No one should be surprised by the report by Stross and DeKornfeld1 in this issue of The Journal that Michigan physicians demonstrated a remarkable level of compliance with a state regulation that mandates continuing medical eduction (CME) for reregistration of license. (Among 29 states with such a requirement, it is operational in 22.) Only five practitioners of 967 randomly audited to determine their compliance had less than the minimum number of 75 category I (category I definition of the Michigan Board of Medicine) hours per 3 years, and the average physician reported 175 hours of category I activities over 3 years. This is a "good news" type of story that the public too rarely hears about physicians in our country; no profession I am aware of takes its continuing education quite as seriously.
The authors' conclusion is not surprising. They state: "Because of problems with documentation, only category I—