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Related Concept Videos

Methods of Documentation V: CBE01:23

Methods of Documentation V: CBE

892
Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
892
Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

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Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
813

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Updated: Jun 20, 2025

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Bridging Gaps: A Quality Improvement Project for the Continuing Medical Education on Stick (CMES) Program.

Jessica Pelletier1, Yan Li2, Emily Cloessner1

  • 1Emergency Medicine, Washington University School of Medicine, St. Louis, USA.

Cureus
|July 22, 2024
PubMed
Summary

The Continuing Medical Education on Stick (CMES) program improved its database by adding content on tropical diseases and practical skills. This enhances medical education resources for low- and middle-income countries (LMICs).

Keywords:
continuing medical education/graduate medical education/undergraduate medical educationcontinuous medical educationemergency medicine barriersinformation and communication technologylow- and middle-income country (lmic)low-income resource-limited countrieslow-resource settingmedical education curriculummedical education technologiesopen-access medical education

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Area of Science:

  • Medical Education
  • Global Health
  • Information Technology in Healthcare

Background:

  • The Continuing Medical Education on Stick (CMES) program provides CME resources via USB drives and computers for low- and middle-income countries (LMICs).
  • User feedback indicated a need for more content on tropical infectious diseases and less Western-centric material.
  • Existing content may not fully align with the diverse educational needs in LMIC settings.

Purpose of the Study:

  • To identify and address gaps in the CMES database to better meet user educational needs.
  • To improve the relevance and comprehensiveness of CME resources for healthcare workers in LMICs.
  • To enhance the quality improvement of the CMES program.

Main Methods:

  • A quality improvement project compared the CMES content (2019-2024) with the American Board of Emergency Medicine (ABEM) Exam content outline.
  • An anonymous survey was conducted among 47 global CMES users to gather feedback on unmet educational needs.
  • Curriculum mapping and user feedback were used to identify content deficiencies.

Main Results:

  • Gaps were identified in procedures, traumatic disorders, and geriatrics compared to the ABEM outline.
  • Users requested more content on practical skills like ECG interpretation and tropical disease management.
  • New content on sickle cell disease, dermatology for darker skin, and a tropical infectious disease podcast (ID4U) were added.

Conclusions:

  • The project successfully identified critical gaps in emergency medicine content relevant to LMICs.
  • Targeted enhancements were made to the CMES library based on user feedback and identified needs.
  • Future updates will prioritize local relevance, prehospital care, diagnostic imaging, and toxicology content for global users.