Log in




Upcoming events

    • 27 Jan 2022
    • 3:00 PM - 4:00 PM
    • Teleconference/Webinar
    Register

    Overcoming Barriers to Change In CME: What Has the Pandemic Taught Us About Our Big Assumptions?
    Thursday, January 27, 2022, 3:00 - 4:00 PM CT

    Despite recurring calls for reform and extensive literature on best practices, the field of CME/CPD has been slow to change. Lack of change despite stated intentions suggests this is what Heifetz calls an “adaptive challenge,” one requiring a change not in skillset, but in mindset.

    Together we will address this adaptive challenge through the “Immunity to Change” (ITC) framework by education psychologists Kegan and Lahey. This process yields a map of the complex network of competing commitments and underlying assumptions that form the immunity to change. We will explore one possible map of the collective “immune system” of CME practitioners that generates powerful insights into our barriers to change: seemingly unresolvable tensions between learner autonomy and learning needs, feasibility and impact, innovation and acceptance, and more—all based in paralyzing “big assumptions.”

    Map in hand, change in mindset then comes from implementing tests of these assumptions’ validity. We will use the ITC framework to integrate our individual experiences as CME leaders during the COVID-19 pandemic—an unanticipated but highly impactful test—into system-wide insights for positive change.

    Presenter
    Miya Bernson-Leung, MD, EdM
    Program Director, Child Neurology Residency Training Program
    Department of Neurology, Harvard Medical School
    Course Director, Michael J. Bresnan Child Neurology Course
    Associate Medical Director, Continuing Medical Education
    Boston Children's Hospital

    Host & Facilitator
    Mila Kostic, CHCP, FACEHP
    Strategic Advisor, Center for Continuing Medical Education
    Stanford University School of Medicine

    Primary References and Pre-Work

    1. Bowe CM, Lahey L, Armstrong E, Kegan R. Questioning the ‘big assumptions’. Part I: addressing personal contradictions that impede professional development. Medical Education. 2003;37(8):715-722. doi:10.1046/j.1365-2923.2003.01579.x
    2. After reading Bowe et al 2003, please review the example ITC map (handout)
    3. Price DW, Campbell CM. Rapid Retooling, Acquiring New Skills, and Competencies in the Pandemic Era: Implications and Expectations for Physician Continuing Professional Development. J Contin Educ Health Prof. Spring 2020;40(2):74-75. doi:10.1097/CEH.0000000000000297
    4. Kawczak S, Fernandez A, Frampton B, et al. Observations from Transforming a Continuing Education programme in the COVID-19 Era and Preparing for the Future. Journal of European CME. 2021;10(1)doi:10.1080/21614083.2021.1964315

    Additional Optional References

    1. Kegan R, Lahey LL. The real reason people won't change. Harvard Business Review. 2001;79(10):85.
    2. Bowe CM, Lahey L, Kegan R, Armstrong E. Questioning the ‘big assumptions’. Part II: recognizing organizational contradictions that impede institutional change. Medical Education. 2003;37(8):723-733. doi:10.1046/j.1365-2923.2003.01580.x
    3. Rowland P, Tavares W, Lowe M, et al. Rapid Knowledge Mobilization and Continuing Professional Development: Educational Responses to COVID-19. J Contin Educ Health Prof. Apr 2 2021;doi:10.1097/CEH.0000000000000348
    4. Sklar D, Yilmaz Y, Chan TM. What the COVID-19 Pandemic Can Teach Health Professionals About Continuing Professional Development. Acad Med. Oct 1 2021;96(10):1379-1382. doi:10.1097/ACM.0000000000004245

    Questions for Pre-VJC Reflection and Discussion

    1. What are your observations about and reactions to the example ITC map? Are there pieces of it that stand out to you as particularly striking or true to your experience prior to the pandemic? Are there pieces missing?
    2. What longstanding Big Assumptions about CME has the pandemic revealed, and perhaps called into question, in your office/institution?
    3. What examples do you have of innovations or practice changes during the last two years, perhaps in response to the “questions and opportunities to explore” outlined by Price and Campbell? What do these experiences tell you about your/our Big Assumptions?

    Past events

    17 Dec 2021 SACME Virtual Journal Club December 2021
    19 Nov 2021 SACME Virtual Journal Club November 2021
    28 Oct 2021 SACME Virtual Journal Club October 2021
    30 Sep 2021 SACME Virtual Journal Club September 2021
    17 Dec 2020 SACME Virtual Journal Club December 2020
    24 Sep 2020 SACME Virtual Journal Club September 2020
    23 Jul 2020 SACME Virtual Journal Club July 2020
    18 Jun 2020 SACME Virtual Journal Club June 2020
    16 Apr 2020 SACME Virtual Journal Club April 2020
    26 Mar 2020 SACME Virtual Journal Club March 2020
    18 Feb 2020 The Basics of Journal Manuscript Review: Learning Research Through Critical Review
    12 Feb 2020 SACME Virtual Journal Club February 2020
    23 Jan 2020 SACME Virtual Journal Club January 2020
    12 Dec 2019 SACME Virtual Journal Club December 2019
    20 Nov 2019 SACME Virtual Journal Club November 2019
    30 Aug 2019 SACME Virtual Journal Club August 2019
    29 Jul 2019 SACME Virtual Journal Club July 2019
    26 Jun 2019 SACME Virtual Journal Club June 2019
    30 May 2019 SACME Virtual Journal Club May 2019
    22 Apr 2019 SACME Virtual Journal Club April 2019
    28 Mar 2019 SACME Virtual Journal Club March 2019
    20 Feb 2019 SACME Virtual Journal Club February 2019
    30 Jan 2019 SACME Virtual Journal Club January 2019
    04 Dec 2018 SACME Virtual Journal Club December 2018
    19 Nov 2018 SACME Virtual Journal Club November 2018
    16 Oct 2018 SACME Virtual Journal Club October 2018
    07 Sep 2018 SACME Virtual Journal Club September 2018
    04 Jun 2018 SACME Virtual Journal Club June 2018
    15 May 2018 SACME Virtual Journal Club May 2018
    05 Apr 2018 SACME Virtual Journal Club April 2018
    07 Mar 2018 SACME Virtual Journal Club March 2018
    20 Jun 2016 SACME Virtual Journal Club June 2016
    27 May 2016 SACME Virtual Journal Club May 2016
    27 Apr 2016 SACME Virtual Journal Club April 2016
    24 Feb 2016 SACME Virtual Journal Club February 2016
    02 Oct 2015 SACME Virtual Journal Club October Session
    03 Jun 2015 SACME Virtual Journal: Active Engagement in Professional Improvement
    27 Apr 2015 SACME Virtual Journal Club April Session
    06 Mar 2015 SACME Virtual Journal Club March Session
    04 Feb 2015 SACME Virtual Journal Club February Session
    08 Jan 2015 SACME Virtual Journal Club January Session
    31 Jul 2014 SACME Virtual Journal Club July Session
    29 May 2014 SACME Virtual Journal Club May Session
    24 Apr 2014 SACME Virtual Journal Club April Session
    Powered by Wild Apricot Membership Software