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INDIAN PHYSICIANS CAN SAVE MORE THAN 35.1 MILLION WORKING HOURS PER YEAR

CMEPEDIA aims to

become the generic distributor of accredited online CME content in developing countries;

CMEPEDIA aims to provide access to accredited online CME free or at an affordable rate;

expose all medical professionals to knowledge of a similar standard regardless of their location;

reduce the loss of clinical time spent on CME.

Let us consider an example. Indian physicians need to obtain 30 CME credits every 5 years (6 credits every year). Physicians need to be physically present at a live event to gain these credits. The average travel time to attend a live event based on the weighted average of urban and rural travel time is 2.85 hours. The study time required to gain one CME credit is 4 hours, therefore the total time required for 1 credit is (2.85 + 4 = 6.85) hours. In order to expose each of the 1.0 million physicians in India to 1 credit hour of CME, there will be a loss of approximately 6.1 million clinical hours (Table 1).

Time required for all Indian doctors to earn 1 CME credit
Number of Indian physicians (as on 31 December 2016 as per Medical Council of India records) 10,12,428, i.e. approx. 1.0 million
Study time required to earn 1 credit through a live event 4 hours
Average travel time to CME venue 2.85 hours
Time required per doctor to earn 1 CME credit hour 6.85 hours
Time required for all registered doctors to earn 1 CME credit hour with live event [6.85 * 1.0 million] = 6.85 million hours

Table 1

Notes:

  • As per MCI guidelines, attendance of 4 hours at a conference entitles a doctor to 1 CME credit (MCI-Academics/2013/30661 dt 29 August 2013).

  • The travel time of 2.85 hours is arrived at by calculating the weighted average of travel time by rural and urban doctors, considering a minimum travel of 12 hours per day for rural doctors and 3 hours per day for urban doctors. Urban : rural distribution is taken as approximately 30 : 70.

  • This translates to each physician requiring 41.1 hours per year (Table 2) to earn his/her 6 annual credits through live events. In a workforce of around 1.0 million) physicians, this leads to a loss of over 41.1 million clinical hours per year (1.0 million x 41.1).

Solution

If CMEs in India could be conducted solely online, the yearly burden on physicians would be reduced to 6 hours per year, which would mean that 35.1 clinical hours would remain available for clinical practice (Table 2) every 5 years per physician.

Time saved per doctor by 100% adoption of online CME
Clinical time spent in earning CME credits through live events
Participant time or clinical time spent (hours) Study Time Travel Time Total Time
Per doctor to earn 1 CME credit hour 4 2.85 6.85
Per doctor per year (time required for 1 credit x 6) 24 17.1 41.10
Per doctor in 5 years (time required for 1 credit x 30) 120 85.5 205.50
Clinical time spent in earning CME credits through online events
Per doctor to earn 1 CME credit hour 1 0 1
Per doctor per year (time required for 1 credit x 6) 6 0 6
Per doctor in 5 years (time required for 1 credit x 30) 30 0 30

Table 2

(All values are in hours.)
Note :
  • Clinical time saved per doctor each year by 100% adoption of online CME = 35.10 hours (41.10 – 6).
  • If all medical doctors are taken into consideration, 35.1 x 1.0 = 35.1 million clinical hours each year will be freed up for India only.
  • CMEPEDIA is launched in India, but its model is replicable for other developing countries as well. Thus, its impact will increase over time.
References :
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