Virtual Journal Club Archive

Celebration of the Decades - 2000s

Moore’s Framework for Evaluation of CME/CPD Outcomes and it’s Evolution 

November 17, 2025
12:00 PM - 1:00 PM ET

Session Overview

Join us for this series sessions as we continue to remember seminal publications in continuing medical education (CME) and continuing professional development (CPD) over the past 50 years. We will have a rare opportunity to revisit important literature and hold conversations with scholars who have made major contributions to our field.

The Outcomes Framework developed by Moore, Green, and Gallis 20091, often presented as a hierarchy or pyramid, provides a systematic way to plan CME/CPD activities and assess the impact of those CME/CPD activities on clinician knowledge, skills, and attitudes; clinician performance; patient health status; and/or population health. The 2009 paper expands on the framework described in Moore 20032 and adds elements of instructional design described in Moore 2008.3

The central message of the framework is that CME/CPD planners should use a "backward planning" approach to instructional design that starts with identifying a desired change in patient outcomes or physician performance and continuing to work backward to design an educational intervention more likely to achieve those outcomes. Interventions that are more likely to produce desired outcomes include opportunities for learners to (1) deliberately practice the capabilities they will need to achieve the desired outcomes and (2) receive expert feedback to monitor the development of those capabilities.

In this session, using a Q&A format, Don will share his story of how the “Moore’s Outcomes Framework” came to be and how his thinking evolved. You will have the opportunity to ask the questions you may have always wanted to ask him.

As always, we welcome your thoughts and perspectives and hope to see you engaged in our VJC.

This event is eligible for SACME’s Certificate of Recognition Program in CPD/CE Scholarship.

Presenter

Don Moore, PhD

Professor of Medical Education and Administration, Emeritus
Vanderbilt University School of Medicine 

Host and Facilitator

Mila Kostic, CHCP, FACEHP

Celebration of the Decades - 1990s

Does CME Work?

Monday, September 29, 2025

12:00 PM - 1:00 PM EDT

Join us for this important session as we continue remembering seminal publications in continuing medical education (CME) and continuing professional development (CPD) over the past 50 years. We will have a rare opportunity to revisit important literature and hold conversations with scholars who have made major contributions to our field.

Session Overview

In this session, we will explore several studies led by Dr. Dave Davis that take a rigorous approach to examining the effectiveness of CME and addressing the central question: Does CME work?

In the 90s, inspired by the rise of evidence-based medicine and the emphasis on rigorous outcome measurement, colleagues at McMaster University and elsewhere began conducting systematic reviews of randomized controlled trials of educational interventions, some of them ‘classical’ CME, others on more innovative formats. Their results were published in JAMA, with at least one study remaining among the most highly cited in the journal’s history.

In a Q&A discussion, Dr. Davis will address the following questions, in addition to those raised by participants:

• What was the culture at McMaster University that encouraged him to raise, and pursue, these questions?
• What were the key messages of these systematic reviews?
• Beyond the findings, what did he learn about CME/CPD, about study teams, about the role of the SACME, and about himself?
• What does he see as the next steps in CME/CPD research?

As always, we welcome your thoughts and perspectives and hope to see you engaged in our VJC.

Speaker

Dave Davis, MD, CCFP, FCFP, FRCP(hon), FSACME

Professor Emeritus, Family & Community Medicine, University of Toronto, Canada

Adjunct Professor of Medical Education, Mohammed Bin Rashid 
University of Medicine and Health Sciences, Dubai, UAE
Senior Global Advisor, AXDEV, Montreal, Quebec

Host and Facilitator

Mila Kostic, CHCP, FACEHP

Celebration of the Decades - 1980s

            How Physicians Learn and Change

Monday, July 21, 2025
12:00 PM - 1:00 PM EDT

Session Overview

Join us for this important session as we continue remembering seminal publications in continuing medical education (CME) and continuing professional development (CPD) over the past 50 years. We will have a rare opportunity to revisit important literature and hold conversations with scholars who have made major contributions to our field.

In this session, we will focus on a groundbreaking study for our field, as well as for SACME, conducted and published in the 1980s, often simply referred to as “The Change Study.” We are fortunate to host Dr. Robert Fox, one of the primary authors of the study and the book publication, who will describe how and why the society decided to support and participate in a very large study of change and learning, and lead us in the discussion about the strengths and weaknesses of the change study. We will review and appreciate the role that theory had in the study of the continuing professional development of physicians and in the generation of evidence-based educational practice.

During this facilitated and interactive session, we will have an opportunity to directly engage Dr. Fox and each other around questions related to the study of changing and learning in the lives of physicians, its origins, and its implications. The overall goal is to place this large and complex Society project into the fabric of the times, a decade of transformation for continuing professional development.

A copy of several critical chapters of the book and the reference papers will be provided to all registrants.

As always, we welcome your thoughts and perspectives and hope to see you engaged in our VJC.

Presenter

Robert Fox, Ed.D.
Professor Emeritus
University of Oklahoma

Host and Facilitator

Mila Kostic, CHCP, FACEHP

Celebration of the Decades - 1970s 

Searching for the Seminal: The Early Days of CME Scholarship

Monday, May 5, 2025
12:00 PM - 1:00 PM EDT

Session Overview

Join us for this important session, the first in a new series focused on the seminal publications in continuing medical education (CME) and continuing professional development (CPD) over the last 50 years, as part of the celebration of the 50 years of SACME.  We will have an opportunity to revisit important literature and hold conversations with scholars who have made major contributions to our field.

We are delighted to host Dr. Don Moore who will lead this first session focusing on publications from the 1970s that contributed to the scholarship of the emerging profession of CME. Seminal publications are usually measured by the number of citations they receive in addition to other criteria.  Dr. Moore will describe the criteria and identify publications from the 1970s that meet those criteria.  Publications include journal articles, books and book chapters primarily, as well as occasional government and professional organization reports. To show how a seminal article impacts a field, he will analyze Brown and Uhl’s “Mandatory Continuing Education: Sense or Nonsense?” from 1972. 

A copy of the article will be provided to all registrants.

As always, we welcome your thoughts and perspectives and hope to see you engaged in our VJC.

Presenter

Don Moore, PhD

Professor of Medical Education and Administration, Emeritus
Vanderbilt University School of Medicine 

Host and Facilitator

Mila Kostic, CHCP, FACEHP

Assessment in Continuing Professional Development
as a Person-Focused Activity

 Monday, March 3, 2025
12:00 PM - 1:00 PM EST