You can review the conversation below (start at the bottome) or download the transcripts HERE:

From User           Tweet

mangelcesm      #CMEchat Good bye, thanks!

rmtyner               Ditto!! RT @MedPedsDoctor: Thanks to all for a great chat, and some good chuckles.  Learned a lot today! #cmechat

kenny_cox          Thanks for a good #cmechat @briansmcgowan

MedPedsDoctor               Thanks to all for a great chat, and some good chuckles.  Learned a lot today! #cmechat

BrianSMcGowan              as always, #TOTD is anything written by @theCMEguy ;-) #CMEchat

BrianSMcGowan              Final thought. The goals of the CME community can be done much more simply an efficiently. We can re-engineer this system #CMEchat

kenny_cox          Yes! @MedPedsDoctor: What I will take from this chat: opportunity exists to push for importance of Q&A, and archiving of Q&A #cmechat

theCMEguy        @MedPedsDoctor The 1960's & 1970's  are standing outside; they'd like to have a word with you... #CMEchat

timclynch             TOTD Each house of medicine should control & refine new medical knowledge as it is vetted. we can then use THIS data to educate. #cmechat

MedPedsDoctor               What I will take from this chat: opportunity exists to push for importance of Q&A, and archiving of Q&A #cmechat

BrianSMcGowan              @theCMEguy - why would pharma have to pay for this...except maybe Sanofi's new loaner model... #CMEchat

kenny_cox          #cmechat Clinicians will find their own "communities" that they trust - must be compiled without silos for PC… (cont) t.co/4OkV4B6i

MedPedsDoctor               Thanks to @BrianSMcGowan for supporting the 1980s t.co/baj4L4HU t.co/KSx59SlG #cmechat

CMEChat             The real impact of the #CMEchat lies in your action - engage others to participate & please take action on things your have learned! G’day!

CMEChat             2.As we get wrap up, please vote for the tweet of the day (#TOTD) seen during this week's #CMEchat.

CMEChat             1.Thx for participating in #CMEchat. discussions herein are assumed 2 b personal opinion & not that of current, past, or future employers.

MedPedsDoctor               T6 Major barriers: cost, deciding what goes into clearinghouse, deciding who will teach the clearinghouse #cmechat

BrianSMcGowan              t.co/tgoefvCM @theCMEguy: t.co/8i1PT1F5 RT @MedPedsDoctor: Grooving: t.co/U8lQHJwP  #cmechat

MedPedsDoctor               TOTD challenge.  There are those who believe that the 1980s was the best decade of music, and there are those who are wrong (haha) #cmechat

CMEChat             T6 What are the major barriers to such a re-engineering: core content clearinghouse, faculty support, community feedback? #CMEchat

BrianSMcGowan              we get a re-engineered datastream? A RT @timclynch: T5 PubMed, ClinTrials, SoMe, Watson put it all in a blender and we get _____ #cmechat

MedPedsDoctor               @timclynch Put it all into a blender and you get what is known as primary care #cmechat

kenny_cox          A TOTD Challenge!  @theCMEguy: t.co/xcUPFtBk RT @MedPedsDoctor: Grooving: t.co/8sp7BHIR  #cmechat

BrianSMcGowan              @timclynch - ACC for cadiology. ASCO for oncology. AUA for urology. ADA for diabetes...these shops should take ownership... #cmechat

theCMEguy        t.co/gBhM6Tcl RT @MedPedsDoctor: Grooving: t.co/V4se1ELY  #cmechat

spelletier             MT @timclynch: T5, We need crowdsourcing system that can take in all and organize, slideshare, prezi, podcasts, simulations, etc. #cmechat

timclynch             T5 a Mashup of ACCME, PubMed, t.co/kizihSl5, SoMe sites, IBM's Watson put it all in a blender and we get _____ #cmechat

MedPedsDoctor               @timclynch ABMS is leading.  MOC is way 2 "force" docs to look at quality (except those grand-personed in) of own personal practice #cmechat

