CME in Washington

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.