Overview of CPD

CPD Case Team, HRDD, MOH

April, 2021
 - Reference
Click icon to add picture

-Session objectives
Outline
-Definition

-Introduction

- Goal of CPD program

•v

-Objectives of CPD
program
.

- CPD activities
Tolera G FMoH CPD team
 After completion of this session you are expected to:
 Define CPD

 Identify Goal of CPD System

 Differentiate CPD Accreditors & CPD Providers
Session Objective  Identify Responsibilities of major stakeholder on the
implementation of CPD program

Tolera G FMoH CPD team

 Maintain
Definition of CPD:

CPD is all activities health Update

professionals undertake formally
to:

Knowledge Skill &

Develop. Attitude
in response to the health service needs of the community

Tolera G. , FMoH CPD team

 “Accreditation”: QA type through w/c potential CPD Providers &
CPD courses are evaluated by an Accreditor;
Definition “Continuing education unit (CEU)”: is value attached to a learning
activity for CPD

“Accreditor” :Gov’t univ & PAs, accredited by the Ministry;

Tolera G. , FMoH CPD team

  “CPD Providers”: public/private institutions (Univ.
Nursing Schools, PAs, hospitals & consultancy firms)
Definition …
w/c meet the specified criteria & accredited by
accreditor to present learning activities for CPD
In HSTP II, Strengthen CPD & integrate with health
professional re-licensing is one of the major activity in
HRD.
 Capable health work force is essential to improve the
quality of health service delivery.
 Competency of health professionals has to be
continually developed through CPD/IST.

Tolera G FMoH CPD team

Goal of CPD Ensure Quality
program health service by
Link CEU with competent HPs
T
License renewal
requirement

Tolera G, FMoH CPD team

 To provide guidance on:

 Standardization of CPD

 Accreditation of accreditors, CPD providers, and courses

Objectives  Course credit designation

 Responsibilities of major stakeholder on the

implementation of CPD program

 Documentation, monitoring, and evaluation of CPD

activities
  No re-licensing without CEU
Principles of
CPD  All training courses should be accredited by accreditors

 Standardization of CPD should be based on the national

guideline
  Health care workers should be committed to earn CEUs
Principles…  Accreditors, PAs and CPD providers should encourage
the implementations of professional ethics
Why CPD ??
• Changing disease pattern (emerging & reemerging)
• Increase of NCD.
• Rapid organizational changes,
• Information technology ,
• Increasing public expectations,
• Demand for quality and greater accountability.
• Need for CPD to maintain professional competence in an
env’t of numerous challenges,
CPD activities Category I
• Face to face training – at accredited CPD center

• E-learning- /online/offline learning

 •Attending scientific conference
•Guest/ occasional lecturer at an accredited institution
•Attending/delivering workshop
CPD activities… •Moderating panel discussion
Category II •Brief communication (Knowledge Sharing)
•Structured Health Education session
•Educational visit and Case report
•Case mgt sessions/Grand round

Tolera G. FMoH CPD team

 CPD governs all health professionals practicing in
Scope of CPD
Ethiopia, accreditors and CPD providers

Tolera G. FMoH CPD team

Standards of CPD
 • CPD denotes to the period of education & training of HCWs
commencing after completion of basic or post graduate

1. Features health professional training.

of CPD • Should occur when there is a clear need/gap,
•There is follow up to reinforce the learning is accomplished.
 
 •Tailored to fill gaps in knowledge, skills & attitudes
• Need to be diversified depending on each category of
health professionals nature of practice
1 Features of
• Include theoretical knowledge & skills in the area of
CPD …..
professionals’ practice, team building & leadership,
communication, professional ethics, teaching, research &
administration.
 
 •Integral Part of HCWs Practice (in budgets, resource allocations,
and time planning ) 
• Allocated and protected time
2. Guiding • Conducive env’t: Physical facilities, skills training equipment &
Principles
work schedule evaluation & regularly updated for their
appropriateness.
• Documentation & feedback systems : Documentation of CPD
activities must be used as learning tool, providing feedback on
relevance & quality for the planning of CPD
 • Linked with Re-licensure- CPD courses need to required CEU &
linked with HCWs’ license renewal
Recognition- There should be a system to recognize CPD
2. Guiding providers & the individual CPD activities.
• Quality- CPD Provider activities must meet agreed training
Principles
…. quality requirements.
• Need-based- CPD needs to be relevant to the day to day practice
of HCWs & need for the health care system
• Equity and Accessibility- Reach to all HCWs
 - Self-paced learning
3. CPD Modalities - Live programs (face to face at accredited CPD

provider) : on site or off site

- Blended sessions (both self-paced & face to face)
 2 approaches for CPD need assessment:
A. Top-down approach; FMOH, RHB, & PAs recommend
relevant CPD activities (new scientific dev’t, revised
4. CPD Need guidelines & changes in health services delivery).
Assess’t
B. Bottom-up approach: HCWS & employing organization
identify their learning needs based on their performance
appraisal & ability of accomplishment.
 • CPD process, accreditors, providers & courses need M & E

