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mardi 06 août 2013

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Maisonneuve

Les RSS sont ces conférences hospitalières en amphi en général, et organisées régulièrement, parfois chaque semaine. Le plus souvent un cas est présenté et discuté avec des méthodes explicites.

Pour internet, il y a 3 types d'activités et c'est plus complexe. Les 3 activités sont 1) Internet (enduring materials), 2) Internet (live), 3) Internet searching and Learning. De nombreuses activités synchrones ou asynchrones permettent d'obtenir des crédits et ils existe des centaines de sites. 90 % de la formation internet est 'enduring materials'. La liste du Dr Sklar est la plus complète. Je crois que UpToDate est le leader (à vérifier).

Le système a été mis en place très progressivement, et le performance improvment a commencé vers 2004. Tous les termes ont des définitions précises, et j'ai copié ci dessous des définitions.


A regularly scheduled sries (RSS) is a CME activity that is planned as a series with multiple,ongoing sessions, offered weekly, monthly, or quarterly; and is primarily planned by and presented to the accredited organization’s professional staff. Examples of regularly scheduled series are grand rounds, tumor boards, and morbidity and mortality conferences. Accredited providers report each RSS as 1 activity. In addition, accredited providers follow the following guidelines:
1. The cumulative number of hours for all sessions within a series equals the number of hours for that activity and
2. Each physician is counted as a learner for each session he/she attends in the series.
For example: Internal Medicine Grand Rounds is planned for the entire year as 1 series. Participants meet weekly during the year for 1 hour each week. The accredited provider reports the series as 1 activity with 52 hours of instruction. If 20 physicians participated in each session, total physician participants would be 1,040 (20 physicians per session multiplied by 52 sessions) for that single activity.

An Internet enduring material activity is an "on demand activity," meaning that there is no specific time designated for participation. Rather, the participant determines when to complete the activity. Examples: online interactive educational module, recorded presentation, podcast. Internet enduring materials can be available for less than a year, a year, or multiple years. Each Internet enduring material is counted as one activity for each year it is available, whether it is active for the entire year or part of the year. The accredited provider reports the number of learners who participated during the year, as well as the income and expense related to the activity for that year. Accredited providers do not report cumulative data for an Internet enduring material activity spanning multiple years. When reporting the number of participants for an internet enduring material activity, the accredited provider should count all learners who completed all or a portion of the activity and whose participation can be verified in some manner. ACCME would not consider individuals that only downloaded or accessed the activity but did not actually complete all or a portion of it to be participants.

An Internet live activity is an online course available via the Internet at a certain time on a certain date and is only available in real-time, just as if it were a course held in an auditorium. Once the event has taken place, learners may no longer participate in that activity unless it is again presented on a specific date and time and is only available in real-time. If an Internet live activity is presented on multiple occasions, each event is counted as one activity. Example: webcast.


Internet searching and learning CME is based on a learner identifying a problem in practice and then researching the answer online using sources that are facilitated by an accredited provider. For the purpose of ACCME data collection, the ACCME includes Internet point-ofcare learning, as defined by the American Medical Association, in the category Internet searching and learning. Providers that offer Internet searching and learning CME aggregate their data from all learners and report it as a single activity. For hours of instruction, accredited providers specify the amount of time they believe a learner would take to complete the Internet searching and learning CME activity. The number of participants equals the total number of persons who participated in Internet searching and learning as a CME activity. Each participant is counted once, regardless of how many times they participated or how many pages they viewed. For example, a provider offers Internet searching and learning CME and 50 physicians participate. Each physician spent 30 minutes participating in this activity. The accredited provider reports this as 1 Internet searching and learning CME activity with 50 physician participants and .5 hours of instruction.

Thomas

Bonjour,
qu'est-ce qu'un 'regularly scheduled series' ? et à quoi correspondent les actions 'internet' ?
Merci d'avance
Thomas

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