In compliance with the Updated Accreditation Criteria of the Accreditation Council for Continuing Medical Education (ACCME), the Continuing Medical Education (CME) Committee of the ACNS has identified “professional practice gaps.” Definition: A “professional practice gap” is the difference between what a health professional is doing or accomplishing compared to what is achievable on the basis of current professional knowledge.
The following professional practice gaps and educational needs were identified by a combined effort of the Program, Course and CME Committees.
Gap #1. Emerging Areas of Practice. Neurological intraoperative monitoring (NIOM) and intensive care unit EEG monitoring (ICU EEG) are new and rapidly evolving areas of clinical neurophysiology. Few practicing neurologists have adequate training in these techniques, and physicians with competence in these areas are in great demand. Educational activities should cover both basic methodologies for those practitioners new to ICU EEG and NIOM, and innovative techniques.
Gap #2. General Practice of Clinical Neurophysiology. Clinical neurophysiology procedures are performed by a large proportion of practicing US neurologists, many of whom have little or no formal training in clinical neurophysiology. Many clinical neurophysiology procedures (e.g. evoked potentials, invasive EEG) are performed at low volume at most centers, and a forum for review and hands-on interpretation are essential to maintain competence in these areas.
Several specific topics with significant gaps between current practice and ideal practice have been identified via review of the literature, review of clinical neurophysiology fellowship curricula, and surveys of ACNS members and Annual Meeting attendees.
It is intended that, as a result of attending ACNS educational activities, physicians will be able to identify changes in competence or performance that are desirable. Definitions: “Competence” is knowing how to do something. “Performance” is what the physician would do in practice, if given the opportunity.
The updated ACCME accreditation criteria are designed to integrate with the new requirements for maintenance of certification (for more information see www.ABPN.com). Physicians are expected to perform self assessments of their practice, but the ACNS, as an organization accredited by the ACCME, is expected to measure how its educational activities assist physicians in this activity. Thus, there are new questions in the evaluation form. These questions address intended changes in competence or performance. Attendee responses assist ACNS to determine which educational activities are most useful to learners.
All programs designated as CME abide by the ACCME rules and restrictions regarding CME designated activities. These programs are designed to be free of commercial interest or bias. Programs contained on this website may contain links to pharmaceutical and device manufacturer product sites, but these links are accompanied by a clear notification that the learner is leaving the ACNS educational website. Links to external websites are permitted before or after the educational content of a CME activity, but cannot be contained within the educational content of a CME program.
Advertising of any kind is prohibited within the educational context of CME activities on the ACNS website. This includes banner ads and pop up ads. Advertisements cannot be visible during CME activities.
In accordance with the ACCME’s Standards for Commercial Support of Continuing Medical Education, the Policy on Disclosure and Resolution of Conflict of Interest (COI) exists to provide guidance for staff, planners, and faculty of CME activities sponsored by ACNS and applicable educational partners. This policy addresses the underlying philosophy of disclosure to learners, mechanisms to collect disclosure information and the parties from which COI shall be collected, the mechanisms to resolve COI, and requirements to make actual disclosure to learners.
GUIDING PRINCIPLES RELATING TO COI AND ITS DISCLOSURE
ACNS is guided by what is in the best interest of the public and its learners. ACNS maintains independence from commercial interests and keeps CME separate from product promotion. These are the basic guiding principles for the collection and management of COI.
Identifying Conflict Of Interest
A Conflict of Interest Disclosure Form shall be provided to individuals involved with a CME activity that have the following roles:
Recipients of COI forms must complete and return the document prior to involvement in planning or speaking in the CME activity. Refusal to disclose a conflict or the inability to resolve an identified conflict precludes participation in the CME activity.
Reporting guidance is as follows:
Options for resolution of COI are overseen by the CME committee and include:
|Reported COI||Guidelines for Interpreting COI||Prescribed Action for Resolution||Suggested Language for Conflict Resolution Form|
|No reported COI||N/A||No action required; faculty letter instructs presenter on rules.||No action required|
|Discloser has relationships with multiple commercial interests (e.g., speakers’ consultancies, research, etc.) which do not relate to the activity||Validate expertise. Activity Director determines that presentation topic(s) do not relate to speaker’s relationship with commercial interests.||No action required; Faculty letter instructs presenter on rules.||Activity Director or non-conflicted Content Reviewer has reviewed the reported relationships and has concluded that there are no potential conflicts of interest for this activity and no further action is required|
|Discloser has relationships with multiple commercial interests (e.g., speakers’ consultancies, research, etc.) which relate to the activity||Validate expertise.||Faculty letter instructs presenter on rules.
Options listed below.
Typically independent review of presentation(s) required by non-conflicted activity director or physician member of planning or CME committee (content reviewer); faculty may be restricted to discussion of evidence-based information.
|Activity Director or non-conflicted Content Reviewer has reviewed the presentation and deemed it be fair, balanced and free of commercial bias.
Transparency to Learners
Learners will be provided with disclosure information prior to the execution of the CME activity. This will include: