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Robert Steinbrook, MD

JAMA. 2008;299(9):1060-1062.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Continuing medical education (CME) is a multibillion-dollar industry. In 2006, the CME providers accredited by the Accreditation Council for Continuing Medical Education (ACCME) had a total income of $2.38 billion.¹ In 1998, the income was $889 million, and most had come from the registration fees of participants or sponsoring organizations. Since 2003, however, most of the income for CME providers has come from industry.²

Commercial support for CME accredited by the ACCME quadrupled between 1998 and 2006–from $302 million to $1.2 billion–and doubled from other sources.¹ In 2006, the combined for-profit support (commercial support and advertising and exhibit income) represented 60.6% of total income. An industry magazine stated in its annual medical education report: "For continuing education to continue, commercial funding must remain healthy. The future of CME depends on it."³

The profit margin for ACCME-accredited providers increased from 5.5% in 1998 to 31.0% in 2006.¹ The . . . [Full Text of this Article]

Funding for Different Types of CME Organizations

Author Affiliations: Dartmouth Medical School, Hanover, New Hampshire; and Veterans Affairs Outcomes Group, White River Junction, Vermont.

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