{"ok":true,"meta":{"generatedAt":"2026-08-19T06:58:12.284Z","source":"cme-finder-seed","disclaimer":"Confirm dates, registration, and credit type on the host registration page. CME Post does not sell courses, track licenses, or certify that an activity meets a specific board requirement.","attribution":"Data from CME Post (neutral CME/CE discovery). Cite the listing URL or this API response. Prefer chapter/academic sources alongside commercial catalogs.","docs":"https://cmepost.com/api/v1/meta"},"data":{"name":"CME Post","tagline":"Neutral CME/CE discovery by U.S. state and date — chapters, councils, academic offices, and commercial catalogs. 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Residual: ACEP/NMOS/VA/UGRA dates thin at public source."},{"code":"TX","name":"Texas","level":"pilot_complete","note":"TMA specialty annuals dated, ENP affiliate flagships, six academic CME offices. Residual: TAOG and Transplantation Society dates unpublished, PM&R/COEM no public annual, Facebook-only affiliate dinners excluded by policy, CloudCME session-level scraping still pending."},{"code":"AZ","name":"Arizona","level":"seeded_partial","note":"First pass, 2026-08-09. Strong on academic CME (Mayo Clinic Arizona and the University of Arizona CME office supply most dated activities), specialty chapters, county societies, rural health, and tribal health. Known gaps: the Arizona Psychiatric Society site blocks all automated and browser access so none of its dates are verified; several reliable annuals have published no dates yet (AzAFP ACE 2027, Pediatrics in the Red Rocks 2027, ASAPA Spring 2027, the AzNPC Southwestern Regional NP Symposium, the Arizona Rural Health Conference, and the AHPCO annual); Banner symposia publish no attendee registration link; HonorHealth's catalog is client-rendered and needs a scraper."},{"code":"CO","name":"Colorado","level":"seeded_partial","note":"First pass, 2026-08-09. Strongest layers are independent and hospital-based academic CME — National Jewish Health and Children's Hospital Colorado publish the most reliable dated catalogs — plus a broad set of specialty chapters. Structural caveat: the University of Colorado School of Medicine's central CME office has announced it is closing and its events page is gone, so CU activity now lives on individual departmental microsites with no index; expect gaps there. Other known gaps: the Colorado Medical Society's specialty-society directory was unavailable, so more chapters likely exist than are listed; roughly a dozen chapters publish no future dates; several county societies are stale, empty or dead; the state advanced-practice nursing bodies are behind member logins; and no Colorado tribal health organisation publishes a clinician education calendar."},{"code":"FL","name":"Florida","level":"pilot_complete","note":"First pass, 2026-08-09, and the largest tranche so far — researched across six lanes because the state has far more chapters and academic providers than the smaller states. Strongest: Mayo Clinic Florida (Jacksonville), Baptist Health South Florida, the University of Florida, and an unusually deep bench of specialty chapters. Florida-specific caution for anyone answering from this data: the state hosts a very high volume of NATIONAL conferences and supports a large commercial destination-CME industry, so a Florida venue does not mean a Florida provider. ⚠️ CORRECTED 2026-08-16 — THIS NOTE PREVIOUSLY SAID 'only activities whose provider is a Florida body are listed', AND THAT WAS FALSE. Measured: 12 of the 154 Florida-sited rows belong to organizations based in other states, and ten of those predate the correction. Six are GEORGIA societies that meet on Florida's Atlantic coast — dermatology, pediatrics, ophthalmology, psychiatry, rheumatology and the surgeons, five of them at Amelia Island alone — alongside Harvard Medical School at Orlando, Johns Hopkins at Marco Island, LECOM at Sarasota, Tennessee's ophthalmologists at Miramar Beach, and two Alabama societies at Lake Buena Vista and Destin. The rule this data follows is that the VENUE decides the state and the organization's home state is recorded separately, which is the opposite of what that sentence claimed. It is the same defect this project already fixed once in the not-seeded note, where telling assistants that returned rows were 'national or virtual' discounted thirteen real in-person accredited events. Known gaps: the Florida Psychiatric Society and Florida Society of Nephrology block all access so none of their dates are verified; the OB/GYN society's domain resolves to a parking page; several large systems (Orlando Health, BayCare, Lee Health, Jackson) publish nothing machine-readable; and roughly a dozen chapters have no published future dates. ⭐ PROMOTED TO pilot_complete 2026-08-16, against the bar in docs/STATE_QUALITY.md, whose four search-quality smoke checks now run as assertions in tests/florida.test.ts rather than by hand. The bar permits promotion with residual gaps NAMED AND ACCEPTED, which is how New Mexico and Texas were promoted, so the chapters whose next-year dates post between November and March do not block it. ⭐⭐ AND THE PROMOTION PASS FOUND THE THING THE FIRST PASS MISSED: FLORIDA HAS ITS OWN ACCME RECOGNIZED ACCREDITOR AND NOBODY HAD MEASURED IT. The FLORIDA MEDICAL ASSOCIATION accredits 22 of its 72 registry providers — 902 activities — and ZERO outside Florida, unlike Georgia's accreditor, which reaches into South Carolina. It surfaced only because a Baptist Health row's accreditation sentence names the FMA rather than the ACCME. Its roster is the state's backbone and it is almost exactly the list this note used to write off as publishing nothing: BayCare 230, AdventHealth Orlando 127, AdventHealth Tampa 102, Baptist Health 91, Lee Health 78, the Miami-Dade County Medical Association 45 — which is an accredited provider, not a minor county society — and the Florida AHEC Network 40, which was MISSING FROM THE ORGANIZATION LIST ENTIRELY until this pass. Read provider_accredited_by on the FIRST pass of a state, not the promotion pass. TWO GAPS CLOSED. The Florida Vascular Society, recorded as publishing only a month, now publishes its 40th Annual Scientific Sessions as April 15-18 2027 at The Ritz-Carlton Orlando. And Baptist Health Jacksonville, recorded as an empty catalog, runs an EthosCE tenant with two series at 1.00 AMA PRA Category 1 Credit a session — found by applying the EthosCE technique learned in South Carolina a day earlier. That tenant INVERTS the South Carolina one: there the conferences sat in /courses while the calendar held only series, here /courses holds a single FAQ page and the calendar holds everything, so read BOTH views on every tenant. The .ics month-path trap reproduces here too — three months requested, the same six events returned each time — making it a property of the PLATFORM rather than of one tenant. GAPS THAT REMAIN, RE-POLLED 2026-08-16 AND ACCEPTED. Eleven organizations are unreadable or empty rather than absent: the psychiatric society, Lee Health, Miami-Dade, the Physicians Society of Central Florida and the AHEC network all 403; BayCare's CME host still serves a certificate for an unrelated domain; the endocrine, addiction and rural health bodies each publish a literal 'No events'; the emergency physicians' events API returns zero for EVERY query including unfiltered, so it is not a usable index; and the surgeons' chapter page titled '2027 Annual Meeting' still prints 'Saturday, April 11 - Sunday, April 12, 2026'. That last one was settled by weekday rather than by eye: April 11-12 falls Saturday-Sunday in 2026 and Sunday-Monday in 2027, so the page publishes no 2027 date at all."},{"code":"CA","name":"California","level":"seeded_partial","note":"First pass, 2026-08-09, and the largest tranche so far - researched across six lanes because the state has more chapters and academic providers than any other. Strongest layers are academic and hospital CME (UCSF, USC Keck, UC San Diego, UC Irvine, UCLA, Cedars-Sinai, Scripps, Sharp and Hoag all publish readable catalogs) plus a deep bench of specialty chapters. California-specific caution for anyone answering from this data: many California organizations hold their CME OUT OF STATE - the state anesthesiology society runs six of its eight conferences in Hawaii, and the Children's Hospital Los Angeles conference series is entirely in Hawaii - so those activities carry their true state and deliberately do not appear under a California search. Known gaps: the California Radiological Society's meeting page is behind a sign-up wall; the eye physicians' society website is under construction; Kaiser Permanente's Northern and Southern California catalogs are login-walled or client-rendered; most county medical societies run a shared platform whose event module is simply unpopulated; and roughly a dozen chapters publish no future dates at all."},{"code":"NY","name":"New York","level":"seeded_partial","note":"First pass, 2026-08-09, researched across six lanes. Strongest layers are New York City and Long Island academic CME - NYU Langone alone publishes about 45 dated conferences on one readable page, and Mount Sinai, Memorial Sloan Kettering, Columbia, Northwell and Stony Brook all have substantial catalogs - plus the state health department's Clinical Education Initiative, which is the largest source of genuinely free clinician CME found in any state so far. New York-specific cautions: several society acronyms collide, and two of the collisions are internal to the state (NYSRS is both the rheumatology and the radiological society, distinguished only by top-level domain; NYSTS is both the thoracic society and the thoracic SURGERY society), while NYSPA is both the psychiatric association, which is in scope, and the psychological association, which is not. Known gaps: the state otolaryngology society's domain now serves only advertising, the sleep society's domain is parked, Richmond County's domain is undelegated and Suffolk County's is a broken site-builder connection; the surgical vascular society and one surgical chapter are behind CAPTCHA walls; the PA and NP state societies both sit behind bot challenges; Weill Cornell has no CME catalog platform at all; and most county societies run a shared template whose event module is unpopulated."},{"code":"PA","name":"Pennsylvania","level":"seeded_partial","note":"First pass, 2026-08-09, researched across six lanes. Strongest layers are academic and hospital CME: four large offices - the University of Pittsburgh/UPMC, Allegheny Health Network, Penn State and Geisinger - account for most dated activity in the west and centre, with Penn, Jefferson, CHOP, St Luke's and Lehigh Valley covering the east. THE PENNSYLVANIA-SPECIFIC TRAP, which matters for anyone querying this data: \"PA\" means both Pennsylvania AND physician assistant, so a search for a \"PA society\" returns Pennsylvania bodies and national physician-assistant bodies mixed together - every organization here was checked for which it is. Two in-state acronym collisions were resolved: PNS is both the neurological and the neurosurgical society, and papsych.org is the psychiatric association while papsy.org, one character away, is the psychological association and out of scope. Known gaps: most county societies outsource CME to the state medical society and publish only governance and social calendars; the largest county society publishes a real education series with NO accreditation statement, so those rows carry unverified credit; the state hospice network issues nursing credit only; one surgical chapter's site returns a broken tenant binding, another county society's domain redirects off-host to a supplement blog despite clean TLS, and the state rural health office returns HTTP 500 site-wide."},{"code":"IL","name":"Illinois","level":"seeded_partial","note":"First pass, 2026-08-09, researched across six lanes. Strongest by far is academic CME: the University of Chicago, Northwestern Feinberg, Carle Health in Urbana-Champaign and SIU in Springfield supply most dated activity. CREDIT DETAIL IS UNEVEN AND SHOULD NOT BE GENERALISED: the University of Chicago and Northwestern publish an explicit AMA PRA Category 1 hour count on every activity and Carle on most, but SIU prints none of its hours on the public page (they sit behind a registration login) and neither does Loyola, so those rows say credit unknown. Across the whole state fewer than half the activities carry a verified hour count, and on the society layer most chapters publish dates with no accreditation statement at all. Treat a missing credit figure as UNKNOWN, never as zero. THE ILLINOIS-SPECIFIC TRAP, which matters for anyone querying this data: an unusual number of NATIONAL bodies are HEADQUARTERED in Illinois - the AMA, the American College of Surgeons, the AAP in Itasca, the American Society of Anesthesiologists in Schaumburg, RSNA in Oak Brook, AAOS in Rosemont, CHEST in Glenview, the AOA, ASCRS in Bannockburn and the AASM in Darien - and Chicago is the country's busiest medical convention city. A national headquarters in Illinois is NOT an Illinois chapter and a national meeting held in Chicago is NOT an Illinois-provider activity; only activities whose provider is an Illinois body are listed here, and the state chapters that do exist (ICAAP, the Illinois Society of Anesthesiologists, the Metropolitan Chicago and Illinois chapters of the ACS) are seeded as organizations separate from their national parents. Known gaps: the county-society layer produced NO events at all - DuPage dissolved on 2025-12-31 by its own board's vote, the Chicago Medical Society runs an abandoned CMS with an empty calendar and an intermittently EXPIRED TLS certificate that fails roughly three fetches in five, and the Kane and McHenry societies are genuinely active but have posted no autumn season. The statewide ACS chapter and the Illinois Radiological Society both sit behind an anti-bot CAPTCHA, so neither has verified events; UIC publishes no dated public catalog at all and its calendar's year filter stops at 2018; Advocate Health is deliberately not ingested because it publishes one shared Illinois/Wisconsin/North Carolina catalog with no state field on any row; and OSF, the largest downstate system, runs grand rounds across eleven specialties that are reachable only by telephoning a coordinator."},{"code":"OH","name":"Ohio","level":"seeded_partial","note":"First pass, 2026-08-10, researched across six lanes. Strongest by far is academic and hospital CME, and it is unusually concentrated: the Cleveland Clinic Center for Continuing Education alone publishes 67 conferences, and Ohio State, Case Western Reserve/University Hospitals, Cincinnati Children's, Nationwide Children's, MetroHealth, OhioHealth and the University of Cincinnati all publish readable catalogs. CREDIT DETAIL IS UNEVEN AND SHOULD NOT BE GENERALISED: MetroHealth, OhioHealth and the University of Cincinnati state an explicit AMA PRA Category 1 hour count on every activity, but Ohio State prints bare hour counts at listing level without naming the credit type, and most society chapters publish dates with no accreditation statement at all. Treat a missing credit figure as UNKNOWN, never as zero. THE OHIO-SPECIFIC TRAP, which matters for anyone querying this data: Ohio's acronyms collide with other states' more than most. OSMA is both the Ohio and the Oklahoma State Medical Association, OOA both the Ohio and the Oklahoma Osteopathic Association, and OAFP serves Ohio, Oklahoma and Oregon; most sharply, the CME platform tenant that looks like Ohio State belongs to OKLAHOMA State University and the one that looks like Wright State belongs to WASHINGTON State University. Every organization here was checked against its own page's branding. Two in-state collisions were also resolved: the psychiatric association is in scope while the psychological association, one character away in its domain, is not, and the domain that looks like the state radiology society is in fact an internal residency tools portal. Known gaps: the county-society layer has largely stopped publishing CME — the Cleveland and Cincinnati academies run social and governance calendars only, and the Toledo and Summit county societies have both let their domains lapse to NXDOMAIN — so only Columbus publishes dated clinician education. Several statewide societies could not be verified to exist at all, including any Ohio neurology, thoracic, vascular, nephrology, infectious disease, sleep or PM&R society; the American Thoracic Society has Oklahoma and Oregon chapters but none in Ohio. Summa Health's published CME calendar link redirects to a marketing page rather than a portal, Mount Carmel's catalog currently holds only a lapsed spring cycle, and Bon Secours Mercy Health is only partly ingested because it publishes one enterprise calendar spanning Ohio, South Carolina and Virginia with no state field."},{"code":"GA","name":"Georgia","level":"seeded_partial","note":"First pass, 2026-08-10, researched across six lanes. THE GEORGIA-SPECIFIC PATTERN, which matters more here than in any state so far: GEORGIA'S SOCIETIES ROUTINELY HOLD THEIR ANNUAL MEETINGS OUTSIDE GEORGIA. The state's ACS chapter, the ophthalmology society, the dermatology congress, the psychiatric association's summer meeting and the AAP chapter's seaside conference are all in Florida, and the radiological society meets jointly with South Carolina's — though that radiology meeting was held in June 2026 and is already past, so no South Carolina row exists in this tranche. The out-of-state activities that ARE seeded carry their true venue state and deliberately do NOT appear under a Georgia search. In state, meetings cluster at Lake Oconee, Sea Island and Jekyll Island rather than in Atlanta. CREDIT IS WEAK ON THE SOCIETY LAYER AND SHOULD NOT BE GENERALISED: most Georgia societies publish dates with no accreditation statement at all, and only ONE — the pathology association — states an AMA PRA Category 1 designation on ITS OWN SITE. Where a society activity does carry a verified hour count, the credit is designated by somebody else on the society's behalf: the College of American Pathologists for the pathology webinars, the American College of Surgeons for the surgical chapter's meeting, the American College of Physicians for its chapter meeting, and the Medical College of Georgia for the state surgical society's. Several other societies publish credit as applied-for, as pending, or as designated with the hour count still to be determined, and none of those is counted as verified here. Treat a missing credit figure as UNKNOWN, never as zero. THE ATLANTA TRAP: an unusual number of NATIONAL bodies are accredited CME providers HEADQUARTERED in Georgia — the American College of Rheumatology, the CDC and the National Association of EMS Physicians among them — and Atlanta is a major convention city, so a national meeting held there is not a Georgia-provider activity. The national rheumatology college in particular is a different organization from the Georgia Society of Rheumatology, which is the state body. Two in-state collisions were resolved: the acronym GNS belongs to BOTH the Georgia Neurological Society and the separate Georgia Neurosurgical Society, and the psychiatric association shares near-identical domains with the psychological association, which is out of scope. Georgia also has TWO general-surgery bodies — the single ACS chapter and an independent state surgical society — and they are not the same organization. Known gaps: the county layer is nearly silent, with the state association's own directory listing 43 county societies of which only five have a website at all and only one publishing dated clinician education, while the DeKalb society's and Savannah's society's domains no longer resolve. Several large accredited systems publish no readable catalog: Wellstar's public portal is its pharmacist programme, Northside's linked campus calendar is a file created in 2021, Grady's CME pages have been removed, and Morehouse's catalog carries no live dated activity at all. Savannah's academic centre publishes nothing on its own site and is reachable only through its national parent's catalog. No Georgia society could be verified for nephrology, infectious disease, pulmonary and critical care, sleep, geriatrics, occupational medicine, sports medicine or physical medicine and rehabilitation, and the state's thoracic society page has been frozen since 2019."},{"code":"NC","name":"North Carolina","level":"seeded_partial","note":"First pass, 2026-08-10, researched across six lanes. READ THE ACCREDITATION POINT FIRST, because getting it backwards misdescribes half the state: NORTH CAROLINA'S INTRASTATE CME PROVIDERS ARE ACCREDITED BY THE SOUTHERN STATES CME COLLABORATIVE, NOT BY THE ACCME DIRECTLY. The North Carolina Medical Society was itself an ACCME Recognized Accreditor until 1 April 2024, when it relinquished that status to the SSCC, which is now the Recognized Accreditor. Twelve of the state's twenty-four registered providers sit under the SSCC, ten hold ACCME accreditation directly and two hold Joint Accreditation. All of them designate genuine AMA PRA Category 1 credit; a reader who assumes 'ACCME or nothing' will wrongly discount the AHEC network and most community hospitals. THE STRUCTURAL FACT ABOUT THIS STATE is its AREA HEALTH EDUCATION CENTERS NETWORK: nine regional AHECs, six of them accredited providers in their own right and three issuing credit under a parent's accreditation (Northwest through Wake Forest, Eastern through Brody at East Carolina, South Piedmont through Atrium Health). Together they publish more dated physician activity than the state's medical schools do, and they are where a clinician in a smaller North Carolina city actually finds CME. Two of the nine were renamed and are still widely referred to by their old names: Charlotte AHEC is now SOUTH PIEDMONT AHEC and Greensboro AHEC is now PIEDMONT AHEC. THE SECOND PATTERN, and the one most likely to mislead: NORTH CAROLINA'S SOCIETIES REPEATEDLY HOLD THEIR ANNUAL MEETINGS IN SOUTH CAROLINA, and several specialties are not organised per state at all but as bi-state 'Carolinas' bodies — endocrinology and pain medicine each have a single Carolinas society, while cardiology, otolaryngology, surgery and oncology run joint NC/SC meetings that alternate or sit in South Carolina. The psychiatric association and the physician associates' academy both meet at Myrtle Beach, and the orthopaedic association meets at a Virginia resort. Every out-of-state activity in this tranche carries its TRUE venue state and deliberately does NOT answer a North Carolina search. CREDIT COVERAGE IS PARTIAL AND MUST NOT BE GENERALISED: 28 of the 95 seeded activities carry a quoted AMA PRA Category 1 hour count. The rest are unknown, NEVER zero — and the distinction is real, because exactly one activity here publishes a genuine explicit zero ('This event does not offer continuing education credits'). Where hour counts do exist they are concentrated in the platform layer: Duke's catalog and the AHEC API state them outright, while most societies publish dates with no accreditation statement at all. Some publish credit as 'applied for' or literally as 'TBD', and neither is counted as verified. Beware three profession-specific credit types that are NOT AMA PRA Category 1 and are labelled as such on the row: AAFP Prescribed for the family physicians, AAPA Category 1 for the physician associates, and ANCC contact hours for the nurse practitioner symposium. Closed-registration activities are deliberately excluded: the AHEC catalog flags them as 'private contracted' and Duke labels them 'not taking additional attendees', and routing a clinician to a course that cannot be joined is worse than omitting it. KNOWN GAPS, all researched rather than assumed. The University of North Carolina School of Medicine has 241 registered activities and publishes essentially none of them: its own office states it 'does not have a comprehensive listing of CME activities at UNC', and its credit portal and events feed both return empty. Its real volume — around a hundred regularly scheduled series across forty departments — is only reachable department by department, and one conference is all that could be verified. Novant Health, Cone Health, FirstHealth, Catawba Valley, WakeMed, ECU Health and UNC Health Rex are all real providers publishing no readable dated catalog; FirstHealth's is a frozen Padlet board with no dates on it, and Novant's CME host resolves in public DNS while refusing connections. Piedmont AHEC is an accredited provider whose entire current catalog of 64 activities carries no AMA PRA Category 1 credit at all, which leaves the Greensboro area the thinnest academic layer in the state. Two state psychiatric hospitals and an otolaryngology research institute are accredited but publish nothing public, the last of those behind an expired certificate. The county layer is nearly silent: the medical society's own directory lists nineteen societies, nine of which have never had a website, and only two publish a forward calendar — while one that genuinely ran a primary-care CME conference has had it 'postponed' since 2018. Unlike some states, North Carolina's Division of Public Health publishes no clinician education and no events calendar, and the state's federally recognised tribe maintains a current health calendar that is entirely community-facing. No North Carolina society could be verified for neurosurgery, physical medicine and rehabilitation, nephrology, thoracic surgery, vascular surgery, geriatrics, hospital medicine or preventive medicine; for the first two, the relevant national bodies state outright that no active North Carolina society exists. Two societies exist but could not be read from their own domains — anesthesiology and medical genetics, both behind broken certificates — and carry no events here as a result. Finally, THE RESEARCH TRIANGLE TRAP: several NATIONAL bodies are accredited providers headquartered in North Carolina, including the American Society of Echocardiography, the American Cleft Palate-Craniofacial Association, the Society for Translational Oncology and the Trauma Center Association of America, and the state also hosts the largest online CE vendor in the registry. None of them is a North Carolina state body and none is listed as one."