2011 has been a very active year for the CEP Committee. Highlights included establishment of the College CEP Standards, improvement of Fellow CEP participation rate, enhancement of the eCEP platform, establishment of the Maintenance of Professional Standards Program (MOPS), DoHA funded peer review initiatives, increased CEP educational activities, development of a CEP 3 year strategic plan and the planning and conduct of the Annual Scientific Meetings, through the National Scientific Program Committee.
RACMA CPD Standards and the Revised Activity Table
In July 2011, the RACMA Board approved the following CEP Standards and the revised activity table. The Standards were developed by the CEP Committee after an extensive consultation process.
Standard 1 - Peer Review and Self-Audit Standard: RACMA Fellows and MOPS participants are expected to engage in peer review activities. At least one self audit / peer review and/or 360 degree activity must be undertaken and documented each triennium. The first triennium is 2011-2013. The self audit / peer review and/or 360 degree activity must focus on the Fellow’s practice. A range of options are being developed by the CEP Committee’s Peer Review Working Party. The College is also developing a Self-Audit and Peer Review Tool as part of the Rural Health Continuing Education (RHCE) Program.
Standard 2 - CPD Activity Standard: RACMA Fellows must undertake and document at least 50 points of CPD per annum across a range of activities relevant to the RACMA medical leadership and management competencies.
This Standard requires Fellows to achieve 50 points of CPD, aiming for 10 points per annum in each of 4 domains relating to the RACMA Competencies. Associate Fellows are required to achieve 25 points of CPD in management related activities.
The domains are:
- Clinical Governance, Quality Improvement and Clinical Risk Management
- Maintenance of Knowledge and Skills (College Competencies)
- Teaching and Examination
- Research and Publication
The CEP Committee has established working groups to establish a range of Peer Review Activities for CEP participants and improve the College’s Mentoring Program.
Establishment of the RACMA Maintenance of Professional Standards (MOPS) Program
RACMA has established a MOPS Program so that doctors who are not members of RACMA can comply with the Medical Board of Australia’s requirements for the maintenance of “practising” registration in medical administration. More information is available from Michelle Barrett, Curriculum and Training Co-ordinator at the National Office.
The RACMA eCEP Website continues to be enhanced by RACMA’s Information Systems Co-ordinator Dino DeFazio. The website is regarded positively by users, scoring 4/5 in the 2010 CEP Survey. Latest enhancements include the incorporation of the revised Activity Table and batch processing of points earned from RACMA moderated CEP events.
CEP participation rates
The proportion of RACMA Fellows logging CEP activities in 2010 increased to 87%. This is a significant improvement over 2009 participation rates. Reasons for the improvement include a concerted effort by the CEP Committee and the National Office, the improved eCEP Program and the Medical Board of Australia’s (MBA) Continuing Professional Development (CPD)Registration Standard, which makes participation in CPD a requirement for all practising doctors. I thank all who have contributed to this improvement and encourage participating Fellows and Associate Fellows to continue logging activities on the eCEP platform. The goal is for further improvement of CEP participation levels in 2011, aiming for 100% participation for Fellows and a significant improvement in participation rates for Associate Fellows.
A goal of the CEP Committee is to encourage CEP education activities focused on leadership and management for all doctors with a management role. Towards this end, the Management for Clinicians Workshop was again successfully conducted in Victoria and a workshop is planned for late 2011. In 2012 we plan to take Management for Clinicians national as well as developing a bigger range of CEP educational offerings
The College has been successful in rounds 1 and 2 of the Rural Health Continuing Education funding from the Department of Health Australia. The first was “A National Management and Leadership Peer Review Group for Clinician Managers” that conducts bimonthly case based discussion sessions with medical and clinician managers. The second is “Enhancing Performance through Self Audit and Peer Review”. This project will create and implement a self audit and peer review tool and supporting education program for medical managers and clinician managers throughout rural and remote Australia.
