To the Editor Dr Nissen1 critiqued the structural problems in the existing US system of CME. In addition, there are other fundamental problems in the CME system that jeopardize its ability to improve physician practice behavior and patient outcomes.
Continuing medical education has changed little during the past 40 years. Most CME remains in the passive-didactic lecture format, and its content is primarily focused on only 2 of the 6 competencies (medical knowledge and patient care) that the ACGME has considered fundamental for undergraduate and graduate medical education since 1999.
Kleinsinger F. Changing Continuing Medical Education. JAMA. 2015;314(10):1073-1074. doi:10.1001/jama.2015.10220