What is in this article?:
- ACCME Annual Report: Income Up, Commercial Support Drops for Fifth Year
- Size of the Enterprise
- Docs and Other HCPs
The Accreditation Council for Continuing Medical Education’s 2012 Annual Report provides a detailed look at the current state of accredited CME in the United States, from income and expenses to number of physician and non-physician participants, to the formats used to facilitate the education.
Size of the Enterprise
There were 2,000- and state-accredited providers in 2012, down 3.8 percent from 2,079 in 2011. Of these, 681 were ACCME-accredited, a number that has been dropping since 2007 when they numbered 736. The number of state-accredited providers also has been declining, with there being 365 fewer reporting now than there were six years ago. Altogether, this represents a 17 percent drop in accredited providers since 2006.
ACCME-accredited providers held 69 percent of the more than 133,000 directly and jointly sponsored activities reported for ACCME- and state-accredited providers in 2012, while 31 percent were from state-accredited organizations. The number of activities held is up a smidgen of a percent from the 2011 total. Hospitals and healthcare systems accredited by both types of organizations provided about 35 percent of the total activities. Medical schools were next with 20 percent, followed by nonprofit physician membership organizations (18 percent); publishing/education companies (16.5 percent); other nonprofits (3 percent); government/military (3 percent); insurance/managed care companies (2 percent); and “other” (1.8 percent). The “other” category consists of ACCME- and state-accredited organizations that in previous years fell under the “not classified” category. ACCME reclassified 38 of its “not classified” providers into appropriate categories according to their business model; state-accredited providers just were shifted from “not classified” to “other.”
Data from just ACCME-accredited providers told a slightly different tale, with medical schools producing almost 28 percent of the activities, followed by publishing/education companies at almost 23 percent. Next were nonprofit physician membership organizations, which at 17 percent just barely edged out hospitals/healthcare systems as the next largest activity producers.
The total CME enterprise provided 988,208 hours of instruction, up 3.72 percent from 2011. The total hours have been sliding since 2009, when the number dropped to under 1 million. Hospitals/healthcare systems also led the field in hours of instruction provided, followed by medical schools, when state- and ACCME-accredited providers information was combined. Some of the fluctuation in the hours of instruction reported over the years is due to changes in how some activities must be reported, according to the ACCME. Taking just ACCME-accredited provider data, medical schools take the lead, providing almost half of the hours of instruction, followed by nonprofit physician membership organizations at 17 percent.