CME in Michigan

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.