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Dangerous to Your Health-Reply

Jeoffrey K. Stross, MD; William R. Harland, MD
JAMA. 1978;240(21):2248. doi:10.1001/jama.1978.03290210030013.
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In Reply.—  The law mandating participation in CME as a prerequisite for relicensure was not primarily instituted to end the well-established policy of lifelong relicensure but as an attempt to ensure competent physicians and thus stem the malpractice crisis. Malpractice insurance was becoming increasingly difficult to obtain, and the Michigan legislature was being asked to intervene by developing an insurance program for physicians. As one part of the program, mandatory CME was implemented in the hope that it would improve the practice of physicians and reduce malpractice claims.Physicians knew of the existence of the proposed law but were not able to influence it appreciably because of their weak bargaining position. In addition, the considerable educational expertise available in the state was not used in the development of this legislation, and serious problems in implementation occurred.Whether the 39% of physicians who increased their participation in CME is a large


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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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