Continuing Professional Development CPD

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Continuing Professional Development (CPD)

• Debbi Marais

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What is CPD?

• Section 26 of the Health Professions Act, 1974
  (Act No 56 of 1974)
• Serves to maintain and enhance the knowledge,
  skills and ethical attitudes of practitioners so
  as to facilitate good quality of health care
• Should meet an EDUCATIONAL AND DEVELOPMENTAL need
  and provide an effective learning experience for
  the participants

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CPD for Dietetics

• Continuous
• Directly related to dietetics/nutrition
• Therapeutic nutrition, community nutrition and/or
  food service management and administration
• Beyond entry level
• Refers to any activity where the individual has
  learned something new and/or where a new skill
  has been acquired

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Development of CPD system

• 1994 ADSA CPD system
• 1995-1998 Trial period
• 3 year cycle 30 points
• 1997 HPCSA Government Gazette
• 2001 - compulsory

Compliance with certain conditions relating to
education and training is a prerequisite for
continued registration.
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Development of CPD system cont.

• 2003 re-evaluation by HPCSA
• Solutions
• Role of providers
• Role of accreditors
• CPS system for 2 years
• Electronically available on HPCSA website
• All Professional Boards use same system
• 2004 HPCSA draft of standardised CPD system for
  all professions
• 2005 Pilot by 2 boards (Medical Technology and
  Optometry and Dispensing Opticians
• APRIL 2006 Professional Board for Dietetics
  Transitional phase of new system
• Jan 2007 New system compulsory

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Role Players
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Prof Board for Dietetics
CPD Division
CPD Committee
NAF
Accreditor
Accredited Service Provider
Accredited Service Provider
Accredited Service Provider
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Role of the HPCSA CPD division of Registrations
department

• Administers and monitors entire CPD process
• Compliance checks of professionals CPD point
  status
• Annually
• Randomly selected sample

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Role of the HPCSA CPD committee

• Develop policy for CPD
• Random quality assurance checks of Accreditors
• Scale of fees/fees ( NAF)
• Deferment, non-compliance and restoration
• Representation by Prof Boards (Roy Kennedy)
• Accountable to HPCSA

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National Accreditors Forum (NAF)

• Role
• Advise HPCSA CPD committee
• Problems and critical incidents
• Policy matters regarding HPCSA CPD system
• Standardisation of accreditation activities
• Scale of fees/fees
• Peer review of other Accreditors
• Representation by Accreditor (ADSA D Marais)

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Professional Board for Dietetics

• Role
• Appoint and approve Accreditors
• Quality assurance
• Consultation by CPD committee regarding
  deferment, non-compliance and restoration

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Accreditor
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Old system

• Accreditation of ALL activities
• Capturing of points from attendance registers
• Capturing of points from individual activities
• Financial management CPD admin fee
• Annual point status update

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Functions of the Accreditor

• ANNUAL accreditation of Accredited Service
  Providers
• Receive application forms (Form CPD2) fees
• Refer to committee for approval
• Allocate dedicated ID number per provider

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Functions of the Accreditor

• AD HOC accreditation of activities
• Receive individuals non-accredited Service
  Providers ONCE-OFF application forms (Form CPD
  2A) fees
• Refer to committee for approval if necessary
• Allocate activity number
• Monitor activities on a random basis
• Revise CEUs allocated (Service Provider failed to
  comply)

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Functions of the Accreditor

• Record-keeping for 3 years of
• Accredited Service Providers activities
  (non-accredited providers / individual
  applications)
• Reports of Accredited Service Provider activities
• Minutes of committee meetings
• Regular communication with Providers and
  Dietitians regarding CPD
• Suggestions to CPD Committee

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Accredited Service Providers
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OLD SYSTEM

• Responsibilities of the Provider
• Apply for accreditation before the time
• Advertise and offer the activity
• Keep an attendance register and forward to the
  CPD Officer
• Issue attendance certificates

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What is an Accredited Service Provider?
?

