Perhaps there is not enough medicine to go around for some specialties. Not so for others -- and for myself, radiology. In the last 6 months, I have gone to conferences for Breast MRI, CT colonoscopy and will soon learn CT cardiac calcium scoring at yet another conference. Are these necessary? Absolutely. Is there hype surrounding each? Absolutely. Do I need to get a working familiarity with these topics? Absolutely. They will (and have been) cautiously incorporated into my practice. CT colonoscopy has already (I apologize) born fruit. Would it be nice to have the luxury to attend a general conference for a nice brush-up on the art-as-it-has-been rather than the state-of-the-art? Absolutely. So while the point may be valid for some specialties, I feel the author is painting with too broad a brush. And even in a saturated conference market, there is wheat amongst the chaff as there always has been. It is the physicians responsibility to identify the weaknesses in their practice and find CME -- online, DVD, Cancun or otherwise -- to patch those holes for the benefit of our patients. And it is the physicians responsibility to avoid the fluff conferences and avoid being a lemming when it comes to the conferences we "ought" to attend.