FM CME ASSESSORS BOARD (2024-2027)

CORE FM CME Defined

Under the new CME system, the Singapore Medical Council has come up with the concept of core CME for Family Physicians. Initially, the College has come up with a 5 operational criteria definition. These have been published in the Jan-Mar 2002 issue of the Singapore Family Physician and are reproduced below:

Core CME may be defined operationally as CME that fulfils all the following 5 requirements:

1. Have scientific and clinical content with a direct bearing on patient care.

2. Have a direct bearing on family physicians’ ability to deliver patient care including, but not limited to, laboratory investigations, practice management, and quality assurance

3. Demonstrate high educational, ethical and medical standards, with proven theory and techniques, and generally accepted by the medical community.

4. Have active input and/or participation by family physicians designated by the CFPS in the planning, organization and/or delivery of the programme.

5. Be organised, co-organised or endorsed by the CFPS to be core CME programmes.

For the purpose of the FM CME Advisor work, it was felt necessary to simplify things. Hence, a 5 operational criteria has been created. Core CME is defined here as a CME activity that fulfils the following criteria:

  • Is relevant to the work of the family physician in the context of primary, personal, comprehensive and continuing care
  • Is relevant to the knowledge and skills development of the family physician
  • Is endorsed or co-organised with the College.
  • Is essential to the work of the family physician in the care of their patient
  • Is important to the care of the patient

The following notes may help to clarify what is not Core CME for the Family Physician.

  • CME on new modes of treatment e.g. Complementary and alternative medicine (CAM) – this is regarded as good to know or nice to know but certainly not must know;
  • CME on specialised techniques not used in the family physican’s practice e.g. MRI techniques for imaging the cranial fossa or the spine – again this is good to know or nice to know but not must know.
  • CME that is set up by a commercial or entity with vested interest using the College’s endorsement or co-organisation for respectability. The speaker provided is biased, or the content is unduly tilted towards the organisation with vested interest. The pharmaceutical firm’s offers are potentially such CME. They require therefore closer scrutiny as well as written assurances and mutual agreement to downplay any vested interest.

NOTE TO CME COORDINATOR
We would like to bring your attention to the following when making submission of the forms for accreditation.

1. Please ensure that all sections of the form are duly completed. Incomplete submission will not be accredited as FM core CME event. You are advised to contact the CME Advisor in the planning phase of the event to discuss the contents of the event.

2. Please provide adequate information of the contents so that an accurate assessment of the event can be made. Inadequate description may result in rejection of the event as FM core CME event.

3. Completed form must be sent to College at least 4 weeks before the commencement of the event.

4. CME Advisor cannot be the coordinator or speaker of the event.

CME Advisor may request for a more detailed description of the contents if necessary.


THE FM MATRIX

The FM Matrix has been drawn up by the College to guide its vocational training programme. This matrix may therefore be of help for CME providers in ensuring a broad spread of topics that covers the syllabus over a cycle of CME of two or three years.

SMC CME System

ACTIVITY CATEGORY CRITERIA CREDIT POINTS AWARDED SUBMITTED BY
1A Pre-approved Established Programmes
·
Grand Ward Round
· Teaching / Tutorial Session
· Structured Training Programmes conducted by DGMS & CFPS (e.g. GDFM, MMed FM)
1 to < 2hours 1 CME Provider
Lecturer per session (regardless of duration) 2
1B Local Events
· Scientific Meeting
· Conference
· Seminar
· Lecture
· Workshop
1 to < 2 hours
2 to 4 hours
1 day
1½ days
2 days
2½ days
3 days or more
1
2
4
6
8
10
12
CME Provider
Speaker per session (regardless of duration) 2
1C Overseas Events
· Scientific Meeting
· Conference
· Seminar
· Lecture
· Workshop

(Categories 1A + 1B +1C = Maximum 50 pts over 2 years)