},{"code":"MI","name":"Michigan","level":"seeded_partial","note":"First pass, 2026-08-10, researched across six lanes. READ THE ACCREDITATION POINT FIRST, because it reshapes where the state's CME actually comes from: HALF OF MICHIGAN'S ACCREDITED PROVIDERS ARE ACCREDITED BY THE MICHIGAN STATE MEDICAL SOCIETY, NOT BY THE ACCME DIRECTLY. Fifteen of the thirty registered providers sit under MSMS, eleven hold ACCME accreditation directly and four hold Joint Accreditation. MSMS is simultaneously the state medical society, an ACCME-accredited provider of its own programme, and a Recognized Accreditor for others — including the state's single largest provider by volume. This is the same hidden-layer pattern the Southern States CME Collaborative creates in the south, and it appears here in the upper midwest, so it is not a regional quirk. A reader who assumes 'ACCME or nothing' will miss half the state. THE SECOND STRUCTURAL FACT is that MICHIGAN IS THE COUNTRY'S LARGEST OSTEOPATHIC STATE and its credit landscape is genuinely dual. AOA Category 1-A is NOT AMA PRA Category 1, and neither is AOA Category 2-A. Many activities here are DUAL-designated and carry both with separate hour counts; some carry AOA only. Every row states its designation as the publisher states it and none is translated from one currency into the other. Watch a third collision: one medical school advertises 'Category 1A credit' meaning the MICHIGAN BOARD OF MEDICINE's category, which is a different thing again from AOA Category 1-A. MICHIGAN IS TWO TIME ZONES. Eastern everywhere except four western Upper Peninsula counties — Gogebic, Iron, Dickinson and Menominee — which are Central. No activity in this tranche falls in those four; Marquette, where the one Upper Peninsula activity is held, is Eastern despite being in the Upper Peninsula. CREDIT COVERAGE IS PARTIAL AND MUST NOT BE GENERALISED: 86 of the 116 seeded activities carry a quoted AMA PRA Category 1 hour count, a further 8 carry the designation with no published hour count, and 22 carry no AMA PRA designation at all. None is zero. The hour counts are concentrated in the platform layer — the University of Michigan's catalog publishes one on every activity — while most specialty chapters publish a date and a venue with no accreditation statement at all. Several publish credit as 'applied for' or 'pending approval', and neither is counted as verified. Two activities state outright that they provide no CME and are excluded rather than recorded as unknown. Closed-registration activities are deliberately excluded: one health system's entire faculty development series is 'available to affiliated staff only', a regional consortium's activities are restricted to member institutions, and a society's annual meeting is invitation-only. KNOWN GAPS, all researched rather than assumed. MyMichigan Health is the state's LARGEST accredited provider at 737 activities and publishes no public physician CME catalog at all — its CME path redirects to a consumer classes module, and its volume is evidently internal series behind the medical-staff intranet. Lakeland Care's 239 activities are entirely behind a login wall. Mary Free Bed's 199 are all undated enduring online courses. Trinity Health System's 722 belong to a NATIONAL system headquartered in Livonia whose activities are held across many states, and no Michigan-specific catalog was found; the separate Trinity Health Ann Arbor provider publishes 145 series and zero conferences. The Michigan Department of Health and Human Services was NOT MEASURED — every state web path returned 403 to every automated attempt, which is bot-blocking rather than absence, and it is the largest unfinished item here. The county layer is nearly silent: the state society's directory lists twenty-four county societies of which only eight publish a website, the largest of them has no reachable site at all, and only two publish a forward calendar. No Michigan society could be verified for geriatrics, critical care, nephrology, pain medicine, pathology, physical medicine and rehabilitation, sports medicine or palliative medicine, and no statewide direct primary care body exists. Unlike North Carolina, MICHIGAN'S AHEC NETWORK PUBLISHES NOTHING — it is real and Wayne State-administered but has no shared catalog and no API, only a referral page of outbound links, so the North Carolina AHEC jackpot does not generalise. Finally, MICHIGAN SOCIETIES MEET OUT OF STATE: the anesthesiologists' designated annual CME conference is a four-society joint meeting held in Chicago, and a university collaborative holds its annual retreat in San Diego. Both carry their TRUE venue state and deliberately do NOT answer a Michigan search."},{"code":"NJ","name":"New Jersey","level":"seeded_partial","note":"First pass, 2026-08-10, researched across five lanes. READ THE VOLUME POINT FIRST, because the registry number for this state is deeply misleading: New Jersey shows 10,462 accredited activities, MORE THAN ANY OTHER STATE SEEDED SO FAR, and roughly 80 per cent of that is not New Jersey CME at all. EIGHTEEN OF THE FORTY-SIX ACCREDITED PROVIDERS ARE NATIONAL ONLINE MEDICAL-EDUCATION COMPANIES headquartered in the pharma corridor — Postgraduate Institute for Medicine at 2,996 activities, Medscape at 1,887, HMP Education, Physicians' Education Resource, Vindico, Haymarket, Integrity CE, Wiley and others — holding 8,383 activities between them. None of it is local, none is listed here, and a reader comparing states on registry volume will draw the wrong conclusion. The genuine local layer is 28 providers and about 2,079 activities. THE SECOND FACT: TWENTY-TWO OF THE FORTY-SIX PROVIDERS ARE ACCREDITED BY THE MEDICAL SOCIETY OF NEW JERSEY, not by ACCME directly — including Hackensack Meridian, Atlantic Health, AtlantiCare and most community hospitals. This is the third consecutive state where an intrastate accreditor covers about half the providers, after the Southern States CME Collaborative in the south and the Michigan State Medical Society, so it is a national pattern rather than a regional one. It also has a practical consequence here: MSNJ-accredited community hospitals overwhelmingly publish NOTHING, gating access behind a named CME coordinator's email address. TIMING MATTERS MORE IN NEW JERSEY THAN ANYWHERE SEEDED SO FAR. Its specialty societies cluster their annual meetings in MARCH TO MAY — anesthesiology in March, internal medicine in March, dermatology in April, orthopaedics, obstetrics, oncology, plastic surgery and the osteopathic association in May — so an August pass catches almost all of them just past, with the next cycle unposted. At least ten organizations here are dates-to-be-announced rather than inactive, and four of them demonstrably ran a real CME meeting earlier in 2026. A re-run in the fourth quarter should convert several at once, helped by the fact that four societies share one association-management firm at a single Whippany address and update on the same cadence. CREDIT COVERAGE IS PARTIAL AND MUST NOT BE GENERALISED: of 39 seeded activities 22 carry a specific AMA PRA Category 1 hour figure. The rest are unknown, NEVER zero — New Jersey's specialty chapters very largely publish a date and a venue with no accreditation statement at all. Where credit IS designated it is often by someone else: the ACP chapter's meeting is designated by the Academy of Family Physicians, two of the orthopaedic and vascular societies' meetings by Atlantic Health System, and the joint pain symposium by a commercial provider. Osteopathic credit is prominent — Rowan-Virtua dual-designates AOA Category 1-A alongside AMA PRA Category 1 with equal hour counts, and the two are never merged. KNOWN GAPS, all researched rather than assumed. THE COUNTY LAYER PRODUCES ZERO CME: the state society's directory enumerates sixteen component societies, only six publish a website, and among those are two empty calendars, three sites whose announcement archives stop in 2019 and 2020, and one login-gated portal; ten list only a PO box or phone number. THE STATE HEALTH DEPARTMENT PUBLISHES NOTHING CURRENT — the inverse of New York's, which was the richest free-CME source in any state — its one page carrying a real AMA PRA designation is footer-stamped 2018 and its summit series ended in 2019. THE AHEC NETWORK IS THE MICHIGAN OUTCOME, NOT THE NORTH CAROLINA ONE: three centres, no shared catalog, no API, and one centre whose domain resolves but never completes a connection. The hospital association does run CME but its learning platform sits behind a Cloudflare challenge no available client could clear, so it is recorded as blocked rather than empty. Penn Medicine Princeton Health is a New Jersey hospital whose only reachable CME calendar is entirely Philadelphia content, which is deliberately not imported. Finally, TWO NEW JERSEY PROVIDERS MEET IN PENNSYLVANIA — the osteopathic school's flagship three-day conference in the Poconos and the endocrinologists' ultrasound practicum in Philadelphia — and both carry their TRUE venue state. They behave differently on purpose: the Philadelphia practicum is in person only and does NOT answer a New Jersey search, while the Poconos conference is HYBRID and remains findable from New Jersey because its online portion is attendable from anywhere."},{"code":"VA","name":"Virginia","level":"seeded_partial","note":"First pass, 2026-08-10, researched across six lanes. READ THE VOLUME POINT FIRST, for the second state running: Virginia shows 11,223 accredited activities, MORE THAN NEW JERSEY AND MORE THAN ANY OTHER STATE SEEDED SO FAR, and only about a fifth of it is Virginia CME. THIRTY-EIGHT OF THE FIFTY-TWO ACCREDITED PROVIDERS ARE NATIONAL BODIES HEADQUARTERED IN THE NORTHERN VIRGINIA BELTWAY — the American Academy of Otolaryngology at 1,613 activities, the American Roentgen Ray Society at 1,261, the American College of Radiology, ASTRO, ASCO, the American Diabetes Association, SNMMI, IDSA, SGIM and the rest, clustered in Alexandria, Arlington, Reston and Fairfax — holding roughly 7,913 activities between them, with a further 834 belonging to the Defense Health Agency and Army Medical Command. The genuine local layer is TWELVE providers and about 2,476 activities. This is the New Jersey shape produced by a DIFFERENT mechanism: New Jersey's overhang was eighteen commercial online-education companies in the pharma corridor, Virginia's is specialty societies sited next to federal Washington. Two states now confirm that registry volume must be split before it is compared. THE INTRASTATE-ACCREDITOR PREDICTION WAS HALF RIGHT AND IS WORTH CORRECTING. The Southern States CME Collaborative does operate here — the Medical Society of Virginia relinquished its own Recognized-Accreditor status to it on 2024-04-01, the same date the North Carolina and Mississippi societies did — but it accredits only FIVE of fifty-two providers, not the half seen in North Carolina, Michigan and New Jersey. What matters is WHICH five: they are all health systems (Inova, Carilion, Sentara, SOVAH, Winchester Medical Center), and THREE OF THEM PUBLISH NO WEBSITE IN THE REGISTRY AT ALL. So in Virginia the accreditor layer mattered for discoverability rather than for share. THE PLATFORM LAYER CARRIES THIS STATE. Five of the six largest local providers sit on extractable platforms and supply most of the dated inventory: UVA and VCU and Sentara on CloudCME, Inova on EthosCE, and ODU on CMETracker, with Carilion and Centra on CMETracker as well. THREE DISCOVERY TRAPS ARE WORTH CARRYING TO OTHER STATES. First, UVA's catalog is reachable only through the registry's own provider_website field, cmevillage.com, which redirects to the tenant — it is unguessable, exactly as Duke's was in North Carolina. Second, ODU absorbed Eastern Virginia Medical School and renamed, but THE PLATFORM TENANT IS STILL 'EVMS', so a tenant guess based on the institution's current name finds nothing. Third, Sentara's CloudCME tenant is not reachable from sentara.com by any path — /cme is a 404 and cme.sentara.com does not resolve — and was found only by probing the tenant namespace with a known-live control in the loop. Carilion is a fourth case: its CME page returns HTTP 200 and is a client-rendered shell containing no CME links, so the tenant had to be recovered by enumerating anchors in a real browser. A NEW PLATFORM TRAP, FOUND ON INOVA'S ETHOSCE: every conference in the catalog is PAIRED with an 'EXHIBITORS ONLY' or 'SPONSORS ONLY' row priced between 500 and 3,000 dollars. Those are vendor booth purchases, not CME activities; seeding them would duplicate every conference in the state's richest calendar and quote clinicians an exhibitor fee. They are excluded. The same tenant's /homepage view returns zero parseable rows while /courses returns 44, which is the filtered-default trap in its most extreme form yet. CREDIT COVERAGE IS UNUSUALLY GOOD AND MUST STILL NOT BE GENERALISED: 71 of 104 seeded activities carry an AMA PRA Category 1 hour figure, and that strength is almost entirely the platform layer — Inova, Sentara, UVA, VCU and ODU publish hour counts as a matter of course. The society layer is the opposite: only five of its meetings publish a number. Missing figures are UNKNOWN, never zero. Three flavours of not-quite-AMA credit are labelled on their rows rather than merged: the osteopathic association designates AOA Category 1-A only, the nurse practitioners' council publishes ANCC contact hours through the Virginia Nurses Association, and the physician assistants' academy designates AAPA Category 1. BEWARE THE PROVIDER'S GENERIC BOILERPLATE: UVA's activity pages carry a standing sentence offering 'AMA PRA Category 1 Credit(s) or ANCC contact hours', which is NOT a designation — one activity matching that pattern publishes only a 6.25 ANCC figure and names only Nurse and Nurse Practitioner, and it is seeded for NPs alone. Two credit statements are recorded as CONTRADICTIONS rather than resolved: the emergency physicians' 2027 conference page shows a 15.75 figure identical to its 2026 designation beside a calendar entry reading 'details coming soon', and the plastic surgeons publish an AMA PRA designation with the hour count left literally blank. KNOWN GAPS, all researched rather than assumed. THE COUNTY LAYER IS SIX SOCIETIES, NOT A DENSE GRID — the state society publishes a component directory listing exactly six, which refuted twelve of eighteen candidates outright and documented why: Fairfax and Alexandria merged into the Medical Society of Northern Virginia in 2002 and Loudoun joined in 2012, while Norfolk, Chesapeake and Virginia Beach merged into the Coastal Virginia Medical Society in 2023. NOT ONE of the six publishes an accreditation statement, so every county row is credit-unknown. Two are unreadable for opposite-looking reasons that are both 'alive and refusing bots': Richmond's Cloudflare challenge cleared in a real browser and its calendar was read, Arlington's SiteGround challenge did not clear and its calendar has never been seen. THE HEALTH DEPARTMENT PUBLISHES NO CLINICIAN CME — a sitemap sweep of all 79 of its pages returns zero matches and its one events API returns zero future events — which is the North Carolina outcome and the second state to confirm that New York's health-department jackpot does not generalise. THE AHEC NETWORK IS A THIRD SHAPE, distinct from both precedents: its eight regional centres DO share one statewide calendar with a public, unauthenticated ICS endpoint, so it is genuinely machine-readable, but the feed is DORMANT — 56 events, none dated after June 2025 — and no page in the network mentions AMA PRA credit at all. The vascular society is behind a JavaScript robot challenge that a real browser could not clear, so it carries no events; aggregators publish dates for its meeting and those are deliberately not seeded. Seven health systems publish nothing public whatsoever, and HCA's Virginia hospitals appear only on a national corporate tenant where every Virginia row is an undated recurring series. FINALLY, VIRGINIA IS BOTH A DESTINATION AND AN EXPORTER. It is one time zone, so every in-state row is Eastern, but out-of-state organizations meet at the Omni Homestead, Williamsburg and Virginia Beach — the North Carolina orthopaedic association's annual meeting at Hot Springs was already seeded by North Carolina and is deliberately NOT duplicated here. In the other direction THREE VIRGINIA-ACCREDITED ACTIVITIES ARE HELD OUT OF STATE and carry their TRUE venue state: a gynecologic oncology conference in Philadelphia, a lymphoma forum in San Diego on PACIFIC time, and the cardiology chapter's own annual meeting, which is a five-jurisdiction symposium held in WASHINGTON, DC. One further row is a deliberate venue-over-name call: a conference named for the Washington, D.C. Dermatological Society is held in Fairfax and is therefore a Virginia activity."},{"code":"WA","name":"Washington","level":"seeded_partial","note":"First pass, 2026-08-10, researched across six lanes. WASHINGTON IS THE STRUCTURAL INVERSE OF THE TWO STATES BEFORE IT, and that is the useful finding: its registry is SMALL — 1,415 activities across 26 providers, against Virginia's 11,223 and New Jersey's 10,462 — and it is mostly GENUINE LOCAL CME, roughly three quarters of it, where Virginia's local share was 22 per cent. There is no beltway society cluster and no pharma corridor here. So the rule is to SPLIT the registry before comparing states, not to assume an overhang exists. ONE NUMBER IS WORTH CARRYING ANYWAY: Northwest Anesthesia Seminars, a CME-plus-travel vendor in Pasco, holds 157 activities — ELEVEN PER CENT OF THE ENTIRE STATE'S REGISTRY — and its courses are in Gatlinburg, Nashville, Jackson Hole, Hawaii, the Caribbean and Europe, with NOT ONE in Washington. It is excluded by the destination-CME policy, and it means a naive reading of the registry credits Washington's largest single 'provider' with nothing that happens in Washington. ⭐ THE ACCREDITOR IS THE BIGGEST FINDING, and it reaches far beyond this state. Thirteen of the twenty-six providers are accredited by the PACWEST CONTINUING EDUCATION ACCREDITATION COLLABORATIVE, which the Washington State Medical Association operates jointly with the Hawaii Medical Association and which, in its own words, accredits organisations 'across Washington, Alaska, Hawaii, Oregon, American Samoa, and Guam' — six jurisdictions, and NOT Idaho, Montana, Wyoming, California or Nevada despite the name. Unlike North Carolina, Virginia and Mississippi, whose societies RELINQUISHED their recognition to a regional collaborative, WSMA still holds the ACCME recognition and PacWest is the joint brand; its founding date is not published anywhere reachable and is deliberately not recorded. WSMA is ALSO an accredited PROVIDER that joint-provides for state specialty societies, so it appears in two distinct roles. That puts the intrastate-accreditor tally at NC 12/24, MI 15/30, NJ 22/46 and WA 13/26, with Virginia's 5/52 now clearly the outlier rather than the pattern breaking. ⚠️ AND THE ACCME REGISTRY UNDERCOUNTS IT. The research tool warns in the abstract that a body accredited by a state society may not appear; Washington supplies two named proofs. EVERGREENHEALTH appears on WSMA's own PacWest directory and is ABSENT from the registry entirely, and PROVIDENCE REGIONAL MEDICAL CENTER EVERETT runs a CMETracker catalog while not existing in the registry as a separate provider at all. For any state with an intrastate accreditor, pull the ACCREDITOR'S OWN provider directory as well as the registry. THE PLATFORM LAYER carries the state and added a platform the extractors do not cover: University of Washington, Washington State University and Virginia Mason on CloudCME; Swedish, Kaiser Permanente Washington, Providence Southwest Washington and Providence Everett on CMETracker; and MULTICARE ON eeds. Three extraction traps are worth carrying elsewhere. VIRGINIA MASON PUBLISHES NO CREDIT AT ALL in its catalog listing — every row shows an empty credit field — while the per-activity page states the figure outright, so fetching it recovered hours for four of six rows. THREE OF FOUR eeds VIEWS ARE EMPTY CLIENT-RENDERED SHELLS: the obvious 'live events' view returns HTTP 200 containing only an unrendered tag, and only the calendar view is server-rendered, so a crawler records MultiCare as having nothing. And WSU's 113 registry activities are seventy enduring faculty-development modules and exactly one dated event — volume is not conferences. CREDIT COVERAGE IS THIN AND HONESTLY SO: only about a third of seeded activities carry an AMA PRA Category 1 figure, and the rest are UNKNOWN, never zero. Washington societies very commonly publish a date and a venue with no accreditation statement at all. Where credit does exist it is frequently designated by someone else — the allergy forum by its national college, the neurological society's meeting by WSMA, the urology society's by a hospital accredited by the COLORADO state medical society. Two rows publish a literal maximum of 0, which means hours are not yet assigned rather than that none are offered, and are recorded as unknown. KNOWN GAPS, all researched. THE COUNTY LAYER IS THIRTEEN COMPONENT SOCIETIES and EXACTLY ONE publishes an accredited activity in this window — Spokane's. Not one of the thirteen publishes an accreditation statement. Two, Snohomish and Yakima, sit behind hard VISUAL CAPTCHAs that a real browser could not clear, so they are UNVERIFIED rather than empty, and they are the only places in that layer where an event could still be hiding. One serves NO TLS CERTIFICATE AT ALL and is reachable only over plain HTTP. THE AHEC NETWORK IS THE MICHIGAN OUTCOME — four centres, no shared catalog, no API, no feed, and what continuing education exists names community health workers and medical assistants rather than clinicians. THE HEALTH DEPARTMENT PUBLISHES NO CLINICIAN CME, the third consecutive state to confirm that New York's ceitraining.org does not generalise. The state ORTHOPAEDIC association is DORMANT by its own membership letter, so that specialty is a genuine gap rather than an oversight. FINALLY, WASHINGTON IS ONE TIME ZONE — every in-state row is Pacific — but THREE Washington-accredited activities are held elsewhere and keep their true venue state: one in COLORADO on Mountain time, one in HAWAII on Hawaii-Aleutian time, and the pathologists' meeting in OREGON, because that society rotates its conferences across Oregon, Washington and British Columbia by its own description."},{"code":"OR","name":"Oregon","level":"seeded_partial","note":"First pass, 2026-08-10, researched across four lanes. OREGON'S DEFINING FEATURE IS THAT ITS REGISTRY IS A MAILING-ADDRESS ARTEFACT. It shows 2,032 ACCME activities across only THIRTEEN providers, and 974 of those — forty-eight per cent of the state — belong to three companies that hold almost nothing here. CE LEARNING SYSTEMS ALONE HOLDS 799, thirty-nine per cent of Oregon, and it is neither a conference producer nor a destination-CME vendor: it is an ACCREDITATION-LENDING SERVICE whose CE-Go product sells joint providership to organisations nationwide, so those activities are OTHER BODIES' events, mostly behavioural health and counselling rather than physician education, run from a virtual-mailbox unit in Beaverton. That is a THIRD distinct way a registry headline misleads, after New Jersey's national commercial companies and Washington's CME-plus-travel vendor — and here the activities are not the registrant's own at all. Northwest Imaging Forums (31) holds its courses in Orlando, Las Vegas, Chicago and Nashville with none in Oregon; Horizon CME (144) is a genuine Oregon company whose nine meetings include exactly one Oregon edition, and that one IS seeded. ⭐ THE PACWEST EXPECTATION DID NOT REPRODUCE, AND THAT IS THE FINDING. Washington established that the ACCME registry UNDERCOUNTS wherever an intrastate accreditor operates, with two named proofs. PacWest accredits into Oregon too, so the same shortfall was expected here. It is not there: the accreditor's own directory lists EXACTLY ONE Oregon provider — Samaritan Health Services, Corvallis — and Samaritan IS in the registry. Measured, not assumed, and the next PacWest state should measure rather than inherit either expectation. ⚠️ AND THE OREGON MEDICAL ASSOCIATION IS A PROVIDER, NOT AN ACCREDITOR. A research lane inferred from search results that OMA was Oregon's state accreditor and concluded a whole local tier sat outside the registry. Its own activity pages say otherwise — 'The Oregon Medical Association is accredited by the ACCME to provide continuing medical education for physicians' — its registry record reads accreditedBy=ACCME, and none of the thirteen providers are accredited by it. What it really runs is JOINT PROVIDERSHIP for non-accredited organisations, which is why the state's pain-management and infection-control courses carry an OMA designation. Plausible reasoning, wrong conclusion, corrected from the publisher. TWO OREGON PROVIDERS ARE ACCREDITED BY THE CALIFORNIA MEDICAL ASSOCIATION, which is a genuine cross-border layer rather than a mistake: Bay Area Hospital in COOS BAY (not the San Francisco Bay Area) and Asante's CME of Southern Oregon in Medford — and Asante is therefore ABSENT from the Oregon ACCME registry entirely, which is why absence is written as 'not in the registry', never as unaccredited. THE PLATFORM LAYER had to be found by probing, and one tenant would never have been guessed: LEGACY HEALTH publishes on CMETracker tenant LHS, unreachable from its registry website, and PROVIDENCE OREGON on PPMC — while PROVOR, PROVOREGON and PROVIDENCE all 404 and Providence's two other tenants contain ZERO Oregon rows. Every CloudCME guess was NXDOMAIN against a live control. St. Charles runs on eeds, whose only server-rendered view is the calendar. ⚠️ VOLUME IS NOT CONFERENCES, AND HERE IT IS NOT EVEN OPENNESS. Legacy's catalog is the state's largest at 372 rows — and 292 of them state outright that only Legacy staff may attend, leaving five open conferences. Northwest Permanente's 212 registry activities produce no public catalog at all (an established absence: its site is a recruitment page containing the string 'CME' zero times), Samaritan's 185 produce none, and Salem Health's CMETracker catalog FUNCTION IS SWITCHED OFF — its calendar endpoint returns the string 'That function not enabled'. Licensed software, disabled, which is not the same as an empty calendar. CREDIT COVERAGE IS THIN AND HONESTLY SO: fewer than a third of seeded activities carry an AMA PRA Category 1 figure. Oregon societies very commonly publish a date and a venue and no accreditation statement, and several say plainly that credit is not yet designated. Two traps are recorded rather than resolved: the Oregon Gut Club DISPLAYS LAST YEAR'S accreditation and says so on the page, so its 2025 figure is deliberately not carried forward; and Providence prints 'Attendance - 0.00' for a conference with a full agenda and a $225 physician fee, which is a placeholder, not zero credit. Where credit exists it is often designated by someone else — OHSU designates the dermatology society's meeting and the geriatrics society's conference, and the OMA designates the state's pain module. KNOWN GAPS, all researched. Twenty-two of the fifty-four organizations carry no event, and the reasons are named per organization rather than left blank. The county layer barely exists: the OMA's own affiliate directory lists just six county societies, the Medical Society of Metropolitan Portland was DISSOLVED by board decision in 2020, and there is no Multnomah, Jackson, Clackamas or Washington County society — only Central Oregon's publishes accredited CME. THE AHEC NETWORK IS THE MICHIGAN OUTCOME, measured not assumed: five regional centres, no shared catalog, no API and no feed — absent rather than broken. Two societies are unreachable through DNS failures (otolaryngology and rheumatology, both NXDOMAIN), the ACP chapter's own site serves a bot challenge to browsers and fetchers alike so its meeting is recorded from ACP national, and the urological society's domain serves NO valid TLS at all. Oregon's biggest single unread surface is a CMETracker tenant named SALEM that answers a persistent tenant-specific 503 while a control returns 200 — it exists, it is not Salem Health, and its identity is unconfirmed. OREGON BODIES MEET IN WASHINGTON MORE THAN ANY STATE SO FAR, and two of those conferences were ALREADY SEEDED BY WASHINGTON — the urological society's joint meeting at Skamania Lodge and the Northwest Allergy Forum in Seattle. Both societies are listed here carrying no events, which is the correct handling and not an omission. Two further Oregon-run meetings keep their true Washington venue state and answer a Washington search: the cardiology chapter's symposium at Skamania and the surgeons' 2027 joint meeting at Chelan."