2012-02-11T07:51:26Z http://cmeadvocate.com/comments/atom.aspx Quick Blogcast tag:www.cmeadvocate.com,2011-09-13:11696101 Brian S McGowan PhD 2011-09-13T22:06:39Z 2011-09-13T22:06:39Z <span>Dan - there are numerous challenges to re-engineering the system...providers, supporters, HCP-learners, and HCP-faculty all have reason to stick to what they know, to stick to the status quo.&nbsp; But there have been too few successes over the years and the broader perspective NEEDS to be communicated broadly...culture change takes times, but until 8:45 on Monday morning I am not sure the conversation was ever made so pointedly (bluntly)...and I hope this is a start. I should add that the world as seen by the CME community is often very different than what is seen in other areas of medicine, public health, and public policy...but you and I had this conversation at the IHI meeting last year...</span> tag:www.cmeadvocate.com,2011-09-13:11696067 Daniel Guinee 2011-09-13T21:22:15Z 2011-09-13T21:22:15Z Brian, your points are articulate and fairly spot on. Having supported my family for 12 years in this CME world, it's hard to admit. I'm committed and open to change. I would point out, though, that much of the "good enough" mentality stems from the nonchalance and indifference that many physicians have toward participating in CME. Can that be changed?