BrianSMcGowan              T5-  'slides' for CME should have unique flavor - ABSOLUTELY. it is core content we should be curating & refining. #CMEchat

theCMEguy        Grant proposal? #CMEchat RT @BrianSMcGowan: T5 - anybody want to lend me some money to build the system ;-)

spelletier             @MedPedsDoctor @kenny_cox LOL! #cmechat

timclynch             R u saying rely on ABMS to lead? RT @BrianSMcGowan: T5 - Each house of medicine should control & refine new medical knowledge  #cmechat

kenny_cox          Nice: TOTD - RT @MedPedsDoctor: Grooving: t.co/8sp7BHIR  #cmechat

timclynch             T5, Yes, croudsourcing.  We need a system that can take in all and organize, slideshare, prezi, podcasts, simulations, etc. #cmechat

MedPedsDoctor               .@spelletier Now that sounds like a job title: "uber-curator".  Could also be a band ... #cmechat

kenny_cox          #cmechat Driving participation with text, tweets, emails @MedPedsDoctor: Making data accessible: Slideshare, blogs, tweeting about it,

BrianSMcGowan              T5 - Each 'house of medicine' should control & refine new medical knowledge as it is vetted. we can then use THIS data to educate. #CMEchat

theCMEguy        Yup t.co/SlmcRmUF MT @BrianSMcGowan: right but the ACCME should be archiving your questoin...that's point #CMEchat

MedPedsDoctor               Grooving: t.co/5m9WRNsI  #cmechat

spelletier             we need an uber-curator to pull it all together in one place, a CME Google #cmechat

MedPedsDoctor               Making data accessible: Slideshare, blogs, tweeting about it, hashtags, websites #cmechat

BrianSMcGowan              t5 - the group is really grooving now, so I guess the topics were pretty well ordered...#CMEchat

timclynch             Q&A is when participants wake up. RT @SusanBConnelly: In many cases the Q&A has the most valuable information to the learner #cmechat

CMEChat             T5 For this model to work, feedback would be needed to describe strengths/weaknesses of core slides, could this be crowdsourced? #CMEchat

spelletier             T4 we're swinging back to clearinghouse--how do we make all this data/responses/localization of data accessible? #cmechat

theCMEguy        @MedPedsDoctor No, but more valuable than if it just disappeared entirely #CMEchat

SusanBConnelly                In many cases the Q&A has the most valuable information to the learner #CMEChat

MedPedsDoctor               Agree.  Learning tons! MT @SusanBConnelly: Very interesting discussion today regarding dissemination of new data on #cmechat

BrianSMcGowan              @theCMEguy - right but the ACCME should be archiving your questoin...that is the point. w/o curation the system fails to help. #CMEchat

timclynch             T4:  Is there a PubMed type service that indexes all CME?  #cmechat

kenny_cox          Many still utilize print - maybe combination?  QR code leading to Q&A online? @spelletier:  journal model broken #cmechat

BrianSMcGowan              T4 - imagine a system where this Q&A & knowledge is shared. the obligation does not have to be burdensome. Technology helps. #CMEchat

theCMEguy        @BrianSMcGowan Agreed! This is why I archive Q&A sessions with the ACCME on my blog: so more people can learn than just me! #CMEchat

MedPedsDoctor               Another example: archive of Tweet chats.  Available within seconds 4 people to review.  Still not the same as being in the chat #cmechat

SusanBConnelly                Very interesting discussion today regarding dissemination of new data on #CMEChat

timclynch             @spelletier T4 on their site, MECCs site, journals site?  Where is the curation happening? #WantOneSource or #LetGoogleHandle it #cmechat

spelletier             @MedPedsDoctor journal model is kind of broken 4 today's firehose pace, imho.  #cmechat

BrianSMcGowan              but the value is lost if not archived and shared. RT @theCMEguy: T4: Any time an expert is available for questions, there is value. #CMEchat

MedPedsDoctor               yes. Agree RT @BrianSMcGowan:  and if one audience member has a question, shouldnt we archive that question for general knowledge? #cmechat

timclynch             @theCMEguy t3: Have participated in "regional" meetings that were same content from one region to the next. - thats a roadshow :-) #cmechat

kenny_cox          T4 Obligation vs. desire to teach.  So much depends on the author - but somehow must be available for 4-6 mnths for online Qstns #cmechat