• Tertiary training institutions
• Professional Associations
• Formally constituted professional interest groups
  (aligned with a TTI/PA or international
  institution)
• Public/Private hospitals
• Private non-profit groups
• Schools
• NGOs
• Individuals
• Commercial enterprises/companies that support
  health professionals through products/services

?
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Criteria for Accredited Service Provider status

• Evidence to support existence of
• Dedicated, contactable admin support and CPD
  coordinator
• Facilities for presenting activities and
  providing all necessary admin (Attendance
  records, Certificates of attendance, Formal
  evaluation procedure)
• Outline of program for year

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Functions of the Accredited Service Providers

• Apply annually to ADSA Accreditation Office (Form
  CPD2) pay fee
• Activities provided on one of 3 levels
• Receive application forms fees if relevant
• Accredit and allocate CEUs activity number
• Advertise

• Provide activity
• Monitor attendance
• Issue attendance certificates
• Provide records of activities to Accreditor
  HPCSA and keep for 3 years
• Name and number of Accredited Service Provider
• Topic
• Level and no of CEUs
• Dates (start-finish) presented
• Attendance record (names and HPCSA numbers) of
  attendees
• Program

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Approval of activities

• Ethically acceptable
• Of educational value
• Provides a balanced view
• Not unduly promotional / Free of undesired
  commercial influence
• Avoid conflict of interest (financial gain by
  Accreditor/Provider)
• Submission to another Accreditor outcome

Cross accreditation applies
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The Health Professional
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OLD SYSTEM

• Responsibilities of the dietitian
• Attend activities
• Sign attendance register
• Apply for individual activities
• Apply for cross-accreditation

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• CEU Continuing Education Units
• Value attached to a learning activity for CPD
• Shelf life Valid for 24 months
• From date that activity took place / ended
• Any of 3 levels

30 CEUs / year
60 CEUs at any given time / 24 months
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Ethics

• According to the Rules Relating to Continuing
  Education and Training for Registered Health
  Practitioners, published in the Government
  Gazette, 23 March 2007
• a practitioner must accumulate at least 30
  continuing education units, of which 5 must be on
  human rights. ethics and medical law, within
  every year

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Starting balance 30 CEUs Jan 2007
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RESPONSIBILITY OF INDIVIDUAL PROFESSIONALS

• CPD activity (Form CPD 1) Attendance
  certificates for each event (Levels 1 2) /
  Certified copies of qualification (Level 3)
• Paper or electronic
• Submit past 3 years CPD activity records to HPCSA
  within 21 working days of the audit call
• Give feedback to Accreditor regarding Providers

Based on TRUST
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(No Transcript)
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Attendance certificates on completion of
activity/within 1 month

• Name no of Accredited Service Provider /
  individual activity accreditation number
• Topic
• Level
• No of CEUs
• Attendance/completion date
• Name and HPCSA registration no of attendee

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Structured learning
Education, training, research publication
No measurable outcome - Small / large groups
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CEUs Level 1

• No measurable outcome
• 1 CEU 1 hour (MAX 8 / day)
• Small groups eg. Breakfast meetings, departmental
  meetings, lectures
• Large groups eg. Conference, symposia, short
  course, lecture
• Accreditation - Provider to provide attendance
  certificate and certificate to presenters

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CEUs Level 2

• Publications
• Principle author 15 CEUs
• Co-author 5 CEUs
• Review 3 CEUs
• Accreditation - Form CPD 2A (Unless Accredited
  Journal provide copy of cover and article)
• Presentations (all authors)
• Presenter of paper/poster at congress/refresher
  course 10 CEUs
• Co-presenter of paper/poster at
  congress/refresher course 5 CEUs
• Interactive skills workshop/short course 10 CEUs
  and 5 CEUs per participant
• Accreditation - Provider to provide attendance
  certificate unless
• International Form CPD 2A

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CEUs Level 2

• MCQs
• pass rate 70 3 CEUs
• Accreditation - Provider to provide certificate
• Students
• Guest/occasional lecturer at accredited
  institution 3 CEUs/lecture
• Public sector supervising students 2 CEUs/student
  (MAX 16/year)
• External examiner M/PhD theses on completion 5
  CEUs
• Accreditation - Provider to provide attendance
  certificate
• Ethics
• Dedicated workshops/lectures/seminars 2 CEUs/hour
• Accreditation - Provider to provide attendance
  certificate unless
• International Form CPD 2A

