My Opening Address at #CBIgrants - Re-envisioning Our Grant Making Models
I hope to find the time to expand this post and write out in depth my 'speech' - as is, many of these slides may be open to interpretation and taken out of context. But I am willing to take that chance just to get the broader story out to the community.
In brief this is a "Good is the Enemy of Great" story...given everything that is going on within the healthcare communities AND given the present and pending economic burden that our healthcare spend contributes to, we can no longer rest our hats on the one or two programs a year that have a real impact on healthcare quality...we must take a step back and accept the broader inefficiencies of the CME community and grant making systems AND we must move beyond this.
I believe that we are a walking contradiction - advocating continuous improvement and performance improvement while operating as a Rube Goldberg machine...I agree with the IOM that in many ways the system is broken and fragmented...that the science of CME has been lost...and that the CME profession has been watered down to be inclusive of grant administration, coordination, and operations....we must move beyond this.
Anytime one rails against the status quo, emotions will flare - I just ask that you recognize that denial, anger, bargaining, and depression are stages of acceptance...and please take a breath a set a course to move beyond this.
You can download my slides by clicking on the following link: Re-envisioning Our Grant Making Models
If you have questions @ me or DM me on twitter and I look forward to continuing this debate.
Brian, your points are articulate and fairly spot on. Having supported my family for 12 years in this CME world, it's hard to admit. I'm committed and open to change. I would point out, though, that much of the "good enough" mentality stems from the nonchalance and indifference that many physicians have toward participating in CME. Can that be changed?
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Dan - there are numerous challenges to re-engineering the system...providers, supporters, HCP-learners, and HCP-faculty all have reason to stick to what they know, to stick to the status quo. But there have been too few successes over the years and the broader perspective NEEDS to be communicated broadly...culture change takes times, but until 8:45 on Monday morning I am not sure the conversation was ever made so pointedly (bluntly)...and I hope this is a start. I should add that the world as seen by the CME community is often very different than what is seen in other areas of medicine, public health, and public policy...but you and I had this conversation at the IHI meeting last year...
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