MedPedsDoctor               MT @spelletier: t4 in ideal world, auths present at conf, archived online, auths then avail via web, phone, twitter, for 6 months #cmechat

BrianSMcGowan              @MedPedsDoctor - and behind a paywall, and hardly disseminated...and hardly transparent. We MUST do better! #cmechat

theCMEguy        T4: Any time an expert is available for questions, there is value. #CMEchat

BrianSMcGowan              @MedPedsDoctor - and if one audience member has a question, shouldn't we archive that question for general knowledge? #cmechat

spelletier             t4 in ideal world, authors present at conf, archived online, auths then available via web, phone, twitter, whatever for six months #cmechat

MedPedsDoctor               Shepherding data: this is often done in other ways.  Ex: jrnl letters to the editor.  Prob is: process is slow (5 months later) #cmechat

BrianSMcGowan              @spelletier - i don'tt think there is much variation here. think about the references on the slides. each ref could be 'core'  #cmechat

timclynch             RT @BrianSMcGowan: T3 - given the type of planning I have seen in the past 5 years. I wld say 90% of programs have 90% core content #cmechat

MedPedsDoctor               T4.  Obligations 2 educate: show data, show your interpretations of data.  Let audience members decide their own interpretation #cmechat

theCMEguy        @BrianSMcGowan When I worked at community hospital, CME was much more localized. Agree that context is large part. #CMEchat

CMEChat             .@MedPedsDoctor any and all questions that are submitted are archived and answered by the faculty for 30-90 days post release?  #cmechat

BrianSMcGowan              T4 - a few folks brought this up already....imagine ur data is accepted at an annual mtg. what are your obligations to educate? #CMEchat

MedPedsDoctor               @CMEChat Define what "shepherd new data" means.  Not understanding question. #cmechat

spelletier             @BrianSMcGowan Across the board 90% core for 90%? Diff types of activities differ in this? #cmechat

mtmdphd            RT @BrianSMcGowan: Data that are presented at annual meetings must be curated more effectively. t.co/zPrZ6ODO #CMEchat

CMEChat             T4 Is there value in obligating authors to shepherd new data for a period of time to ensure that questions are answered? Explain. #CMEchat

theCMEguy        t3: Have participated in "regional" meetings that were same content from one region to the next. Not sure how that's regional #CMEchat

BrianSMcGowan              T3 - given the type of planning I have seen in the past 5 years. I wld say 90% of programs have 90% core content #sadly #CMEchat

BrianSMcGowan              T3 - this is a fun question b/c you are really forced to see how MOST CME is designed today...#CMEchat

theCMEguy        @spelletier Not sure I would say "larger"; maybe broader in scope? #CMEchat

MedPedsDoctor               core:local also depends on audience.  A hepatologist talking to primary care docs: how message is heard is different #cmechat

BrianSMcGowan              T3 @spelletier - right for any kind of satellite symposium the number is likley 90:10 for grand rounds hopefully 25/75? #cmechat

spelletier             t3 the larger the audience, the more generic the content, right? Or would gd program include specs for diff contexts? #cmechat

mangelcesm      RT @CMEChat: T1 What is the best model for disseminating new medical information beyond the space and time of the major medical meeting? #CMEchat

BrianSMcGowan              T3 - I see this as a question about how most education is crafted.  At a minimum intro/background sections could be 'shared' #CMEchat

spelletier             t3 for nat'l confs, I'd guess core:local would be at least 90:10 if not higher core #cmechat

theCMEguy        T3: That really depends. If CME program targeted at national audience, % local content likely very small. #CMEchat

MedPedsDoctor               "Local content" = context.  Core content shouldn't be different anywhere. #cmechat

BrianSMcGowan              @laurenero - but it probably saves even more time and even more resources...if it could be leveraged nationally #CMEchat

BrianSMcGowan              @MedPedsDoctor - so see T3...as thing change or as local environments differ, some %age of content can be modified... #cmechat

