Disclosures: The authors report none.
Evolution of a Remedial CME Course in Professionalism: Addressing Learner Needs, Developing Content, and Evaluating Outcomes†
Article first published online: 16 SEP 2013
Copyright © 2013 The Alliance for Continuing Education in the Health Professions, the Society for Academic Continuing Medical Education, and the Council on CME, Association for Hospital Medical Education
Journal of Continuing Education in the Health Professions
Volume 33, Issue 3, pages 174–179, Summer 2013
How to Cite
Parran, T. V., Pisman, A. R., Youngner, S. J. and Levine, S. B. (2013), Evolution of a Remedial CME Course in Professionalism: Addressing Learner Needs, Developing Content, and Evaluating Outcomes. J. Contin. Educ. Health Prof., 33: 174–179. doi: 10.1002/chp.21182
- Issue published online: 16 SEP 2013
- Article first published online: 16 SEP 2013
- remedial CME;
- medical ethics violations;
- boundary maintenance;
- doctor-patient boundaries;
- physician problematic behavior
Scant information is available about the nature of the professional violations resulting in referral of physicians for remedial continuing medical education (CME). The CME program at Case Western Reserve University (CWRU) School of Medicine has developed the Intensive Course in Medical Ethics, Boundaries, and Professionalism (medical ethics course) for physician referrals due to ethical breaches. In this report, the authors present 7 years of data regarding the type of behavior that resulted in course referral as well as information regarding course and outcome evaluation development and participant demographics.
The medical ethics course has been designed in consultation with licensure agencies to address the learning needs of physicians with problems in the areas of boundary maintenance and ethics. Teaching methods and outcome evaluations include lectures, case discussions, multiple-choice question tests, skill practice sessions, and writing a reflective essay based on the participants' ethical lapse. Information is also gathered regarding participant demographics, training, and practice characteristics.
Between September 2005 and February 2012, 358 learners participated in the course. The average age was 52 years and 73% were board certified. Of the 269 physicians who wrote a reflective essay, the reasons for referral included prescribing of controlled drugs, sexual boundary issues, providing services to family or friends, not maintaining proper medical records, and billing issues.
This report outlines the strategies used by CWRU to develop remedial CME courses using the medical ethics course as an example for course and outcome evaluation development. This is the first report characterizing the type and frequency of the medical ethics violations that result in mandatory participation in remedial CME.