1. The Virtual Medical Centre Review Program: A new model for continuing medical education Presented by Roderic Underwood & Pradeep Jayasuriya to the Royal Australian College of General Practitioners 49th Annual Scientific Conference 2006 5th-8th October, Brisbane

2. Continuing Medical Education Professor Jordan Cohen (2006) argues that the lecture based format of CME does not change: Physician behaviour, or The health outcomes for patients. To be effective CME must: Be self-directed As interactive as possible Include relevant learning experiences Use information of the highest quality

3. Online Continuing Medical Education Casebeer et al. (2004) evaluated 30 online CME courses in the US. They found that: Quality of content was the most important consideration for participants; and Too little interaction was the major source of dissatisfaction.

4. Virtual Medical Centre Allergies Blood Bone Cancer Cardiac Endocrine Gastro Infection Men’s Health Neurology Pain Psychiatry Renal Respiratory Rheumatology Skin Women’s Health

5. Virtual Cancer Centre Adrenal gland (1) Muscle (4)Adrenal glandMuscle Anus (1) Oesophagus (2)AnusOesophagus Bladder (3) Other cancers (3)BladderOther cancers Blood (4) Ovary (1)BloodOvary Bone (5) Pancreas (1)BonePancreas Bone Marrow (7) Penis (2)Bone MarrowPenis Brain (10) Pituitary gland (2)BrainPituitary gland Breast (6) Prostate (2)BreastProstate Caecum (1) Skin (3)CaecumSkin Cervix (1) Small Intestine (2)CervixSmall Intestine Colorectal (2) Spinal Cord (5)ColorectalSpinal Cord Head and Neck (6) Stomach (2)Head and NeckStomach Kidney (1) Testicle (2)KidneyTesticle Liver (2) Thyroid (4)LiverThyroid Lung (7) Uterus (1)LungUterus Lymphatic System (15) Vulva (1)Lymphatic SystemVulva

6. Virtual Medical Centre Review Program Objectives On completion of the VMC Review Program GPs will: –Be practiced in communicating medical information to patients and the public; (skill) –Be familiar with current research in the chosen field of study; (knowledge) –Be supportive of patients participating in clinical trials; (attitude) –Implement of best practice procedures for patient care. (behaviour)

7. Virtual Medical Centre Review Program A literature search on your selected topic through the RACGP library; A review of ongoing relevant clinical trials; An audit on patients you have treated; To prepare a hypothetical case study; and Review the VMC content on your chosen topic.

8. VMC Review Program A Process Evaluation Strengths GPs have the opportunity to select a topic of professional interest. GPs are able to interact with a colleague on a one-to- basis. GPs are able to complete the activity in their own convenience. GPs receive public recognition for their contribution. Quality of the information held by the VMC.

9. VMC Review Program A Process Evaluation Challenges GPs familiarity with e-learning. Preparation of physicians to act as facilitators. Compatibility of IT equipment.

10. VMC Review Program A Process Evaluation Opportunities To enhance CME opportunities for rural GPs. To facilitate inter-professional education, e.g. pharmacy, nursing and allied health professions. To apply the learning model to other areas, e.g. the medical devices industry. To provide CME to GPs in developing countries.

11. VMC Review Program A Process Evaluation Concerns Maintaining currency of information. Maintaining a “technological edge”. Competition from other e-learning providers.

12. VMC Review Program Conclusion The VMC Review Program is: A self-directed CME program An interactive CME program A relevant CME program

13. VMC Review Program References Cantillon, P. & Jones, R. Does continuing medical education in general practice make a difference? British Medical Journal, May 8, 1999. Casebeer L, Kristofco RE, Strasser S, Reilly M,Krishnamoorthy P, Rabin A, Zheng S, Karp S, Myers L. Standardizing evaluation of on-line continuing medical education: physician knowledge, attitudes, and reflection on practice. J Contin Educ Health Prof. 2004 Spring;24(2):68-75. Cohen, Jordan. A New Vision for Continuing Medical Education. Medscape General Medicine, 2006, 8(1): 80.