MedPedsDoctor               I like the one database per med assn., but still some disagree.  Ex: when to do mammograms.  ACP is different from ACR #cmechat

laurenero            My org has a core curriculum that is updated with new med data by experts.  It requires huge commitment and resources. #CMEchat

CMEChat             T3 (odd Q, but) What is the average balance of core content to local content in your average CME program? (best guess?) #CMEchat

mangelcesm      #CMEchat T2 @BrianSMcGowan Too much events, too much subjects. How to assess previous validity of actual content in each event?

spelletier             RT @BrianSMcGowan: T2 - when new data is presented is the moment when medical assns can begin to control quality. from the source. #cmechat

MedPedsDoctor               T2. New data can be presented, but context is changing.  Ex: new duty hrs 4 residency completely changed paradigm for how 2 teach. #cmechat

theCMEguy        They can be overwhelming if not organized carefully RT @MedPedsDoctor: A clearinghouse works in an ideal world.  #toomany #cmechat

BrianSMcGowan              T2 - IMO seems that the clearinghouse model solves the problems of organization and searchability...one database per medical assn. #CMEchat

spelletier             Yes, and also quality/relatability 2 local practice RT @mangelcesm: #CMEchat T2 Too much events How to classify their importance? #cmechat

kenny_cox          RT @kenny_cox: Clearinghouse definition?  @BrianSMcGowan: T2 - @MedPedsDoctor - i might argue that there are many channels… #cmechat

BrianSMcGowan              T2 - when new data is presented. that is the moment when medical assn's can begin to control quality. from the source. #CMEchat

mangelcesm      #CMEchat T2 Too much events for review... How do we to classify their importance?

BrianSMcGowan              @spelletier - we will address quality...this too can be engineered into the system via continuous improvement #cmechat

BrianSMcGowan              T2 - @MedPedsDoctor - i might argue that there are many channels, yes. but there are no true clearinghouse for new medical content. #CMEchat

spelletier             t2 also depends on the quality of the slide decks as standalone resources #cmechat

MedPedsDoctor               RT @kenny_cox: T2 challenges when trying 2 find information applicable 2 their practice.  Organization & searchability are crucial #cmechat

MedPedsDoctor               A clearinghouse works in an ideal world.  Problem is, there are 10 million "clearinghouses" for primary care docs.  #toomany #cmechat

BrianSMcGowan              @mangelcesm - but remember that the content is created (in most cases) before the new information is even presented, speed is easy #CMEchat

kenny_cox          T2 challenges when trying to find information applicable to their practice.  Organization and searchability are crucial #cmechat

spelletier             t2 cons: unless faculty is available, have to interpret slide decks on their own, try to adjust to local circumstances w/out input #cmechat

mangelcesm      #CMEchat T1 Hummm, we'd make equilibriums between validity and 'disseminability', mainly if speed does matter

BrianSMcGowan              t2 - the clearest win in the core content model is cost and fidelity. a clearinghouse would save tens of millions of dollars. #CMEchat

spelletier             t2 pros: learners get direct access to data, don't have to rely on others' interpretations #cmechat

kenny_cox          Have faculty on retainer and editor prompt when response is necessary RT @spelletier: @kenny_cox like idea of having faculty avail;#cmechat

TodaysHospital RT @MedPedsDoctor: credits are to compliance like accreditation is to quality #cmechat

MedPedsDoctor               Archiving is critical.  All the time, I say: "I remember a talk at BLANK mtg about X".  Now, can pull it up.  Yeah, @evernote @myEN #cmechat

theCMEguy        @rmtyner I'll add I have participated in an accredited rapid model & was fairly "successful". Not easy, tho #CMEchat

BrianSMcGowan              T2 What are the pros/cons of medical associations creating & archiving core slide decks available upon the data release? #CMEchat

spelletier             @kenny_cox like idea of having faculty avail; how to do that in real time? Web site faculty monitor for RT Q&A? #cmechat

CMEChat             T2 What are the pros/cons of medical associations creating & archiving core slide decks available upon the data release? #CMEchat

