To the Editor.
—The comprehensive and timely article by Drs Manning and Petit1 is a welcome explication of continuing medical education (CME) practices, problems, and potential. As a colleague in the field and recent chairman of the Accreditation Council for CME, I applaud their analysis of the evolution of CME and the delineation of methods and policies, some of which continue to inhibit fulfillment of CME potential as an effective force in quality patient care.Three aspects warrant comment. First, accreditation of CME sponsors by the Accreditation Council and by state medical societies, coupled with monitoring of the process by the Council's Committee on Review and Recognition, provides a rational foundation for reasonably uniform standards of CME organization and administration. The Essentials and Guidelines give CME sponsors a systematic process by which to achieve educational integrity for CME offerings. Such accreditation is a necessary "first step."Second, mandatory CME,