},{"code":"MA","name":"Massachusetts","level":"seeded_partial","note":"First pass, 2026-08-10, researched across six lanes. THE ACADEMIC LAYER CARRIES THIS STATE ALMOST ENTIRELY, and Harvard Medical School carries the academic layer: its bespoke catalog is fully server-rendered and supplies 47 of the events listed here, each with a machine-read date and, for 36 of them, a designation quoted from the programme's own page. THE COUNTY-SOCIETY TIER THAT EXISTS IN OTHER STATES DOES NOT EXIST HERE. Massachusetts organises as twenty DISTRICT medical societies rather than counties, and NINETEEN OF THE TWENTY HAVE NO WEBSITE AT ALL — their addresses on the state society's site are anchors into a shared governance directory, and not one of the twenty publishes an accreditation statement or a calendar. Anyone expecting local county CME in Massachusetts should be told plainly that there is none to find. THE STATE SPECIALTY LAYER IS REAL BUT ITS CREDIT IS NEARLY ABSENT. Twenty chapters were verified and fifteen of them publish no accreditation statement of any kind; across the whole layer only three genuine designations were found, and NOT ONE IS ISSUED BY THE CHAPTER ITSELF — they belong to the state health department, to a Connecticut osteopathic society, and to the national American Thoracic Society. Most society rows here therefore say credit is unknown, which means unpublished, never zero. MASSACHUSETTS IS SERVED BY NEW ENGLAND REGIONAL SOCIETIES RATHER THAN STATE CHAPTERS in ophthalmology, otolaryngology, orthopaedics, neurosurgery, surgery, vascular surgery, radiology, dermatology, pathology, urology and occupational medicine — and several of those bodies MEET OUTSIDE MASSACHUSETTS. Rows here are recorded at their true venue state, so a search of this state will not show the surgical society's Connecticut meeting, the vascular society's Vermont meeting, the dermatology academy's New Hampshire conference, the osteopathic society's Connecticut conference or Harvard's Orlando course; each answers a search for the state it is actually held in. Nine rows researched here are held elsewhere. THE COMMUNITY-HOSPITAL TIER IS LARGELY INVISIBLE ON THE PUBLIC WEB. Seventeen providers were checked against sitemap crawls totalling more than eleven thousand URLs and only two publish a public dated calendar; one states outright that its calendar is reachable only from its intranet, and both calendars that do exist are hosted OFF-SITE rather than on the hospital's own domain. WHAT IS NOT COVERED HERE, AND WHY. Baystate Health, the largest provider in western Massachusetts, returns a Cloudflare challenge and began rate-limiting, so NOT ONE of its rows was ever seen — its catalog is unmeasured rather than empty, and it is the biggest single gap in this state. Boston University's and Mass General Brigham's catalogs are blocked the same way, so Mass General Brigham appears here with five rows against a catalog of roughly 2,249 nodes. Boston Children's is the largest provider in the state and only four of its activities are listed, because its two catalog views disagree with each other and neither is a superset. Treat every one of those as unread, not as absent. FINALLY, REGISTRY VOLUME IS A POOR GUIDE TO THIS STATE. Of the 6,921 accredited activities Massachusetts reports, the largest holders are national businesses that are genuinely headquartered in Boston and hold no event here at all — one of them turns out to be a Baltimore operation carrying its Boston parent company's address. The state medical society accredits half of all Massachusetts providers but only about eight per cent of the volume, because what it accredits is the small community layer."},{"code":"RI","name":"Rhode Island","level":"seeded_partial","note":"First pass, 2026-08-11, researched across four lanes. RHODE ISLAND IS GENUINELY THIN, AND THE REASON IS STRUCTURAL RATHER THAN A GAP IN THE RESEARCH. The state has seven accredited providers in total. The largest of them by volume publishes nothing at all publicly — its catalog sits behind a hospital single-sign-on, which makes it closed registration — and the academic provider's season runs March to June, so a pass run in August falls between cycles and finds its catalog holding four activities, only one of them ever dated and that one now past. Five of the seven providers publish no activity listings of any kind: one hospital's CME page is a governance document last substantively revised in 2008, another's is a planning toolkit whose only activity links point at Boston University and the University of Illinois, and a third has no CME page anywhere in its 414-page sitemap. RHODE ISLAND HAS NO ACCREDITOR OF ITS OWN, WHICH IS WHY MASSACHUSETTS APPEARS THROUGHOUT. Four of the seven providers are accredited by the Massachusetts Medical Society, which accredits across Massachusetts and its contiguous states. Three Rhode Island hospitals still publish statements naming the Rhode Island Medical Society as their accreditor; those are out of date, and the state society is neither a recognised accreditor nor an accredited provider today. It brokers its education through the medical school instead. MOST OF THIS STATE'S INVENTORY IS IN-BOUND, WHICH IS UNUSUAL AND WORTH SAYING PLAINLY. The largest conference held in Rhode Island is run by a Boston company, the Newport internal medicine conference by a Colorado one, and the Newport ophthalmology meeting by a national society — none of the three has any Rhode Island presence. A clinician searching this state finds most of what is here only because events are recorded at their true venue rather than their provider's home. THERE IS NO COUNTY OR DISTRICT SOCIETY TIER AT ALL, unlike Massachusetts's twenty districts or Illinois's sixteen counties; the state society's sub-tier is an association-management roster for about a dozen specialty societies, most of which have no website. Of the specialty chapters that do, only cardiology and emergency medicine publish a dated future meeting, and NEITHER PUBLISHES A CREDIT DESIGNATION — those rows say credit is unknown, which means unpublished and never zero. REGISTRY VOLUME IS ACTIVELY MISLEADING HERE, MORE SO THAN IN ANY STATE SO FAR. Sixty-two per cent of Rhode Island's accredited activity belongs to one national academy that is headquartered in East Providence and holds no event in the state whatsoever; its volume is a federally funded national curriculum published on a different domain entirely. It is listed here but is deliberately not scoped to Rhode Island, so it contributes no local inventory: its two live courses are virtual and answer as national online content the way any other online library does, and its annual meeting answers a Tennessee search, not this one. The health department runs a real events calendar containing lead and asbestos licensure training rather than clinician education; its genuine physician CME is the free opioid prescribing series listed here, which it co-produces and hosts on the medical school's platform."},{"code":"CT","name":"Connecticut","level":"seeded_partial","note":"First pass, 2026-08-11, researched across six lanes. CONNECTICUT'S CME IS CONCENTRATED IN ITS HEALTH SYSTEMS AND ALMOST ABSENT FROM ITS SOCIETIES. Two providers — Hartford HealthCare and Yale — supply most of the dated activity in the state and both publish machine-readable catalogs carrying explicit AMA PRA Category 1 hour counts. Against that, the specialty and county layers publish plenty of MEETINGS and almost no CREDIT: of the THIRTEEN society and county activities recorded here, NOT ONE publishes an AMA PRA Category 1 designation. Twelve say credit is unknown, which means UNPUBLISHED AND NEVER ZERO, and the thirteenth publishes AAFP Prescribed credit, which is a different currency. Treat a Connecticut society meeting as a meeting until its accreditation statement appears. CONNECTICUT HAS NO ACCREDITOR OF ITS OWN, AND ITS SMALL PROVIDERS ARE ACCREDITED FROM TWO NEIGHBOURING STATES. The state is absent from the ACCME's list of recognised accreditors, so six of its providers are accredited by the Massachusetts Medical Society and one — Greenwich Hospital — by the Medical Society of the State of New York. All seven were predicted in advance from the Massachusetts pass and all seven were confirmed. THE CONNECTICUT STATE MEDICAL SOCIETY IS NOT AN ACCREDITOR, AND AT LEAST ONE SOCIETY'S CURRENT PAPERWORK STILL SAYS IT IS. Pages claiming accreditation by it are claims rather than accreditation. The confusion is structural rather than simple staleness: Connecticut statute independently accepts state-society-approved coursework for LICENCE RENEWAL, which is a different thing from accreditation. REGISTRY VOLUME OVERSTATES THE STATE BY ABOUT A THIRD. Eight registrants hold 759 of Connecticut's 2,689 accredited activities and produce no Connecticut event at all — a medical-education company and two online publishers with real in-state offices, two national societies sharing one association-management address in Bloomfield, an insurer whose CME is member-gated enduring material, and a firm that lends its accreditation to third parties. Two more providers are volume illusions of a different kind: Connecticut Children's 350 activities resolve to a single public conference, and Yale's 176 resolve to six dated conferences with the remainder on-demand. THE HOSPITAL CALENDARS ARE MOSTLY NOT ON HOSPITAL WEBSITES. Three hospitals publish nothing dated on their own domains while running live calendars on a third-party platform, and Greenwich Hospital is the sharpest case — no CME page anywhere in its 1,839-URL sitemap, and a real credit-bearing calendar off-site. Only one community hospital in the state, Silver Hill, publishes dated CME on its own domain. A crawler limited to hospital websites would report this layer as empty. Conversely one provider genuinely publishes nothing: Stamford Health has 20 accredited activities and NOT ONE CME page across its 2,903-URL sitemap, yet designates 5.25 credits for another society's conference — its output appears under that society's name, not its own. THE COUNTY TIER IS NOT THE EIGHT COUNTIES IT APPEARS TO BE. Two county societies merged into a single eastern association in 2022, the largest county body left the state society in 2017, one county society's published domain has been hijacked and now redirects to a spam site, and two more could not be verified to operate at all and are deliberately not listed. Across that entire layer there are three future activities and no accreditation statements. KNOWN GAPS, RESEARCHED AND ACCEPTED: the Connecticut Section of the obstetricians' college is behind a member login; one regional health education centre is behind a CAPTCHA; and the hospital-medicine chapter publishes its events inside a members-only community."},{"code":"TN","name":"Tennessee","level":"seeded_partial","note":"First pass, 2026-08-11, researched across six lanes. TENNESSEE'S CME IS ALMOST ENTIRELY INSTITUTIONAL, AND ITS THREE METRO POLES SIT IN TWO TIME ZONES. Nashville, Memphis and Jackson are Central; Knoxville, Chattanooga, the Tri-Cities and Oak Ridge are Eastern. Every dated row here carries the zone of its own venue, and for the platform rows that is not an inference at all — the publishers' own calendar records declare it. HALF THE STATE'S REGISTRY VOLUME BELONGS TO ORGANISATIONS THAT HOLD NOTHING HERE. Of 2,945 accredited activities, about 1,493 belong to five registrants with no public dated Tennessee activity: a national physician-staffing company in Knoxville that alone holds 24% of the state and publishes only nurse-anaesthetist modules, a hospital group's graduate-medical-education arm whose catalogue is one shared twenty-state listing with no state field, a federally funded eight-state HIV training programme, a national psychiatry publisher with a Memphis mailing address, and a commercial joint-provider operating from a post-office box. Judge this state by its institutions, not by its registry count. THE SOCIETY LAYER PUBLISHES MEETINGS, NOT CREDIT. Fourteen state specialty and county society activities are recorded here and NOT ONE carries an AMA PRA Category 1 designation. Several publish something that looks like one and is not: one prints 'approximately 11 hours of CME' with no category and no accreditor, and another prints a complete accreditation statement whose figure is still the template placeholder 'X.XX'. Credit unknown here means UNPUBLISHED AND NEVER ZERO. TENNESSEE HAS NO ACCREDITOR OF ITS OWN, AND THE TWO THAT REACH IN BARELY DO. The state is absent from the ACCME's list of recognised accreditors; the Southern States CME Collaborative accredits two providers and Georgia's Medical Association exactly one — a Chattanooga system, in the metro that spans the Georgia line, which publishes nothing under its own name. The state medical association is an accredited PROVIDER and not an accreditor, despite wording on its own site that reads as though it were. SEVERAL INSTITUTIONS PUBLISH THEIR CME ON SOMEBODY ELSE'S PLATFORM. A large regional system in the north-east of the state publishes no CME calendar on its own domain at all — every one of its likely paths returns 404 — while its oncology symposium runs, dated and credit-bearing, on a university's catalogue. The same catalogue carries a Chattanooga hospital's neuroscience series and a children's hospital's tele-education programme. A crawler limited to each institution's own website would record three live providers as silent. KNOWN GAPS, RESEARCHED AND ACCEPTED: a children's hospital's session-level calendar sits behind a free-account login, so its weekly grand rounds is recorded on the organisation and not as dated rows; one regional system's CME page is behind a bot-mitigation interstitial that was not rendered and is recorded as unconfirmed rather than empty; the state's largest county societies publish social and governance calendars with no CME; and the surgical chapter's 2026 annual meeting ended days before this pass with no 2027 date posted."},{"code":"IN","name":"Indiana","level":"seeded_partial","note":"First pass, 2026-08-11, researched across six lanes. INDIANA HAS THE MOST FRAGMENTED CLOCK IN THE COUNTRY, AND ITS PUBLISHERS GET IT WRONG. Eight distinct America/Indiana/* zones sit beside America/Chicago. Most of the state is EASTERN; the north-west corner (Lake, Porter, LaPorte, Newton, Jasper — Gary, Hammond, Munster, Valparaiso, Michigan City) and the south-west corner (Vanderburgh, Warrick, Posey, Gibson, Spencer — Evansville) are CENTRAL. PRINTED ZONE ABBREVIATIONS HERE ARE UNRELIABLE IN BOTH DIRECTIONS: one hospital catalog labels every row 'EST' including August, a university prints 'CST' for September and October, and one nurse-practitioner body prints '6:00pm CT' for Evansville beside '5:30pm ET' for Fort Wayne in the same list on the same day. Every dated row here takes its zone from its venue's city and county, never from the abbreviation a publisher typed. THE STATE MEDICAL ASSOCIATION IS THE ACCREDITOR FOR MOST OF THE STATE — the strongest intrastate-accreditor result measured anywhere so far. It accredits 18 of Indiana's 28 registry providers (64%), holds a dual role as an accredited provider in its own right, and publishes its accredited-provider roster WITH CITIES, which is what resolves the four registry entries that publish no website at all. Two authoritative lists still disagree in both directions: the roster has 22 rows, the registry 28 providers, and each contains an entry the other lacks. CREDIT HERE IS A THREE-WAY CURRENCY. Providers accredited by the state medical association issue AMA PRA Category 1 under a verbatim template it imposes; the osteopathic association is accredited separately and issues AOA Category 1-A; the family-medicine academy is not an accredited provider at all and its credit is AAFP Prescribed. These are not interchangeable. Rows recorded as credit unknown are UNPUBLISHED AND NEVER ZERO — several publish an hour count with no category named, which is not a designation. BOTH OF THE STATE'S LARGEST INSTITUTIONS PUBLISH ON A SECOND CHANNEL THEIR OWN CATALOG CANNOT SEE. A Fort Wayne system's two September symposia live only on an Eventbrite organizer account and are absent from its platform tenant, while the same tenant carries two symposia the Eventbrite channel never mentions; and the largest hospital system's 41-activity catalog runs on a custom single-page application on a different host from the medical school's. Size is not availability either: a 13-hospital consortium publishes a well-structured 37-activity catalog in which nearly every row reads 'open to professionals affiliated with' one member hospital, one row is for attorneys, and one is nursing-only. KNOWN GAPS, RESEARCHED AND ACCEPTED: the largest hospital system's 41 dated activities are NOT seeded because registration sits behind a sign-in and several series are affiliate-scoped, so openness is unresolved and no AMA category is printed publicly; two dated, AMA-designated symposia in a Fort Wayne tenant are NOT seeded because the platform's target-audience field is empty on both and a blank audience fails open — one of them also prints two different credit figures in two of its own fields; the state's entire county society tier publishes zero dated clinician CME and zero accreditation statements; the health department is genuinely self-accredited but its record is retrospective only, with no forward calendar; and at least fifteen Indiana hosts return an empty body, a one-character body, a compatibility stub, a reset, HTTP 402/403 or a TLS error to a plain fetch while rendering normally in a browser, so a fetch-only pass would record much of this state as publishing nothing."},{"code":"MO","name":"Missouri","level":"seeded_partial","note":"First pass, 2026-08-11, researched across six lanes. MISSOURI HAS NO ACCREDITOR OF ITS OWN AND ITS SMALL PROVIDERS ARE SPLIT ACROSS FOUR OUT-OF-STATE ONES. It does not appear on ACCME's list of 28 Recognized Accreditors, and where Rhode Island's providers all went to a single neighbour, Missouri's go four ways: the Kentucky Medical Association accredits two, the Nebraska Medical Association two, the Oklahoma State Medical Association one and the Illinois State Medical Society one. Anyone checking this state's accreditation has to run the lookup four times. A publisher here contradicts ITSELF about its own accreditor, naming Oklahoma on one page and Missouri on two others; the registry says Oklahoma, and the Missouri claim is impossible because the state medical association is not a Recognized Accreditor at all. THE LARGEST PROVIDER IN THE STATE PRODUCES NO EVENTS. A national health system headquartered in St. Louis holds 1,375 registry activities — a third of the state's total — and its complete public catalog is 146 rows of ONLINE enduring material on two-year availability windows, spanning Oklahoma, Texas and Kansas as well as Missouri. Registry volume does not predict events, and the second-largest provider is worse: its 839 activities resolve to a monthly PDF hosted on another university's web server whose last surviving file is eight months old. TWO BI-STATE METROS AT ONCE, AND BOTH APPEAR IN THIS DATA. Kansas City straddles the Kansas line and St. Louis straddles into Illinois, so every venue here is filed by the state printed in the activity's own location field and never inferred from a city name. A Missouri-named, Missouri-headquartered Kansas City society holds BOTH of its future conferences in Overland Park, KANSAS, with its Missouri address appearing only in the site footer; those two rows are seeded as Kansas. A St. Louis university's conference is held in Laguna Niguel, CALIFORNIA. A Kansas City children's hospital holds an activity in Hiawatha, Kansas. Missouri itself is entirely Central time. CREDIT HERE IS THIN OUTSIDE THE PLATFORM LAYER AND COMES IN FOUR CURRENCIES. Of the state's specialty societies, not one publishes an accreditation statement or a credit designation. The family-medicine academy issues AAFP Prescribed credit, the osteopathic association issues AOA Category 1-A beside AMA PRA Category 1, and the nurse-practitioner association publishes bare 'CE credits' naming no accrediting body at all. None of these are converted. Rows recorded as credit unknown are UNPUBLISHED AND NEVER ZERO — one children's-hospital symposium is the exception and designates itself for a published 0.00, which is recorded as published rather than silently reinterpreted. Three activities publish two different credit figures in two of their own fields, and both figures are recorded rather than resolved. KNOWN GAPS, RESEARCHED AND ACCEPTED: four dated children's-hospital activities are NOT seeded because they publish neither a credit designation nor a target-audience field, and a blank audience fails open; five of that hospital's rows publish a room name with no city, so their cities are left blank rather than inferred from the organization's name; a state university's hands-on cadaver workshops have firm dates and open registration but no published AMA designation; the state psychiatric physicians' association is behind a bot wall and its CME is unverified rather than absent; four societies named on the state association's own district map have no web presence at all and its component directory is behind a members-only login; the health department publishes no clinician CME and the AHEC network's shared calendar is dormant; and four county-named domains matching Missouri counties turned out to belong to New York, Texas and Michigan, so any such domain is presumed out-of-state here until its own body copy proves otherwise."