CME guide for providers

We are in the process of preparing the CME guide for providers. Initial information has been presented at recent European CME Forum meetings. Take a look at these presentations that members of the group have given recently:

CME as the appropriate engine for effective education that changes behaviour.

Can balanced CME truly be achieved without independence?

The mountains we climb: challenges for the provider.

Future challenges for CME providers in the rapidly evolving CME environment.

gCMEp will present further concepts specifically designed for the provider community in Europe at the 12th Annual European CME Forum and other meetings over the coming months.

The group operates on collaborative principles, discussing and addressing key challenges and developments in the  European CME arena. From the very first meetings two key issues have been identified as being challenges in Europe: quality of medical education and transparency and independence.  Two publications are still valid today:

Guiding principles

Setting CME standards in Europe: guiding principles for medical education by Sheelagh Farrow, Darren Gillgrass, Alisa Pearlstone, Jack Torr, Eugene Pozniak, published in Current Medical Research and Opinion, 2012 Nov;28(11):1861-71

Updated version currently in development.


Medical education and independence from industry control in Europe

Open letter to UEMS and EFPIA

In 2011 members of the Good CME Practice agreed by consensus an Open Letter to UEMS and EFPIA calling on the two organisations to clarify the issue of independent (i.e. arms length) funding of CME.

Recent developments

There have been some developments in recent years. Representatives from industry (from the US and Europe) gave a presentation at #9ECF in 2016 (Workshop 4c) and in 2018 members of the newly-created EFPIA working group on medical education published a paper explaining how industry engages with various types of medical education and promotion with respect to quality standards and funding models – it is the “Type D” funding, the only acceptable form of funding in US CME, that is not being adopted by the medical regulators and accreditors in Europe (regionally or nationally) as standard.

In late 2018 the International Federation of Pharmaceutical Manufacturers (IFPMA) issued further guidance about how industry can support CME. While these developments from industry are welcome, it highlights the need originally identified for discussion and co-operation with the medical profession in order to have full clarity.

The much-awaited EFPIA Code of Practice published in July 2019 introduces a new Article 16 dedicated to Medical Education, however it falls short of offering their member organisations guidance on independent funding of Independent Medical Education managed by education providers.

There is still little development from the accreditors. For example, UEMS-EACCME, as well as many other accreditation bodies in Europe, still accredit CME activities run by “Medical Communications agencies” (i.e. “agents” of their industry “clients”) and even industry itself.  There needs to be clarity from the accreditors about the difference between funding routes and independence of the organisations planning and implementing CME programmes that they accredit. [click here to view letter].


Further Reading

Report on Proceedings of the Eleventh Annual European CME Forum, King’s Fund, London, November 2018 published May 2019 in JECME

Ascent to the Summit of the CME Pyramid by Robin Stevenson and Don Moore, published February 2018 in JAMA

A conceptual framework for planning and assessing learning in continuing education activities designed for clinicians in one profession and/or clinical teams, by Don Moore et al. published July 2018 in Medical Teacher

Doctors on the move: a European case study on the key characteristics of national recertification systems, follow-up paper from Carolyn Sehlbach’s presentation at #10ECF, published in BMJ Open in 2018

What Do I Need to Learn Today – The Evolution of CME, by Graham McMahon, published April 2016 in NEJM

Report on Proceedings of the Tenth Annual European CME Forum, Dublin, Ireland, November 2017

Framework for industry engagement and quality principles for industry-provided medical education in Europe, by medical education experts/specialists working in Europe within the pharmaceutical industry, published July 2017 in Journal of European CME (JECME)

Effectiveness of Continuing Medical Education: Updated synthesis of systematic reviews
Published July 2014 by the Accreditation Council for Continuing Medical Education (ACCME)

The relationship between commercial support and bias in Continuing Medical Education activities: A review of the literature, 
published July 2008 by the Accreditation Council for Continuing Medical Education (ACCME)

European CME needs the European Specialist Societies, published May 2017 in Journal of European CME (JECME)