour and Social Affairs of Georgia has assigned 1 hour of CPD/CME credit to this module. The Ministry of Public Health in Qatar 1 credit, 1:00 hour The Ministry of Public Health in Qatar represented by the Accreditation Department of the Qatar Council for Health Practitioners recognizes the continuous medical education (CME)/continuing professional development (CPD) modules provided through BMJ Learning as Category II self-directed learning activities in the State of Qatar. Healthcare professionals in Qatar can thus claim continuing professional development credits for their activity on BMJ Learning, calculated as 1 credit unit per 1 hour (Organization Code OP-02). The Royal New Zealand College of General Practitioners 1 credit, 1:00 hour RNZCGP endorses the British Medical Journal online CME programmes The University of Conakry 1 credit, 1:00 hour This is to state that the University of Conakry recognizes BMJ Learning resources as being accredited for the purposes of continuing professional development in Guinea. Doctors can thus claim continuing professional development credits for their activity on BMJ. Trinidad and Tobago Medical Association 0.5 credits, 1:00 hour The Trinidad and Tobago Medical Association has accredited BMJ Learning. One module equates to 0.5 credits. UAE Ministry of Health and Prevention 1 credit, 1:00 hour This Program has been awarded 1 CPD Credit Hour by the UAE Ministry of Health and Prevention. Ukrainian Ministry of Health 0.5 credits, 1:00 hour The Ukrainian Ministry of Health has assigned 1 hour of CPD/CME credit to this module. University of Health Sciences Lahore 1 credit, 1:00 hour University of Health Sciences Lahore has assigned 1 hour of credit to this module.
More 1 hour GPs,GP trainees Acute kidney injury: diagnosis and management in primary care This interactive case based module covers the recognition, assessment, and management of AKI in the community. It contains practical advice for GPs, including when to refer and how to follow up patients after an episode of AKI. Learning outcomes After completing this module you should be able to: Identify patients at risk of, and with acute kidney injury (AKI) Understand how to respond to and manage AKI in the community Recognise when to refer a patient with AKI to a specialist Know how to follow up a patient discharged from hospital after an episode of AKI, and provide appropriate rehabilitation. Contributors: More Tom Blakeman, Sarah Harding, Andrew Lewington, Jonathan Murray.... Peer reviewed by: More Donal O'Donoghue, Mark Thomas Last updated 05 Dec 2019 Release date 15 Aug 2016 Accreditation Accreditor credit Accreditation statement ASCOFAME 1:00 hour BMJ Learning has assigned 1 hour of CPD/CME credit to this module. BMJ Learning modules are being certified for ASCOFAME VIRTUAL (Colombia). Australian College of Nursing 1 credit, 1:00 hour ACN 3LP participants can claim 1 CNE point per hour of active learning for modules that are directly related to their area of nursing practice (no limit). Austrian Academy of Physicians 1 credit, 1:00 hour BMJ Learning modules have been certified for DFT Punkte. DFT Punkte are accepted in Austria Azerbaijan: The Scientific-Medical Council of the Ministry of Health of Azerbaijan Republic 1 credit, 1:00 hour The Scientific-Medical Council of the Ministry of Health of Azerbaijan Republic has formally accredited all BMJ Learning modules for medical doctor`s continuous professional development. Completion of one module is considered as the equivalent of 1 credit or 1 hour of learning. BMJ Learning 1 credit, 1:00 hour BMJ Learning has assigned one hour of credit to this module Bahrain Defence Force Hospital 1 credit, 1:00 hour The Bahrain Defence Force Military Hospital represented by the Ministry of Defence Bahrain recognises BMJ Learning as being accredited for the purpose of continuous medical education (CME)/continuous professional development (CPD) in BDF. Healthcare professionals can thus claim continuous professional development credits for their activity in BMJ Learning. Completion of one module is considered the equivalent of one credit or one hour of learning. Bhutan Medical and Health Council 1 credit, 1:00 hour Bhutan Medical and Health Council has formally accredited all BMJ Learning online modules for continuous professional development. Bhutan Medical and Health Council will accept the CME credit provided by BMJ Learning to any registered members of Bhutan Medical and Health Council for renewal of their registration. Dubai Health Authority 1 credit, 1:00 hour BMJ Learning is approved as a CME resource by the Dubai Health Authority (accreditation number 0013/18) Iraqi Ministry of Health 1 credit, 1:00 hour The Iraq Ministry of Health has accredited BMJ Learning for the purposes of CME. One module is the equivalent of one hour or one credit point. Karnataka Medical Council 1 credit, 1:00 hour Karnataka Medical Council (KMC) has assigned 1 hour of CPD/CME credit to this module. Kuwait Institute for Medical Specialization 1 credit, 1:00 hour Kuwait Institute for Medical Specialization (KIMS) of the Ministry of Health, State of Kuwait is the authority responsible for organising all aspects of postgraduate training of medical practitioners and other health professionals in Kuwait. Users within Kuwait can