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CRITERION 3

The provider generates activities/educational interventions that are designed to
change competence, performance, or patient outcomes as described in its
mission statement.

ACCME Note
This criterion is the implementation of Criterion 2 in the provider's overall program of CME. In the
planning of its program of CME activities, the provider must attempt to change physicians' competence,
performance, or patient outcomes, based on what was identified as needs (that underlie a professional
practice gap). The ACCME's expectation is that the education will be designed to change learners'
strategies (competence), or what learners actually do in practice (performance), or the impact on the patient
or on healthcare (patient outcomes). The ACCME affirms that 'knowledge' is acceptable content for
accredited CME. With respect to Criteria 3 and 11, even if the preponderance of a provider's activities is
focused solely on changing knowledge, the provider must still show how these activities contribute to the
overall program's efforts to change learners' competence, or performance or patient outcomes.

EXAMPLES OF COMPLIANCE:
•   CRITERION 3: EXAMPLE 1
    Activities are designed to change competence through the use of case-based
    scenarios and an Audience Response System that poses questions about what the
    learners would do when presented with the case.
•   CRITERION 3: EXAMPLE 2
    Activities are designed to change performance (surgical skills lab utilizing models,
    cadavers) with the ultimate goal of improving patient outcomes.
•   CRITERION 3: EXAMPLE 3
    The provider designs activities that translate gaps and needs into educational
    activities intended to change competence, performance and patient outcomes. The
    provider's planning document juxtaposes identified gaps with a desired result and
    content to focus meeting a need of knowledge, competence, or performance.
•   CRITERION 3: EXAMPLE 4
    The provider provides examples of their activities designed to change knowledge,
    competence, and performance and provided faculty with tools and instructions on
    how to incorporate clinical cases into their course curriculum in an effort to move
    learners beyond changes in knowledge to changes in competence.
•   CRITERION 3: EXAMPLE 5
    The provider utilizes didactic lectures and an annual, case-based slide survey for
    practical skills training in clinical pediatric xxxxx.
•   CRITERION 3: EXAMPLE 6
    As part of its planning process, the provider ensures that each activity is designed to
    change physician strategies that can be applied to practice. The provider measures
    this outcome by including an evaluation component that asks, "Will you make
    changes in your practice as a result of this activity?" and "Please describe a specific
    change you will make to your practice."
•   CRITERION 3: EXAMPLE 7
    The provider directly links objectives to a single professional practice gap it identified
    as "mission critical" for its entire CME program. These objectives are consistent with,


Accessed	
  from	
  http://www.accme.org/requirements/accreditation-­‐requirements-­‐
cme-­‐providers/examples-­‐compliance-­‐noncompliance	
  on	
  3/5/13	
  
and support achievement of the CME mission to, "improve physician performance with
       regard to communicating with patients."
EXAMPLES OF NON-COMPLIANCE:
•      CRITERION 3: EXAMPLE 8
       The provider described in its self-study report the generation of activities designed to
       change competence, performance, or patient outcomes as described in its mission
       statement. However, there was no evidence of the implementation of this process in
       the activities reviewed.
•      CRITERION 3: EXAMPLE 9
       The provider describes in its self-study report and presents evidence that its activities
       were solely designed to change knowledge. In addition, the provider did not
       demonstrate that it collected and analyzed data and information to assess the
       compliance of its program of regularly scheduled series (RSS) for Criterion 2. RSS
       comprise over 50% of the provider's total hours of instruction during its current term.
•      CRITERION 3: EXAMPLE 10
       Although the provider describes in its self-study report the generation of activities
       designed to change patterns of care and the application of new information, the
       examples presented in the self-study report and in the activities reviewed show
       evidence only of activities designed to change knowledge, not competence,
       performance, or patient outcomes.
	
  




Accessed	
  from	
  http://www.accme.org/requirements/accreditation-­‐requirements-­‐
cme-­‐providers/examples-­‐compliance-­‐noncompliance	
  on	
  3/5/13	
  

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Criterion 3 (compliance and non compliance)

  • 1. CRITERION 3 The provider generates activities/educational interventions that are designed to change competence, performance, or patient outcomes as described in its mission statement. ACCME Note This criterion is the implementation of Criterion 2 in the provider's overall program of CME. In the planning of its program of CME activities, the provider must attempt to change physicians' competence, performance, or patient outcomes, based on what was identified as needs (that underlie a professional practice gap). The ACCME's expectation is that the education will be designed to change learners' strategies (competence), or what learners actually do in practice (performance), or the impact on the patient or on healthcare (patient outcomes). The ACCME affirms that 'knowledge' is acceptable content for accredited CME. With respect to Criteria 3 and 11, even if the preponderance of a provider's activities is focused solely on changing knowledge, the provider must still show how these activities contribute to the overall program's efforts to change learners' competence, or performance or patient outcomes. EXAMPLES OF COMPLIANCE: • CRITERION 3: EXAMPLE 1 Activities are designed to change competence through the use of case-based scenarios and an Audience Response System that poses questions about what the learners would do when presented with the case. • CRITERION 3: EXAMPLE 2 Activities are designed to change performance (surgical skills lab utilizing models, cadavers) with the ultimate goal of improving patient outcomes. • CRITERION 3: EXAMPLE 3 The provider designs activities that translate gaps and needs into educational activities intended to change competence, performance and patient outcomes. The provider's planning document juxtaposes identified gaps with a desired result and content to focus meeting a need of knowledge, competence, or performance. • CRITERION 3: EXAMPLE 4 The provider provides examples of their activities designed to change knowledge, competence, and performance and provided faculty with tools and instructions on how to incorporate clinical cases into their course curriculum in an effort to move learners beyond changes in knowledge to changes in competence. • CRITERION 3: EXAMPLE 5 The provider utilizes didactic lectures and an annual, case-based slide survey for practical skills training in clinical pediatric xxxxx. • CRITERION 3: EXAMPLE 6 As part of its planning process, the provider ensures that each activity is designed to change physician strategies that can be applied to practice. The provider measures this outcome by including an evaluation component that asks, "Will you make changes in your practice as a result of this activity?" and "Please describe a specific change you will make to your practice." • CRITERION 3: EXAMPLE 7 The provider directly links objectives to a single professional practice gap it identified as "mission critical" for its entire CME program. These objectives are consistent with, Accessed  from  http://www.accme.org/requirements/accreditation-­‐requirements-­‐ cme-­‐providers/examples-­‐compliance-­‐noncompliance  on  3/5/13  
  • 2. and support achievement of the CME mission to, "improve physician performance with regard to communicating with patients." EXAMPLES OF NON-COMPLIANCE: • CRITERION 3: EXAMPLE 8 The provider described in its self-study report the generation of activities designed to change competence, performance, or patient outcomes as described in its mission statement. However, there was no evidence of the implementation of this process in the activities reviewed. • CRITERION 3: EXAMPLE 9 The provider describes in its self-study report and presents evidence that its activities were solely designed to change knowledge. In addition, the provider did not demonstrate that it collected and analyzed data and information to assess the compliance of its program of regularly scheduled series (RSS) for Criterion 2. RSS comprise over 50% of the provider's total hours of instruction during its current term. • CRITERION 3: EXAMPLE 10 Although the provider describes in its self-study report the generation of activities designed to change patterns of care and the application of new information, the examples presented in the self-study report and in the activities reviewed show evidence only of activities designed to change knowledge, not competence, performance, or patient outcomes.   Accessed  from  http://www.accme.org/requirements/accreditation-­‐requirements-­‐ cme-­‐providers/examples-­‐compliance-­‐noncompliance  on  3/5/13