• Planned & targeted feedback must be systematically sought,

analyzed & acted upon
• CPD course evaluation process need subject matter,
5. CPD
M&E curriculum, instructional designer & program expert.
• Addresses learning process context (include the org. &
resources, learning env’t), structure & specific components of
CPD outcome & etc)
Accreditation & Credit Allocation Requirements
  Potential accreditors fulfilling the criteria set by the
directive may apply to the Ministry to function as an
Accreditation
accreditor.
of accreditors
 The Ministry should notify the decision to the
accreditor within 2 months of application.
  Potential provider fulfilling the criteria set by the CPD

Accreditation directive and in this guideline may apply to the

of CPD accreditor to function as a CPD provider.
Provider
 The accreditor should notify the decision to the CPD
provider within 2 months of application
  The accredited CPD provider shall apply to the
accreditor at least 3 months before the anticipated
date of provision of the course
Accreditation
of CPD courses  The accreditor may approve the course and its CEU
designated by the provider, recommend correction or
deny accreditation with in a maximum of 2 months up
on application.
 Categories and activities CEUs
Category I
Face to face training
Allocation of Trainer 2 CEUs per 1hr
CEUs Trainee 1 CEU per 1 hr
E-learning (enduring materials) 1 CEU per 1hr engagement
Ethics 5 CEUs per each ethics
trainings
 Categories and activities CEUs
Category II
Research (publication, a research article in peer review, journal)

May earn from 0.25 to 10 CEUs

and writing a book on health and health related areas
Training modules including e-learning courses developed by
Technical Working Group(TWG)
Allocation of Scientific Conference
CEUs…
Guest/ occasional lecturer at an accredited institution
Workshops
Moderating panel discussion
Case report, etc
Think pair share activity
(10 minutes)
1. What requirements do CPD Accreditors/CPD Providers fulfill?
  Office with access to the internet, computer with
database, e-mail and fax facilities and dedicated
administrative support
Accreditors must
fulfill:  Accreditation director, administration
assistant/secretary and designated members of the
panel of experts (at least 5 either part time or full time),
etc.
  CPD director/coordinator, training officer, IT officer
and administration assistant/secretary.
 Office with an Internet connection, national software
CPD providers database for training information and tel. service.
must fulfill:  Standardized training hall and syndicate room to
provide the CPD training for face to face training
modality.
 Computer, printer, LCD, and photocopy machine.
 •Accreditors will be:
• Universities with health science education
• Professional association
Potential CPD
•CPD provides will be:
accreditors &
provider •Universities with health science education
•Professional association
• Hospitals/government and private)
• Health science colleges/gov’t & private
• Consultancy firms
 •License renewal period changed from 5 years to 3 years
• CPD Accreditor appointment by FMOH
• CPD provider and CPD course accreditation done by CPD
Changes accreditors
made
• Accreditors’ license shall be valid for three years (1 year currently
for close monitoring).
• CPD providers license is valid only for one year
• CEU designation for seven types of professions
 Notify timely the list of available accreditors and accredited CPD providers;

Perform M & E overall CPD implementation in the country;

What is
expected from Support RHB/RRBs to build their capacity;

MOH
Review the appropriateness of CEU allocated for courses by accreditors;

Facilitate the conduct of professional dev’t activities need assessment;

Maintain an up-to-date website with forms, related documents and list of

accredited providers & courses;
 • Establish regional CPD case team and committee
• Coordinate the undertaking of CPD course need assessment in
What is
expected the respective region.
from • Advocate and facilitate continuing dev’t of all HCWs.
RHB/Reg.
Body • Mobilize resources for CPD activities
• Report the complaints raised against CPD accreditors and service
providers to the MOH.
• Develop &/or Adopt, maintain CPD database
 • Have program mission statement

What is •Prepare & apply required documentation & fees to the

expected accreditor when requesting accreditation
from
CPD • Submit each CPD course to an accreditor for review and
Providers accreditation 3 months before presenting the CPD activity.
• Assign qualified panel of experts composed of content
expertise, program experts & IDS trained personel.
 • Check before the course dev’t, the existance of approved
What is relevant CPD document.
expected
from CPD • Meet agreed training quality in course design & delivery
Providers… • Document & avail M & E results & participant evaluation
report of every CPD activity.
 • Keep record (entire event completion of the activity &
retain for 5 years).
What is
• Report CPD activities annually to the MOH & the
expected from
CPD Providers accreditor
…
• Amend & apply for approval with changing
circumstances if necessary
 • Apply & get accredited for CPD provider status to provide
training & re apply annually for renewal.
What is • Perform training need assessment
expected •
Develop CPD course materials and get approved
from CPD
providers… • Involve in awareness & advocacy of CPD program to
stakeholders (health professionals)
• Enroll and engage health professionals in CPD activities
• Avail certificate of competence in visible place
 1. Every health professional need to:

a. Judge the educational value of the activity or course & its

What is appropriateness for the learning needs;
expected
b. Complete the specified CEU of activities in each year;
from
HCWs ? c. Ensure possession of a certificate for every activities attended
and keep for 3 yrs;
2. Health prof. registered >1 profession shall be required to
obtain the recommended CEU for each profession.
 3. If a CPD activity is relevant for both prof., (Crosscutting

subjects), the CEU given considered for both professions.

