CEP Commitee Annual Report
The Quarterly 2014
2014 has been another successful year for the CEP Program. Our CEP participation rates have continued at high levels, the eCEP platform is working well, the College is running an increasing range of educational activities, and this year’s Annual Scientific meeting had a record attendance.
Consumer Participation in CEP
In line with AMC recommendations for increased consumer participation in all RACMA programs, the CEP Committee welcomes Dr Rose Ellis to its ranks. Dr Ellis is Director of Workforce Education and Training for the NSW Rural Doctors Network and brings a valuable consumer perspective.
The proportion of RACMA Fellows logging CEP activities in 2013 was 92.4% in line with recent years. This reflects the dedicated efforts of all involved. However the goal remains 100% and we are striving towards this goal.
Participation Rates for Associate Fellows have increased to 69.8% up from 45% in 2012. This reflects the high level of engagement of AFRACMAs with the College and is a very pleasing increase. We encourage all AFRACMAs to participate, acknowledging that in many cases they are participating in a number of CEP programs.
Revalidation and Recertification.
The RACMA CEP Committee works hard to ensure that RACMA’s Continuing Education programs comply with the requirements of its key regulatory agencies – the Medical Board of Australia and the New Zealand Medical Council.
The revalidation/recertification conversation is continuing and will lead to changes in the CEP program of the College. A revalidation working party has been initiated. Requirement for annual audit in NZ and the Revised Standard 1 are two examples. Fellows and Members are kept abreast of developments through RACMA newsletters.
Audit of Medical Practice definition for NZ Fellows
The Medical Council of New Zealand requires that all doctors participate in one audit each year.
The definition of "audit of medical practice" is:
A systematic, critical analysis of the quality of the doctor's own practice that is used to Improve clinical care and/or health outcomes, or to confirm that current management is consistent with the current available evidence or accepted consensus guidelines.
RACMA has updated Standard 1 of the CEP program to incorporate this definition.
Revised Standard 1
Annual audit, peer review or performance development standard
RACMA Fellows and MOPS participants are expected to engage in reflective performance improvement activities. At least one annual audit, peer review or performance development activity must be completed each year. Below is an indicative list of activities RACMA Fellows and MOPS participants may undertake:
a 360-degree audit of effectiveness in the practice of medical management using the RACMA 360 degree tool or other recognised multisource feedback tool.(suggested frequency once every 3 years). Documentation of outcomes such as change to medical management practice to be logged on the RACMA website. OR
(under development) audit according to RACMA protocols of the RACMA Fellow’s practice in Medical Management (ie a practice visit) OR
presentation of a personal medical management case at a peer-reviewed quality improvement meeting or teleconference with documentation of the outcome eg changes to medical management practice following this review to be logged in the RACMA eCEP website OR
Participation in the employer’s organisational annual performance development review and completion of the learning and development requirements required by such plans. Evidence of completion and outcomes to be logged on the RACMA eCEP website OR
Inclusion of at least one reflective performance development activity in the RACMA Fellow's eCEP learning plan, with documentation of outcomes e.g. changes to medical management practice on the Fellow’s learning plan.
RACMA has developed a multi-source, 360 degree feedback tool to assist members comply with Standard 1. It is available through the College for a modest fee of $90 for members which includes confidential feedback. Details are available from Christine Cottrell at the College.
Review of the CEP manual
The current edition was completed in October 2011 and includes the CEP Standards and Activity tables. The next stage of development is to increase the alignment of activities with the RACMA Curriculum.
AHPRA Audit Activities.
AHPRA has commenced its audit program. eCEP participants are advised to log evidence of activities into the eCEP program or keep evidence themselves in case of audit.
CEP Education Activities
RACMA continues to explore ways to design and deliver training activities which are high quality and value for money. The conference and the workshops are prime examples of these activities. RACMA has also launched the RACMA Practical Leadership Program in Tasmania.
These include webinars and learning activities:
The major initiative for 2014 was the E-dgy issues webinar series. Topics included End of Life – Futility of Care, Health Workforce - How can it be maintained in rural areas in the 21st century? and Revalidation.
RACMA Cultural Competence. This incorporates access to an e-learning portal focussed around strengthening indigenous and multicultural competence of all RACMA members.
CEP Committee: Strategic Goals for 2014-17
Apart from activities already outlined, initiatives include:
Revision and enhancement of the RACMA activities table.
Exploration of revalidation and its implications for the College.
Development of the mentoring program.
National Scientific Program Committee (NSPC)
This Committee was established in 2008 as part of a national approach to convening the RACMA Annual Scientific Meetings.
The 2014 Conference in Sydney focused on the Future of Health Care. We had a record attendance of around 240 delegates and feedback has been very positive
Preparations are well underway for the 2015 Conference in Auckland NZ with the theme of Inequality and Health.
I would like to thank the members of the RACMA CEP Committee, the National Scientific Program Committee and our conference organisers Leishman and Associates for their energy and enthusiasm, wealth of knowledge and contribution.
Thanks also to our President Dr Lee Gruner, the Board, our tireless Chief Executive, Dr Karen Owen, and the brilliant team at the National Office, especially Christine Cottrell, RACMA's Training Projects Coordinator and Mr Dino DeFazio (Professional Development and Technology Manager) for their wonderful support through the year.
Dr Bernard Street
Chair, Continuing Education Program Committee