When CME requirements were separated from the re-appointment credentialing process and PSS no longer had to monitor physicians’ credits, the institution recognized that if there was no longer a department responsible for tracking CME credits for physicians, this could be a potential risk for the medical center. And while the institution acknowledged that it was the physicians’ own responsibility to maintain their license(s), it also acknowledged that physicians were overburdened by deadlines, documentation, regulations, paperwork, meetings and many other non-clinically related duties.