Archive for June, 2010

AMA CEJA Report

Monday, June 21st, 2010

The AMA CEJA report apparently made it out of reference committee with a recommendation to “Accept”, however, it failed to pass at the House of delegates again (I think this is the fourth time it has been referred back to committee). Thus it has been referred back to CEJA for reconsideration.

It would seem prudent for CEJA to consider a different approach. The last versions have all called for some ban on funding, have used outdated information and publications, and have not been based in ethical principles. Importantly, they continue to establish the benchmark for conflict and bias at any possibility instead of the more scientific probability basis. In addition, in trying to craft some allowance for funding they create regulatory and documentation burdens that interfere with education and will only drive up the cost of CME. Anyone involved in CME can see that the two things this field does not need are greater cost and regulatory/documentation burden.

Furthermore, the CEJA standards that presently exist may in fact be sufficient and CEJA may want to consider holding off instead of trying to submit a new report at each and every possible cycle. This would allow for all of the changes that exist in CME and in health care in general that are related to relationship management, transparency and conflict to settle out and be measured for effect. Thus any change to the CEJA reports and guidance could be evidence-based instead of historically-based.

JHU/NFL Activity: Traumatic Brain Injury

Monday, June 7th, 2010

This past week we held an activity that examined the scientific evidence in the field of traumatic brain injury as relates to professional football. This activity was funded by the NFL. The NFL Player’s Association (NFLPA) also was supportive and contributed to the conference in numerous ways. The activity was designed to review and understand the state of the science as it exists today and to help establish a research agenda for the future. The activity was not a policy activity, but in the end the hope is that better science might inform policy.

The conference was opened by welcomes from both the Dean of the Johns Hopkins University School of Medicine Dr Edward Miller and Commissioner Goddell. The conference was led by Kostas Lyketsos, MD.

Dr Lyketsos opened the meeting with a broad review of the topic as well as explained the evidence-based scoring system chosen to assess the published literature. Four plenary sessions followed. At the end of the conference areas for future research were established and prioritized.

AMA House of Delegates Meeting

Tuesday, June 1st, 2010

At the upcoming AMA House of Delegates meeting there are several issues of pertinence to the CME community. IN particular , AMA CEJA has again brought forth a report that suggests limiting commercial funding of CME. For a cogent review of this report please see this URL:

http://www.policymed.com/2010/05/ama-ceja-2010-financial-relationships-with-industry-in-continuing-medical-education-version-40-same-.html