Think of the Essentials and Standards of the Accreditation Council for Continuing Medical Education (ACCME) as a highway system you've traveled for years. It is slow and winding, and it has speed traps at various spots. It is tedious. It is inconvenient. It gets you where you want to go, but only by following a prescribed route. You've been using it for so long that you can anticipate the twists and turns, and you know where all the speed traps are. Still, you dream of other, faster routes.