Translation to Practice® (t2p®)
Translation to Practice (t2p) allows learners the opportunity to translate learned concepts from a CME activity into their practice and report back to the CME provider organization on the results of their implementation.
Available exclusively to all CME provider organizations for activities approved for Prescribed credit through the AAFP Credit System, the t2p supplement can be added as a complement to any live, enduring, medical journal or blended learning* activity approved for AAFP Prescribed credit. t2p is available in both the simple and advanced application pathways. It is not available for the ALSO/BLSO pathway applications.
Learners who choose to participate will be eligible to earn two additional Prescribed credits, per CME activity, upon full completion of the t2p process. There are three steps associated with participation in t2p:
Commitment to Change: After participating in any live, enduring, medical journal or blended learning* activity approved for AAFP Prescribed credit, a learner may choose to participate in t2p. If the learner chooses to do so, they must complete a commitment to change statement indicating what change they would like to implement.
Implement Change: The learner implements the learned change into practice.
Post-Activity Evaluation: The learner evaluates whether the implemented change resulted in improved patient care and assesses any barriers or challenges that were encountered.
*Point of Care or Performance Improvement components within a blended learning activity are not eligible for t2p.
Adding t2p to a CME credit application
CME provider organizations may apply for Translation to Practice by selecting it as a learner evaluation option on the Outcomes Methods question within the session details section of the AAFP Credit System’s online application.
For simple pathway applications, CME providers should select the number of topics within the activity to which t2p will be applied; each is worth an additional two credits. For advanced pathway applications, only one t2p topic should be added per applicable session since each session is entered individually.
Note: CME providers must manage the full three-step t2p process for each t2p topic and will be asked for supporting documentation demonstrating this in the event of an audit.
T2P Credit Statement
Once a CME activity is approved for credit, the CME provider organization will be responsible for the administration of the t2p process. Upon approval, CME provider organization will receive a t2p credit statement located in the credit determination letter that may be used for marketing purposes.
t2p must be added at the time of application submission, though if a CME provider organization wishes to add t2p later, they will incur the t2p fee as well as a re-review fee.
Informational materials are provided for reference and include t2p FAQs as well as sample templates for the three-step process. CME provider organizations are not required to use these templates, and retain the flexibility to make changes to them, or create their own templates that align with the three-step process. As with any other CME activity, learners can self-report the credit for participation in t2p once completed. CME provider organizations are responsible for gathering and retaining any data.
Sample t2p process
Upon completion of an activity approved for AAFP Prescribed credit, the learner is then offered the opportunity to participate in Translation to Practice and earn an additional two Prescribed credits. Learners who wish to participate must complete a commitment to change statement and submit it back to the CME provider organization indicating their intent to engage in the t2p activity.
The CME provider organization is encouraged to contact the t2p participants following the submission of the commitment to change statement at various intervals throughout the implementation. CME provider organizations should choose intervals/deadlines that meet their specific needs.
Once the designated timeframe for implementing the change is complete, learners will need to evaluate whether the implemented change resulted in improved patient care. Learners should fill out a post-activity response statement, assessing whether the implementation was successful. When the learner submits this form back to the CME provider organization, the learner may claim an additional two Prescribed credits for successful completion of t2p.
FAQ about Translation to Practice® (t2p®)
“t2p” stands for Translation to Practice and is a three-step process that complements CME activities approved for AAFP Prescribed credit. (Elective credit activities are not eligible). t2p offers learners the opportunity to apply what they learned in the CME activity, and document how learned concepts were translated into practice as part of a three-step process:
- Step 1: Commitment to Change
- Step 2: Implement Change
- Step 3: Post-Activity Response
The AAFP seeks to approve activities for CME credit that are designed to improve a physician’s ability to provide quality patient care. The result of quality education is better experienced when put into practice, and t2p creates an opportunity to purposefully apply learning following participation in a CME activity.
t2p is available for use by all CME provider organizations as a supplement to any live, enduring, medical journal or blended learning* activity approved for AAFP Prescribed credit. It is available in both simple and advanced application pathways.
*Translation to Practice is not eligible for Point of Care or Performance Improvement components within a blended learning activity.
Both members and nonmembers may participate in t2p, though credit for participation in t2p may only be reported to the AAFP by members. Nonmembers may report the credit to their respective organizations if a credit conversion agreement exists.
There is an additional fee associated with adding a t2p component to an activity submitted for AAFP Prescribed credit.
Each CME provider organization will be responsible for the administration of the t2p process. Resources are available for CME provider organizations to use as a reference.
The AAFP offers templates to assist with implementing the three-step t2p process. CME provider organizations are not required to use specific documentation and will retain the flexibility to modify the questions and content or create their own materials in the format of their choice. Implementation options may include paper, online platforms or the use of online survey tools. CME provider organizations should provide learners with the necessary information and resources they will need to begin the process and will be responsible for creating their own deadlines for participating and completing the t2p activity. Learners may begin the process as soon as the CME activity has concluded.
The CME provider organization should implement a process to review participants’ t2p work to ensure its completeness. As with all activities for which the AAFP awards credit, quality may be assessed during a random audit process, so CME provider organizations should retain all t2p data collected from learners for at least one year following the completion of the activity.
AAFP members who participate in t2p may self-report the additional credit via the online portal, or by calling the AAFP’s Member Resource Center at (800) 274-2237. Nonmembers who participate in t2p may not report the credit to the AAFP and should verify with their respective organizations to determine whether AAFP Prescribed credit is accepted.
The AAFP offers tools for CME provider organizations to use as resources when creating their own t2p processes. Other processes to measure outcomes are always encouraged but will not be eligible for AAFP Prescribed credit.
CME provider organizations are encouraged to inform learners if participating in t2p for an activity is an option and invite them to participate. The CME provider organization should designate a certain time frame that learners will have following the CME activity to complete steps one, two, and three. It is up to the CME provider organization to determine how much time learners have to complete each step. All three steps must be completed before a learner can claim the credit.
Learners will receive two Prescribed credits for the full completion of a t2p activity. t2p is awarded at the session level. Therefore, learners may engage in as many t2p activities as made available; however, it is up to the CME provider organization to determine the number of sessions it has the capacity to offer t2p for since each session with t2p must be tracked individually.
For example, a live meeting approved for AAFP credit is considered one CME activity. The CME provider organization determines, at the time of application for AAFP credit submission, how many and which sessions will have a t2p component. As a result, learners can participate in a t2p activity for each session with a t2p component within the CME activity.
There is no limit on how many t2p credits a learner can earn per re-election cycle.
CME provider organizations should select Translation to Practice as an answer option to the Outcome Methods question within the session details section of the credit application and enter the desired number of t2p topics. Learners may only participate in t2p activities that have been designated as having a t2p component by the CME provider organization and approved by the AAFP Credit System.
Note: For advanced pathway applications, only one t2p topic should be applied to each session entered.
No. CME provider organizations are not required to use the materials offered by the AAFP. These resources are designed to be used only as examples.
Yes. Translation to Practice and t2p are both registered trademarks of the American Academy of Family Physicians and must be designated as such in any written material. The registered trademark looks like this: Translation to Practice® and t2p®.
When the activity is approved, CME provider organizations will receive a t2p credit statement along with an approval statement in the official credit determination letter. Prior to receiving approval, CME provider organizations may use the pending credit statement to market the activity as a whole.