November 17, 1978

Dangerous to Your Health-Reply

Author Affiliations

Ann Arbor, Mch

JAMA. 1978;240(21):2248. doi:10.1001/jama.1978.03290210030013

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In Reply.—  The law mandating participation in CME as a prerequisite for relicensure was not primarily instituted to end the well-established policy of lifelong relicensure but as an attempt to ensure competent physicians and thus stem the malpractice crisis. Malpractice insurance was becoming increasingly difficult to obtain, and the Michigan legislature was being asked to intervene by developing an insurance program for physicians. As one part of the program, mandatory CME was implemented in the hope that it would improve the practice of physicians and reduce malpractice claims.Physicians knew of the existence of the proposed law but were not able to influence it appreciably because of their weak bargaining position. In addition, the considerable educational expertise available in the state was not used in the development of this legislation, and serious problems in implementation occurred.Whether the 39% of physicians who increased their participation in CME is a large