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From numbers to intelligence

From numbers to intelligence. Insights from 2010 National Physician Survey about CME/CPD in physicians’ lives. We have no conflicts of interest to disclose. … except our personal interest in competent physicians. We need data to support that interest. Numbers… numbers… noise

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From numbers to intelligence

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  1. From numbers to intelligence Insights from 2010 National Physician Survey about CME/CPD in physicians’ lives

  2. We have no conflicts of interest to disclose … except our personal interest in competent physicians. We need data to support that interest.

  3. Numbers… numbers… noise But every number tells a story

  4. 2. From this list, what is the most significant barrier to MDs’ participation in CPD/CME? Time away from practice family Lack of locum relief Cost of travel Lack of opportunity Lack of relevance 1. How many hours per week do MDs spend on CPD/CME? 1 hour or less 2-3 hours 3-5 hours Over 5 hours How much of the story do you know?

  5. 3. From this list, what is the CPD/CME method that has the most impact on MDs’ practice? Accredited conferences Unaccredited conferences Peer-reviewed journals Self-assessment Simulation 4. What is the CPD/CME method that MDs use >1/month? Accredited conferences Unaccredited conferences Peer-reviewed journals Self-assessment Simulation How much of the story do you know?

  6. Objectives Describe the types of CPD activities in which FPs and SPs participate and their deemed level of impact on practice. Identify potential types of CPD activities that will have significant impact on practice Discuss types of CPD activities will will increase significant attendance and participation Identify barriers to MDs’ participation in CME/CPD Identify how much time MDs report spending on CME/CPD 6. Discuss potential new areas of NPS research into CME/CPD

  7. National Physicians Survey (NPS) 101 • Respected Canadian source of reliable information about the profession of medicine and issues in health care. • Conducted jointly by: • Canadian Medical Association • College of Family Physicians of Canada • Royal College of Physicians and Surgeons of Canada

  8. NPS 101- continued • 3 completed cycles: 2004, 2007 and 2010 • Next cycles: 2012, 2013 and 2014 • Data on current and future Canadian physicians • Questionnaires developed with broad input • Data used widely in health care planning and research

  9. Time spent on CME/CPD • Average physician work week was 51.4 hours, excl. call • 2010 average time on CPD/CME was 3.2 hours/week • Time spent by Family Physicians increasing since 2004. • Variability in other specialties

  10. Types of CPD/CME • Conferences (accredited / unaccredited) • Journals (peer-reviewed / non peer-reviewed) • Evidence-based resources (CPGs, etc) • Electronic education (online / offline) • Small group activities (hospital rounds etc.) • Self-assessment • Practice audits • Simulation

  11. Types of CPD by % of physicians using

  12. Types of CPD by % of physicians using once/month or more

  13. Live Accredited Conferences • 98% of physicians attend at least one a year • 33% attend one at least once a month • Has highest ranking of “very significant impact on practice” at 31% • By comparison only 11% said that unaccredited conferences have a “very significant impact”

  14. Peer-reviewed journals • Easiest method to access and most frequently used • 74% of physicians read these at least once a month • < FP/GPs report significant impact on practice compared to other specialists overall (57% vs. 65%) • > impact among Rheumatol (79%), Rad Onc (77%), Nephrol (77%) and Microbiol/ID (77%) • < impact among Diag Rad (52%), Otolaryng (52%) and Plastic Surg (51%)

  15. Small group activities • 83% of physicians participate in small group activities (e.g. hospital rounds) • < frequent among FP/GPs (39% do 1/month) vs other specialists (64% do 1/month) • 48% FP/GPs and 57% other specialists deem impact on practice as significant (> variability among other specialists) Radiation Oncologists (81%) Neurosurgeons (79%) Ophthalmologists (48%) Public Health / Preventative Med (30%)

  16. Evidence-based learning • Use of evidence-based resources on a monthly basis: 63% FP/GPs: 52% other specialists) • 31% of physicians rate the impact of these resources as “very significant” – equalling the impact of live conferences. Geriatric Medicine Specialists (75%) Microbiology & Infectious Diseases (75%) Diagnostic Radiologists (29%) Plastic Surgeons (19%)

  17. Computer-based CPD/CME • Neither online or offline computer CPD/CME methods receive high assessment of impact. • 80% of physicians use online electronic CPD/CME tools and 70% use offline versions. • Impact of these tools rated as significant by 26% of physicians for offline methods and by 35% for online. • Online methods are used at least monthly by 38%, and offline by 21%.

  18. Other CPD/CME methods • While 20% of physicians use self-assessment at least monthly, only 26% rate its impact as significant. • Practice audits are used by less than half of physicians (48%) with only 15% reporting a significant impact on practice • Simulation registers as the CPD method with least impact – only 11% report it had a significant one. It is only used by 35% of all physicians.

  19. How much of the story did you know when we started? • How many hours per week do MDs spend on CPD/CME? Between 3 and 5 (3.2) • From this list, what is the most significant barrier to MDs’ participation in CPD/CME? Time away from practice • From this list, what is the CPD/CME method that has the most impact on MDs’ practice? Accredited live events • What is the CPD/CME method that MDs use >1/month? Peer reviewed journals

  20. Some takeaways from this story • Much available and relevant CME/CPD content • Live accredited events: most used and deemed most impactful • Associated with most barriers (time and money) • Peer-reviewed journals: frequently used and deemed impactful • E-based resources: frequently used but deemed of limited impact • Self-assessment: used by 7 of 10 but few deem impactful on practice

  21. Some takeaways from this story • No single strategy fits all • Great variability by type, specialty • and practice setting • Need to complete the storyline so more research and analysis is needed.

  22. National Physician Survey 2013 • Next NPS: spring 2013 • Watch for it • Complete it • Use it • Become a part of the story

  23. Contact us • Danielle Fréchette - Executive Director, Office of Health Policy and Communications, Royal College of Physicians and Surgeons of Canada. dfrechette@royalcollege.ca • Artem Safarov– National Physician Survey Project Manager, College of Family Physicians of Canada. artem@cfpc.ca

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