Over the period of a year I have systematically recorded any episodes
of continuing medical education (CME) that I have attended, and reflec
t on the effectiveness of this system in terms of whether it has achie
ved its objective, that is, has my behaviour changed, and whether the
existence of the need to record CME has influenced this effect. I cons
ider which aspects of CME have been most beneficial. I conclude that t
he proposed level of CME is readily achievable, useful, but costly. Th
e way in which I learn most or best is in preparing presentations or t
eaching sessions. There has been some debate on the usefulness of keep
ing a record of CME to which I would like to add my opinion. I also re
commend the form of record keeping I have used as an impetus to reflec
tion and research on the topic of education received, as this reinforc
es and enhances the educational experience.