MedPedsDoctor               As an educator, the system should be easily accessible, on the learner's time.  However, there is nothing like a "real" mtg 2 learn #cmechat

theCMEguy        @spelletier Agreed, but I think there may be some value to the personal POV #CMEchat

MedPedsDoctor               The educator needs to understand the learner point of view.  That's why I take the same "courses"/credits are everyone else #cmechat

rmtyner               @theCMEguy I would agree that accreditation does not accommodate rapid dissemination - just wanted to make sure :) #CMEchat

BrianSMcGowan              @mangelcesm - good point. the notion of validity is essential. new information must be high fidelity... #CMEchat

theCMEguy        @rmtyner In the context we are discussing here, I think they matter very little.  Not conducive to a rapid  learning experience #CMEchat

kenny_cox          Definitely need to have the faculty available for further communication.  Questions need answers without tremendous barriers #cmechat

rmtyner               T1 need to go to where the learners are... not make the learners come to content #CMEchat

spelletier             Me 2 except for potential source bias RT @theCMEguy: T1: I like example of the blogger as disseminator.  #cmechat

BrianSMcGowan              t1 @MedPedsDoctor so you go for 'access' as a learner, but as an educator, what should the system look like? #cmechat

MedPedsDoctor               credits are to compliance like accreditation is to quality #cmechat

mangelcesm      #CMEchat Miguel Ángel García from Madrid (Spain) Do validity and fiability matter, or only dissemination?

theCMEguy        T1: I like example of the blogger as disseminator. So many different ways you can go with that. I like the idea of an actual voice #CMEchat

BrianSMcGowan              .@rmtyner - no way jose. credits have never been proven to motivate learning. they have been proven to complicate education... #CMEchat

MedPedsDoctor               T1. I am enjoying (as a customer) online CME learning.  1. EpocratesCME 2. Pedialink t.co/HRNPktxv  #cmechat

CMEChat             t1 - 'best' in terms of connecting new data to improved patient care. reach and speed and fidelity all essential. #CMEchat

BrianSMcGowan              T1 - there may not be a single right answer, but i wld vote for something rapid, local, w/ a connection to the original data #CMEchat

rmtyner               T1 - I know that we are in the #CMEchat but does the information need to be accredited or just disseminated? Do CME credits matter??

theCMEguy        T1: Best = ?. Reachest largest audience? #CMEchat

spelletier             T1 @CMEChat define best? Best in terms of reach, understanding? #cmechat

CMEChat             T1 What is the best model for disseminating new medical information beyond the space and time of the major medical meeting? #CMEchat

theCMEguy        Basketball? RT @MedPedsDoctor: Right now, Indianapolis is dominating this chat.  Wish it were the same in football ... #cmechat

BrianSMcGowan              One great #IHI quote: Pencils & diamonds same substrate different connections - pencil more useful, diamds more valuable... #CMEchat

theCMEguy        @BrianSMcGowan @spelletier I don't think that would go over so well...#CMEchat

doclake                RT @BrianSMcGowan: not sure if anyone has the time, but the stream from #IHI is marvelous - this is a meeting that all CME pro's should attend #CMEchat

BrianSMcGowan              For more background information please read the latest cover story in Medical Meetings:http://t.co/xJ8Z9PB6 #CMEchat

BrianSMcGowan              so can you...RT @theCMEguy: @spelletier Yeah, but you can participate in #CMEchat in your PJ's...

MedPedsDoctor               Right now, Indianapolis is dominating this chat.  Wish it were the same in football ... #cmechat

BrianSMcGowan              It think we have an interesting topic today: "re-engineering the data stream" love to get some great insights into the model #CMEchat

theCMEguy        @spelletier Yeah, but you can participate in #CMEchat in your PJ's...

laurenero            Lauren here from rainy Maryland #CMEchat

BrianSMcGowan              Too much writing, to attend...sadly. RT @MedPedsDoctor: Brian, are you there at #IHI in Orlando, or following via computer stream? #cmechat

theCMEguy        I'm back. 5 lbs heavier. #godiva #cmechat

BrianSMcGowan              nope...RT @rmtyner: Michelle - checking in from Indiana - didn't do the homework? am I going to lose points?? #CMEchat

