[How to base continuing medical education (CME) on the concepts of evidence and decision]

In order to play its part fully, CME in France must be radically reformed, less in its methods than in its philosophy; it is important to ground CME on objective evaluation, evidence-based medicine and on medical decision making. These notions are often neglected, or even unrecognized, especially in medical education. Asset of actual situation are the recent decision of CME legal obligation, which will require validation of quality criterion in CME, and large network of associations and 'leader-practioners', that would let to most practicing physicians' participation.