Continuing medical education (CME) is a multibillion-dollar industry. In 2006, the CME providers accredited by the Accreditation Council for Continuing Medical Education (ACCME) had a total income of $2.38 billion.1 In 1998, the income was $889 million, and most had come from the registration fees of participants or sponsoring organizations. Since 2003, however, most of the income for CME providers has come from industry.2
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