claim one hour or one credit per hour of learning completed. Lam Dong Medical College 1 credit, 1:00 hour This is to state that Lam Dong Medical College recognises BMJ Learning as being accredited for the purposes of continuing professional development in Vietnam. Healthcare professionals and doctors can claim continuing professional development credits for their activity on BMJ Learning. Oman Medical Specialty Board 0.5 credits The Oman Medical Specialty Board accredits this module for 0.5 credit points under Category II Pakistan Society of Family Physicians 1 credit, 1:00 hour The Pakistan Society of Family Physicians has assigned 1 hour of credit to this module. Royal Australasian College of Physicians 1:00 hour The RACP does not accredit CPD activities, but MyCPD Program guidelines state that fellows can claim a maximum of 50 credits per year for online learning under 'Category 6 - Other Learning Activities'. The Ministry of Internally Displaced Persons from Occupied Territories, Health, Labour and Social Affairs of Georgia 1 credit, 1:00 hour The Ministry of Internally Displaced Persons from Occupied Territories, Health, Labour and Social Affairs of Georgia has assigned 1 hour of CPD/CME credit to this module. The Ministry of Public Health in Qatar 1 credit, 1:00 hour The Ministry of Public Health in Qatar represented by the Accreditation Department of the Qatar Council for Health Practitioners recognizes the continuous medical education (CME)/continuing professional development (CPD) modules provided through BMJ Learning as Category II self-directed learning activities in the State of Qatar. Healthcare professionals in Qatar can thus claim continuing professional development credits for their activity on BMJ Learning, calculated as 1 credit unit per 1 hour (Organization Code OP-02). The Royal New Zealand College of General Practitioners 1 credit, 1:00 hour RNZCGP endorses the British Medical Journal online CME programmes The University of Conakry 1 credit, 1:00 hour This is to state that the University of Conakry recognizes BMJ Learning resources as being accredited for the purposes of continuing professional development in Guinea. Doctors can thus claim continuing professional development credits for their activity on BMJ. Trinidad and Tobago Medical Association 0.5 credits, 1:00 hour The Trinidad and Tobago Medical Association has accredited BMJ Learning. One module equates to 0.5 credits. UAE Ministry of Health and Prevention 1 credit, 1:00 hour This Program has been awarded 1 CPD Credit Hour by the UAE Ministry of Health and Prevention. Ukrainian Ministry of Health 0.5 credits, 1:00 hour The Ukrainian Ministry of Health has assigned 1 hour of CPD/CME credit to this module. University of Health Sciences Lahore 1 credit, 1:00 hour University of Health Sciences Lahore has assigned 1 hour of credit to this module.
Point-of-Care Ultrasonography learning resources for physicians. Browse over 350 curated activities, many offering CME and MOC. Most activities are free to ACP members.
Physician's Weekly provides news & information online and at the point-of-care to hospitals, oncology centers & physician group practices, including specialty editions for Surgery, Emergency Departments, Oncology & Primary Care.
When asked whether users would like to see a more direct connection between the CME they take and patient outcomes, eighty-one percent of HCPs surveyed responded affirmatively.
Seventy-eight percent of respondents said "yes" when asked whether CME delivered at the point of care (in the form of decision support) could lend valuable insights into the management of patients.
The survey also found that less than one percent of respondents currently consume CME through an EHR system, demonstrating a significant unmet need in the marketplace for new approaches to CME delivery.
extract from glossary of international academy for CPD accreditation
Continuing Medical Education (CME) - The process by which healthcare professionals engage in activities designed to support their continuing professional development. Activities are derived from multiple instructional domains, are learner centered, and support the ability of those professionals to provide high-quality, comprehensive, and continuous patient care and service to the public or their profession. The content of CME can be focused not only on clinical care, but also on those attitudes/skills necessary for the individual to contribute as an effective administrator, teacher, researcher, and team member in the healthcare system. Note: CME is often used interchangeably with continuing professional development (CPD).
Continuing Professional Development (CPD) –The learning journey of the healthcare professional as he/she seeks to improve her/his competence and expertise. This learning journey is supported by continuing medical education and other personal/professional activities by the learner with the intention of providing safe, legal, and high-quality services aiming at better health outcomes
for the patients and the community.
Note: CPD is often used interchangeably with continuing medical education (CME).
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a link to a slideshare PPT presentation at UEMS headquarters in July 2013
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