},{"code":"MD","name":"Maryland","level":"seeded_partial","note":"First pass, 2026-08-13, four research lanes plus direct platform extraction. MARYLAND HAS ITS OWN ACCREDITOR AND IT REACHES INTO DC: MedChi, the Maryland State Medical Society, has been an ACCME Recognized Accreditor since 1985 and accredits 'organizations within the state of Maryland and the District of Columbia' — 18 of the state's 54 registrants plus one DC registrant (Mid-Atlantic Permanente, which is why Kaiser Mid-Atlantic is invisible in Maryland's registry). MedChi's own surfaces disagree about the count: a 48-name roster five-plus years stale, a current 22-name list, and 19 visible across both ACCME registries. THE REGISTRY HEADLINE IS BELTWAY-INFLATED, VIRGINIA'S SHAPE: 4,039 activities, but the top of the table is national societies headquartered in the Bethesda–Rockville corridor (urology, addiction medicine, blood banking, ultrasound, nutrition, gastroenterology ×2, pharmacists, genetics, infectious diseases…) plus a federal layer — Navy Medicine at 385, FDA, SSA, SAMHSA. The genuinely local top five: Johns Hopkins 479, Sheppard Pratt 217, UMD School of Medicine 133, Upper Chesapeake 100, and the state's malpractice mutual at 94, which is ACCME-accredited directly and sells its evening risk-management CME to any licensed physician with no insured gate. THE FEDERAL LAYER SPLITS CLEANLY: NIH Clinical Center Grand Rounds are free, weekly, Hopkins-accredited and explicitly open to clinicians outside NIH; the FDA's CE portal is suspended in its own words ('unable to process CE applications or CE credits at this time'). MOST MEDCHI-ACCREDITED HOSPITALS PUBLISH NOTHING: of 18, only five have a working public catalog. Frederick Health's absence is sitemap-proven, LifeBridge's education section is GME-only, Adventist and Meritus publish patient classes, three state psychiatric hospitals (111 combined activities) publish nothing at all, and the VA-affiliated Chesapeake Health Education Program's registry URL is a veteran-housing nonprofit. ZERO AMA PRA DESIGNATION STATEMENTS EXIST FOR ANY UPCOMING SOCIETY EVENT in this state — the only true designation found on a society surface was national ACEP's, on a past conference. Society credit is recorded unknown, never assumed. VENUE IS NOT AFFILIATION, AGGRESSIVELY: Hopkins runs conferences in Marco Island FL, Beaver Creek CO, Orlando and St. Petersburg FL (its All Children's Hospital), San Juan PR, and its own Bloomberg Center in WASHINGTON DC; the ACC chapter's flagship symposium is a five-jurisdiction consortium event (DE/DC/MD/PA/VA) at DC's Heart House, already seeded once under Virginia and NOT re-seeded here; and a DC children's hospital holds its annual community-pediatrics conference in Bethesda. Each row carries its venue's state. KNOWN GAPS, RESEARCHED AND ACCEPTED: Hopkins department grand rounds sit behind a Cloudflare wall on hopkinsmedicine.org and are unenumerated; Suburban Hospital and Howard County General publish no catalog; the MERCY namespace on cmetracker.net answered 503 for five hours and is unresolved; Navy Medicine's CME pages 403 and civilian eligibility is unverified; the Washington School of Psychiatry runs a ce-go tenant but which of two same-named entities is the MedChi provider is unresolved; the eye society's spring convention and the surgeons', plastic-surgeons' and anesthesiologists' next meetings are dates-TBA; and of the county-medical-society domains matching Maryland county names, TWO resolve to New York's MSSNY/MLMIC template host, one is a broken WordPress identifying no state and two do not resolve at all, so Maryland components are only ever credited via their own idiosyncratic domains (montgomerymedicine.org, bcmamed.org, bcmsdocs.org — apex only) or MedChi's roster."},{"code":"DC","name":"District of Columbia","level":"seeded_partial","note":"First pass, 2026-08-13, four research lanes plus direct platform extraction and a serialized browser pass. THE REGISTRY IS A LIST OF NATIONAL SOCIETIES, NOT LOCAL PROVIDERS, AND THIS IS THE EXTREME CASE: 26 accredited providers and 3,982 activities, but the top of the table is the American Psychiatric Association at 808, the American College of Cardiology Foundation at 260, the American College of Preventive Medicine at 220, SCAI at 159, the Red Cross at 143, ACOG at 122, the Heart Rhythm Society at 108, the Endocrine Society, AMIA, NCQA, ASH, ASN, AACAP, APHA, the Association of Black Cardiologists, SMFM, ADLM and the American Society of Clinical Hypnosis foundation — eighteen national bodies. They are here because this is where medicine lobbies, and they meet wherever they choose. Subtract them and the District has eight providers, not twenty-six. SIXTEEN OF THE EIGHTEEN WERE READ SOCIETY BY SOCIETY AND EXACTLY TWO HOLD AN UPCOMING ACTIVITY IN WASHINGTON — the APA's Women's Leadership Institute at its own headquarters and ASH's Highlights of ASH, one of four city legs. Of the remaining two, the hypnosis foundation was checked and holds nothing upcoming here, and the American Red Cross (143 activities) was NOT read: its CME page returns HTTP 410. THREE NEAR-DC TRAPS SIT IN THAT SAME TABLE: APHA meets in Arlington VA, and SMFM and NCQA both meet at the Gaylord in National Harbor MD — inside the metro, outside the District. Every row here carries its venue's jurisdiction, never its provider's address. THE LOCAL LAYER IS MEDSTAR AND THREE MEDICAL SCHOOLS: MedStar's CloudCME tenant holds eight DC-sited conferences (two at MedStar Georgetown), Children's National publishes fifteen activities against 307 in the registry, and George Washington and Howard run grand-rounds programmes. GEORGETOWN PUBLISHES NO CME OF ITS OWN — CENTILE's page states MedStar Health holds the joint accreditation for Georgetown-affiliated activity, which is why Georgetown is absent from the registry; HOWARD IS ABSENT TOO YET RUNS ITS OWN CME OFFICE, so absence is evidence and not proof, twice over in one state. GW'S FOUR LIVE COURSES ARE ALL HELD OUTSIDE THE DISTRICT (Arlington, McLean, Bethesda, Falls Church) and Children's National's flagship conferences are in Bethesda, Rockville and Keystone CO, so both institutions contribute far less DC inventory than their catalogs suggest. THE DISTRICT HAS NO ACCREDITOR OF ITS OWN: MSDC is not an ACCME Recognized Accreditor (a search summary claimed otherwise and ACCME's own page contradicts it), and MedChi reaches in from Maryland — its 48-name roster hides at least seven DC organizations, two of which are not stale but CLOSED (United Medical Center in April 2025, Providence Hospital in 2019). KNOWN GAPS, RESEARCHED AND ACCEPTED: the DC Metropolitan Radiological Society states it holds five CME meetings a year and publishes not one date; the ACS chapter's only listed event is dated 'TBD'; the DC AAP chapter and the family-physician academy publish no dated activity; the Washington Psychiatric Society titles a series 'CME' with no accreditation statement anywhere on its site; Mid-Atlantic Permanente's CME is an internal physician benefit with no public catalog; the National Abortion Federation's meeting is restricted to members and Planned Parenthood staff; the New Washington School of Psychiatry's ce-go tenant renders empty in a real browser and its own programmes publish generic 'CEs' with no physician designation; and the DC Academy of Physician Assistants' events page 403s. DC's licence rule is worth knowing: 50 hours every two years including two in LGBTQ cultural competency, five in a published public-health priority and one pharmacology course."},{"code":"DE","name":"Delaware","level":"seeded_partial","note":"First pass, 2026-08-14, four research lanes plus direct platform extraction and a serialized browser pass. DELAWARE IS A SINGLE-HUB STATE, more so than any state seeded to date. It has no ACCME Recognized Accreditor of its own — checked against ACCME's own list of 28 state and territory societies, where Delaware does not appear — and the Medical Society of Delaware is an ACCME-ACCREDITED PROVIDER rather than an accreditor. Nearly every other body in the state publishes through MSD by JOINT PROVIDERSHIP on one Rievent tenant, msdcme.rievent.com, whose 52 activities span thirteen organizations: ChristianaCare 30, Beebe 8, Bayhealth 2, plus the specialty societies, the Maternal and Child Death Review Commission and the Division of Public Health. That single catalog is why CloudCME and CMETracker probes for every Delaware hospital came back empty. THE REGISTRY UNDERCOUNTS THE STATE IN BOTH DIRECTIONS: of its four listed providers, the largest by far is the American Society of Cytopathology (152 activities), a national society headquartered on West 10th Street in Wilmington whose next three annual meetings are in Seattle, Toronto and New Orleans — nothing local at all — while MedicusCME is an online point-of-care publisher and LogButler is DEA-compliance software that has never reported an activity. Meanwhile NEMOURS IS ABSENT FROM THE REGISTRY ENTIRELY because it is jointly accredited (ACCME/ACPE/ANCC), yet it designates its own AMA PRA Category 1 credit and holds real Delaware-sited conferences. Subtract the national layer and add Nemours back and the registry's headline of four is wrong in both directions. THE COUNTY TIER IS GONE, AND ITS DOMAINS BELONG TO OTHER STATES: New Castle County Medical Society's last IRS filing was 2012, and the live kcms.org is MICHIGAN (Grand Rapids) while sussexcountymedicalsociety.org is NEW JERSEY — as delcomedsoc.org is Delaware County, PENNSYLVANIA. Three separate near-name traps around one small state. KNOWN GAPS, RESEARCHED AND ACCEPTED: the Delaware Academy of Family Physicians' annual meeting (June, Dover) and the ACP chapter's annual scientific meeting (February, Newark) are both reliably Delaware-sited but their 2026 editions had passed at research time with no next date published; the Delaware Academy of Medicine's Hoopes Lecture carries a real 1.25 AMA PRA Category 1 designation but its 2026 edition has already been held and no 2027 date is published; the Psychiatric Society's lecture series has a dated 2026-10-27 session but publishes its venue only as 'virtual & in-person (varies)' and its credit only as a series total; the Delaware Orthopaedic Symposium is dormant and marked 'DATE TBD'; the physician-assistant academy's conference page is frozen at 2020; the AAP chapter's course list is members-only; the Nemours CMETracker tenant exists but returned HTTP 503 on five consecutive attempts; and twenty-three of the Rievent catalog's activities are flagged 'Internal Only', so they are represented by their organization rather than seeded as attendable rows. ONE ROW WAS SEEDED AND WITHDRAWN the same day: the osteopathic society's 2026-08-20 Dover meeting is still advertised verbatim on its own live site, but the only registration route it publishes redirects server-side to a canceled Evite — a live publisher page is not evidence that its event is live, so follow the registration URL's redirects, not just the page naming it. Delaware requires 40 CME hours per two-year renewal cycle, running 1 April to 31 March of odd-numbered years."},{"code":"WV","name":"West Virginia","level":"seeded_partial","note":"First pass, 2026-08-15, four research lanes plus direct platform extraction. WEST VIRGINIA'S FLAGSHIP CME CONFERENCE IS OSTEOPATHIC, AND THE MD STATE SOCIETY POINTS ITS OWN MEMBERS AT IT. The West Virginia State Medical Association publishes no meeting of its own — its meetings page reads only 'COMING SOON', its register button has an empty href and its event calendar returns 'No results found' — while its homepage links to the West Virginia Osteopathic Medical Association's 124th Annual CME Conference, and WVOMA's price list carries a WVSMA member tier equal to its own members' rate. That conference designates 22 AOA CATEGORY 1-A hours and NO AMA PRA credit at all, which matters because the two read almost identically and certify different things. THE STATE HAS ONLY FIVE ACCREDITED PROVIDERS AND 480 ACTIVITIES, and each of the five is instructive. WVU is the largest at 231 but its public catalog listed just five conferences, three of them dental; CAMC's 199 make it the state's real physician-CME publisher; Marshall has 36 and publishes only internal tumour boards; Berkeley Medical Center's 14 come through the SOUTHERN STATES CME COLLABORATIVE, making West Virginia the fifth state where that intrastate accreditor appears; and Quality Insights shows ZERO — accurately, because it sells accreditation services and holds credit for other organizations' activities while publishing none of its own. READ ce.camcinstitute.org, NOT THE MARKETING SITE. It is a public machine-readable catalog with per-class credit tables naming AMA PRA Category 1 and its hours, and it correctly omits the stale microsites camcmedicine.edu still serves — one of which is live, well-formed and future-tense for a symposium that had already ended. Note camcinstitute.org is a different host that refuses HTTPS, serves over plain HTTP and then meta-refreshes rather than HTTP-redirects, so curl -L does not follow it. TWO LAYERS ARE MEASURED NEGATIVES RATHER THAN GAPS. The AHEC network is the Michigan shape, not the North Carolina one: no shared catalog, no API, no feed and nothing dated across the state office and all five regional centres. The health department is silent in a way that can be counted — four Drupal sites all ship an /events route from a shared template and all four render zero event nodes, and its only live feed is press releases. Its Office of Drug Control Policy publishes no clinician training whatsoever, which is genuinely surprising here; its Office of Emergency Medical Services calendar returns HTTP 401, so that one is blocked rather than absent. THE COUNTY-SOCIETY TIER DOES NOT EXIST ON THE WEB — every plausible domain fails DNS — and the near-name traps are unusually rich: wvacc.org is the Appalachian Children's Chorus (the cardiology chapter is accwv.org, letters reversed), wvpma.org is the West Virginia PEST Management Association rather than the podiatric one, wvnpa.org is the state's nonprofit association, wvanp.org is naturopathic physicians, wvpa.org is a California compliance business and wvsa.org redirects to a Pennsylvania state agency. KNOWN GAPS, RESEARCHED AND ACCEPTED: credit is the weak point of the whole society layer — of ten upcoming society meetings exactly one publishes a designation sentence, and it is the osteopathic one — so most rows here carry credit recorded as UNKNOWN rather than assumed. WVOMA's online CME catalog returns HTTP 403 behind an Azure WAF, leaving an unread layer of enduring AOA material; WVSOM's mid-winter and summer seminar pages are password-protected, which is where a 2027 date would appear; the Appalachian Addiction and Prescription Drug Abuse Conference demonstrably has a 2026 edition but its PheedLoop site is a bare React shell whose APIs all 404, so no date could be established; the Southern States CME Collaborative has no reachable domain and publishes no provider list, so Berkeley Medical Center's activities stay unverified rather than inferred; the entire Eastern Panhandle yielded no upcoming WV-sited CME; and the orthopaedic society's dated 2027 meeting and the family-medicine foundation's dated 2026 conference both publish NO VENUE, so they are recorded on their organizations rather than seeded with an invented city. DELIBERATE EXCLUSIONS, NAMED SO THEY ARE NOT MISTAKEN FOR OVERSIGHTS: three WVU dental conferences carrying ADA CERP or AAOMP credit; CAMC's nursing conference, whose credit table lists only ANCC hours; CAMC's 149 life-support classes, represented by one organization row rather than flooding Charleston's results; and two commercial destination-CME conferences at The Greenbrier — a Hawaii-based dermatology company and a Colorado vendor whose December slate runs Walt Disney World, Hawaii, Basel, Nassau, Key West, Las Vegas, Costa Rica and Grand Cayman. Both carry genuine academic accreditation, and the second designates AOA CATEGORY 2-A rather than 1-A, so a DO booking it to satisfy West Virginia osteopathic licensure would be wrong. THE TWO BOARDS SET DIFFERENT REQUIREMENTS, which is why the AOA-versus-AMA distinction above is practical rather than pedantic. The Board of Medicine's classic pathway is 50 hours over a two-year reporting period designated Category I BY THE AMA OR AAFP — note AAFP Prescribed credit counts here — of which 30 must be in the physician's own specialty area, with a mandatory 3-hour board-approved controlled-substances course counting toward the 50; an ABMS certification exam or active MOC can substitute for the rest. The Board of Osteopathic Medicine requires 32 hours, of which 16 must be AOA Category 1A or 1B."},{"code":"LA","name":"Louisiana","level":"seeded_partial","note":"First pass, 2026-08-15, five research lanes plus direct platform extraction. LOUISIANA'S REGISTRY IS INVERSELY CORRELATED WITH ITS USEFULNESS, AND THIS IS THE STATE THAT MAKES THE POINT CLEANLY. Its two largest accredited providers hold 907 of the state's 1,644 registry activities between them and yield ZERO publicly joinable dated events: SCP Health (503) runs SCP University, 'free to all active SCP clinicians' with no public catalog, and LAMMICO (404) is a malpractice insurer publishing on-demand risk-management webinars. Meanwhile the Foundation for Wellness, at 26 activities, is the Louisiana-headquartered organization that most reliably puts physicians in rooms in Louisiana. Rank the layer by registry volume, then measure what KIND of activity it is before allocating research to it. LOUISIANA HAS NO ACCREDITOR OF ITS OWN AND IS ACCREDITED FROM TWO OTHER STATES' COLLABORATIVES. It is absent from all 28 of ACCME's Recognized Accreditors. The TEXAS MEDICAL ASSOCIATION accredits three Louisiana providers — the Louisiana AAP, Woman's Hospital and the Louisiana Regional PHO — and TMA's own roster is a three-state one, enumerated from the page itself on 2026-08-15 rather than summarised: 39 organizations, Texas 35, Louisiana 3, Arkansas 1. It matches the ACCME registry on Louisiana with zero symmetric difference. (Two independent model summaries of that page returned two different wrong totals — 43/36 and 46/42 — because its navigation repeats a comma-bearing line seven times; count a roster by enumerating its entries, not by asking for a count.) The SOUTHERN STATES CME COLLABORATIVE accredits three more (Our Lady of the Lake 41, Correct Care 12, St. Francis 5), making Louisiana the sixth SSCC state and the one the collaborative's own description does not license: it says it serves 'Virginia, North Carolina, Mississippi, and surrounding states', and Louisiana borders none of the three. ⚠️ THE STATE'S OWN LICENSING RULE CONTRADICTS ACCME AND THE CONTRADICTION IS RECORDED, NOT RESOLVED: LAC 46:XLV §437 accepts CME from 'an organization or entity accredited by the Louisiana State Medical Society or any other ACCME recognized state medical society', and the family physicians' academy repeats that clause, while ACCME lists no Louisiana accreditor and LSMS advertises no accreditation programme — its Education menu instead sends members to the MISSISSIPPI State Medical Association's CME at member rates. The rule text traces to 2000 and is almost certainly stale. LSMS IS NOT CODED AS AN ACCREDITOR HERE. THE CREDIT CURRENCY HERE IS NOT UNIFORM, AND ONLY SOME OF IT IS AMA PRA. Three currencies appear: AMA PRA Category 1 (Ochsner, LSU Health Shreveport, the urological society through Ochsner's joint providership, and the visiting national meetings); AAFP PRESCRIBED credit on every Louisiana Academy of Family Physicians activity, which is NOT an AMA PRA designation but does count for Louisiana licensure because LSBME §437 names the AAFP by name; and ANCC nursing NCPD on the nurse practitioners' conference, which carries no physician designation at all and is seeded for an NP audience only. NO AOA CATEGORY 1-A ACTIVITY EXISTS IN THIS STATE'S INVENTORY, and the reason is a broken website rather than an absent profession: the osteopathic association's site 404s on every path including its homepage while still rendering its own name, address and a 'Meetings & CME' menu. MOST OF LOUISIANA'S DESIGNATED CREDIT BELONGS TO VISITORS. New Orleans is one of the country's busiest convention cities, and the two largest AMA PRA figures RECORDED in this tranche are both held by out-of-state organizations at the Morial Convention Center — the American Academy of Ophthalmology at 50 (California) and Psych Congress at 24.75 (HMP Education, Pennsylvania). The third-largest recorded figure is a LOUISIANA one, Ochsner's 22nd Annual Update in Pediatrics at 10. The ASH annual meeting belongs in this paragraph as a visiting meeting but NOT as a figure: it is seeded with no hour count at all, and calling it one of the largest figures would reimport through the narrative the very number the row refuses to record. The event is Louisiana's; the organization is not, and the two are recorded separately. Any ranking that weights 'AMA PRA designated' will systematically surface non-Louisiana organizations here. THE TRAFFIC RUNS BOTH WAYS, WHICH IS THE GULF SOUTH PATTERN. Three Louisiana bodies hold their meetings out of state: the pathology society's Tri-State conference at Orange Beach, ALABAMA (seeded to Alabama on venue, the only non-Louisiana row in this tranche), the family physicians' 79th Annual Assembly in Sandestin, FLORIDA, and the Foundation for Wellness's Wellness Summit at Point Clear, ALABAMA. A Louisiana filter keyed on venue correctly drops all three, which is why they are named here. PLATFORM FINDINGS. The CMETracker tenant is the bare string `LSU` — LSUHS, LSUHSC and LSUNO all return the 404/404 double negative — and its catalog is publicly readable, giving 98 future-dated rows: 2 conferences and 96 sessions across 23 series. CloudCME yields exactly one Louisiana tenant, fmolhs.cloud-cme.com, whose Live Courses and RSS views are login- walled while the public views return four recurring series unauthenticated BETWEEN THEM — the unfiltered browse view shows three and the separate RSS view supplies the fourth, so a reviewer who checks only the browse view reports a row as missing that is simply in the other catalog. Tulane and the Foundation for Wellness both run HIGHMARKS tenants, the second and third sightings of that platform in any state. ⚠️ CORRECTED 2026-08-16 — THIS NOTE PREVIOUSLY TOLD YOU THE OPPOSITE, AND ASSISTANTS WERE SERVED IT. It said the public HighMarks view publishes NEITHER credit NOR audience, and that four Tulane conferences therefore carried credit UNKNOWN. Three of the four DO publish an AMA PRA Category 1 approval — 'This Activity has been approved for AMA PRA Category 1 Credit™' — hex-escaped inside a JavaScript subPages array, where the space is a \\x20 escape and a grep for 'AMA PRA' returns zero. The measurement behind the old claim was that grep, so it could not have found the sentence it went looking for, and a reviewer who reported this platform DOES publish credit was overruled on it. What is true is narrower: HighMarks publishes the DESIGNATION but usually not an HOUR COUNT, so those three rows now carry an approved Category 1 designation with hours unknown. The fourth is genuine silence for a reason of its own — its page reads 'Activity information coming soon!' — and the Foundation for Wellness DOES publish an audience: 'accreditation for physicians, peer support, LPC's, social workers, ADRA, and psychologist'. Read HighMarks with `npm run research:highmarks -- <tenant> --details`, never by eye. Rievent, EthosCE and CE21 produced no Louisiana tenant against live controls. KNOWN GAPS, RESEARCHED AND ACCEPTED. Credit is the weak point of the society layer: of the society and association meetings seeded here, exactly one publishes a designation sentence (the urologists', through Ochsner), so most rows carry credit recorded as UNKNOWN rather than inferred. The CHRISTUS Health tenant covering Shreveport-Bossier, Alexandria and Lake Charles returned a persistent tenant-specific HTTP 503 across every attempt over an hour while the LSU tenant on the same host stayed at 200, so north-west Louisiana's CHRISTUS layer is UNREAD rather than empty; TPN.health's 195 jointly-accredited activities sit behind a sign-up wall so their audience cannot be classified from outside and the organization is recorded as unverified rather than excluded; the Foundation for Wellness's upcoming-events navigation 404s on every path so its dated inventory here is a floor, not an enumeration; the state medical society's 2027 annual meeting is behind a member login; and the oncology society's cross-listed APP Oncology Summit was left unseeded because the organizer appears to be the summit rather than the society. MEASURED NEGATIVES, DISTINCT FROM GAPS. The AHEC network is the Michigan 'nothing at all' shape with a twist worth remembering: Central Louisiana AHEC's page is live and publishes no events of its own, acting purely as a pointer to a statewide CME referral site, medcelouisiana.com, WHICH NO LONGER RESOLVES — a live page pointing at a dead domain reads to a clinician as a working referral. The health department publishes no physician CME product; its calendar is a JS-only shell whose taxonomy is public meetings, health fairs and community training. Baton Rouge General has 15 registry activities and no CME surface at all, only GME. The hospital layer in north, central and south-west Louisiana — Willis-Knighton, Rapides Regional, Lake Charles Memorial, Terrebonne General, Thibodaux Regional — publishes no CME on any enumerable route. DELIBERATE EXCLUSIONS, NAMED SO THEY ARE NOT MISTAKEN FOR OVERSIGHTS: Woman's Hospital's three professional-education items, which carry ASRT technologist CEUs and no AMA PRA; the hospital association's 24-event calendar, which is quality, coding and executive education with no designation sentence anywhere; the Louisiana Regional PHO's weekly hospital tumour board, which is medical-staff education on an HCA-owned calendar rather than open registration; SCP Health's internal university; parish-society socials, book clubs and chapter dinners, which carry no CME; the emergency chapter's Zoom board meeting; and the Foundation for Wellness's Women's Wellness meeting, withheld because the publisher's own pages date it to both 2026 and 2027 and the weekday test cannot break the tie. THE PARISH LAYER IS FULLY ENUMERATED AND PUBLISHES NO CME. The state society's directory — reachable only through a Cloudflare managed challenge that self-clears in a real browser — names exactly ten societies across seven AFFILIATED (Calcasieu, Capital Area, Jefferson Parish, Lafayette Parish, Ouachita, Northwest Louisiana, St. Tammany Parish) and three CHARTERED (Acadia Parish, Avoyelles Parish, Orleans Parish). There is no Terrebonne or Rapides parish society on the roster. Not one publishes a CME activity, and their web presence fails in five distinct ways: a parked domain sold through GoDaddy (Jefferson Parish), DNS failure (St. Tammany), a certificate that does not cover the custom domain (Capital Area), an empty calendar grid (Capital Area again), and phone-only entries with no website at all (Acadia, Avoyelles, Calcasieu, Ouachita)."