CME in Missouri

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 Rows recorded as credit unknown are UNPUBLISHED AND NEVER ZERO — one children's-hospital symposium is the exception and designates itself for a published 0.00, which is recorded as published rather than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.