CERP Provider Newsletter—2018 Edition One
Message from the Chair—CE’s Role in Combatting the Opioid Epidemic
In 2016 a record number of Americans died of opioid-related overdoses. According to the Centers for Disease Control and Prevention (CDC), a significant percentage of those deaths involved a prescription pain reliever. The April 2018 issue of the Journal of the American Dental Association reports that dentists wrote 6.4% of all opioid prescriptions in the United States in 2012, with a slight increase in prescriptions between 2010-2015. The ADA has joined a growing number of organizations and government agencies making concerted efforts to help reduce the misuse and abuse of prescription opioids. Educating health care providers in appropriate prescribing practices is a focus of many of these initiatives.
Towards that goal, the ADA has announced a new policy that states, in part, the ADA’s support for the following:
1. Mandatory continuing education on prescribing opioids and other controlled substances.
2. Prescribing limits on opioid dosage and duration of no more than seven days for the treatment of acute pain, consistent with the Centers for Disease Control and Prevention's evidence-based Guideline for Prescribing Opioids for Chronic Pain: Recommendations.
A growing number of states are also introducing requirements for mandatory education on opioids and preventing substance abuse.
Continuing dental education providers fill a vital role in addressing the need for expanded education in this area. By developing evidence based CE activities promoting accepted guidelines such as the CDC’s 2016 Guideline for Prescribing Opioids for Chronic Pain, CERP recognized providers can help dentists gain a deeper understanding of the risks, benefits and suitable prescribing of these drugs. Information and resources on ADA initiatives to help combat opioid abuse are available at ADA.org/opioids.
Providers developing CE activities on opioids may also wish to review the FDA Opioid Analgesia REMS CE blueprint or consider applying for a REMS activity grant. More information is available on the FDA website.
Joseph P. Fiorellini, D.M.D., 2017-2018 Chair
CERP Workshop Planned for ADA 2018 Annual Meeting in Hawaii
The Commission will present an informational session for CE providers during the ADA Annual Meeting in Honolulu. The interactive session will review CERP Standards and will help providers identify ways to demonstrate compliance with those Standards.The workshop on ADA CERP Recognition is scheduled for Sunday, October 21. Register for ADA 2018, session #8100, at ADA.org/meeting.
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CERP Q&A: Can CE Credits Be Offered for Marketing and Promotional Activities?
For healthcare practitioners, an essential value of continuing education from a recognized or approved CE provider is the assurance that the provider has taken steps to ensure that the information and instruction presented is based on the best available evidence, and is objective and unbiased. Such CE can help them deliver the best care for their patients. The CERP Recognition Standards outline the steps CE providers are expected to take to ensure that the CE activities they offer are based on accepted science and developed and administered independent of commercial influence that could bias content and compromise objectivity. A review of CERP Standard V will show that the answer to the question posed above is no, CE credits must not be offered for activities that are promotional in nature.
CERP Standard V.2 states that CE activities must not promote proprietary products or services that are used on patients. Standard V.3 states that “product-promotion material or product-specific advertisement of any type is prohibited in or during” CE activities, and that “live promotional activities (staffed exhibits, presentations)” or other promotional activities must be kept separate from CE activities.
For those CE providers that offer opportunities for companies to advertise or promote their products in conjunction with a conference or other CE activity, Standard V.3 outlines criteria for physically separating advertising and promotion activities from those activities qualified as formal continuing education. For example, advertisements or marketing materials may not be distributed in CE courses, or included within materials containing CE content. Video-based CE activities may not include commercial breaks; print-based CE may not have ads interspersed within the CE content, or on the same page as the course content. However, ads may be placed in program schedules, guides with course descriptions, and other publications that do not contain educational materials. Similarly, providers may designate areas where companies can exhibit and promote their products, but these must be separated from CE presentations.
Finally, Standard V.4 explicitly states that “promotional activities must not be designated for CE credit.” Providers that do offer activities designed to promote proprietary products or services used on patients must disclose the promotional nature of the activity, presentation, exhibit or advertisement, and must not offer CE credits for these activities.
Providers are encouraged to review Standard V and evaluate their current policies and procedures for ensuring that CE activities are independent of commercial influence and separate from activities designed to promote goods or services. CCEPR staff are available to answer questions on the CERP Standards.
Comprehensive Revision of the CERP Standards
The comprehensive review and revision of the CERP Recognition Standards is continuing. In October 2017, the Commission released for comment a proposed outline for the revised CERP Standards, and drafts of three Standards. In revising the Standards, the Commission’s goal is to emphasize the principles and practices that contribute to continuing dental education that improves professional effectiveness. The working outline for the revised Standards consolidates current criteria into six Standards focusing on criteria relevant to a provider’s ability to deliver effective CE. The Commission plans to release drafts of the remaining three Standards for comment in October. An open hearing on the revised Standards will also be held on October 19, 2018, during the ADA Annual Meeting in Honolulu. Announcements regarding the Standards, calls for comments, and the open hearing will be emailed to CERP recognized providers and posted on the Commission’s website.
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Provider Annual Reports and Fees Due July 1
Links to the CERP provider annual survey were emailed to all CERP recognized providers in May. Providers are requested to complete the short online survey by July 1. Invoices for the 2018 annual provider fee were also mailed in May. Payment is due upon receipt. If your organization did not receive the survey link or annual fee invoice, please contact CCEPR staff.
ADA CERP Recognition Actions—April 2018
At its meeting April 12-13, the Commission considered 18 new applications for ADA CERP recognition, 70 applications for continued recognition, 12 progress reports and two reports of substantive change. Including the Commission’s April 2018 actions on recognition, 467 CE providers are currently ADA CERP recognized. The official list of CERP recognized providers and the report of major actions from the meeting are posted on ADA.org/CCEPR.
List Your Courses on ADA.org/cerpcourselistings
CERP recognized providers are encouraged to post information about their courses on the CCEPR web site. Dental professionals anywhere in the world can access the CERP Course Listing and search for courses by date, location, provider, or category. The course listing is advertised periodically in ADA publications. For information on how to login and post course information, contact CCEPR staff.
CERP Application Deadlines
Providers with recognition terms ending December 2018 must submit applications for continued recognition by June 29, 2018. Application forms and instructions for this cohort of providers were emailed in December. Please contact Commission staff immediately if your recognition ends in December 2018 and you have not received application materials.
Providers with recognition terms ending in June 2019 will receive application materials this June; applications are due January 11, 2019
To ensure timely receipt of re-application materials, please notify CCEPR staff of any personnel changes.
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Commission for Continuing Education Provider Recognition
Commission staff are available to assist you.