Link to explanatory page:


Link to an example of the Polyglot sheet:


Next steps will include improving the user interface:

  • rapid selection of conference session, plenary, breakout etc.
  • rapid entry of input and translation languages




We'll try to demystify the CME process. Because these pages are written by surveyors, and because we are running low on antacids, some of these writings may reflect common mistakes that we see in our surveys. That's not the purpose of this website, but what the hell. You get the idea.  

these CME criteria have recently been reframed by ACCME starting with the mission statement, but then jumping promptly to criterion 12, self reflection of your CME program, and so on. I find that the step-by-step process running through the individual criteria can be useful for other challenges besides developing a CME activity.  It's a useful way to organize thoughts.   Read More


1 mission statement:  what is your ultimate goal? your Northstar?Does everyone understand it? Will your educational activities help you reach this goal?  Read More

2 professional practice Gap (PPG) what is the problem you're trying to fix?  Read More

3 learning objectives: what are you trying to teach in order to fix the practice gap?  spoiler alert: this should be competence, performance or patient outcomes. Read More

4 target audience (this is no longer required by ACCME, as it is implied that the practice gap in learning objectives will be appropriate for the audience.  I still like to use it because it helps me ask the question, do the PPG and learning objectives match our audience?)  Read More

5 appropriate venue what is the best way to teach this? Another boring lecture?  Read More

6 desirable physician attributes/core competencies: what qualities are you trying to develop in your physician audience?   Read More

7 Standards for Commercial Support SCS 2, identify and mitigate conflicts of interest  Read More

8 managing commercial support  Read More

9 separation of  promotion from education  Read More

10 content validity/advancing healthcare, not promotion  Read More

11 evaluation  Read More

12 program evaluation  Read More

13 changes to the program based on criterion 12  Read More


and so on (commendation criteria)


 Clinical Examples


  1. mission: satisfy quality measures for my group.
  2. Practice gap: hypertension control is at 70% of patients, we want 90%.  See more discussion with the Read More link for criterion 2, above
  3. learning objectives:  there are a lot of things we need to teach.  as a result of this activity, physicians will be able to:
    --advise patients on low sodium diet
    --identify appropriate patients for home blood pressure monitoring
    --prescribe hypertensive therapy in a rational manner
    --manage drug-resistant patients and appropriately refer to hypertension clinic
    or whatever you feel appropriate. Notice that I didn't include knowledge-based objectives such as "be aware of new therapies".
  4. target audience (not officially required): certainly interests and family practitioners, but probably OB/GYN's who do primary care.  they are also dealing with hypertension in the setting of preeclampsia, but that's a different enough issue to require its own CME planning.
  5. appropriate formats: There might be some lecturing involved, or maybe a blend of Journal club, self-study, lecture, panel discussions
  6. core competency:  performance improvement. This lends itself to review of medical records, hopefully some data mining facilitated by the EMR, and frequent review
  7. do the usual disclosure process by planners, speakers, and if there's journal reading involved, make sure it is peer-reviewed and not an infomercial.
  8. Ditto, if you're getting commercial support
  9. keep your eye on the goal of hypertension control, just in case you are combining the learning activities with a ski trip, boat cruise or football game
  10. make sure what you are teaching is the standard of care and not a sales pitch for a new product
  11. evaluation: could include number of patients reaching target, number of physicians meeting this standard, or simply number of physicians who state that they learned new skills
  12. did this learning activity help us meet our mission statement? Why or why not? What could have been improved?
  13. Are there any improvements you would like to make to your ongoing efforts at managing hypertension?


Silly examples:  examples where CME process can help organize everyday tasks (and familiarize CME criteria through repetition)



C'mon, people, this isn't rocket science

search terms:  Mitsuo Tomita, Jerry Manoukian

map of 2500 Hospital Drive, Building 4B



Coming soon to

the Bay Area!


Naghash Ensemble

of Armenia

Check out these trailers: #1 #2 #3


  the Armenian Cultural Community of the Bay Area presents:

Performing Friday, March 3, 2023 at SecondStage
of the Mountain View Center for the Performing Arts

The Naghash Ensemble combines the earthy spirituality of Armenian folk song, new classical music, contemporary post-minimalism, and the energy of jazz and rock. Three brilliant female vocalists and some of Armenia’s finest instrumentalists on duduk, oud, dhol, and piano play new music based on sacred texts by the medieval Armenian mystic poet and priest, Mkrtich Naghash.


Written by Armenian-American composer John Hodian, The Naghash Ensemble’s “Songs of Exile” is a profound meditation on man's relationship to God from the perspective of a monk forced to live in exile for many years. Part folk music, part classical, and profoundly moving.


The music is hard to tag as classical, religious, modern.  But we think it will light up your brain cells.

Have a listen:

The Naghash Ensemble of Armenia Live in Ghent (Excerpts)


Ensemble Members

  Hasmik Baghdasaryan – soprano

  Tatevik Movsesyan – soprano

  Arpine Ter-Petrosyan – alto

  Tigran Hovhannisyan – dhol

  Aramayis Nikoghosyan – oud

  Harutyun Chkolyan – duduk

  John Hodian - piano/composer

and check out this event they did for KEXP:

Wine reception 6:30-7:30 pm

Showtime 7:30 pm - Concert duration is 90 minutes




Tickets are
going fast

This will
sell out!


tickets through the MVCPA or through your local Armenian cultural association

General Admission $82
Bulk sales for General Admission:  bundles of 10 tickets for $770
Cabaret seating $200 (seating on main floor, at a nice table)
for information please contact This email address is being protected from spambots. You need JavaScript enabled to view it.

Sponsorship available!  Get the best seats!

 SecondStage is an intimate club-like setting with 156 General Admission seats
and "Cabaret" tables on the main floor to seat an additional 8-10 guests.
You can check out the floor plan HERE or here

Entry to SecondStage is through the main entry for the MVCPA.  

Come early!  Our wine reception starts at 6:30!
There will be a separate (excellent) event that evening at the Main Stage.  Our show will be better.

MVCPA also features the Bean Scene, a café and coffee shop.  They will provide light snacks for our wine reception.

the Mountain View Center for the Performing Arts is located at 

    500 Castro Street, Mountain View (corner of Castro and Mercy Streets). (map)
Plenty of free parking is available under the MVCPA or in the large parking lot at the corner of Mercy and Bryant Streets.

Here is the info for the Box office: