In coordination with SACME’s 50th anniversary, a special series of Virtual Journal Clubs have featured seminal articles of each decade. What follows is a very brief summary of the recent sessions in the series. SACME members may access the complete recordings for each session which can be found at
SACME.org/Virtual-Journal-Club-Recordings.
2020s – Two from the 2020s
Featured articles:
Mazmanian, P. E., Cervero, R. M., Durning, S. J. Reimagining Physician Development and Lifelong Learning: An Ecological Framework. (2021). J Contin Educ Health Prof. 2021 Oct 1;41(4):291-298. doi: 10.1097/CEH.0000000000000406. PMID: 34825902.
Price, D. W., Davis, D. A., Filerman, G. L. (2021). “Systems-Integrated CME”: The Implementation and Outcomes Imperative for Continuing Medical Education in the Learning Health Care Enterprise. NAM Perspect. 2021 Oct 4;2021:10.31478/202110a. doi: 10.31478/202110a. PMID: 34901778; PMCID: PMC8654469.
Presented by: David W. Price, MD, FAAFP, FACEHP, FSACME, DABFM
Professor, Family Medicine, University of Colorado Anschutz School of Medicine Senior Advisor to the President and CEO, American Board of Family Medicine Health Professions Education and QI Advisor and Coach
The final virtual journal club in the series labeled the Celebration of the Decades featured David Price who spotlighted and compared two articles drawn from 2021. The first article, “Reimagining Physician Development and Lifelong Learning: An Ecological Framework” (Mazmanian, Cervero, & Durning, 2021), focused on the individual learner. The second article “ ‘Systems-Integrated CME’: The Implementation and Outcomes Imperative for Continuing Medical Education in the Learning Health Care Enterprise,” (Price, Davis, Filerman, 2021) views CME through a lens focused on the needs of the organization.
Both articles look to the future of CME and the ways that the current CME landscape falls short of its goals. In Mazmanian’s article, knowledge-based CME is insufficient to create meaningful change in learners and is not tailored to learners at different career stages. In the Price article, the failure is that the current CME training does not meet the system’s need for change that results in meaningful quality-improvement protocols.
| Future Focus | Addresses shortcomings of current CME for individuals | Addresses shortcomings of the current CME for systems |
| Primary Lens | Individual physician–centered | Systems and Quality Improvement |
| Needs Assessment Approach | Identifies needs based on career stage and professional development phase | Identifies needs based on enterprise goals, performance metrics, and system priorities |
| Goal of CME | Support lifelong professional growth and adaptive expertise | Drive measurable system-level improvement and operational outcomes |
| Temporal Perspective | Longitudinal, developmental over a physician’s career | Iterative, continuous improvement aligned with organizational cycles |
The discussion portion of the journal club focused on burnout and how its prevention and treatment require integrating the individual and the system to be successful. Finally, host and facilitator, Janine Shapiro, made the valuable point that CME education and professional identity formation with the communities it forms can give purpose and meaning, which acts as a bulwark against burnout in the long term.
Summary generated by: Ginny Jacobs, PhD, M.Ed, MLS, Chief Editor, CE News
2010s – Impact of CME on Physician Performance and Health Outcomes
Presented by: Ronald M. Cervero, PhD
Professor and Program Director
Department of Health Professions Education
F. Edward Hebert School of Medicine. “America’s Medical School”
Uniformed Services University of the Health Sciences