The Fellow and Associate Fellow CEP Surveys (2010)
These provided useful feedback about the college’s CEP activities which has been considered by the CEP Committee in its planning process. Suggestions were made for improving the rigour of the program and the range of educational activities and resources available to College members. There was particular enthusiasm for webinars as an educational channel and for bringing educational programs/workshops to the smaller jurisdictions. Many of the respondents spent less than 20% of their time conducting clinical work and requested clinical briefings and updates.
CEP Committee: Strategic Goals 2011-2013
The CEP Committee has outlined its plan for enhancing the CEP program over the next 3 years. Apart from activities already outlined, initiatives include:
- Review of the CEP manual by Dec 2011, with guidance according to employment type
- A RACMA Curriculum and CEP Roadshow in early 2012
- Continued enhancement of the RACMA eCEP platform
- Development of a range of reflective self-audit and peer review activities
- A continual program of CEP policy review
- Continued development of the Mentorship program, looking at potential links between mentorship, coaching and networking.
- Monitoring international approaches to CEP including practices such as revalidation (UK) and recertification (US) with a view to incorporating leading practices into the RACMA CEP program, where appropriate.
- Explore mutual recognition of CEP with other Colleges.
- Achievement of the AMC Accreditation CEP requirements in 2012.
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 NSPC is chaired by the Chair of the CEP Committee and meets regularly, with a high level of input from the local jurisdiction. Highlights are as follows.
In 2010 RACMA conducted its first international collaboration with the Hong Kong College of Community Medicine. This culminated in the International Conference on “Healthcare Reforms in Comparative Health Systems” with over 300 attendees and very good feedback from participants.
The 2011 Conference is in Melbourne at the Hotel Sofitel from October 12-14 2011. This is a joint conference in conjunction with the Australian Council on Healthcare Standards (ACHS), the Australian Healthcare and Hospitals Association (AHHA) and the Australasian Association for Quality in Health Care (AAQHC). The theme is “Achieving Patient-Centred Outcomes”. RACMA highlights include the sessions on disaster management, covering the recent Earthquakes, Floods, Fires and Cyclones affecting Australia and New Zealand.
The 2012 Conference will be held in Perth from September 5-7 at the Perth Convention and Exhibition Centre. The title is “Benefiting from the Boom – Challenges for the Healthcare System”. Watch the RACMA website for details.
The World Federation of Medical Managers
Following the international medical leaders meetings in Hong Kong (2010) and Italy (2011) RACMA is actively working towards the formation of the “World Federation of Medical Managers”. A further international meeting is planned in San Francisco in April 2012.
I would like to thank the members of the RACMA CEP Committee - Drs Elizabeth Rushbrook (resigned July 2011), Mary Boyd-Turner, Helen McCardle, Eva Pilowsky, Stewart Jessamine, Gabrielle du Preez-Wilkinson, Richenda Webb, Helen Tinsley, Eugenia Pedagogos, Susan Sdrinis, Dennis Pisk, Alison Dwyer and Mark Platell for their enthusiasm, wealth of knowledge and contribution to the committee and in many cases as jurisdictional CEP coordinators.
I would also like to thank the members of the National Scientific Program Committee and participating jurisdictional representatives: Gavin Frost, Gabrielle duPreez Wilkinson, Tony Sara, Stewart Jessamine, Erwin Loh, Andrew Johnson, Helen Tinsley, John Gallichio, Robyn Lawrence, Andy Robertson, Alison Dwyer and Peter Trye. The expertise and enthusiasm of this group is a key factor in our ability to convene outstanding conferences.
Finally, I would like to thank the President Roger Boyd, the Board, our indefatigable Chief Executive Dr Karen Owen, and the brilliant team at the National Office, especially Ms Michelle Barrett (Curriculum and Training Co-ordinator), Mr Dino DeFazio (information systems officer) and Ms Elaine Halley for their wonderful support through the year.
Dr Bernard Street
Chair CEP Committee