1. Regulation across states and national CPD providers,

  2. Financing of CPD for the purpose of improving professional performance and patient outcomes, and

  3. Development and strengthening of a scientific basis for the practice of CPD.

The institute, which the IOM committee has called the Continuing Professional Development Institute (CPDI), should be designed as a neutral body that promotes and catalyzes collaboration. With the benefit of stakeholder input, dedicated resources, and sufficient time in which to plan and develop a CPDI, a planning committee should be commissioned as soon as determined by the Secretary.

CONCLUSION

Continuing education is deeply embedded in both the public and private sectors. Of the alternatives the committee considered, only the hybrid public-private structure recognized the tensions and relationships that exist among stakeholders. The committee has no illusion that the CPDI is a perfect option or that generating the continuing financial commitment from the government or private sector stakeholders will be an easy task. But the committee believes that mounting a carefully planned, strong effort to improve continuing professional development across health professions is worth the effort and will result in better and safer care for patients.



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