What is 4. Create means to participate in CPD activities in collaboration
expected
with other stakeholders
from
HCWs… 5. Identify their learning need and submit to the relevant body.
6. HCWS may appeal process of CPD course delivery & quality
of training to the MOH and respective RHB.
 30 CEU at 2015 =
90 CEU
What is expected from
HCWs ….. 30 CEU at 2014 =
60 CEU
30 CEU at 2013 =
30 CEU
 • Integrate the CPD program in the annual performance appraisal
of HCWS;

What is • Include the CPD offering schedule for their staffs, and report #
expected of staffs who took CPD courses annually.
from • Notify on time information on CPD issues from the Ministry/
Employer?
RHB and provider to its staffs.
• Undertake CPD need assessment for their HCWS & support the
professionals accordingly.
• Avail time for their employees to participate in CPD
 • Provide technical & financial support to FMOH/RHB/RRBs to
help CPD system function

What is • Provide technical and financial support to PA to be able to

expected from actively participate in CPD.
Dev’t Partners
• Provide technical and financial support to Accreditors & CPD
providers.
 • CEU for a CPD course obtained only if the course received is

accredited by Accreditor.
• For CPD courses or activities received from abroad (online or
When to
Recognize CEU face to face), credit points considered based on CPD guideline.
for
re-licensure? • Any CEU from CPD courses provided online or face to face
outside Ethiopia should get approval from the Ministry.
• CEU only be claimed if the activity or the course is relevant to
the applicant's practice.
 • PAs may come up with their recommendations on credit

point’s requirements for their respective profession.

• The max. credit point that can be earned from a single CPD
When to
Recognize CEU course not exceed 15 CEUs.
for re licensure… • HCWs in all health science fields are required to earn the

CEU as per the guideline, of which 15 CEU should be for

Ethics & professionalism within the licensure period.
 • CEU should be earned from a particular course only once

within a licensure period.

• CEU collected during one budget year cannot be transferred to
Recognizing
another year.
CEU for re-
• A trainer not awarded CEU more once for delivering the same
licensure…
course within the licensure period.
• HCWs attending long-term training leading to change in career
may not be obliged to fulfill the CEU requirement for that year.
• A maximum of 6 hrs considered for a day CPD learning activity
 • Geographic coverage by CPD Providers to access all health
professionals
• HRIS
Anticipated • Linking HCWS registration data base with CPD program
Challenges
•Fulfilling the annual CPD credit requirement
•Protected time and opportunities to participate in CPD
activities
•Cost needed for the courses & related costs
•Grace period: CPD full implementation
 • The overall system of CPD shall be monitored w/c includes:
• CPD Process: CPD courses accreditation, CPD providers
accreditation, licensing & relicensing of HWs based on CPD CEU
What to • CPD Providers: Compliance of providers with preset standards
monitor • CPD Courses: CPD training needs & level of participation of HWs
in CPD
in CPD, trainers, topics, instructional methods, quality &
availability of training resources & appropriateness of the
learning env’t should be monitored & evaluated
 •# of institutions serving as an accreditor.
•# of accredited CPD providers
•# of accredited CPD courses delivered.
•CPD electronic data base in place
Major •Proportion of registered health workers fulfilling the CEU per
indicators year.
• Proportion of CPD providers in compliance with the set
in CPD
standards
M&E • Percentage of CPD financing contributed by
participants/learners in each CPD provider & in the country as
a whole
 • Every CPD provider has to monitor its activity on a daily basis
and evaluate its CPD activities every six month.
• The results of monitoring and evaluation shall be
When to documented.
conduct • FMOH/RHB shall monitor the CPD accreditation process
M&E in every year.
CPD ? • It shall evaluate the CPD program in the country two years
after the establishment of the system and later every four
years.
 • Analysis of records and reports
• Undertaking review meetings with relevant stakeholders
How to • In-depth interview or focus group discussion
conduct • Survey and comparative study
M&E in
• Random assessment
CPD ?
• Supervisory visits
• Observation
 • Series of ongoing advocacy/awareness creation program
• System strengthening (strong M&E activity)

• Continuous CPD need assessment

Ways • Align with RRB/Zonal Regulatory bodies for license renewal.
Forward • Adopt/Maintain CPD database and/or IRHIS.
• Mobilize resource for CPD advocacy and CPD activities.
• Approve training before providing/Cascading it.
 • National CPD directive and guideline
Reference
Thank you for your attention !!