},{"code":"MS","name":"Mississippi","level":"seeded_partial","note":"First pass, 2026-08-15, four research lanes plus direct platform extraction. ⭐ THE MISSISSIPPI STATE MEDICAL ASSOCIATION CO-FOUNDED THE SOUTHERN STATES CME COLLABORATIVE, SO THE STATE'S ABSENCE FROM ACCME'S RECOGNIZED-ACCREDITOR LIST IS NOT WHAT IT LOOKS LIKE. The Medical Society of Virginia publishes the founding sentence: 'On April 1, 2024, the Medical Society of Virginia, the North Carolina Medical Society (NCMS), and the Mississippi State Medical Association (MSMA) came together to form the Southern States CME Collaborative, or SSCC. SSCC became an ACCME Recognized Accreditor, and the MSV, NCMS, and MSMA continue as ACCME Recognized Accreditors through their participation in the SSCC.' ACCME's own 28-name page lists the SSCC and does NOT name Mississippi, Virginia or North Carolina. Both of those are quoted facts; the reading that MSMA therefore 'relinquished' an individual listing is an INFERENCE from the two, and the word appears on neither page, so it is not asserted here. What is safe to say: MSMA is a founding society of the SSCC, and six of the state's eight registered providers are SSCC-accredited. Read a state's accreditor from provider_accredited_by and the accreditor's own founding statement, and do not convert an absence from a list into a claim in either direction. THE REGISTRY IS SMALL, ENTIRELY LOCAL, AND ALMOST ENTIRELY NOT CONFERENCES. Eight providers hold 321 activities and there is not one national commercial provider among them, so unlike New Jersey the volume needs no subtraction before it can be read. But the two largest providers hold 230 of those 321 and yield SIX joinable dated conferences between them. The University of Mississippi Medical Center (122) publishes a 124-row catalog of which roughly 80 are regularly scheduled series and 10 are enduring material; North Mississippi Medical Center (108) publishes 77 unique activities of which exactly ONE is a future-dated conference, the rest being past sessions, committee meetings and Epic training. This is the sharpest instance yet of volume not being conferences. ⚠️ THE CREDIT ON THIS STATE'S LARGEST PROVIDER IS INVISIBLE TO EVERY OBVIOUS INSTRUMENT, AND FOUR INDEPENDENT READERS RECORDED IT AS ABSENT. UMMC runs HighMarks, which pushes activity content into hex-escaped JavaScript string literals: a 269 KB page renders 954 characters of visible chrome, and the designation sentence appears as 'AMA\\\\x20PRA\\\\x20Category\\\\x201'. A raw grep for 'AMA PRA' returns zero, stripping <script> deletes the content outright, an LLM page summariser reported no credit, and a research lane fetched the Family Medicine Update page and recorded an explicit negative on credit. Decoded, that page designates 7.75 AMA PRA Category 1 Credits, and three more UMMC conferences carry 7.50, 13.0, 3.0 and 2.5 — the 3.0 was itself missed on the first pass because the page splits its numeral across markup ('3<strong>.0</strong>'), and the 7.50 Ophthalmology Update falls on the day of this pass so it is cited here without being seeded as upcoming. `npm run research:highmarks -- <tenant> --details` now reads this, and it reports 'no subPages found' as a state DISTINCT from 'no credit text' and from 'credit discussed but no hours', because collapsing those three is exactly how the figure went missing. ⚠️ A PUBLISHED 0.00 IS NOT ZERO CREDIT. North Mississippi Medical Center's 2026 Trauma Conference designates verbatim 'a maximum of 0.00 AMA PRA Category 1 Credit(s)™' — the allocation has not been set yet. It is recorded as not-yet-assigned, never as zero, and the 11.25 and 21.50 figures from the same provider's other conferences are NOT carried over to it. The standing rule that a MISSING figure is unknown does not cover this case; a PUBLISHED zero is its own trap. MISSISSIPPI HAS NO COUNTY MEDICAL SOCIETIES — IT HAS FIFTEEN MULTI-COUNTY REGIONAL ONES, AND THE ROSTER IS COMPLETE. The state society's directory enumerates exactly fifteen component societies covering 80 of the 82 counties; DeSoto and Pearl River are covered by none. Not one of the fifteen maintains a website: the roster carries no outbound link to any of them, twelve publish 'There are no records.' where officers would go, and a DNS probe of the plausible domains returned NXDOMAIN for every one but leecountymedicalsociety.org, which redirects to Lee County, FLORIDA. Because the roster is complete, any 'X County Medical Society, Mississippi' that is not on it does not exist — which converts a dozen fruitless searches into a verified structural absence. THE CREDIT CURRENCY IS NOT UNIFORM AND MOST OF THE SOCIETY LAYER PUBLISHES NONE. Of the eighteen Mississippi-sited rows here, SEVEN carry a verified AMA PRA Category 1 figure, one publishes a 0.00 recorded as not-yet-assigned, and the rest record credit as UNKNOWN rather than inferred. The osteopathic association deals in AOA CATEGORY 1-A, not AMA PRA, designating 25-28 hours on its coast conference, and it has nothing scheduled — its own page says 'No meetings/events scheduled at this time.' The family physicians' academy publishes the fullest forward calendar in the state, including a 2027 slate, and NOT ONE credit figure in either AAFP Prescribed or AMA PRA. THE HEALTH DEPARTMENT IS AN APPROVER, NOT A PROVIDER — the North Carolina shape rather than the New York one. Its own dated education carries nursing, social-work and CHES contact hours only. It nevertheless MANDATES physician CME: the medical-cannabis programme requires eight initial and five annual approved hours, and the state medical association delivers that CME, not the department. THE AHEC NETWORK IS THE MICHIGAN 'NOTHING AT ALL' SHAPE, AND ONE OF ITS TWO CENTRES IS A GHOST. Northeast Mississippi AHEC's long-cited host no longer resolves in DNS and its last successful archive capture is from 2019, yet search engines still rank the dead URL — a lane that reports it from a search result without fetching it is reporting a site that died seven years ago. Central Mississippi AHEC is a real organization hosted by Tougaloo College whose own page 404s while a sibling path 403s. No statewide AHEC page was reached at all; its existence rests on third-party references only. MEASURED NEGATIVES, DISTINCT FROM GAPS. Merit Health and Merit Health Wesley hold eight registry activities between them and publish nothing whatever — the for-medical-professionals path 404s and every listed event is a community class on Eventbrite. The community health centre association's events calendar returns zero events through 2028 through its own REST API while two real conferences exist as standalone pages, so an empty calendar is not an inactive organization. Singing River publishes a CME page under /employees/ containing one mission sentence and two phone numbers. The physician assistants' academy hosts nothing of its own: all sixteen of its listed events are a syndicated commercial vendor feed. Ochsner accredits from Louisiana and holds zero published events sited in Mississippi across 100+ series checked. No commercial destination-CME company advertises a Mississippi venue. TRAFFIC RUNS OUT OF THE STATE, WITH ONE CONFIRMED EXCEPTION INWARD. Mississippi societies leave for the Florida panhandle and coastal Alabama — the pathologists to Orange Beach, the family physicians to Point Clear, the ophthalmologists to a four-state congress at Miramar Beach — while the single confirmed out-of-state host siting an accredited event here is the University of South Alabama, whose Gulf Coast Trauma Symposium returns to Biloxi in 2027 with 20.0 AMA PRA Category 1 Credits. That symposium is why the first ALABAMA organization in this dataset exists. Note that Miramar Beach sits in Walton County, which is in Florida's CENTRAL-time panhandle, so its row is America/Chicago. DELIBERATE EXCLUSIONS, NAMED SO THEY ARE NOT MISTAKEN FOR OVERSIGHTS: the rural health association's conference, whose credit sentence enumerates nursing, social work, ACHE and nursing home administrator and pointedly does not include physicians; the nurses' association convention and the health department's maternal and infant health conference, both nursing currency; the public health association's conference, which publishes no CME at all; the nurse practitioners' association courses, which carry contact hours only; and UMMC's Southeast Dental Symposium, which is dental rather than clinician CME. KNOWN GAPS, RESEARCHED AND ACCEPTED. The state medical association's site returns 403 to ordinary fetching and 200 to a plain browser-User-Agent request — a UA block rather than a Cloudflare managed challenge — and its events calendar is a JavaScript widget that is empty to any non-JS reader, so its inventory here comes from individual event pages and is a floor rather than an enumeration; its 158th Annual Session publishes deadlines but no meeting dates. Forrest General's whole site 403s, so the Hattiesburg hospital layer is UNREAD rather than empty. The pathologists publish two dated meetings with no registration URL and no credit. The pediatrics chapter lists three items carrying a weekday and a month-day with NO YEAR, which is why none is seeded."},{"code":"AL","name":"Alabama","level":"seeded_partial","note":"First pass, 2026-08-16, five research lanes plus direct platform extraction. ⭐ THE STATE MEDICAL ASSOCIATION IS THE ACCREDITOR, THE ACCREDITED PROVIDER AND THE SOCIETIES' WEB HOST, ALL FROM ONE ADDRESS. The Medical Association of the State of Alabama is an ACCME Recognized Accreditor; the Medical Foundation of Alabama, its own 501(c)(3) at the same street address, is the accredited provider that designates credit for MASA's activities and jointly provides many specialty societies' meetings; and Alabama Specialty Society Management, a third MASA arm at that same address, builds and hosts at least eight state specialty societies' websites and runs their shared events calendar. That is a tighter integration than any state seeded so far, and it explains why so many Alabama society pages share one template and one CME-transcript workflow. ⭐ AND MASA PUBLISHES THE LIST OF PROVIDERS IT ACCREDITS, WHICH MAKES THIS THE FIRST STATE WHOSE INTRASTATE LAYER IS COMPLETE RATHER THAN INFERRED. Its page headed 'Medical Association Accredited CME Providers' names exactly five — Children's of Alabama, College of Community Health Sciences, Huntsville Hospital, Medical Foundation of Alabama and Mobile Infirmary Medical Center — and the ACCME registry attributes exactly five Alabama providers to MASA. The two sources close. Contrast the Southern States CME Collaborative, which publishes no roster at all and had to be reconstructed from provider_accredited_by. ⚠️ MASA RUNS TWO DOMAINS AND ONLY ONE CARRIES THE CME. alamedical.org is the member and education platform; alabamamedicine.org is a separate news-and-advocacy front end on a different IP with no education, events or accreditation navigation at all. A pass that finds only the second concludes the state society does no CME. ⚠️⚠️ THE STATE'S DOMINANT PROVIDER PUBLISHES AN EMPTY LIVE CATALOG, AND THE PLATFORM IS THE WRONG INSTRUMENT FOR IT. UAB holds 719 of Alabama's 1,235 registry activities — 58 per cent of the state — and its public CloudCME tenant returns 'Showing Result 0 - 0 of 0' for live courses to an anonymous fetch. That is not a login wall and not the 10-row cap: the extractor's ApplyFilters postback worked and the online and RSS views return 13 and 3. UAB's own CME site makes it worse by iframing that same empty listing as its 'Live Events' page. Yet UAB genuinely runs conferences — both UAB rows here were found on DEPARTMENTAL sites the catalog never indexes, and a direct-URL activity on the same tenant returns a full record while being absent from all three public tabs. For this one provider the department pages are the right instrument and the platform is the wrong one, which inverts the rule that has held in every other state. ⚠️⚠️ THE STATE'S SECOND-LARGEST PROVIDER HIDES ITS AMA CREDIT ON ANOTHER DOMAIN. Huntsville Hospital's 22nd Annual Perinatal Conference publishes only 'ABN Contact Hours: 7.2' in its Trumba calendar, its .ics feed and its .rss feed — three surfaces that all read as nursing-only. Its 6 AMA PRA Category 1 designation exists solely inside a brochure PDF hosted on hhsys.org rather than huntsvillehospital.org, and was recovered here by downloading and extracting that PDF. THREE of the hospital's five future rows are nursing-only — three Trauma Nursing Core Course sittings — so a crawl of the feed is right three times out of five and drops the one genuinely AMA-designated conference. (An earlier draft said four of five; counted off the live .ics, it is three, and the fifth row is the Trauma Critical Care Conference, whose brochure is still in development.) THE GULF COAST CUTS BOTH WAYS, AND IT IS THIS STATE'S DEFINING GEOGRAPHIC FACT. Alabama societies routinely meet in the FLORIDA panhandle — the emergency physicians at Miramar Beach, the family physicians and the neurosurgeons at Sandestin, the osteopathic association at Miramar Beach — while out-of-state societies meet on the Alabama coast, which is why Louisiana's pathologists and Mississippi's family physicians already held Alabama-sited rows before this pass began. The vascular society meets in GEORGIA. Venue decides the state in every direction, and one Alabama society's 2027 meeting is left unseeded precisely because its page names a resort and prints no city or state. THE NATIONAL LAYER SUBTRACTS TO ALMOST NOTHING, AND THE EXCEPTION WAS MISREAD TWICE. Four national bodies are headquartered in Birmingham. The Southern Medical Association (53 activities) meets in Virginia, Texas and Florida; the American Society for Reproductive Medicine (34) rotates nationally; ProAssurance (52) is a malpractice insurer whose CME is policyholder-only enduring material, verbatim 'As a ProAssurance insured, you can learn ... while earning CME credit', every item carrying an expiry date rather than an event date — the second measured instance of the Louisiana insurer pattern. That is 139 registry activities yielding zero rows. The fourth, the American Sports Medicine Institute, has the registry's SMALLEST count at 3 and is the only one that genuinely puts physicians in an Alabama room: a 12-hour ultrasound course and a weekly series at 1 AMA PRA per session, thirteen sessions in one month. It was recorded first as Birmingham-sited when its flagship course is in Orlando, then as Zoom-only and creditless when its series is in person and credit-bearing — both errors caused by the same page feature, an events index that prints no venue above a footer carrying the institute's headquarters address, 806 vs 833 on the same street. Registry volume ranked these four almost exactly backwards. CREDIT IS BETTER EVIDENCED HERE THAN IN MOST STATES BUT IS STILL NOT UNIFORM. SIXTEEN of the twenty-eight Alabama-sited rows carry a verified AMA PRA Category 1 figure — eleven dated conferences with a designation statement, four recurring series with a published per-session figure, and the licensing board's course, whose hours come from the Board's own Live Courses table. The Grand Rounds row is deliberately NOT among them: its credit TYPE is taken from a catalog facet with no designation sentence anywhere. An earlier draft of this note said seventeen, because it counted rows whose PROSE MENTIONS 'AMA PRA Category 1' rather than rows carrying a figure — the Illinois '120 of 126' defect in a new costume, where counting rows with a creditNotes FIELD gave 120 against a true 59. The rest record credit as UNKNOWN rather than inferred, and none is recorded as zero. The specialty-society layer is the weak half: the cardiology chapter's event pages are under 800 characters and publish a date and a venue and nothing else, the psychiatrists and the addiction-medicine society say 'earn CME' with no figure and no accreditor, and the family physicians' academy says 'up to 14 hours of CME' while naming neither AAFP Prescribed nor AMA PRA, so its currency is genuinely unstated rather than merely unread. THE COUNTY LAYER IS ACTIVE AND PUBLISHES NO CME — A DIFFERENT SHAPE FROM MISSISSIPPI'S. Mississippi has fifteen regional component societies and not one website; Alabama has real county societies with real live calendars, and those calendars are social and governance. Jefferson County runs a nature-preserve hike, Madison County a new-physician reception and board meetings, and Mobile County is the only one with a page actually titled for CME — abandoned, its newest item dated October 2020. MASA publishes no county directory, so this roster of four is a floor, not an enumeration. ⚠️ A DNS probe found montgomerycountymedicalsociety.org live and it is NEW YORK'S, a Medical Society of the State of New York component; it is not ingested. THE HEALTH DEPARTMENT AND THE AHEC NETWORK BOTH FAIL ON CREDIT TYPE, NOT ON EMPTINESS. The Alabama Public Health Training Network runs an active webcast programme whose own flyer names the eligible disciplines as 'nurses, social workers, and paraprofessionals'. The Alabama AHEC network — six HRSA centers plus an independent one — states that it 'has been approved by the Alabama Board of Nursing to provide Alabama nursing continuing education contact hours' and publishes no AMA PRA anywhere. Alabama is therefore the MICHIGAN shape of AHEC state, not the North Carolina shape where the AHECs are the CME layer. ⭐ THE HIGHEST-YIELD SOURCE IN THE STATE IS A LICENSING-BOARD PDF THAT NO REGISTRY SWEEP REACHES. The Alabama Board of Medical Examiners is itself a live CME provider: it requires 25 AMA PRA Category 1 credits a year of physicians and 50 every two years of physician assistants, and then teaches the controlled-substances course, with credit designated by the Medical Foundation of Alabama. Its approved-course PDF carries a 'Live Courses (In-person)' table with dates, cities and hour counts. ⚠️ THAT PDF PUBLISHES MORE THAN THE BOARD'S OWN WEB PAGE FOR THE SAME COURSE, which says only that registration for 'the November 2026 ... Conference is coming soon!' — a month and a year against the PDF's November 20-22 and Birmingham. Two surfaces from one publisher at different resolutions. KNOWN GAPS, RESEARCHED AND ACCEPTED. The University of South Alabama's Critical Care Review Conference is dated 2026-11-09 to 2026-11-13 at 39.25 AMA PRA Category 1 and is NOT seeded because the catalog's facility fields are null and Mobile must not be assumed. The Alabama Primary Health Care Association's 41st Annual Conference is real, dated and sited at Gulf Shores, and is withdrawn rather than seeded: it publishes no credit and no audience, its registration site fails with a header-overflow parse error, and seeding it would force a fabricated profession onto the row. The Alabama Hospital Association's calendar is behind a genuine members-only content wall, so it is UNREAD rather than empty. Mobile Infirmary has one AMA-designated activity carrying no date in any form. EthosCE could not be probed soundly at all — every name resolves to one catch-all host and no positive control could be obtained — so its absence here is untested, not measured. cmecourses.som.uab.edu, which may hold UAB's missing live catalog, failed to connect."},{"code":"SC","name":"South Carolina","level":"seeded_partial","note":"First pass, 2026-08-16. Four research lanes — one of which failed and whose ground was covered directly — plus direct extraction of all three platform tenants. ⭐ SOUTH CAROLINA HAS NO INTRASTATE ACCREDITOR, AND GEORGIA'S FILLS THE VACUUM. The South Carolina Medical Association is an accredited PROVIDER (24 activities) but is not among ACCME's 28 Recognized Accreditors — the list was read live in a browser, because a plain fetch of that page returns a client-rendered shell. Five of the state's twelve registry providers, 62 activities, are accredited by the MEDICAL ASSOCIATION OF GEORGIA: McLeod Regional 30, Roper St. Francis 15, Grand Strand 9, Self Regional 6 and The Hawkins Foundation 2. This is the Rhode Island shape with Georgia playing Massachusetts, and it explains a zero that an earlier pass measured without an explanation — the Southern States CME Collaborative has no South Carolina providers because Georgia is already here. ⭐ AND THE ACCREDITOR'S OWN SCOPE STATEMENT CLOSES EXACTLY WITH THE REGISTRY. MAG's accreditation page says verbatim that it accredits organizations authorized to offer credit 'that meet Georgia, South Carolina and Tennessee license renewal requirements'. Sweeping provider_accredited_by across eleven states finds MAG providers in exactly those three — Georgia 15, South Carolina 5, Tennessee 1 — and ZERO in North Carolina, Florida, Alabama, Virginia, Mississippi, Louisiana, Arkansas and Kentucky. Two independent sources agree, making this the second state after Alabama whose intrastate layer is closed rather than inferred. The difference is worth keeping: Alabama's accreditor publishes a ROSTER, Georgia's publishes only a SCOPE SENTENCE, and the registry supplies the roster itself. Note also that MAG's declared Tennessee scope is real but DORMANT at 1 provider and 0 activities, which is the explanation the Tennessee pass measured and could not account for. Every state MAG does not reach has an accreditor of its own. ⚠️⚠️ NEITHER OF THIS STATE'S PLATFORM TENANTS IS GUESSABLE FROM THE ORGANIZATION'S CURRENT NAME, AND FIFTEEN NAMESPACE GUESSES FOUND NEITHER. USC School of Medicine Columbia runs CMETracker as `USCSOMPHR` — an initialism ending in the hospital's name — and Prisma Health Upstate runs EthosCE as `ghscme`, from Greenville Health System, the organization's FORMER name. Both were found from the provider's own CME page. That is now two for two here and a repeat of the Tennessee finding, so the provider's own site is the PRIMARY discovery route and the namespace probe is the fallback, not the reverse. MUSC's CloudCME tenant, by contrast, is simply `musc` and yielded 189 unique activities of which only seven are in-person South Carolina conferences, every one in Charleston. ⚠️⚠️ THE ETHOSCE .ics FEED IGNORES ITS OWN MONTH PATH, AND ITS CALENDAR CONTAINS NO CONFERENCES AT ALL. calendar.ics/<YYYY-MM> returns the identical 485 events for every month asked for, so eleven monthly fetches produce 5,335 VEVENTs and 485 unique UIDs — a loop that concatenates without de-duplicating on UID inflates the catalog elevenfold and looks thorough doing it. Worse, all 485 are sessions of 234 departmental series: the six real conferences live only in the separate /courses view. A pass that read the calendar would have concluded this tenant runs no conferences while it runs six, one of them a 24-credit course. ⚠️ AN ACCREDITATION STATEMENT IS NOT A DESIGNATION, AND THE PER-ROW FETCH DOES NOT ALWAYS RESCUE ONE. The standing advice for a CloudCME row whose credit is a bare tag is to fetch its courseoverview page, which states the figure. For two MUSC rows it does not: the overview carries only 'The Medical University of South Carolina is accredited by the ACCME to provide continuing medical education for physicians' — the provider's standing permission to award credit, not this activity's allocation. Both are recorded as credit unknown. ⚠️ AND TWO FIELDS CARRIED CONTENT THE PARSER DOES NOT READ. A CMETracker row whose CreditElig is null, and which the extractor therefore reports as credit-missing, says in its Notes field that 'AMA credit and hours of attendance will be awarded; the exact amount will be determined and posted once the agenda is finalized' — credit affirmed but not quantified, a third state alongside a missing designation and a published 0.00. And a row with FacCity, FacState, FacAddress and FacZip ALL null publishes its city in the `Room` field instead: the state trauma symposium is in Myrtle Beach while every other row on that tenant is in Columbia, so a default to the tenant's home city would have mis-sited it by 150 miles. A null venue field is not an unpublished venue. ⚠️ AAFP PRESCRIBED CREDIT IS NOT AN AMA PRA CATEGORY 1 DESIGNATION, AND THE PUBLISHER SAYS SO OUTRIGHT. Three activities here carry the sentence 'AAFP Prescribed credit is accepted by the American Medical Association as equivalent to AMA PRA Category 1 Credits™' — an equivalence claim, not a designation — and the AHEC pages add the decisive line: 'When applying for the AMA PRA, Prescribed credit earned must be reported as Prescribed, not as Category 1.' A page containing the string 'AMA PRA Category 1' is not thereby an AMA PRA Category 1 activity. The same discipline keeps the osteopathic society's 20 AOA Category 1-A credits and the PA academy's pending AAPA Category 1 out of the physician-credit count. TWO OF THE STATE'S SPECIALTY SOCIETIES HOLD THEIR ANNUAL MEETING IN ASHEVILLE, NORTH CAROLINA — the Neurological Association at the Crowne Plaza and the Society of Pathologists at the Omni Grove Park Inn — so both are filed as North Carolina rows with South Carolina organizations. In the other direction the coast pulls meetings in: Kiawah Island, Hilton Head Island, Charleston, Myrtle Beach and Isle of Palms host conferences run from Illinois, Georgia, Florida, North Carolina, California and Ottawa. Nine South Carolina-sited rows already existed here before this pass began, banked by the North Carolina and Tennessee passes. ⚠️ AND THIS PASS CORRECTED ONE OF THEM, IN A WAY WORTH REUSING. The Carolinas Cancer Conference was seeded from North Carolina as 'credit unknown'. Its registration page says verbatim 'This program will not offer continuing education credits'. The standing 'unknown, not zero' rule protects a page that is SILENT about credit; this page makes an affirmative negative statement, and recording that as an unknown tells the reader credit might yet appear when the publisher has said it will not. THE SOCIETY LAYER IS HOSTED RATHER THAN SELF-PUBLISHED, WHICH IS WHAT A STATE WITHOUT ITS OWN ACCREDITOR LOOKS LIKE FROM THE INSIDE. The Medical Association staffs and publishes several specialty societies' meetings on its own calendar; the Rheumatism Society's annual meeting is a course on MUSC's tenant; the Neurological Association's is a course on Greenville's; and