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I could not agree more with Lawrence Sherman (“Houston, We Have a Problem,” March/April 2008). I have now been in CME for 14 months. My biggest challenge is showing the value of CME as a tool to create physician change, implementing Joint Commission Core Measures, and cutting down the number of our grand rounds (30 activities per month!). I can't continue as a one-person department, planning more than 300 activities per year, plus implementing the new quality-improvement and performance

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