The Impact of National Membership
Organizations
Portland, Oregon
September 16, 2016
Federation of State
Medical Boards (FSMB)
FSMB Offices in Euless, TX and Washington, DC
•
•
FSMB established in 1912
Non-profit 501c6 organization with approximately 185+staff
FSMB Vision and Mission 2015-2020
Vision
The FSMB is an innovative leader, helping state medical boards
shape the future of medical regulation by protecting the public
and promoting quality health care.
Mission
The FSMB serves as the voice for state medical boards,
supporting them through education, assessment, research and
advocacy while providing services and initiatives that promote
patient safety, quality health care and regulatory best practices.
Council on Licensure, Enforcement
and Regulation
2016 Annual Educational Conference 1
The Impact of National Membership
Organizations
Portland, Oregon
September 16, 2016
Disciplinary
Alerts
Federation
Credentials
Verification
Services
DocInfo
Licensure
information
from state
boards
support
Physician
Workforce
Research
License
Portability
Uniform
Application
United States
Medical
Licensing
Examination
FSMB Educational
Offerings
•
Annual Meeting
•
Annual Educational Series
•
Board Attorney Workshops
•
New Executives Orientation
•
Monthly Roundtable
•
Online CME Programs
FSMB Policy Initiatives 2016-2017
• Workgroup on Board Education Service & Training (BEST)
• Workgroup on Education About Medical Regulation
• Workgroup on FSMB’s Model Policy on the Use of Opioid
Analgesics in the Treatment of Chronic Pain
• Workgroup on Physician Wellness and Burnout
• Workgroup on Team-based Regulation
Council on Licensure, Enforcement
and Regulation
2016 Annual Educational Conference 2
The Impact of National Membership
Organizations
Portland, Oregon
September 16, 2016
Coordination & Consensus:
The Interstate Medical
Licensure Compact
The Need for License Portability
•Health care rapidly changing
– Rise of telemedicine and new technology
– The Affordable Care Act and need for greater access to care
– Integration of health care delivery systems
•Increase in multi-state practice
– 916,264 licensed physicians in the U.S. (2014)
– 16% of physicians are licensed in 2 states
– 6% of physicians are licensed in 3 or more
Current Regulatory Environment
•Combating Aggressive Push for a ‘National’ License
– Legislation calling for “nationalized” licensure system
– Proposals tie licensure to federal health programs (i.e.
Medicare)
•Need for a Nationwide Solution, Implemented by the
States, without Federalizing Licensure
– State solution would preserve proven regulatory approach
– State solution does not require overhaul or new federal
program
– Licensing is constitutionally a state power
Council on Licensure, Enforcement
and Regulation
2016 Annual Educational Conference 3
The Impact of National Membership
Organizations
Portland, Oregon
September 16, 2016
Goal:
Facilitate multi-state practice without
compromising patient safety or quality
Interstate Compact Key Principles
•Participation voluntary for both physicians and state
medical boards
•Creates another pathway for licensure, but does not
otherwise change a state’s existing Medical Practice Act
•Regulatory authority remains with the participating state
medical boards
•Practice of medicine occurs where the patient is located
Interstate Compact Key Principles
•Compliance with the statutes, rules and regulations of
state where patient located
•Improved sharing of complaint and investigative
information between medical boards
•License to practice medicine may be revoked by member
state once issued
•Ability of boards to assess fees will not be compromised
Council on Licensure, Enforcement
and Regulation
2016 Annual Educational Conference 4
The Impact of National Membership
Organizations
Portland, Oregon
September 16, 2016
State Introductions (as of 8/22/16)
International Association of Medical
Regulatory Authorities (IAMRA)
• IAMRA’s purpose is to encourage best practice among
medical regulatory authorities worldwide in protecting,
promoting and maintaining the health and safety of the
public by ensuring proper standards for the profession of
medicine
• IAMRA’s vision is that everyone around the world should
be treated and cared for by safe and competent doctors
• IAMRA does NOT promote one model of regulation but
instead encourages the exchanging of views and
examples of best practice
Council on Licensure, Enforcement
and Regulation
2016 Annual Educational Conference 5
The Impact of National Membership
Organizations
Portland, Oregon
September 16, 2016
Speaker Contact Information
Mark Staz
Director, CPD
[email protected]
400 Fuller Wiser Road, Suite 300
Euless, TX 76039
Tel: 613.986.6275
www.fsmb.org
CONTINUING PROFESSIONAL
DEVELOPMENT (CPD) : DEVELOPMENTS &
IMPLEMENTATION TRENDS IN AFRICA
CONTENT OF THE PRESENTATION
• Introduction
• Developments and trends in Africa
• Other African Countries
• Conclusion
Council on Licensure, Enforcement
and Regulation
2016 Annual Educational Conference 6
The Impact of National Membership
Organizations
Portland, Oregon
September 16, 2016
INTRODUCTION
• The development and implementation of CPD in Africa varies from
Country to Country.
• Updating of knowledge, skills, competence and keeping up with latest
developments in all spheres of the health professions for the benefit of
the public are the core principles that the continent in its entirety shares.
• To enforce CPD, most countries in the continent have incorporated CPD in
their health legislations – making it compulsory for all health
professionals.
• The presentation provides snapshots of developments, implementation
and challenges with CPD in some countries in Africa.
DEVELOPMENTS AND TRENDS IN AFRICA
o Continuing Professional Development (CPD) became compulsory in SA in 2007.
o Compliance to CPD is governed through legislation (section 26 of the Health
Professions Act);
o The compliance conditions set-out in the Act are a pre-requisite for continued
registration with the Council.
o The challenges experienced with CPD are as follows:
o Levels of compliance with CPD very low
o CPD used only as a mechanism of gathering CPD points
o CPD activities attended not aligned to the scope of practice
o CPD audit processes inefficient and not reaching out to all practitioners
o Focus on compliance rather than technical competence questions CPD
credibility as a mechanism to improve patient care
o CPD guidelines generic and not profession specific hindering requirements and
sometimes creating confusion to professionals
To improve the current situation SA is introducing Maintenance of Licensure and
CPD to be embedded within Licence to Practice
OTHER AFRICAN COUNTRIES
• CPD principles are similar in most countries in Africa
• The compliance requirements differ from country to country,
• In Ghana for instance if a requisite number of CPD credits have not been
obtained, registration cannot be renewed and the employer and
practitioner are both penalized for an unregistered employee (health
professional). In SA only the employee is penalized.
• Not all countries have non-compliance conditions / consequences for noncompliance with CPD i.e Namibia
• Rwanda has a category for non-clinical related CPD activities which could
be beneficial across the continent, eg. Leading or participation in
development of policies, protocols or guidelines, etc.
Council on Licensure, Enforcement
and Regulation
2016 Annual Educational Conference 7
The Impact of National Membership
Organizations
Portland, Oregon
September 16, 2016
CONCLUSION
• The CPD efforts and best practices in Africa need to be coordinated,
standardised and a common CPD approach established for the benefit of all
citizens of Africa.
Presented by: Dr T K S Letlape
President HPCSA
THANK YOU
Q&A
Council on Licensure, Enforcement
and Regulation
2016 Annual Educational Conference 8