MedPedsDoctor               Brian, are you there at #IHI in Orlando, or following via computer stream? #cmechat

BrianSMcGowan              And for those at #IHI you may want to peer into #CMEchat (now) to get a sense of what those in CME are trying to do to improve healthcare

rmtyner               Michelle - checking in from Indiana - didn't do the homework? am I going to lose points?? #CMEchat

BrianSMcGowan              not sure if anyone has the time, but the stream from #IHI is marvelous - this is a meeting that all CME pro's should attend #CMEchat

spelletier             @theCMEguy that's one of the bummer's of telecommuting: no Godiva gift baskets (or snow days)! #cmechat

MedPedsDoctor               Alex Djuricich, MD, from the great state of Indiana.  CME Assoc Dean, & Prog Dir of MedPeds residency at IUSM #cmechat

kenny_cox          Kenny here - enjoyed the homework, looking forward to a good discussion on #cmechat

CMEChat             As with each #CMEchat the archive will be available at t.co/nOLVEvIB and archived as a pdf on www.CMEadvocate.com

CMEChat             As with each #CMEchat we will guide the convo with 3 or 4 topics, but the real learning and teaching lies in your tweets - please engage.

CMEChat             Rule 7. A few mins before the end of #CMEchat, reintroduce yourself. Links, requests & shameless plugs welcome, too - #makingfriends

CMEChat             Rule 6. On #CMEchat we aim to play nice. Sarcasm & irony welcome though. Really. Seriously. #laughingislearning

CMEChat             Rule 5. Periodically RT questions so those outside #CMEchat know what you’re talking about & so they can chime in too

CMEChat             Rule 4. Please remember to use the #CMEchat hashtag so all of the #CMEchat participants can follow the #CMEchat discussion!!!!

CMEChat             Rule 3. When writing, complete thoughts help followers outside chat learn from you. #CMEchat

CMEChat             Rule 2. [try to] stay on the #CMEchat topic. A new question will be asked every 12 min or so. If you can, include T# in related responses.

CMEChat             Rules for #CMEchat: 1. Introduce yourself. Location? Focus? Fave topics? What brings you here today?

BrianSMcGowan              Welcome to #CMEchat. All discussions herein are assumed to be personal opinion & not that of current, past, or future employers.

theCMEguy        Gonna be late for #CMEchat. Godiva gift basket just arrived in the lunchroom...

spelletier             5 minutes until #CMEchat Topic: How data gets disseminated & what happens after an Annual mtg t.co/72bheudz [HOMEWORK] #cmechat

Bonnycastle       @theCMEguy @BrianSMcGowan I'm one of the people who doesn't participate in #CMEchat simply because I am too busy right now

Bonnycastle       RT @MedPubDirector: #mededmooc is starting to take shape-tweeps are beginning to express an interest in signup t.co/gSg9CLEV #meded #cmechat #nhs #some

BrianSMcGowan              Impact on business models, copyright, or membership value must be addressed though parallel innovation t.co/zPrZ6ODO #CMEchat

BrianSMcGowan              Local institutions must stream feedback into the clearinghouse system 2 refine model overtime. t.co/zPrZ6ODO #CMEchat

BrianSMcGowan              Technology should allow local institutions to pull the new medical information into their networks. t.co/zPrZ6ODO #CMEchat

BrianSMcGowan              Authors should b obligated 2 shepherd new data for a period of time 2 ensure that questions r answered. t.co/zPrZ6ODO #CMEchat

BrianSMcGowan              Societies/associations must develop clearinghouse models that enable rapid and open access. t.co/zPrZ6ODO #CMEchat

BrianSMcGowan              Data that are presented at annual meetings must be curated more effectively. t.co/zPrZ6ODO #CMEchat

BrianSMcGowan              2 hrs until #CMEchat this week: How data gets disseminated & what happens after an Annual medical mtg t.co/0LvBxJ3X [HOMEWORK]