1 to < 2 hours
2 to 4 hours
1 day
1½ days
2 days
2½ days
3 days or more

Recognised Postgraduate Degree

1
2
4
6
8
10
12

Max. claim allowed will depend on length of degree course

Medical Practitioner
Speaker per session (regardless of duration) 2
2 Publication of original paper in Refereed Medical Journal/Editorial Work/Presentation of original paper or poster

(Category 2 = Maximum 40 pts over 2 years)

Authorship of original paper in Refereed Journal/Clinical Practice Guidelines/Medical Textbook

– Main author
– Subsidiary Author

5 per paper/practice guidelines/textbook chapter

1 per paper/practice guidelines/textbook chapter

Medical Practitioner
Editorial Work/Reviewer for Refereed Journal/Clinical Practice Guidelines/Medical Textbook

– Chief Editor
– Subsidiary Editor
-Reviewer

5 per journal/practice guidelines/textbook

1 per journal/practice guidelines/practice guidelines/textbook

1 per original paper/textbook

Presentation of original paper/poster(regardless of duration) 2 per paper/poster
3A Self Study

(Category 3A = Maximum 10 pts over 2 years)

– Reading of papers from a list of recommended Refereed Journals/Clinical Practice Guidelines
– Self-Study from audio-visual tapes
– Online education programmes without self-assessment or with self-assessment which cannot be verified
1 per paper/practice guidelines/tape/module Medical Practitioner
3B Distance Learning

(Category 3B = Maximum 36 pts over 2 years)

(Categories 3A + 3B = Maximum 46 pts over 2 years.

Distance Learning through interactive structured CME programme with verifiable self-assessment(i.e. Assessment records have to be submitted) 1 per module or as recommended by AM/CFPS CFPS and Specialists

List of Approved Journals form Core CME Accreditation (Self-study)

LOCAL JOURNALS

1. Singapore Family Physician
2. Singapore Medical Journal

OVERSEAS JOURNAL (NON-FM)

1. British Medical Journal
2. Annals of Internal Medicine
3. Journal of American Medical Association (JAMA)

OVERSEAS JOURNAL (FAMILY MEDICINE)

1. American Family Physician
2. Australian Family Physician
3. British Journal of General Practice
4. Canadian Family Physician

FM Matrix

Code Domain of FM
A Whole Person Medicine
A1 Child Health
A2 Adolescent Health
A3 Adult Health
A4 Elderly Health
A5 Travel Medicine
A6 Occupational Health
A7 Cancer/Palliative Care
Code Health & Disease Category
01 Cardiovascular
02 Respiratory
03 Gastrointestinal
04 Renal & Genitourinary
05 Haematological
06 Oncology
07 Psychiatry
08 Dermatology
09 STDs
10 Joints & Musculoskeletal
11 Neurology
12 Eye
13 ENT
14 Endocrine & Metabolic
15 Obstetrics & Gynaecology
16 Problems of Living
17 General
B Principles of FM
B1 Role of family physician
B2 Patient-centeredness
B3 Care coordination & referrals
B4 Continuing & Integrative Care
B5 Preventive Care
B6 Human Behaviour & Beliefs
B7 Family Dynamics in Health & Illness
B8 Public Health & Family Physician
B9 Community Services & Resources
C Practice of FM
C1 Medical Records
C2 Dispensing & Certification
C3 Clinic Management
C4 Medical Informatics
C5 Practice Issues
C6 Setting Up Practice
C7 Financial Management
C8 Quality Assurance/Improvement
D Professional Knowledge & Skills
D1 Communication skills
D2 Consultation skills
D3 Clinical approach
D4 Data interpretation skills
D5 Counselling skills
D6 Physical examination skills
D7 Procedural skills
D8 Therapeutics
D9 Emergencies
E Professionalism
E1 Professional Conduct & Ethics
E2 Continuing Professional Development
E3 Maintenance of Professional Standards
E4 Evidence based Medicine
E5 Teaching
E6 Research