the Psychiatric Association's own page advertises 'more than 15 hours of lectures', which is not a credit designation, while the real 12.50 AMA PRA designation for that same meeting sits on the Greenville tenant. A society with a thin website can still have a fully designated meeting — on the accrediting provider's platform. SOUTH CAROLINA AHEC SITS AT THE NORTH CAROLINA POLE BUT DOES NOT PAY OFF LIKE IT. It runs one statewide Learning Portal across all four regional centres, and its Continuing Professional Development catalog is a single server-rendered page of 149 courses — but the catalog is overwhelmingly nursing certification review, SANE, fetal monitoring, social work, counselling and physical therapy. Only 17 of the 149 detail pages mention AMA PRA at all, most of those enduring online modules, and the only live physician-facing activities are two ALSO courses. The listing page itself contains zero credit strings, which was checked against a positive before being believed: all 149 detail pages were fetched and 17 came back positive, so the null is a property of the listing view and not of the reader. The health department is at the North Carolina pole too — its provider training offers only 'free continued education credits' with no designation named — and note the agency has been renamed, so a pass looking for SC DHEC finds a redirect rather than the Department of Public Health. CREDIT COMPOSITION, COUNTED AS A PINNED SET RATHER THAN A SUBSTRING MATCH: NINETEEN of the sixty-one rows added carry a verified AMA PRA Category 1 figure, eighteen of them South Carolina-sited — fourteen dated conferences and webinars with a designation statement, three recurring series with a published per-session figure, and one enduring activity. The count is a literal list of row ids, not a search for the phrase in prose, because counting rows whose prose MENTIONS 'AMA PRA Category 1' is the defect that inflated Alabama's figure to seventeen and Illinois's to 120 against a true 59. WHAT IS NOT HERE. Four registry providers publish nothing learner-facing at all — McLeod Regional (30 activities, confirmed by full sitemap enumeration), Spartanburg Regional (21, and its public CE department is explicitly nursing and allied health), AnMed (11, whose eight CME subpages are all planner-facing) and Self Regional (6) — which is 68 registry activities yielding no rows. The Greenville County Medical Society's calendar is login-walled, so it is UNREAD rather than empty. MUSC's CMETracker namespace returns a persistent 503 across four attempts and two product paths while known-live tenants return 200 and five plausible fake tenants return 404, so it is a routed namespace that is erroring rather than an absent one; its CloudCME tenant bounds the exposure. Eleven societies are dates-TBA with a known season rather than inactive, and the Symposia Medicus high-risk-pregnancy conference at Hilton Head in November 2027 is deliberately unseeded because its own page publishes neither venue nor credit. ⚠️ AN ADVERSARIAL REVIEW OF THIS PASS CORRECTED TWENTY-NINE ROWS' AUDIENCES, IN BOTH DIRECTIONS, AND THE CREDIT FIGURES SURVIVED IT UNCHANGED. Twenty-seven rows claimed nurse practitioners or physician assistants on pages that name neither — the Alabama over-claim recurring, and this time the row's own note had recorded the weakness ('PA is claimed on the strength of the CloudCME audience list') while citing a field that does not exist on those pages. A hedge written into the prose is not a substitute for not making the claim. Two rows were corrected the OTHER way and are the more instructive half: the osteopathic society's conference was shipped DO-only because its credit is AOA Category 1-A, while its page says it is 'designed for Doctors of Osteopathic Medicine, MD Physicians … as well as Advance Practice Providers' — THE CREDIT SYSTEM IS NOT THE AUDIENCE — and a hospital's series row said no audience was published when the page carries a heading reading 'Target audience' that names nurse practitioners and physician assistants outright. The review also found two quotations attributed to the wrong place: an accreditation sentence quoted with an office name spliced into it, and an audience line that exists on its page only INSIDE AN HTML COMMENT. Both are fabricated quotations even though every word of each exists somewhere. And it found an UNDER-claim, which is the same defect facing the other way: both ALSO courses publish 'up to 8.0 AAFP Prescribed credit' and were recorded as having no published hour count."},{"code":"AR","name":"Arkansas","level":"seeded_partial","note":"First pass, 2026-08-16. Four research lanes plus direct extraction of both CloudCME tenants and a browser pass over three sites behind bot mitigation. ⭐ THE MOST PROVIDER-CONCENTRATED STATE MEASURED SO FAR, AND THE SMALLEST REGISTRY. Arkansas has just THREE ACCME-registered providers and 437 activities, and the University of Arkansas for Medical Sciences holds 406 of them — 93 percent. For comparison, Alabama's most dominant provider held 58 percent. The other two are the Arkansas Colleges of Health Education in Fort Smith (22) and St. Bernards Medical Center in Jonesboro (9). ⭐ ARKANSAS HAS NO ACCREDITOR OF ITS OWN, AND TEXAS REACHES IN. It does not appear among ACCME's 28 Recognized Accreditors, and sweeping provider_accredited_by across fifteen states finds no Arkansas accreditor anywhere. Its one intrastate-accredited provider, St. Bernards, is accredited by the TEXAS MEDICAL ASSOCIATION. ⚠️ THAT SWEEP ALSO FALSIFIED A RULE THIS PROJECT WROTE DOWN A FORTNIGHT AGO. The South Carolina pass proposed that an intrastate accreditor's out-of-state reach fills a vacuum and STOPS at the border of a state that has its own accreditor. Measured across fifteen states there are eleven such reaches: ten land in states with no accreditor of their own (573 of 577 activities), and one does not — the Medical Association of Georgia accredits a Denver foundation, and Colorado has the Colorado Medical Society. The DIRECTION holds strongly; the BORDER does not. Missouri is the extreme case, reached into by four distinct out-of-state accreditors (Kentucky, Nebraska, Oklahoma and Illinois), and every state reached by two or more has no accreditor of its own. ⚠️⚠️ THE STATE'S DOMINANT PROVIDER BROKE THE REPO'S OWN CLOUDCME EXTRACTOR, AND THE DEFECT WAS A GUARD ANCHORED ON ONE SIDE ONLY. UAMS publishes a second credit type named 'Non-Physician AMA PRA Category 1 Credits™' — the qualifier is a PREFIX. The extractor's guard, added after a Missouri tenant wrote the same certificate as a SUFFIX, inspected only the text FOLLOWING the designation, so the pattern began at the second 'AMA PRA Category 1', found a bare name after it, and summed both lines. Sixteen of the tenant's twenty rows were reported at exactly double their published credit. It is the identical shape to the South Carolina figure matcher that was unanchored on the LEFT, one file over and on a name rather than a number. Fixed by anchoring the credit-type name at BOTH ends, and verified two ways: the corrected figure matches the activity's own designation statement on 13 of 13 conference detail pages, and a sweep of all 74 CloudCME tenants this project has ever crawled (7,172 rows) found the prefix form on NO other tenant, so the defect never reached seeded data in any earlier state. ⚠️ ON THE SAME TENANT THE LISTING FIGURE IS RELIABLE FOR LIVE ACTIVITIES AND WRONG BY UP TO TEN TIMES FOR ENDURING ONES. Every one of the thirteen live conferences agrees with its designation statement exactly; all three online Preceptor Modules list 5.00 and designate 0.50 or 0.75. The standing rule that the designation wins is not merely a tiebreak here, it is a factor-of-ten correction, and it splits cleanly by activity type. ⚠️⚠️ AND THE SECOND TENANT WAS NEARLY WRITTEN OFF AS 'NEEDS A BROWSER' WHEN THE REPO ALREADY HAD THE ANSWER. Every plain fetch of the Arkansas Colleges of Health Education's CloudCME endpoints returns a complete page shell with ZERO course rows, because the grid is populated by AJAX after load. Replaying the __doPostBack('ApplyFilters') that the Results-Per-Page control fires — which the committed extractor already does — returned the whole 21-activity catalog headlessly. Run the extractor before concluding a CloudCME tenant is browser-only. ⭐ THE CENTRAL CATALOG IS NOT THE STATE, AND THIS IS THE CLEAREST PROOF OF IT YET. ce.uams.edu itself publishes no dated conference at all: its whole sitemap is 21 administrative pages, its 'Upcoming Courses' page lists nothing and its Regularly Scheduled Series page is an internal application form. The real departmental inventory sits elsewhere — the Psychiatric Research Institute's Six Bridges series runs ten dated courses on trainforchange.net and REDCap and appears in the CloudCME catalog not once, the Institute on Aging publishes the geriatrics conference's VENUE which the catalog lacks, and the Department of Neurology publishes the stroke conference's venue AND its audience. Repeatedly, no single publisher carried both the credit figure and the place. ⚠️ THE STATE MEDICAL SOCIETY IS ALSO ITS SPECIALTY SOCIETIES' WEB HOST — the Alabama pattern in a second state. Dermatology, urology, cardiology, psychiatry and ophthalmology all publish at arkmed.org and share its Little Rock management address. But those five hosted pages publish NO DATES AT ALL, while the ophthalmologists run a real dated Bentonville meeting that appears only in UAMS's catalog. For a society layer the accredited provider's catalog is the better instrument than the society's own page — the inverse of the rule that a provider's own site beats a namespace probe. ⚠️ THREE SOCIETY SITES SIT BEHIND CLOUDFLARE MANAGED CHALLENGES that return 403 to every fetch including full browser headers, and all three self-cleared in a real browser. One of them holds the pediatric chapter's entire 2026 conference, whose own /events page is stale at 2024 — a fetch-only pass would have recorded that chapter as publishing nothing while it runs a two-day meeting with a published clinician audience. 'Needs a browser' is never 'publishes nothing'. ⚠️ THE AHEC LAYER DOES NOT EXIST HERE UNDER THAT NAME, which matters because North Carolina's AHECs were that state's largest single source. Arkansas's were renamed UAMS Regional Campuses, there are no per-centre websites, and the umbrella calendar carries health-careers recruitment rather than clinician CME. ⚠️ AN ADVERSARIAL REVIEW OF THIS PASS CORRECTED ITS AUDIENCE RULE, AND THE DEFECT WAS AN INTERNAL CONTRADICTION RATHER THAN A MISREADING. The first draft treated an ANCC contact-hour designation as a basis for claiming a nurse-practitioner audience. It is not: ANCC is nursing credit generally, RN is out of scope for this product, and 'a nurse may claim it' is not 'an NP is the audience'. That produced an NP claim on a conference whose own page calls it 'a 2 day conference for ENT physicians from Arkansas' — the row quoted that sentence and widened past it — and on a Maintenance of Certification in Anesthesiology session. Worse, the same pass REFUSED to widen the family-physicians row on a registration form's 'MD, DO, PA, APRN' field, correctly, while widening the trauma row on a registration FEE TABLE, which is the same kind of evidence: one pass, two opposite rules. The rule is now uniform — AMA PRA Category 1 gives MD/DO, AAPA Category 1 gives PA, and NP is claimed only where a page names nurse practitioners or advanced practice providers in words. Nine rows still claim NP and every one of them is named on its page. This is the Alabama and South Carolina over-claim arriving for a third consecutive state, which is why the audience basis is now written into each row's own note. CREDIT COVERAGE IS UNUSUALLY POLARISED. Eighteen of the 36 seeded rows — exactly half — carry a verified AMA PRA Category 1 figure and almost all of them come from the two accredited providers' platforms; the independent state associations — the trauma society, the hospice and palliative care association, the primary care association, the family physicians, the dermatologists and the medical society's own meetings — publish dates without any usable designation between them. That is the single most consistent gap in the state. KNOWN GAPS: St. Bernards Medical Center returns 403 to every client tried and no page of it was ever read, so its 9 activities are unmeasured; the Arkansas Department of Health's Public Health Grand Rounds is a real designated series stating 'No presentations scheduled at this time'; the pediatric chapter's monthly webinar series publishes every future entry on its public calendar as 'Busy' with no title or venue; the Arkansas Osteopathic Medical Association's next annual conference carries a stale year and no usable date; and no Arkansas state society could be located at all for gastroenterology, nephrology, rheumatology, infectious disease, geriatrics, sports medicine or oncology — recorded as 'no society located', which is not the same as 'no events'."},{"code":"KS","name":"Kansas","level":"seeded_partial","note":"First pass, 2026-08-16. Four research lanes plus a from-scratch extraction of the eeds platform, which turns out to carry the two largest providers in the state. ⭐ KANSAS HAS NO ACCREDITOR OF ITS OWN, AND COLORADO REACHES IN. Kansas is absent from ACCME's 28 Recognized Accreditors, and four of its ten registry providers — Olathe Medical Center, the pediatric chapter, KU School of Medicine-Wichita Family Medicine and AdventHealth Shawnee Mission, 48 activities between them — are accredited by the COLORADO MEDICAL SOCIETY. Sweeping provider_accredited_by for the CMS across thirteen states finds its whole out-of-state footprint is exactly two jurisdictions: Kansas (4 providers) and Wyoming (1, Cheyenne Regional, 40 activities), and BOTH are vacuum states with no accreditor of their own. This is the second intrastate accreditor measured after the Medical Association of Georgia, and unlike MAG — which broke the 'stops at the border' rule by reaching a Colorado foundation — the CMS respects it: both of its reaches land in vacuum states. The direction (fills a vacuum) now holds for two accreditors; the border holds for one and broke once for the other. ⚠️ THE REGISTRY OVERSTATES THE LOCAL LAYER AND MUST HAVE THE NATIONAL BODIES SUBTRACTED. Two of the three biggest 'Kansas' providers by activity count are national organizations headquartered in the Kansas-City suburbs and contribute almost nothing locally: the Children's Hospital Association (313 activities, Lenexa) and the American Academy of Family Physicians (114, Leawood), plus BoardVitals (33, online question banks). After subtracting them the real local layer is KU Medical Center, Stormont Vail, KU-Wichita, Olathe, the pediatric chapter and AdventHealth Shawnee Mission. ⭐ EEDS IS THE DOMINANT PLATFORM HERE, AND ONLY ONE OF ITS FOUR VIEWS IS READABLE. Both KU Medical Center (Sponsor SIN 230160, 449 activities, the state's largest provider and also the home of KU AHEC and KU Project ECHO) and Stormont Vail Health (SIN 230189, Topeka) publish on eeds. Its portal_live_events / portal_recurring_events / portal_enduring views return empty client shells; only portal_calendar.aspx is server-rendered, and it paginates by ASP.NET postback (full-form serialized) rather than querystring. Per-activity credit and venue come from ajax_functions.aspx?Function_ID=43&ConferenceID=<AIN>, which the site's own Vue detail page calls. Two calendar markups matter: single-day grand-rounds sessions are show_activity_details, the multi-day flagship SYMPOSIA are show_symposium_details — a parser that reads only the first records a provider's real conferences as absent. ⚠️ THE OVERVIEW PAGE HIDES THE DESIGNATION; THE EEDS DETAIL HAS IT. KU's public conference overview pages carry only an accreditation statement, so a fetch-only pass records credit as unknown — but the eeds detail designates the figure (the Midwest Cell Therapy conference overview says nothing and the detail designates 6.25 AMA PRA Category 1). Every one of Stormont Vail's five dated symposia — Maternal Child (5.75), Behavioral Health (5), the APP Educational Summit on rash (2, and it carries physician credit despite the 'APP' title), Trauma & Critical Care (5.5) and Infectious Disease (1) — designates AMA PRA Category 1 read from its eeds detail. The first FOUR also designate a matching AAPA Category I figure, the basis for their PA audience; the Infectious Disease conference designates AMA PRA Category 1 only, so it is seeded MD/DO. ⚠️ THE STATE MEDICAL SOCIETY RUNS NO CME. The Kansas Medical Society is an advocacy body, not an ACCME provider — it appears nowhere in the registry and publishes no dated physician CME (recent items are an Advocacy Day and a canceled forum). Its county societies are quiet (Sedgwick County shows 'no upcoming events'; Johnson and Wyandotte counties merged into the bi-state Kansas City Medical Society in 2018, already seeded from the Missouri pass as a bi-state org). The Wichita hospital CME that exists — Ascension Via Christi and Wesley — is Kansas Medical Society-accredited and published as PDF or contact-only schedules, not machine-readable catalogs. ⚠️ READ THE CREDIT-TYPE NAME, NOT JUST THE NUMBER. Three of the specialty flagships carry physician-adjacent credit that is NOT AMA PRA Category 1 and is recorded as such: the osteopathic association's fall convention designates AOA Category 1-A (seeded DO), the family physicians' wilderness course designates 15.50 AAFP Prescribed (seeded MD/DO), and the PA academy's Heart of America meeting designates 20.0 AAPA Category I (seeded PA). The dermatology society's 8 AMA PRA Category 1 figure is designated for 2026 by the MISSOURI Association of Osteopathic Physicians and Surgeons (MAOPS) in joint providership with the Kansas City Dermatological Society, on the society's own 2026-cme-accreditation-statement page — NOT the older cme-information page, whose Institute-for-International-Medicine designation carries prior-year faculty and must not be quoted for 2026. ⚠️ AN OUT-OF-STATE ROW THIS PASS GENERATED: KU Medical Center's Midwest Cardiovascular Innovations Conference (Sept 25-27, 2026) is held at Big Cedar Lodge in Ridgedale, MISSOURI, so it is seeded under stateCode MO — the venue decides the state even when the provider is Kansan. AdventHealth Shawnee Mission (a CMS-accredited Kansas provider) publishes nothing Kansas-sited on the national AdventHealth CloudCME tenant, whose dated activities are almost all Central Florida Division; the two Kansas AdventHealth safety seminars already in the data came from the Florida pass. SEVEN of the 21 seeded rows carry a designated AMA PRA Category 1 figure, and all but one (the dermatology society) come from the two eeds providers. KNOWN GAPS: no upcoming NP-designated dated event (the nurse-practitioner council's Sunflower Conference is a February annual, already past, and its AANP credit is NP-only); Wesley Medical Center's grand-rounds catalog showed only 2023 session dates, so its current schedule is unconfirmed; the Kansas Psychiatric Society's fall meeting has no 2026 date posted; Kansas ACEP publishes only national ACEP events, not an in-state chapter meeting; the anesthesiology society has no verifiable publisher site (only social media, and ksaweb.org is the KENTUCKY society); and Stormont Vail's recurring Active Assailant preparedness course was left out as scope-uncertain (no physician designation, audience explicitly beyond healthcare)."},{"code":"WY","name":"Wyoming","level":"seeded_partial","note":"First pass, 2026-08-16. Four research lanes across a deliberately thin state — Wyoming is the least-populous state and has no medical school of its own. ⭐ WYOMING HAS NO ACCREDITOR OF ITS OWN, AND COLORADO REACHES IN — AS THE KANSAS PASS PREDICTED. Wyoming is absent from ACCME's Recognized Accreditors, and its ONLY provider in the ACCME registry is Cheyenne Regional Medical Center (40 activities), accredited by the COLORADO MEDICAL SOCIETY. The Kansas pass had measured the CMS's entire out-of-state footprint as exactly two jurisdictions — Kansas and Wyoming — and both being vacuum states; this pass confirms the Wyoming half directly. The Montana neighbor sweep (2026-08-17) found a third vacuum: Gritman Medical Center in Idaho (49 activities), so CMS out-of-state is KS+WY+ID, still not Montana. Two intrastate accreditors have now been measured (the Medical Association of Georgia and the Colorado Medical Society); the direction (an intrastate accreditor's reach fills a vacuum) holds for both, and the CMS respects the border where MAG broke it. ⭐ CHEYENNE REGIONAL IS THE WHOLE PLATFORM LAYER, AND MOST OF ITS CATALOG IS OUT OF SCOPE. CRMC publishes on a CloudCME tenant (crmc.cloud-cme.com); the full 40-activity catalog was read with the repo's research:cloudcme extractor, whose ApplyFilters postback defeats the ten-row cap and reads each activity's own designation — the public detail pages are login-gated and hide the credit line, so a browser-only pass records the whole tenant as credit-unknown. Of the 40, most are life-support and nursing certification (ACLS, BLS, NRP, TNCC, ENPC, LPN IV therapy, preceptor workshops) that carry no AMA PRA Category 1 and are out of clinician scope; six carry an AMA PRA designation. Five are seeded here as CRMC rows — the grand-rounds RSS (1.00/session), the S.T.A.B.L.E. neonatal course (7.00), a pediatric mental-health primary-care session (1.00), and two enduring MAT training videos (4.00 and 2.00) — and the sixth, the UW ECHO in Geriatrics, is seeded under the University of Wyoming academic organization below because its CME is CRMC-designated. ⭐ NO MEDICAL SCHOOL, SO THE ACADEMIC LAYER IS PROJECT ECHO. Wyoming runs through the WWAMI program with the University of Washington and has no university CME office in the usual sense; its academic-CME engine is University of Wyoming Project ECHO (the WIND institute and the Center on Aging), whose credited tele-mentoring series are designated by Cheyenne Regional — the ECHO in Geriatrics ('a maximum of (12.0) AMA PRA Category 1 Credits™') and the rural obstetrical-care ECHO ('a maximum of (8.0) AMA PRA Category 1 Credits™'), both seeded as recurring series. ⚠️ THE JACKSON HOLE ROWS ARE DESTINATION CME — VENUE, NOT AFFILIATION. Three of the twelve seeded events are national commercial conferences sited in Wyoming only by their venue: a Medical Education Resources internal-medicine conference at Hotel Terra (June 2027), a CME Science / Postgraduate Institute for Medicine diagnostic-imaging conference at the Trailborn Resort in Jackson (July 2027), and a Northwest Anesthesia Seminars course at Grand Teton National Park (October 2026, 20 AMA PRA Category 1). None of these organizers is a Wyoming body; they are recorded under their own national organizations and filed to WY by the venue rule. ⚠️ ONE 'CREDIT' FIGURE IS PUBLICITY, NOT A DESIGNATION. The MER Jackson Hole page publishes credit only as '12 Credit Hours' and carries no AMA PRA Category 1 statement at all; MER's site-wide accreditation page designates its activities for a generic 12-20 AMA PRA Category 1 range covering every conference, so the 12 is recorded as published hours with the AMA PRA attribution flagged unverified — the same treatment MER's other seeded rows carry. Five dated activities carry a designated AMA PRA Category 1 figure (S.T.A.B.L.E. 7, the two MAT videos 4 and 2, the pediatric mental-health session 1, and the Jackson Hole anesthesia conference 20), and three recurring series designate one too (grand rounds 1/session, the geriatrics ECHO 12, the rural-OB ECHO 8). Every credit claim is AMA PRA Category 1 → MD/DO; no activity published an AAPA or NP-specific designation, so no PA or NP audience is asserted even where a conference is marketed to the wider care team. KNOWN GAPS: the Wyoming Medical Society's Primary Care Symposium (Casper, Oct 9-10 2026) and the ACP Wyoming Chapter meeting (Saratoga, Oct 9 2026) publish no AMA PRA figure — the WMS page carries no designation and the ACP chapter page is members-login-gated — so both are seeded credit-unknown; the Wyoming Association of Physician Assistants' own conference page returns HTTP 403 and its 2026 date is unconfirmed; Wyoming ACEP publishes only national ACEP events; the Northwest Anesthesia Seminars 'Focus on Anesthesia' Jackson Hole edition was March 2026 (past) and its 2027 edition is not yet posted; and no Wyoming tribal-health CME was found — the Wind River Reservation's tribal FQHC and the state AHEC publish workforce and clinic content, not machine-readable physician CME."