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PGI Friday: Industry Think Tanks

Last year, the Denver-based Competency & Credentialing Institute (CCI) hosted a national Think Tank entitled The Future of Learning: Building a Bridge between Competency and Patient Safety.  The event was designed to create a conversation among some of the top minds in healthcare education and some of the top progressive professionals in various healthcare specialties.

CCI developed the Think Tank around the belief that an action oriented agenda could be created and implemented to promote improvements in competency, and ultimately patient safety. The agenda was focused on advancing competency development, assessment, and education and creating a vision for patient safety. Think Tank attendees responded to two thought-provoking questions: What are your three to five critical factors for developing competencies in healthcare that will build the bridge to patient safety and describe the attributes of the healthcare system in 2015 as you perceive them.

The Think Tank was considered a great success , especially since it identified and addressed particular needs that CCI could address. These needs are: synthesizing of data into research and white papers on targeted topics within nursing and healthcare as they pertain to competency; providing continued forums for leaders in competency development and assessment and education; developing web-based technologies that provide information as well as training, and creating products and services that develop teams, leadership, and technical competencies for nursing and all of healthcare.

Consider holding a think tank on the issues and priorities for your organization or field.  Make sure to read the outcomes report of the CCI Think Tank.  It looks like it was a GREAT event that really changed the direction of CCI.  Shannon Carter, the Executive Director, subscribes to this list so, Shannon, want to update us on progress?


PGI Friday: Application for Certification Board of Director Position

The National Certification Board for Diabetes Educators routinely solicits applications for its vacant spots on the certification board of directors.  A nominating committee then presents a slate to the board for vote.  Too many certification boards just let the current association president (assuming the certifying agency is part of the association) or the incoming certification board chair select the next year's board - an invitation to disaster (or at least homogeneous thinking), in my opinion.  An even better process - albeit sometimes not realistic for small programs - is to have an election by the certificant population.


(Not a) PGI Friday: Devaluing Learning

Here's an idea that is NOT great:  devaluing learning through mandated continuing education.  This is a post I originally made on the WHADITW blog.  But I'll wrap up the post with a PGI.

I had an encounter with an individual over a decade ago that made a lasting impression. I was describing to her a tool that would assist her in objectively determining her learning needs, developing a learning plan and guiding her to appropriate learning resources in her area of practice. After agreeing that the tool seemed valuable, she indicated that perhaps she would buy it next year when she starts a new recertification cycle because she doesn’t need any more hours this recertification cycle. What? Rather than spend $65 on a learning tool that could help prioritize her learning pursuits and locate relevant learning activities, she declined because she had already fulfilled her required learning quota.

Unfortunately, this isn’t an isolated incident. For many fields with certification, the accompanying mandated continuing education (MCE) has devalued learning. The effects are widespread and the negative ramifications of MCE can be found throughout adult learning literature. Here are just a few:

  • One concern is relevancy. Professionals become overly concerned with “getting their hours” and because usually only the traditional education delivery modes are acceptable (conferences as the most common example), they are essentially forced to participate in activities that are convenient or affordable but sometimes irrelevant to their needs.
  • Another concern is that MCE devalues many types of learning, especially those types that are more informal and self-directed. Since these activities, such as reading, receiving mentoring, or conferring with colleagues are not usually accepted as acceptable learning activities under an MCE system, individuals may question the value of these approaches and assume the traditional approaches are better.
  • Another criticism of MCE is that it creates a punitive attitude towards learning. For those professionals who would regularly engage in learning with or without the mandate, MCE becomes punitive in that it places sanctions on activities that are already occurring. And, for many, it forces them to participate in activities they otherwise wouldn’t simply to meet the requirement.

Am I suggesting we scrap all mandated CE? No. But the systems need to change. For one, we should eliminate or at least lessen the excessive judgmental and limiting rules of MCE. Before creating any rule (deeming some learning methods acceptable and others not, limiting amount of time spent in one type of activity, requiring participation in certain types of activities, etc), ask yourself: Does this rule help professionals learn or does it actually hinder learning?

The bottom line: we want certificants to be competent. To be competent, they must engage in continuous learning. But, the truth is that we cannot mandate that someone learns. And, it’s time we realized that requiring “butts in seats” at our conferences is a limited and ineffective approach. Far more effective an approach is to make a concerted effort to foster the value of continuous learning and to provide tools and guidance to professionals to help them be more effective learners.

So, here's the potentially great idea:  some tools that associations could offer members to help them be more effective learners include:

  • self-assessments in various content areas (broad or focused) that identify learning strengths and needs (and for which the scoring systems are developmental, not punitive - in other words, don't have a failing score...instead identify proportional scores (10//15, etc. by learning objective and direct them to sources of learning in their areas needing development)
  • online searchable databases of learning activities to let them locate relevant activities by topics, locations, dates)
  • models of and guidance in creating and implementing learning plans and learning contracts
  • conference planning guides that help attendees purposefully select the activities that will have most value to them
  • conference guides that prompt attendees to reflect, synthesize and determine how to act upon what they've learned
  • learning teams or partners for learning events to help learners reflect, synthesize and determine how to act upon what they've learned
  • help members determine what their preferred learning style is
  • incorporate into educational programs activities that appeal to all learning styles
  • in MCE models, go beyond asking for lists of CE activities - ask for discussion of how they applied what they learned to their practice/job

So, are there associations out there deploying these ideas?  Certainly.  If you're one of them, please do share your tools with all of us.  I'll highlight some models in future posts.