Shame on us. For all our collective adult-learning expertise, too many CME leaders have proposed improvements to the enterprise while ignoring principle No. 1: self-directed learning. In short, physicians often don't have a seat at the CME table. Articles attack funding, so-called “consensus” conferences limit participation to a subset of CME providers, and foundations fund government advisory board discussions about CME conflicts of interest. All this talk, but very ...

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