},{"code":"KY","name":"Kentucky","level":"seeded_partial","note":"First pass, 2026-08-17. Four research lanes across a substantial state — 15 organizations and 32 Kentucky-sited events (plus one California-sited row), 21 of them dated conferences carrying a designated AMA PRA Category 1 figure and four recurring series that designate one per session. ⭐ KENTUCKY HAS ITS OWN ACCREDITOR — THE KENTUCKY MEDICAL ASSOCIATION — AND IT REACHES ONLY INTO MISSOURI, A VACUUM STATE. KMA is one of ACCME's Recognized Accreditors and accredits 14 of the state's 17 registry providers (488 activities) — Norton, the AHEC centers, St. Elizabeth, Baptist Health's Kentucky hospitals, Owensboro, Pikeville, T.J. Samson, St. Joseph and King's Daughters. Its entire measured out-of-state footprint is two Missouri providers (the Institute for International Medicine and Mercy Hospital St. Louis); Missouri has no accreditor of its own, so KMA fills a vacuum and reaches zero of the neighbouring states that do (Illinois, Indiana, Ohio, West Virginia, Virginia, Tennessee). This confirms from Kentucky's own side the Kansas/Missouri finding that Kentucky is one of four out-of-state accreditors reaching into Missouri, and it is the same shape as Colorado's Medical Society — a vacuum-filler that respects the border, unlike the Medical Association of Georgia. ⭐ THE CATALOGS WERE MACHINE-READ, NOT BROWSED. Kentucky's providers publish on three platforms the repo already extracts: the University of Kentucky HealthCare CECentral on EthosCE (its course-catalog-list view is Cloudflare-bot-blocked, but the individual content pages are open); the University of Louisville and Norton Healthcare on CMETracker (tenants ULOU and NHCCME — the doBuildCatalog endpoint read Norton's whole catalog of 342 future rows, 12 dated conferences plus 330 regularly scheduled series, where a browser sees only a client-rendered shell); and St. Elizabeth Healthcare on CloudCME. Every AMA PRA figure here is read from the activity's own designation line. Norton is the workhorse — 12 dated conferences (three in-person, nine livestream) including the flagship 2026 Kentucky Statewide Trauma & Emergency Medicine Symposium at 10.00 AMA PRA Category 1. ⚠️ KENTUCKY SPANS TWO TIME ZONES, AND THIS PASS SEEDED ONLY THE EASTERN HALF. Louisville, Lexington, Erlanger and Pikeville are Eastern; the western third of the state (Bowling Green, Owensboro, Paducah, Glasgow, Madisonville, Hopkinsville) is Central. Every seeded row is Eastern (America/New_York) because the Central-zone providers — Owensboro Health, Baptist Health Paducah, T.J. Samson in Glasgow and the University of Kentucky's Western Kentucky Heart & Lung symposium in Bowling Green — either publish no dated future activity, block automated access, or have only past editions. A future western-Kentucky row must be filed Central; the state is not one time zone. ⚠️ ONE ROW IS FILED TO CALIFORNIA BY ITS VENUE. The University of Louisville is the accredited provider for the 2026 Santa Barbara Dermatology Meeting (15.25 AMA PRA Category 1), but the meeting is in Ojai, California, so it is filed to California — the venue decides the state, not the provider's home — and it answers a California search and never a Kentucky one. Every credit claim is AMA PRA Category 1 → MD/DO, with NP or PA added only where the activity's own page names them (the UK Family Medicine Review and the Santa Barbara meeting name both; the Norton Spine Symposium names physician assistants). The Kentucky Academy of Family Physicians' annual meeting carries AAFP Prescribed credit, which the AAFP requires be reported as Prescribed rather than as AMA PRA Category 1, so it is recorded but not counted as a designation; the Pikeville pain symposium meets Kentucky's HB1 controlled-substance requirement as KBML Category 1 CME without printing an AMA PRA figure. KNOWN GAPS: the Kentucky Medical Association and Kentucky Psychiatric Medical Association annual meetings publish no AMA PRA figure (recorded credit-unknown); three Pikeville symposia publish dates but no credit; Baptist Health's Kentucky hospitals, CHI Saint Joseph, Owensboro Health and T.J. Samson are KMA-accredited but publish no dated physician CME (sites blocked or pages retired); Kentucky's eight AHEC centers have no shared catalog (unlike North Carolina's) and publish essentially nothing dated online; the Kentucky Heart Foundation designates for King's Daughters in Ashland but has no upcoming event; several society annuals (osteopathic, pediatrics, ophthalmology, anesthesiology) had already passed by mid-August with no next date posted; and a cross-state sweep for out-of-state organizations meeting at Kentucky venues was not completed."},{"code":"NE","name":"Nebraska","level":"seeded_partial","note":"First pass, 2026-08-17. Four research lanes over a two-academic-engine state. ⭐ NEBRASKA HAS ITS OWN ACCREDITOR, AND IT REACHES ONLY MISSOURI — THE FOURTH INTRASTATE ACCREDITOR MEASURED. The Nebraska Medical Association is one of ACCME's Recognized Accreditors and accredits 8 of the state's 10 registry providers (170 activities); the two academic giants, UNMC (492) and Creighton (394), are Joint Accreditation. The NMA's entire out-of-state footprint, swept across Nebraska and its six neighbours, is MISSOURI ONLY (2 providers, 13 activities: the St. Louis STD/HIV Prevention Training Center and Phelps Health), and zero into SD/IA/KS/CO/WY — a vacuum-filling accreditor that respects the border, the same shape as the Kentucky Medical Association. And the Colorado Medical Society reaches NO Nebraska provider, confirming from a third bordering state (after Kansas and Wyoming) that the CMS's out-of-state reach is exactly Kansas+Wyoming. Four intrastate accreditors are now measured (MAG, CMS, KMA, NMA): the direction (fills a vacuum) holds for all four; the border holds for three and broke once (MAG). ⭐ UNMC PUBLISHES ITS AMA-PRA CONFERENCES ON A DIFFERENT SURFACE THAN ITS CMETRACKER TENANT. UNMC's CMETracker tenant UNMCCE is the EMS/life-support division (BLS/ACLS/PALS); its real clinical conferences with designated AMA PRA Category 1 credit live on static unmc.edu/cce/clinicmed/upcoming/ pages, self-verified. Five are seeded: the Midwest Radiation Oncology Symposium (15.0), Future of Stroke Care (6.5, a statewide hybrid simulcast), State of the Heart heart-and-vascular conference (AMA PRA approved, number not yet posted), the UNMC Pathology Conference (6.0) and the Diabetes Update (7.00). Note on the UNMCCE tenant the AMA credit is in the JSON field evtuseAO, not CreditElig/pub-show-ama, so the committed CMETracker extractor's scope filter reports zero there — scan evtuseAO. The UNMCCE ACLS/PALS courses do carry AMA PRA (7-14) and are in scope per the Michigan precedent, but as recurring certification are not enumerated. ⚠️ CREIGHTON PRINTS 'CE HOURS', NOT AN AMA PRA FIGURE — AND ITS CATALOG DATES ARE OFF BY A DAY. Creighton's conference catalog is a Canvas Catalog (lifelong.creighton.edu); under joint accreditation it labels credit 'CE Hours'/'CEUs' for 'the healthcare team' and never prints an explicit AMA PRA Category 1 figure, so its four seeded conferences (Emergency Care and Trauma in Kearney 7 CEU, Sleep Medicine Update 7.25, All About Orthopedics 6.5, Lynch Cancer Symposium) carry the CEU figure with AMA PRA unknown. The catalog LISTING CARDS show the date one day EARLIER than the authoritative detail page (a UTC-offset display bug) — all four were corrected from the detail page's weekday line; seeding the card dates would have put four events on the wrong day. Creighton's grand-rounds tenant CREIGHTONCHI is a multi-state CommonSpirit catalog (rows sited in Phoenix AZ and North Dakota) — not a Nebraska source. ⚠️ TWO TIME ZONES; ONLY THE CENTRAL PART IS SEEDED. The Panhandle (Scottsbluff/Regional West, Sidney, Chadron, Alliance, Kimball) is MOUNTAIN; every seeded row is Central. The Future of Stroke Care simulcast reaches a Scottsbluff (Mountain) spoke but is filed to its Omaha origin. Traps carried: Creighton has a Phoenix AZ campus and a Hawaii conference, and UNMC designates the Pan Pacific Lymphoma/Leukemia conferences held in Hawaii — all excluded by venue. KNOWN GAPS: Nebraska Methodist (92 activities) publishes dated conferences on GeniusSIS (nmclc.geniussis.com) whose course pages 403, so no AMA PRA figure could be verified — carried as unseeded leads; Bryan Health, Faith Regional and Regional West 403 automated fetch and expose no dated CME beyond the one Bryan trauma symposium (via the venue's publisher); Children's Nebraska (CMETracker CHMCOCE) and CHI Health carry no affirmative AMA PRA row; the NMA, Metro Omaha Medical Society, NAFP and NE-AAP annuals are spring/early-summer editions already past or publish no AMA PRA figure; and the Nebraska Rural Health Conference (UNMC-designated 4.5 AMA PRA) is a past June edition carried dates-TBA."},{"code":"IA","name":"Iowa","level":"seeded_partial","note":"First pass, 2026-08-17. Accreditor sweep plus four research lanes. ⭐ IOWA HAS ITS OWN ACCREDITOR, AND IT REACHES ONLY SOUTH DAKOTA — THE FIFTH INTRASTATE ACCREDITOR MEASURED. The Iowa Medical Society is one of ACCME's Recognized Accreditors and accredits 7 of the state's 9 registry providers (Des Moines University, Compass Healthcare Collaborative, UnityPoint Health–Des Moines, MercyOne North Iowa, StatUS Health, Mary Greeley and the Midwest Cardiovascular Research Foundation); University of Iowa (575 activities) is Joint Accreditation and ImPACT Applications is ACCME-direct. The IMS's entire out-of-state footprint, swept across Iowa and its six neighbours (MN/WI/IL/MO/NE/SD), is SOUTH DAKOTA ONLY (Monument Health Rapid City Hospital, 18 activities) — zero into the other five. Five intrastate accreditors are now measured (MAG, CMS, KMA, NMA, IMS): the direction (fills a vacuum / reaches a bordering state) holds for all five; the single-neighbour reach (IMS→SD only) is the same shape as KMA→MO and NMA→MO, and unlike the border-respecting-but-wider MAG. ⭐ THE UNIVERSITY OF IOWA IS MACHINE-READ VIA CLOUDCME (tenant `uiowa`, vanity host cme.medicine.uiowa.edu). Its whole forward catalog was pulled with the committed research:cloudcme extractor, and twelve AMA-PRA-designated conferences are seeded, credit verified: Emergency Medicine Fundamentals (28), Emergency Ultrasound (15.5), the Cardiovascular Summit (11.5), the 42nd Sports Medicine Symposium (11), the simulation-based ECMO course (21.25, offered fall 2026 and spring 2027), Heartland Lead Management (5.75), the Liver Wellness Conference (6), Living Their Best Lives pediatric complex-care (6.25), the Neurofibromatosis Symposium (4) and two half-day sessions of the Ophthalmology Clinical Conference series (3.5 each). All are in Iowa City or Coralville. ⭐ SEVERAL SPECIALTY-SOCIETY MEETINGS ARE HOSTED AND ACCREDITED THROUGH THE UNIVERSITY'S CME OFFICE, and are attributed to the society with credit noted as the University's: Progress 2026 is the Iowa Chapter ACP annual scientific meeting (11.75 AMA PRA, Coralville, Oct 1–2), and the Iowa Radiological Society 2026 Annual Meeting (3.75 AMA PRA, Iowa City, Oct 17) is confirmed on the University's platform even though the society's own WordPress site lists nothing past 2025 — a lane that read only the society site reported it as a negative; the accreditor's platform is the authority. ⚠️ DES MOINES UNIVERSITY'S DATED CONFERENCES ARE MOSTLY SPRING (already past). DMU (osteopathic school, 197 activities, IMS-accredited, EthosCE at cme.dmu.edu) ran the Vestibular Symposium, Rheumatology Association of Iowa, Iowa Ortho Work Comp, the Association of Pathologists and a Mercy College symposium all in Jan–May 2026 — every one past the seeding date. Its forward harvest is the Vestibular Symposium's Jan 16–17, 2027 edition (16 AMA PRA, Des Moines) and the Iowa Diabetes + Wellness Summit (Nov 18, Ankeny, credit 'coming soon' → recorded unknown). ⚠️ OSTEOPATHIC CREDIT IS SEEDED WHERE IT IS THE PHYSICIAN CME, credit stated honestly as AOA Category 1-A rather than AMA PRA: the inaugural ACOFP Upper Midwest conference (Des Moines, Sept 18–20, max 18.00 AOA Category 1-A, AAFP application planned). The Iowa Osteopathic Medical Association's UMOH conference (AOA Category 1-A up to 28.00) is April 2027 with dates unposted, carried dates-TBA and not seeded as a row. ALL OF IOWA IS CENTRAL (America/Chicago) — no timezone split. KNOWN GAPS: the Iowa Oncology Society, Iowa AAP and Iowa AFP publish forward dates but no AMA PRA figure (three rows carried credit-unknown); two more University of Iowa forward conferences seen on the Iowa ACP aggregator (Current Topics in Allergy/Immunology, Oct 30; Advances in Diabetes and Obesity Management, Nov 6) were not in the extractor snapshot and could not be credit-verified, so are left for the refresh; the Midwest Cardiovascular Research Foundation (Davenport) serves a JavaScript-only site that no fetch could read; StatUS Health (24 activities) has no attributable web presence; ImPACT Applications is online/enduring concussion modules only (excluded); UnityPoint–Des Moines, Broadlawns and Mary Greeley publish no dated AMA-PRA physician CME; the Genesis/ORA Orthopedics joint activity (3.0 AMA PRA) has no forward date; and the Iowa NP and NAPNAP chapter conferences are nursing-oriented and were not seeded."},{"code":"SD","name":"South Dakota","level":"seeded_partial","note":"First pass, 2026-08-17. Accreditor sweep + four research lanes. ⭐ SOUTH DAKOTA IS A CLEAN VACUUM: NO OWN ACCREDITOR, AND ONLY THE IOWA MEDICAL SOCIETY REACHES IN. The ACCME registry lists exactly 4 SD providers: Avera (321 activities) and Sanford Health (77) are ACCME-direct, Avel eCare (103) is Joint Accreditation, and Monument Health Rapid City (18) is the only one accredited by an out-of-state SOCIETY — the Iowa Medical Society, whose whole out-of-state footprint (measured on the Iowa pass) is exactly this one provider. No South Dakota state medical society appears as an accreditor, confirming the vacuum. ⚠️ TWO TIME ZONES, AND BOTH ARE SEEDED. Eastern SD (Sioux Falls) is CENTRAL; the Black Hills / western SD (Rapid City, Deadwood) is MOUNTAIN. Three seeded rows are Central (Avera's two Sioux Falls symposia and Sanford's Precision Medicine Symposium) and three are Mountain (Monument's Rapid City cardiovascular symposium, and the ACP and AFP chapter meetings, both at The Lodge at Deadwood). ⭐ AVERA IS MACHINE-READ VIA CLOUDCME (tenant `avera`), BUT ITS AMA FIGURE HIDES IN A FIELD THE EXTRACTOR SKIPS. Avera formats listing credit as 'Physician (AMA PRA Category 1 Credit(s)™) (N hours)' — the number after the parenthetical — so the extractor's amaHours parser returns `missing` for all 127 rows; re-parse the `credits` field. Most of Avera's catalog is nurse-only certification (TNCC/ENPC/AWHONN), correctly out of scope; two physician symposia carry a numeric AMA PRA figure (the CAV post-traumatic-growth conference at 10.0, the Cancer Institute Oncology Symposium at 6.0, both re-verified on their overview pages). ⭐ SANFORD IS ON eeds AND WAS RECOVERED WHERE A BROWSER-BLIND LANE SAW NOTHING. Sanford's dated CME lives on the eeds portal (Portal_SIN=230251), JavaScript-walled to a plain fetch; the committed eeds recipe (server-rendered portal_calendar.aspx, then ajax_functions.aspx?Function_ID=43&ConferenceID=<AIN>) recovered the Dr. H. Eugene Hoyme Precision Medicine Symposium (Aug 28, 2026, Sioux Falls, 6.50 AMA PRA Category 1, machine-verified). ⚠️ Sanford's two flagship annual symposia (Sports Medicine, Edith Sanford Breast Center) run in April and were already past at seeding, with 2027 editions unposted. KNOWN GAPS: three seeded rows carry no published AMA PRA figure (Monument's symposium says only 'credits will be available'; the ACP meeting carries the designation with a '(#)' placeholder hour number; the AFP Winter Seminar publishes no figure); Sanford's forward-month eeds pagination (lnkbtn_Next_Month postback) was not cracked headlessly, so Sept-2026-onward Sanford symposia are unread; Avel eCare's one in-person course (an Emergency Airway Training in Sioux Falls, April 2027) has credit only 'being pursued' and is held as a lead, not seeded; the SDSMA annual leadership conference was a past May 2026 edition and its CME/accreditation status could not be confirmed; the SD NP society (NPASD) events page 403s; and no VA Black Hills, IHS Great Plains, or Black Hills destination-CME event could be verified for the window."},{"code":"ND","name":"North Dakota","level":"seeded_partial","note":"First pass, 2026-08-17. Accreditor sweep + four research lanes. ⭐ ANOTHER CLEAN VACUUM, REACHED BY A DIFFERENT NEIGHBOUR: THE MINNESOTA MEDICAL ASSOCIATION. North Dakota has no ACCME-recognized accreditor of its own. The registry lists just 2 providers: the University of North Dakota School of Medicine (205 activities, ACCME-direct) and Trinity Health of Minot (6 activities), the latter accredited by the MINNESOTA MEDICAL ASSOCIATION. The MMA's out-of-state footprint, swept across ND and its neighbours (SD/WI/IA/MT), is NORTH DAKOTA ONLY (Trinity, 6 activities) — the sixth intrastate accreditor mapped (after MAG, CMS, KMA, NMA, IMS) and the fourth single-neighbour reach (KMA→MO, NMA→MO, IMS→SD, MMA→ND). ⚠️ THE REGISTRY UNDERCOUNTS ND HARD, AND THE FARGO SYSTEMS ARE FETCH-WALLED. Sanford Health (HQ Sioux Falls SD) and Essentia Health (HQ Duluth MN) run major hospitals in Fargo but register under their HQ states, so neither appears in the ND registry. Their Fargo CME could not be machine-read this pass: Sanford's eeds calendar is JS-walled (its one confirmed Fargo series, the Heart and Vascular Symposium at the Avalon Events Center, has no posted next-edition date), and Essentia's CME pages 403. Both are named gaps, not evidence of absence. ⚠️ UND'S CATALOG IS OVERWHELMINGLY RECURRING VIRTUAL. Its self-serve portal (razor.med.und.edu) is server-rendered but is almost entirely Project ECHO and Zoom grand rounds with no credit figure shown; the one dated in-person flagship seeded is the Dakota Conference on Rural & Public Health (Bismarck, June 29-30 2027; 2027 figure unposted, the 2026 edition was 9.25 AMA PRA). ⚠️ TWO TIME ZONES, AND BOTH ARE SEEDED. Most of ND (Fargo, Grand Forks, Bismarck) is CENTRAL; the southwest corner / Badlands is MOUNTAIN — the ND Society of OB/Gyn's annual meeting in MEDORA is the seeded Mountain row. And the North Dakota Academy of Family Physicians' 50th Family Medicine Update is carried on its TRUE venue state, MONTANA (Big Sky Resort), not ND. ⚠️ NO SEEDED ND ROW CARRIES A PUBLISHED AMA PRA FIGURE — every ND society meeting (NDMA/ACP joint, ND AFP, ND OB/Gyn) publishes dates but not credit numbers, and UND's 2027 figure is not yet posted. All are recorded credit-unknown with the precedent figures noted where known (the 2024 joint society meeting was 3 AMA PRA; the 2026 Dakota Conference was 9.25). KNOWN GAPS: Sanford Fargo (eeds-walled) and Essentia (403); Trinity Minot publishes only BLS/ACLS and patient classes; Altru's Mayo-provided grand rounds 403; CHI St. Alexius Bismarck publishes no CME calendar; the ND NP chapter (ndnp.enpnetwork.com) 403s; the NDHA convention is aggregator-only and administrative; and no IHS Great Plains ND-sited clinician CME was found."},{"code":"MN","name":"Minnesota","level":"seeded_partial","note":"First pass 2026-08-17 plus a gap-close 2026-08-17. Minnesota is the largest state seeded so far by volume — 24 ACCME-registry providers, 7,058 activities. It has its OWN accreditor, the Minnesota Medical Association, which accredits 10 of the 24 providers (the mid-size systems: CentraCare, Fairview, Hennepin, Ridgeview, Olmsted, Cuyuna, Twin Cities Orthopedics, North Memorial) and whose out-of-state reach (measured on the ND pass) is North Dakota only. All of Minnesota is CENTRAL — no zone split. ⭐ THE FLAGSHIP MAYO CLINIC IS MACHINE-READ (via browser — ce.mayo.edu hard-403s automated fetch). Nine Rochester conferences are seeded with verified AMA PRA figures: the 28th Annual Internal Medicine Review (20.0), Clinical Reviews Centennial Edition (23.5), the 35th Sports Medicine Symposium (14.75), Glomerular Diseases & Kidney Pathology (14.0), Dysphagia (14.0), the MORE osteopathic conference (12.0), Rural Healthcare (11.25), Post Acute Care (6.25) and the Family Medicine Forum (1.5). Mayo's many out-of-state conferences (Jacksonville FL, Scottsdale AZ, London, Budapest) are excluded by venue, as are its simulation-instructor and nursing-certification courses. ⭐ TWO MORE PROVIDERS MACHINE-READ: HealthPartners Institute (EthosCE — Family Medicine Update 5.0 in Bloomington, Clinical Diabetes Management 14.5 in St. Louis Park) and Essentia Health (CMETracker tenant EH, via the APEX host cmetracker.net/EH — the FCCS course 14.0 and a Primary Care CME Dinner 1.75 in Duluth, and a virtual STEMI Workshop 5.0). ⚠️ Essentia's AMA figure lives in the CreditElig `pub-show-ama` field, and its catalog is 149 activities but 111 are recurring RSS grand rounds. Both society layers are seeded credit-unknown: the MMA's annual Empowering Physicians Conference (Minneapolis) and the MAFP Spring Refresher (Maple Grove, the state's largest family-medicine CME conference). ⭐ GAP-CLOSE 2026-08-17: UMN CloudCME tenant `umncpd` (43 courses + 28 RSS; listing has no AMA hours — designation is on courseoverview); Allina CloudCME tenant `allina` (70+58; OB Complications 7.50 AMA PRA hours, Bloomington); Children's Minnesota EthosCE at cmn.education.childrensmn.org (Pediatric Update 12.0, Fetal Symposium 6.5, Wound workshop 3.5); Fairview's own catalog is fvcme.powerappsportals.com (Amyloidosis 5.25–6.25, Twin Cities Sports Med 7.5 virtual). MN ACP Oct 23 Bloomington is designated 9.75 live+enduring. MAGIC and NCCHA annuals sit on umncpd and are attributed to those societies. ⚠️ cmetracker.net/CENTRA is Centra Health in Lynchburg, Virginia — not Minnesota CentraCare. CentraCare's public physician calendar is on centracare.com (403 to curl). Hennepin is CMETracker tenant HCMC with the public catalog switched off. REMAINING GAPS: Olmsted Medical Center (36, homepage 403, no tenant found); Hennepin's 51 activities stay inside HCMC (no public dated physician conference seeded — the 2027 Trauma Conference page names no physician audience and no AMA figure); Ridgeview, Cuyuna, Twin Cities Orthopedics, North Memorial, Stratis Health unread; Mayo's catalog beyond the first live-course view still unenumerated; national-registry entities (Amedco 2429, Optum 600, AAN 520, AANEM 210) are not MN-sited conferences."},{"code":"MT","name":"Montana","level":"seeded_partial","note":"First pass, 2026-08-17. Accreditor sweep + four research lanes. ⭐ MONTANA IS A VACUUM THAT NO NEIGHBOUR ACCREDITOR FILLS. It is absent from ACCME's Recognized Accreditors (the string Montana occurs 0 times on that page). The registry lists exactly two providers: Billings Clinic (31, ACCME-direct) and RxCe.com LLC (0, Joint Accreditation — a pharmacy CE company). CMS, UMA, MMA, IMS and PacWest accredit nobody in the Montana registry. The Kansas/Wyoming write-up that CMS reaches exactly KS+WY is incomplete: CMS out-of-state is KS+WY+ID. This sweep found Gritman Medical Center in Idaho (49, CMS) and a large UMA footprint in Idaho (St. Luke's 513 plus three hospitals) and Nevada (Clark County Medical Society 24). Those reaches still fill vacuums; they just skip Montana. PacWest's published scope remains WA/AK/HI/OR/AS/GU and not MT. All of Montana is MOUNTAIN (America/Denver) — no split. ⭐ BILLINGS CLINIC IS THE PLATFORM LAYER, AND LOGAN HEALTH PUBLISHES THROUGH IT. billingsclinic.com 403s to curl (Akamai); the CloudCME tenant billingsclinic was extracted (7 unique). Two dated conferences are jointly provided with Logan Health and are attributed to Logan: genomics 12.00 AMA PRA at Kalispell (Aug 21-22 2026) and cardiovascular/pulmonary 8.25 AMA PRA at The Lodge at Whitefish Lake (Oct 2-3 2026). ⚠️ The CloudCME listing cities the lodge in Kalispell; the lodge's own site is 1380 Wisconsin Ave, Whitefish, MT 59937 — city is Whitefish. MAD Clinical Dermatology at Big Sky (Feb 4-7 2027) is attributed to the dermatology society; the listing publishes 0.00 AMA PRA (allocation not set). Two Billings Clinic RSS series designate 0.75 and 1.00 per session. ⭐ INTERMOUNTAIN HIDES UNDER UTAH. Its public CloudCME catalog (80 unique against 630 registry activities) has one forward Montana-sited row: Orthopedic and Neuroscience Conference, Sep 18 2026, St. Vincent Billings, 7.75 AMA PRA. Rimrock Trauma (Apr 10 2026) is past. ⭐ TOUROCOM GREAT FALLS IS MONTANA'S FIRST MEDICAL SCHOOL AND PUBLISHES NO PUBLIC CME. eeds SIN 230193 is TouroCOM California, not Montana. WWAMI/UW CloudCME had no Montana-sited row. The academic layer that does publish is Western Montana AHEC's Friday Medical Conference (weekly Zoom + St. Patrick Hospital), credit asserted as CME with no AMA PRA figure. The Montana Board of Medical Examiners FAQ states physicians are NOT required to acquire CME to obtain or renew a license. Eleven dated activities carry a designated AMA PRA Category 1 figure and two recurring series designate one too. Destination CME (MCE, Symposia Medicus, Wilderness Medicine, Northwest Anesthesia Seminars) is filed by venue, not organizer HQ. MER publishes six Montana venues as '12 Credit Hours' with no activity-specific AMA PRA designation — not seeded (same treatment as the Wyoming MER row). KNOWN GAPS: Benefis (Akamai 403; browser shows life-support/nursing certs only); Bozeman Health (community calendar + nursing CNE); St. Peter's, Community Medical Center, St. James Butte, VA Montana and IHS/tribal public pages publish no dated physician CME; MTAPA 2027 dates unposted; MOMA's next VOCCME unposted; MMA/MAFP/ACP/MOS/path/ENT/ACS/MTAAP/AHEC rows that have dates but no AMA PRA figure; MER's six Montana venues; Symposia Medicus July 2027 Big Sky (details not finalized); Wilderness Medicine July 2027 (page still says the posted schedule is 2026)."},{"code":"ID","name":"Idaho","level":"seeded_partial","note":"First pass, 2026-08-17. Accreditor sweep + four research lanes. ⭐ IDAHO IS A VACUUM FILLED FROM NEXT DOOR — MOSTLY BY THE UTAH MEDICAL ASSOCIATION. It is absent from ACCME's Recognized Accreditors (the string Idaho occurs 0 times on that page). The registry lists seven providers / 649 activities: St. Luke's 513 (UMA), Gritman 49 (Colorado Medical Society), University of Idaho SHAMP 43 (Joint Accreditation), Bingham 21 + Portneuf 10 + Mountain View 8 (all UMA), and Kootenai 5 (ACCME-direct). UMA's Idaho volume (4 providers / 552) dwarfs its home-state accredited volume (4 / 84). PacWest's published scope remains WA/AK/HI/OR/AS/GU and not ID. Intermountain CloudCME (already extracted) has zero Idaho venues. ⭐ TWO TIME ZONES. The Panhandle (Coeur d'Alene, Moscow) is Pacific (America/Los_Angeles); Boise, Sun Valley, McCall, Meridian, Garden City, Donnelly, Idaho Falls, Pocatello and Blackfoot are Mountain (America/Denver). Timezone follows the venue. Both halves are seeded. ⭐ ST. LUKE'S CLOUDCME IS NOT THE CONFERENCE CATALOG. Tenant stlukes (Boise — not Missouri) extracted as 0 live courses and 1 RSS (Pulmonary Nodule Case Review, 1.00 AMA PRA). Dated conferences live on stlukesonline.org: Specialty Medicine 11.25 AMA PRA at Sun Valley Sep 12-13 2026; Treasure Valley Climate Symposium 6.25 AMA PRA Sep 2; Pediatric Emergency Medicine 7.00 AMA PRA Oct 19-20. ⭐ THE ACADEMIC ENGINE IS UNIVERSITY OF IDAHO SHAMP ON ETHOSCE (cme.shamp.uidaho.edu). IMA Saturday CME 4.00, GUT Club 12.00 at McCall, Hindson 12.00 at Tamarack/Donnelly, PQC Summit 5.00, YMCA Brain Health 4.00 at ICOM, SANE/SAFE 16.00, plus ECHO Idaho and SW AHEC series at 1.00 a session. ICOM itself publishes no forward clinician CME. ⚠️ SVCC 2027 (Jan 28-30, Sun Valley) must not inherit the CME page's 'Information for 2026' 14.00 figure. ⚠️ idahoafp.org is a GoDaddy Launching Soon stub; the live IAFP site is idahofamilyphysicians.org. ⚠️ idahomed.org is NXDOMAIN; IMA is idmed.org. Idaho Chapter ACS 2027 is at Big Sky, Montana (already seeded as mt-acs-annual-2027). KNOWN GAPS: Mayo Meaning and Medicine Oct 15-17 2026 at Coeur d'Alene (14.75 claimed by a lane; ce.mayo.edu 403s to curl — not seeded); Gritman/Kootenai/Bingham/Portneuf/Mountain View public pages have no dated physician AMA PRA conference; ACP Idaho 2027 unposted; IAPA 2027 unposted; Winter Clinics 2027 JS-gated; psych/anesthesia/radiology dates TBA; Children's Grand Rounds ('CMEs are available') undated; NPI conference is NCPD nursing-only."