CME in Mississippi

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.