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approved. An average of 1.11 CME credit hours (range 0-3) was awarded. Despite a brief PowerPoint display explaining the new criteria and procedures, failure to follow directions was again the primary reason for denial of CME credit. Lessons learned One downside to this CME approach is the labor involved in reviewing the critiques. Yet for one arbitrator, who soldiered through 370 handwritten reviews of widely varying but mostly poor penmanship quality, the experience was heartwarming and informative. A common positive theme among the responses, especially for politically charged and socially complex topics such as abortion, gender issues, sexual orientation, and drug abuse issues, was the implication that the physician, possessed of this historical background knowledge, felt more empowered, confident, and informed when talking with patients personally struggling in these areas. needs. The ACCME accreditation process is of, by, and for the profession of medicine (5). We will also be happy to hear from the US Senate regarding our progress. Acknowledgments The authors wish to acknowledge the support and advice of Arnold Berry, MD, Emory’s director of CME, and Ms. Melissa Boone, Emory University CME manager, who were willing to explore and support this novel CME adventure. 1. 2. 3. 4. DISCUSSION In our view, this CME experimental protocol with a premier national history of medicine conference, retested at a focused medical history symposium, was a success. Greater attention to following the rules for submitting CME requests would have led to enhanced success at both meetings. We hope the AAHM continues to use and refine this method and that other history of medicine gatherings adopt similar tactics. One future improvement will involve transitioning to an online submission format. However this process evolves, we feel we have made a significant and positive impact on validating the CME process for history of medicine gatherings. In doing so we think we have complied with the laudable and stated aims of the ACCME as follows: The ACCME’s purpose is to oversee a voluntary, self-regulatory process for the accreditation of institutions that provide continuing medical education (CME) and develop rigorous standards to ensure that CME activities across the country are independent, free from commercial bias, based on valid content, and effective in meeting physicians’ learning and practice 160 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. Guthrie D. Whither medical history. Med Hist 1957;1(4):307–317. Burnham JC. A brief history of medical practitioners and professional historians as writers of medical history. Health & History 1999;1:250–273. Feely MA. The Mayo brothers and the history of continuing medical education at the Mayo Clinic—in pursuit of lifelong learning. In Abstracts: 40th Annual Meeting of the American Osler Society, April 26–29, 2010, p. 27. Josseran L, Chaperon J. History of continuing medical education in the United States. Presse Med 2001;30(10):493–497. ACCME. Our history. Available at http://www.accme.org/about-us/ourhistory. Baucus M, Grassley C, US Senate Committee on Finance. Letter to Murray Kopelow, chief executive, Accreditation Council for Continuing Medical Education: April 25, 2007. Available at http://www.finance.senate.gov/ newsroom/ranking/release/?id=637bd77c-508f-489d-84fd-133c94e6ea3b. ACCME. CME content: definition and examples. Available at http://www. accme.org/requirements/accreditation-requirements-cme-providers/policies-and-definitions/cme-content-definition-and-examples. Brandt AM. How AIDS invented global health. N Engl J Med 2013;368(23):2149–2152. Heller N. Laptop U. The New Yorker 2013;89(14):80–91. Fye WB. Mayo CPD category 1 credit application. Copy provided by the author, 2009. Duffin J. Lament for the humanities in continuing medical education. CMAJ 2011;183(12):1452. Duffin J. Clio in the Clinic: History in Medical Practice. Toronto: University of Toronto Press, 2005. Kushner HI. History as a medical tool. Lancet 2008;371(9612):552– 553. Grafton AT, Grossman J. The humanities in dubious battle. Chronicle of Higher Education 2013(July 5):25–26. Baylor University Medical Center Proceedings Volume 27, Number 2