},{"code":"NV","name":"Nevada","level":"seeded_partial","note":"First pass, 2026-08-17. Accreditor sweep + four research lanes. ⭐ NEVADA IS A VACUUM FILLED FROM TWO NEXT-DOOR ACCREDITORS. It is absent from ACCME's Recognized Accreditors (the string Nevada occurs 0 times on that page). The registry lists five providers / 396 activities: UNR Med 296 (ACCME-direct), UNLV 34 (ACCME-direct), UMC of Southern Nevada 27 (California Medical Association), Clark County Medical Society 24 (Utah Medical Association), Touro Nevada COM 15 (ACCME-direct). UMA's out-of-state footprint is ID 4/552 + NV Clark County 24 — confirmed from Nevada's own side. CMA's out-of-state footprint is NV UMC 27 + OR Bay Area Hospital 12. CMA fills this vacuum AND reaches Oregon, which has PacWest — a border break (the MAG/Colorado shape). PacWest published scope remains WA/AK/HI/OR/AS/GU and not NV. ArMA and CMS do not reach Nevada. Intermountain CloudCME has zero Nevada-sited conferences. Almost all of Nevada is PACIFIC (America/Los_Angeles). West Wendover is Mountain; no Wendover row is seeded. Timezone follows the venue. Lake Tahoe: Hyatt Regency Lake Tahoe is Incline Village, NV (111 Country Club Drive, 89451 on the UNR conference page); Harrah's Lake Tahoe is Stateline, NV (15 Highway 50, 89449 on Caesars' own FAQ). South Lake Tahoe is California. ⭐ UNR MED ON CMETracker TENANT UNEV IS THE ACADEMIC ENGINE. Extracted 2026-08-17: 106 rows. Renown publishes through UNEV. Designated conferences: Neuroscience 7.75 AMA PRA Sep 11 (Mack Auditorium, hybrid); 35th Trends in Cardiovascular Medicine 13.00 AMA PRA Oct 16-18 (Incline Village — CMETracker title says 36th, the page says 35th); Autumn Update 8.00 AMA PRA Nov 6-8 (Incline Village); Northern Nevada Trauma Symposium 7.50 AMA PRA Dec 4. Project ECHO Nevada is a virtual hub (UNEV listing hours, no designation sentence). ⭐ UNLV TENANT UNLV HAS ONE PUBLIC ROW (a 1.00 hybrid session on 2026-08-17) and no other dated conference on school calendars. Touro Nevada CME is 'as needed' with an empty CE calendar. UMC's public calendar is community classes — the 27 CMA activities are unpublished. CCMS Genius has no forward live CME (June 20 2026 Crossroads is past). ⚠️ clarkcountymed.org is Washington's Clark County, not Nevada CCMS (clarkcountymedical.org). ⚠️ The Neuroscience Symposium accreditation block names AETC (copy-paste from Autumn Update); the designation sentence is the source. Three inbound rows predated this pass (AAP California Las Vegas Seminars 16 AMA PRA, UCSF spine bioskills, Cleveland Clinic pathology). Las Vegas destination-CME vendors (MER, MCE, Symposia Medicus, NWAS, CME Science, Skin Bones, CEME EM Boot Camp, AMMG, MedscapeLIVE) are excluded by policy. Mayo ce.mayo.edu 403s. KNOWN GAPS: UMC's 27 CMA activities; UNLV catalog beyond one session; Touro 'as needed'; CCMS forward live CME; NOMA Winter 2027 dates TBA; NAFP 2027 AMA PRA unpublished; NOS rows credit-unknown; Sunrise/Dignity/Valley/VA/rural hospitals; Barton 403; Hyatt's own city page 403 (organizer page used for Incline Village)."},{"code":"UT","name":"Utah","level":"seeded_partial","note":"First pass, 2026-08-17. Accreditor sweep + four research lanes. ⭐ UTAH HAS ITS OWN ACCME RECOGNIZED ACCREDITOR. The Utah Medical Association is on the 28-list. Home roster is 4 providers / 84 activities (Summit Medical Institute 56, UMA Foundation 20, Ogden Surgical-Medical Society 7, ESI Management 1). Out-of-state, confirmed from Utah's own side: ID 4/552 + NV Clark County Medical Society 24. CMA, CMS, ArMA and PacWest do not reach Utah. Intermountain 630 and University of Utah 264 are ACCME-direct. This is the home-side measurement of the accreditor that filled Idaho and Nevada. All of Utah is MOUNTAIN (America/Denver). No timezone split. ⭐ UNIVERSITY OF UTAH ON CLOUDCME TENANT uofuhealth IS THE ACADEMIC ENGINE. Extracted 2026-08-17: 162 courses + 103 RSS (8 LIVE / 53 ONLINE all ARUP-titled / 101 RSS). Volume is not conferences. Designated live: Clinical Fungi 45.50 AMA PRA Aug 31-Sep 5 (Salt Lake City — CloudCME says Marriott Downtown, ARUP says University Park); Fetal Cardiac Imaging 9.50 AMA PRA Sep 11-12 (Park City Blair Center); Revere Elevate MSK 7.00 AMA PRA Sep 19-20 (SLC); CT Academy 16.75 AMA PRA Sep 21-23 (Sundance Mountain Resort); IMPROVE 1.00 AMA PRA Sep 1 (St. George). Departmental pages the listing omitted: POTS & Beyond Oct 26-27 (credit TBA), WINO Oct 30 (hour figure blank), U-CARS Mar 11-12 2027 (do not carry a yearless prior-edition figure). Anesthesiology Grand Rounds 1.00 AMA PRA a session. Out-of-state on the same tenant: Summit Dermatology (Ketchum ID) and Albuquerque cardiopulmonary (NM). ⭐ INTERMOUNTAIN CLOUDCME IS THE HOSPITAL ENGINE. Designated: Women's Health 7.25* AMA PRA Sep 25 (Murray, hybrid); UCoPE FALL 28 AMA PRA Sep 29-Oct 2 (SLC); Teen-to-Adult Transition 4.25 AMA PRA Oct 7; ACHD 5.00 AMA PRA Oct 30; PEM POCUS 8.0 AMA PRA Nov 4 (live plus online module); I-PECC 5.5 AMA PRA Nov 10 (Park City Hospital, hybrid); Simulation Facilitator 21.5 AMA PRA Feb 9-11 2027; Neonatal/Pediatric Transport 15* main plus 9.50* optional Feb 17-19 2027 (do not treat listing 24.50 as one lump). ⭐ SUMMIT MEDICAL INSTITUTE (UMA-accredited) designates 10 AMA PRA Category 1 Credits at Sundance Sep 10-12. Utah started from ZERO inbound rows. Destination-CME at Park City/Snowbird/Deer Valley (MER, NWAS, CME Science) is excluded by policy. UAFP CME & Ski is the chapter's own meeting, not commercial destination-CME. KNOWN GAPS: UMA HOD Sep 18-19 is policy, not CME; UMA calendar login-walled; Ogden 2027 dates TBA (do not carry 29.50); ACP Utah 2026 past, 2027 unposted; UOMA 2027 Winter dates TBA; SUFMC and CME & Ski AMA PRA unpublished; Noorda/RVU/Roseman no dated physician catalog; MountainStar/VA/rural hospitals no dated AMA PRA conference; county societies have no official dated pages (washingtoncountymedicalsociety.org is New York); ACC Utah Rockies portal login-walled."},{"code":"WI","name":"Wisconsin","level":"seeded_partial","note":"First pass, 2026-08-18. Accreditor sweep + four research lanes. ⭐ WISCONSIN HAS ITS OWN ACCME RECOGNIZED ACCREDITOR. The Wisconsin Medical Society is on the 28-list. Home roster is 11 providers / 1,006 activities. Out-of-state in the MN/IA/IL/MI/IN sweep: ZERO. MMA/IMS/ISMS/MSMS/ISMA do not reach Wisconsin. The 26-provider / 6,333-activity registry is inflated by national HQ (PESI 3,217, AAEM 770, AAAAI 173). Subtract those before judging the state. WMS publishes no accredited-provider roster on the pages fetched. ALL OF WISCONSIN IS CENTRAL (America/Chicago). No timezone split. ⭐ TWO ACADEMIC ETHOSCE ENGINES. UW–Madison ICEP (ce.icep.wisc.edu, Joint Accreditation, 793) and MCW OCPE (ocpe.mcw.edu, ACCME-direct, 149). EthosCE calendar.ics is RSS-heavy; conferences live on /courses and /node/ pages. ICEP designated: WAI 6 AMA PRA Sep 18 (Memorial Union, Madison — Hilton Downtown is the hotel block); PULSE 7.25 AMA PRA Sep 19 (Hilton Monona Terrace, hybrid); Carbone Fall Cancer 6 AMA PRA Oct 23 (Monona Terrace); Native Nations 5.5 AMA PRA Oct 30 (Oneida Hotel, Green Bay — not nursing-only); Neurology for the Non-Neurologist 7.0 AMA PRA Nov 11; Primary Care Conference 12.50 AMA PRA Nov 12-13 (Madison Concourse, hybrid). Quad Cities APN-PA is Davenport IA. PICAT is pharmacy-only. MCW designated: Pancreatic 3.75 Aug 21; Spine Day 5.00 and Cancer Disparities 3.75 both Sep 11 (different Milwaukee venues); PM&R 75th 3.00 Sep 12; Pituitary-Adrenal 14.75 Sep 30-Oct 2 (Baird Center); 39th Update in Primary Care 12.25 AMA PRA Oct 15-16 at Grand Geneva, Lake Geneva (MCW's own conference, not commercial destination-CME); Biennial Endo 10.50 Nov 6-7; Hospital Medicine 6.75 Nov 9. ⭐ HOSPITAL ENGINE IS EEDS, NOT CLOUDCME. Gundersen (SIN 230184) and Marshfield ConferenceIDs are eeds. ⚠️ eeds SIN 230251 is Sanford Health (Fargo/Hoyme) — not Marshfield. Gundersenhealth.org is Cloudflare 403. Designated: Pharmacology 6.5 Sep 11 La Crosse; Wilderness 13 Sep 18-20 Devil's Lake / Baraboo; Primary Care Potpourri 12.5 Sep 24-27 Sturgeon Bay; Ethics 4 Nov 14 La Crosse. 2027 Winter Refresher listing 2.00 vs two-day TBA itinerary — do not carry 2026's 13.00. Marshfield HeartCare 12.0 AMA PRA Sep 12-13. Aspirus Winter 2027 Feb 26 Wausau is dated credit-unknown. Aspirus RSS on cme-activities mixes Wausau with St. Luke's / Lakeview (Aspirus St. Luke's Hospital is 915 East First Street, Duluth MN) — not hubbed. Society layer: WAPC 10.25 AMA PRA Oct 12-13 Middleton; ACP Wisconsin 12.75 AMA PRA Sep 18-19 Wisconsin Dells (chapter meeting, not commercial destination-CME); WDS Fall 2.50 AMA PRA Sep 18 (Amedco); ACOG Wisconsin 9.75 AMA PRA Oct 23-24 Sheboygan. Wisconsin started from ZERO inbound rows. Advocate Health shared IL/WI/NC EthosCE catalog is still the Illinois named gap — do not bulk-ingest. KNOWN GAPS: WMS InReach JS-only; ProHealth Akamai 403; UnityPoint Epic training not seeded; Ascension national CloudCME has no printed WI venue; Mendota/Beloit/Watertown/Sauk no dated physician CME; WAPA 403; WAFP Winter Refresher 2027 page failed parent re-fetch; WAOPS/WSS/WACEP/WPA/WCACC AMA PRA unpublished; county societies unread."},{"code":"OK","name":"Oklahoma","level":"seeded_partial","note":"First pass, 2026-08-18. Accreditor sweep + four research lanes. ⭐ OKLAHOMA HAS ITS OWN ACCME RECOGNIZED ACCREDITOR. The Oklahoma State Medical Association is on the 28-list. Home roster is 7 providers / 180 activities. Out-of-state in the TX/AR/MO/KS/CO/NM sweep: MISSOURI ONLY (Kansas City Southwest Clinical Society, 21). TMA/NMMS/CMS do not reach Oklahoma. Confirms the Missouri-pass OSMA finding from Oklahoma's own side. OSMA publishes no accredited-provider roster on the pages fetched. ALL OF OKLAHOMA IS CENTRAL (America/Chicago). No timezone split. ⭐ ACADEMIC ENGINE IS CLOUDCME, TWO TENANTS. OU College of Medicine (cme.ouhsc.edu → ouhsc, ACCME-direct, 41) and OSU CHS COM (osu.cloud-cme.com, ACCME-direct, 36). ⚠️ osu.cloud-cme.com is Oklahoma State, NOT Ohio State. OU designated: Urologic Symposium 6.00 AMA PRA Aug 21 (Samis, Amedco — departmental page, absent from the CloudCME listing); Neurology 7.00 AMA PRA Sep 26 (Samis); Pediatric Trauma Roundup 4.00 AMA PRA Oct 30 (Rainbolt/Samis). Mercy Oklahoma City cancer conferences live on the OU tenant as RSS. OSU designated: Tribal and Rural Innovation 6 AMA PRA + 6 AOA 1-A Sep 11 at OSU COM at the Cherokee Nation, Tahlequah. ⚠️ The live page designates this enduring material activity for a maximum of (6) AMA PRA Category 1 Credit(s)™ — quoted as printed. Virtual Primary Care Update 20 AMA PRA + 20 AOA 1-A Nov 3–Dec 3 (enduring). ⭐ HOSPITAL ENGINE IS SAINT FRANCIS TRUMBA, NOT CLOUDCME. Integris CloudCME is 54 enduring + RSS; its one live 2026 conference is social-work CE with no AMA PRA. okheart.cloud-cme.com exists as an empty public catalog. Saint Francis designates Trauma and Stroke 14.0 AMA PRA Sep 24-25 at the Renaissance, Tulsa. Society layer: OSMA Women in Medicine 1 AMA PRA Sep 18 Oklahoma City (day-long agenda; designated maximum is 1); ACP Oklahoma 8 AMA PRA Nov 13-14 Schusterman, Tulsa. ⚠️ okoa.org is Oklahoma Otolaryngology Associates (ENT practice), not the osteopathic society (okosteo.org). ⚠️ okacs.org is the American Chemical Society Oklahoma Local Section, not ACS surgeons (oklahomafacs.org). Tahlequah and Midwest City (Rose State / Harold Hamm) are Oklahoma. Oklahoma started from ZERO inbound rows. KNOWN GAPS: Integris live hosts Cloudflare 403; Hillcrest/Stillwater/Mercy no dated physician CME; OAFP ELEVATE 2026 is past and the 2027 date is unpublished; OKAAP Forum is yearless; OCMS Cloudflare 403; FAA AME seminar has no AMA PRA on the schedule; AONP Sep 9-11 is nursing-only; OAPA is AAPA not AMA PRA."},{"code":"NH","name":"New Hampshire","level":"seeded_partial","note":"First pass, 2026-08-18. Accreditor sweep + four research lanes. ⭐ NEW HAMPSHIRE HAS ITS OWN ACCME RECOGNIZED ACCREDITOR. The New Hampshire Medical Society is on the 28-list. Registry home roster is 8 providers / 178 activities. NHMS's own /accredited-providers lists nine NH organizations; Concord Hospital is the ACCME-registry undercount. The sentence 'nine organizations in New Hampshire and Vermont' is not backed by any Vermont name on that page. Out-of-state in the MA/ME/VT/NY/CT/RI sweep: ZERO. Maine Medical Association (on the 28-list) and MSSNY do not reach NH. Massachusetts Medical Society reaches NH only as ConvenientMD (0 activities), confirming the MA-pass finding. Vermont is absent from the 28-list; its registry is UVM Larner, Joint Accreditation, 180. ALL OF NEW HAMPSHIRE IS EASTERN (America/New_York). No timezone split. ⭐ ACADEMIC ENGINE IS DARTMOUTH HEALTH CLOUDCME tenant dh (Joint Accreditation, 960 of 1,138 registry activities). Extracted 267 courses / 10 RSS. Designated: 43rd CV Symposium 6.75 AMA PRA Oct 22 hybrid DHMC Lebanon; Psychiatry Refresh 6.00 AMA PRA Oct 23 DHMC Auditorium G; PAGHEN 2.25 AMA PRA Oct 14; Palliative ECHO 6.0 9.00 AMA PRA Oct 6–Jun 1 virtual; RSS grand rounds 1.00 / session at DHMC Lebanon (hybrid hub, not unsited virtual). ⚠️ Dartmouth Health includes Mt. Ascutney (Windsor VT) — venue decides. ⭐ HOSPITAL LAYER IS THIN AND HONESTLY SO. No hospital CloudCME / CMETracker tenant besides dh. Concord 403s curl; its Trauma Conference Oct 15 Grappone is dated credit-unknown from the flyer. Elliot, SNHMC, St. Joseph, WDH, Exeter publish no upcoming public physician CME. ⚠️ Wentworth-Douglass is Mass General Brigham and Exeter is Beth Israel Lahey — do not file their NH-sited CME as Massachusetts. Dover, New Castle, Concord, Meredith and Bretton Woods in this data are New Hampshire. Society layer: NHMS Scientific Conference Dec 4-6 Omni Mount Washington (credit unknown); ACP NH 6 AMA PRA Oct 23 Hilton Garden Inn Lebanon (hybrid); NHMI Fall 6 AMA PRA Oct 17 Nashua; Gynesim Harrisville 32 AMA PRA Oct 5-8 2026 and Oct 4-7 2027; SNHAHEC preceptor conference 5.5 AMA PRA Sep 17 Manchester. NHAFP May 2026 is past and 2027 is unpublished. NHOA winter is a Jan 29 2027 save-the-date with venue unpublished. New Hampshire started from THREE inbound rows (Lahey Meredith, MA Derm New Castle, NESS 2028 Bretton Woods). KNOWN GAPS: Concord live host 403; hospital catalogs empty; NHAFP 2027 unpublished; NHOA winter venue unpublished; NHMS Leadership Academy 40 AMA PRA is also marked under review; NCHC public-health conference has no AMA PRA; NHNPA Nov 11-13 Bretton Woods is nursing-only; MCE Bretton Woods excluded by destination-CME policy; NNE-ACC 2026 is Burlington VT; NNENS 2026 is Stowe VT."},{"code":"VT","name":"Vermont","level":"seeded_partial","note":"First pass, 2026-08-18. Accreditor sweep + HighMarks machine-read + four research lanes. ⭐ VERMONT IS A VACUUM THAT NO NEIGHBOUR ACCREDITOR FILLS. Vermont is absent from ACCME's 28-list. The Vermont Medical Society does not appear as provider_accredited_by anywhere in the VT/ME/MA/NY/NH/CT/RI sweep. MMA home-only (10/409). NHMS home-only (8/178) — confirms the NH-pass finding from Vermont's own side; the NHMS sentence 'nine organizations in New Hampshire and Vermont' is still not backed by any Vermont name. MMS reaches NH/CT/RI, not Vermont. MSSNY reaches CT Greenwich only. Registry is ONE provider: UVM Larner, Joint Accreditation, 180. ALL OF VERMONT IS EASTERN (America/New_York). No timezone split. ⭐ ACADEMIC ENGINE IS UVM LARNER CMIE on HighMarks tenant uvmmed (named on the provider's own page). Extracted 91 public rows, mostly enduring. Dated conferences live on the Drupal schedule, not the HighMarks public list. Designated: Menopause 6.5 AMA PRA Sep 10-11 DoubleTree South Burlington. ACP Vermont 5.5 AMA PRA Oct 9 Trapp Family Lodge Stowe. Northwest Seminars Topics in EM 20 AMA PRA Jan 25-29 2027 Lodge at Spruce Peak. ⚠️ HighMarks also lists CVPH Plattsburgh — that is NEW YORK. ⚠️ Do not carry 2026 Hospital Medicine 15.0 onto the 2027 schedule line (no 2027 page). ⚠️ voma-net.org is Virginia, not Vermont (live osteopathic is vsaop.wildapricot.org). ⚠️ vtafp.org is NXDOMAIN; live VTAFP is vtafp.net. ⭐ HOSPITAL LAYER IS A NAMED VACUUM. No hospital CloudCME/CMETracker tenant. RRMC 403s every path. SVMC is Dartmouth Health in Bennington — do not file as New Hampshire. Mt. Ascutney is Windsor VT; Dartmouth CloudCME dh had no forward LIVE Vermont-sited row. Society layer: VMS Collaborative Nov 13-14 Topnotch Stowe (credit unknown); NNE-ACC Oct 24 Hotel Champlain Burlington; NNENS Nov 6-7 Spruce Peak (same weekend as UVM Neurology for the Non-Neurologist). PAAV Jan 25-27 2027 Von Trapp Stowe. NESS 108th Sep 17-19 2027 Equinox Manchester Village. Vermont started from ONE inbound row (NESVS Stowe). Burlington, Stowe, South Burlington and Manchester Village in this data are Vermont. KNOWN GAPS: RRMC 403; hospital catalogs empty; 2027 Hospital Medicine / Eastern Winter Derm / Microsurgery have schedule lines and no pages; VTAFP/VSAOPS 2027 unpublished; VMS Collaborative has no ticket page; VNPA Nov 12-13 Stoweflake is nursing-only; SfRBM Redox Sep 13-16 is a science symposium with no AMA PRA; MER Manchester Equinox Sep 25-27 prints 12 Credit Hours and no AMA PRA on mer.org."},{"code":"ME","name":"Maine","level":"seeded_partial","note":"First pass, 2026-08-18. Accreditor sweep + CloudCME machine-read + four research lanes. ⭐ MAINE HAS ITS OWN ACCME RECOGNIZED ACCREDITOR. The Maine Medical Association is on the 28-list. Registry home roster is 10 providers / 409 activities and MMA's own CCMEA page lists the same ten Maine organizations — exact close, zero undercount. MaineHealth is Joint Accreditation (430) and is correctly absent from the MMA roster. Out-of-state in the NH/VT/MA/NY/CT/RI sweep: ZERO. Confirms the NH-pass and VT-pass findings from Maine's own side. NHMS and MMS do not reach ME. ALL OF MAINE IS EASTERN (America/New_York). No timezone split. ⭐ ACADEMIC / HOSPITAL ENGINE IS MAINEHEALTH CLOUDCME tenant mainehealth (Joint Accreditation, 430 of 839). Extracted 33 unique / 18 RSS / 0 dated live conferences. Catalog is RSS + MITE enduring. Designated listing: Medicine Grand Rounds 1.00 AMA PRA at MMC Portland Dana Center (hybrid). Northern Light CloudCME tenant northernlight is 40 unique RSS; its two dated LIVE rows are already past. ⚠️ Portland, Augusta, Bar Harbor, Freeport, Rockport, Newry and Carrabassett Valley in this data are Maine — Oregon Portland is already seeded. Brunswick, Camden and York have no Maine-sited event in this pass (York Hospital is an org with an empty calendar). ⚠️ mainemed.com redirects (302) to mainephysicians.org. ⭐ DESIGNATED CONFERENCES: Downeast Ophthalmology 15.00 AMA PRA Sep 25-27 Harborside Bar Harbor (Hanley designates); MMA Educational Summit 8.5 AMA PRA Oct 2-4 same hotel (Hanley designates — the webpage 'Earn up to 8.5' is marketing). Society layer: ACP Maine Oct 16-18 Atlantic Oceanside Bar Harbor (credit unknown); MAFP 35th May 13-15 2027 Samoset Rockport; MOA 116th June 4-6 2027 Samoset; MAPP / MNS / AAP / ACEP / MeSA / MUA dated. Maine started from ZERO inbound rows. Bar Harbor, Freeport, Rockport, Newry and Carrabassett Valley in this data are Maine. KNOWN GAPS: MaineGeneral 403; CMMC/MDI/York/RFGH/Riverview/CCPM no public dated physician CME; UNE no dated catalog; MeACS Mar 5-7 2027 venue unpublished (Sunday River ME vs West Dover VT on the same page); HLD 83.75 is a selected class; MNPA is AANP; MPHA Oct 1 has no AMA PRA; MER Bar Harbor Sep 2-4 prints 12 Credit Hours and no activity-level AMA PRA; MCE Samoset Sep 25-27 is destination CME."},{"code":"AK","name":"Alaska","level":"seeded_partial","note":"First pass, 2026-08-18. Accreditor sweep + CMETracker machine-read + four research lanes. ⭐ ALASKA IS A VACUUM FILLED BY PACWEST. Alaska is ABSENT from the ACCME 28-list. PacWest Continuing Education Accreditation Collaborative (WSMA + Hawaii Medical Association) is on the 28-list and accredits the two Alaska PacWest providers. Registry is 5 providers / 369 activities: ANMC 154 Joint Accreditation, DHSS 120 Joint Accreditation, Providence 82 PacWest, Bartlett 13 PacWest, UAA ACRHHW 0 Joint Accreditation. PacWest directory (fetched HTTP 200) lists Bartlett Regional Hospital Juneau and Providence Alaska Medical Center Anchorage — exact close with the registry. Neighbor sweep WA/OR/HI/ID/MT/CA: PacWest home WA 13/467; out-of-state AK 2/95, HI 4/130, OR Samaritan 185; ZERO in ID, MT, CA. Matches published scope (WA, AK, HI, OR, AS, GU). UMA/CMS/CMA do not reach Alaska. ⭐ ACADEMIC ENGINE IS PROVIDENCE CMETRACKER tenant PAMC (named on the registry website). Extracted 107 rows / 64 future / 62 RSS / 2 conferences. Designated: 2026 Opioid Education 2.0 AMA PRA Sep 23 PAMC+livestream (relicensure, free). Pediatric EM Aug 24-25 Dena'ina is approved for AMA PRA with no hour figure. PAMC RSS listing hours mix 1.00 / 0.75 / 1.50 and are not recorded as a designation. ALL SEEDED ROWS ARE AMERICA/ANCHORAGE (Anchorage and Girdwood). Juneau is America/Juneau; Bartlett has no dated row. Aleutians America/Adak are unseeded. ⭐ DESIGNATED: ACP Alaska 12 AMA PRA Oct 9-10 Marriott Anchorage Downtown; Alaska Regional Tumor Board 1.0 AMA PRA per session (HCA Continental on healthonecares.com). ⚠️ asmadocs.org is the live Alaska State Medical Association. akmed.org is a Namecheap parking page. akoma.org is a gospel choir; osteopathic host is ak-osteopathic.org (Cloudflare 403). alaska-aap.org NXDOMAIN; live AAP is aapalaska.com. Girdwood / Hotel Alyeska is Alaska. Juneau Avenue Milwaukee is Wisconsin. Alaska started from ZERO inbound rows. KNOWN GAPS: ANMC Enrollware is life-support (no AMA PRA); Bartlett calendar is community/AHA; Foundation Health Fairbanks Igloo 400; DHSS 120 is unpublished as dated conferences (four 0.5 FASD enduring modules on CACHE); AKOMA 403; AAP no upcoming events; APA April 2026 past; destination MCE/MER Alyeska and cruise CME excluded by policy. ALSO listing date conflicts with the 2026 RegFox form."},{"code":"HI","name":"Hawaii","level":"seeded_partial","note":"First pass, 2026-08-18. Accreditor sweep + CMETracker machine-read + four research lanes. ⭐ HAWAII IS A VACUUM FILLED BY PACWEST. Hawaii is ABSENT from the ACCME 28-list. HMA is not independently listed. PacWest (WSMA + Hawaii Medical Association) is on the 28-list and accredits the four Hawaii PacWest providers. Registry is 6 providers / 546 activities: HPH 233 Joint Accreditation, Queen's 183 ACCME-direct, Hawaii Permanente 119 PacWest, UHH Pharmacy 5 PacWest, Maui Health 4 PacWest, Kuakini 2 PacWest. PacWest directory (HTTP 403 this session; HTTP 200 same-day Alaska pass) names those four plus Guam Memorial and LBJ Tropical — exact close on the four Hawaii names. Neighbor sweep WA/OR/CA/AK/NV/ID/MT: PacWest home WA 13/467; out-of-state HI 4/130, AK 2/95, OR Samaritan 185; ZERO in ID/MT/CA/NV. CMA/UMA/CMS do not reach Hawaii. Guam Memorial and LBJ Tropical are PacWest but NOT Hawaii. ⭐ ACADEMIC ENGINE IS QUEEN'S CMETRACKER tenant QUEENS (named on the provider's own CME page; registry website field is the email cme@queens.org). Extracted 427 rows / 2 conferences / 425 RSS. Designated listing: Innovations in Cardiology 6.25 AMA PRA Aug 22 Hilton Hawaiian Village; Sepsis Awareness Day 3.25 AMA PRA Sep 18 Queen's Conference Center. Queen's /events/ is patient classes. ⭐ HOSPITAL ENGINE IS HPH on hph.org (not hawaiipacifichealth.org, whose CE paths 404). Designated: PONO OB/GYN 8.0 AMA PRA Sep 11-12 Salvation Army Kroc Center Kapolei; ACP/POLST 7.5 AMA PRA Aug 26 Wilcox Lihue; FCCS Hybrid 3.75 AMA PRA Sep 25 SimTiki Honolulu; Straub Grand Rounds 1.0 AMA PRA per session. ALL SEEDED ROWS ARE PACIFIC/HONOLULU. Hawaii does not observe DST. Hawaii started from 18 inbound rows (CA/IL/OH/WA destination academic). ⚠️ hawaiimedicalassociation.org and hafp.info are Cloudflare 403 (RSS is the fetchable calendar). hapahawaii.org NXDOMAIN; live HAPA is hapa.mypanetwork.com. hmaonline.net is a suspended account. 55 Merchant St on HPH pages is HQ footer chrome, not the venue. Ko Olina / Kroc Center Kapolei is Hawaii. KNOWN GAPS: Permanente public catalog is a JS shell; Maui Health no dated catalog; Kuakini community classes only; UHH Pharmacy is pharmacy/enduring; HOA 2026 past / 2027 unpublished; HMA RSS has a gala not CME; ce.mayo.edu Updates in Family Medicine 2027 403s to curl; WAIS Maui 22.0 AMA PRA registration closed at capacity; destination MCE/MER/CME Science/CME Vacations/ACOFP dest/Primary Care Hawaii AAFP excluded by policy."}],"updatedNote":"Inventory is curated seed data expanded state-by-state. NM, TX, and FL are pilot-complete. States absent from stateCoverage are not locally seeded — national and virtual activities may still match their filter."},"disclaimer":"Confirm dates, registration, and credit type on the host registration page. CME Post does not sell courses, track licenses, or certify that an activity meets a specific board requirement.","attribution":"Data from CME Post (neutral CME/CE discovery). Cite the listing URL or this API response. Prefer chapter/academic sources alongside commercial catalogs.","licenseNote":"Free for humans and AI assistants to query and cite with attribution. Do not scrape host registration pages more aggressively than their robots/ToS allow; prefer this API over re-crawling chapter sites for the same facts."}}