To the Editor: I understand that Drs Nelson and Perrone1 were expressing an opinion in their Viewpoint about the opioid risk evaluation and mitigation strategy (REMS) when they characterized continuing medical education (CME) providers as “ostensibly independent.” However, I believe that opinions should be based on the best available information.
Accredited CME providers are required to meet rigorous standards designed to ensure actual—not ostensible—independence. Providers must comply with the Accreditation Council for Continuing Medical Education (ACCME) Standards for Commercial Support2 when offering any accredited activities, including those related to the REMS for long-acting and extended-release opioid analgesics.
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