A Doctor Starts His Own Continuing Education Firm

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martin-samuelsIn the latest bid to rid continuing medical education of industry influence, a Harvard Medical School neurologist has teamed with a pair of businesspeople to form their own firm to provide CME to doctors across the country. The plan is to make money by selling their curriculum to hospitals, medical societies, insurers and others that offer CME.

“Doctors have lost confidence in [continuing medical education] and the public has lost confidence,’’ Martin Samuels, who has just launched Lighthouse Learning, tells The Boston Globe. “The feeling is that everything is tainted. We simply must have a new way of doing this.” Samuels, by the way, once ran a neurology course for Pri-Med, an industry-funded CME company.

The controversy over CME has prompted a drop in industry funding. Commercial support last year was $856 million, or 39 percent of total funding, down from $1.2 billion, or 48 percent, according to the Accreditation Council for Continuing Medical Education. The ACCME director Murray Kopelow tells the paper that Lighthouse is not unique, although Samuels contends most other providers are small and do not operate nationally, and some do accept advertising or support for exhibits at conferences.

As part of the plan, Lighthouse has recruited 11 specialists - including the outspoken and controversial Cleveland Clinic cardiologist Steve Nissen - to serve as curriculum directors for such specialties as nephrology, endocrinology, obstetrics, oncology and psychiatry, among others. To deflect industry influence, these folks will not teach other courses funded by drugmakers and its advisory board will review the relationships between the directors and industry. Consulting fees and other ties will not be prohibited, but limited and disclosed, Samuels tells the paper.

Whether this approach will succeed remains to be seen, Samuels believes CME is headed in this direction and doctors will appreciate venues where bias may not encroach. On the other hand, finding experts who do not have ties is likely to be something of a hurdle, given that those most in demand are also the ones who have relationships with drugmakers. This is an issue that the FDA has mentioned more than once in explaining its decision-making process for choosing experts to serve on its advisory committees.

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  1. It’s always nice to see people taking initiative.

  2. This represents a mischaacterization of present day CME and of physicians perspective of CME.

    Present day CME is very different from CME of just 5-10 years ago. There are extensive rules in place today to avoid direct or nuanced influence from industry. In addition, CME under the past now defunct rules was shown effective by both an AHRQ sponsored and funded review as well as a Chocrane review. Under todays rules and with newer forms of CME like PI-CME even better outcomes are being achieved. Thus those that feed the media stories of distrust in CME are doing a disservice to lifelong learning. Citing rare examples of wrongdoing by a small group of individuals and then calling for a ban is simply unjust and frankly unacceptable in a democratic society.

    Finally, the claim that physicians have distrust of CME is poorly substantiated, especially when the questions are focused at present day CME.

    Its time to review CME for what it is today and stop vilifying physician lifelong learning for aspects of its past.

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