In the film The Bridges of Madison County, Clint Eastwood tells Meryl Streep that change is one of the things you can count on and in that way change is comforting. I've watched the movie several times and that line has always struck me — because he expresses an attitude that is the opposite of most people's. Take CME providers' response to the growing demand that they evaluate the effectiveness of their education, for example. During a conversation I had with Derek T. Dietze, MA, founder ...

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