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Hospitals that provide continuing medical education (CME) for their physicians should be aware of new accreditation criteria adopted by the Accreditation Council for Continuing Medical Education (ACCME) that emphasize change and improvement in the practices of both physician learners and CME programs. Beginning in November 2008, the ACCME will transition to three levels of accreditation: provisional, accreditation, and accreditation with commendation. The goal is to link CME to performance improvement, not merely advancement of knowledge. The