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CEUs Level 2

• Single modules of Masters degree (part-time
  enrolment) 5 CEUs
• Accreditation - Provider to provide attendance
  certificate
• Professional Interest Groups, incl Journal Clubs
  (OUTCOME)
• Regular program
• Min 6 meetings/year
• Max 3 CEUs per meeting
• Accreditation - Provider to provide attendance
  certificate

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CEUs Level 3

• Structured learning / formal program
• 30 CEUs
• Postgrad degrees (VALID for 48 months) /diplomas
  recognised as additional qualifications by Prof
  Board
• Accreditation - Provider to provide attendance
  certificate
• Short courses gt25 hours direct contact time
  clinical hands on training formal assessment
• Accreditation - Provider to provide attendance
  certificate
• Learning portfolios
• Accreditation - Form CPD 2A
• Practice audit
• Accreditation - Form CPD 2A

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Activities that do NOT qualify for CEUs

• Time spent planning, organising or facilitating
  any activity
• Published congress proceedings
• Non-referenced letters to the editor of
  accredited journals
• Written assignments
• Compilation of student training manuals for
  internal use
• Staff and/or administrative meetings
• Tours and/or viewing of exhibits and
  technological demonstrations
• Membership of professional bodies/boards or
  holding of portfolios on executive or council
  structure

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Special cases

• Not compulsory during Community Service year BUT
  may accrue CEUs
• PRACTITIONERS ABROAD
• Comply in countries where a CPD system is in
  place
• retain documentary proof of attendance at CPD
  activities
• For re-registration documentary proof from the
  accrediting authority in the country concerned

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Non-compliance, deferment erasure
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NON-COMPLIANCE

• Action by the HPCSA CPD committee Prof Board
• Letter requesting a reason for the non-compliance
  within two weeks of receipt.
• Explanation acceptable - six months to comply
  with the CPD requirements
• Not comply - name forwarded to the Committee of
  Preliminary Enquiry (may decide on the basis of
  evidence, to grant a final additional 6 month
  period to comply with the CPD requirements)
• Still not comply, one of the following actions
  will be taken
• Registration in a category that will provide for
  supervision as considered appropriate by the
  relevant Professional Board
• A remedial programme of continuing education and
  training as specified by the Professional Board
• An examination as determined by the Professional
  Board
• Suspension from practice for a period of time as
  determined by the Professional Board or
• Any other action as recommended by the
  Professional Board.

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DEFERMENT

• CPD Committee reviews applications individually
  on an ad hoc basis
• Strong motivation needed
• Granted for 1-3 years
• Deferment may be granted in the case of
• outside South Africa for gt 12 months and is not
  practising his/her profession
• outside of South Africa and practising in a
  country where formal continuing professional
  development does not take place
• a practitioner who is registered for an
  additional qualification but will not meet the
  outcome within two years

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DEFERMENT cont.

• To re-enter the system after deferment will be
  subject to the following conditions
• lt2 years, proof of full employment in the
  profession - recommence the CPD year immediately
• gt2 but lt3 years, proof of employment - on the
  recommendation of CPD Committee, be required to
  complete a period of supervised practice as
  determined by the Professional Board in his/her
  area of practice, and will recommence the CPD
  year immediately
• Did not practice profession - required to
  complete a period of supervised practice as
  determined by the Professional Board in his/her
  area of practice

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VOLUNTARY REMOVAL FROM REGISTER DE-REGISTRATION

• Apply in writing to the HPCSA before the last day
  of March
• Request for a reinstatement
• If after 1-3 years
• period of supervised practice as determined by
  the Professional Board
• written and clinical examination in relevant
  areas of practice
• If after 3 years
• written and clinical examination as determined by
  the Professional Board will be conducted in
  relevant areas of practice

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RESTORATION AFTER ERASURE

• gt1 lt 2 years and attending CPD activities
• submit proof of CEUs
• if at least 67 of the required CEUs for that
  period and complies with the other requirements
  for restoration, may approve the application
• submit further proof of CEUs collected within 3
  months following restoration
• gt1 lt 2 years and NOT attending CPD activities
• resolution may be any or all of the following
• passing a Professional Board examination
• working under supervised practice and
• collecting at least one years total CEUs.
• gt3 years or more
• resolution may be any or all of the following
• passing a Professional Board examination
• working under supervised practice and
• collecting at least one years total CEUs.