To the Editor.
—The Ad Hoc Committee on Review and Evaluation for the Accreditation Council for Continuing Medical Education (ACCME) is charged with conducting an in-depth examination of the ACCME accreditation system, making recommendations concerning how ACCME can be structured to function efficiently and effectively, and ensuring physicians and the public that accredited CME activities meet acceptable educational standards.Even though the committee (of which I am a member) is making progress, it is clear that an improved accreditation system will continue to focus on educational activities defined by the Physician's Recognition Award (PRA) Category 1, and sponsored only by accredited educational programs. Although 1 requirement of ACCME is considering the needs of attending physicians, activities are still developed by the educational programs. For such programs to stay fiscally solvent, activities must be designed for large numbers of physicians at a time. Nearly all CME activities qualifying for Category 1