When I was director of QA for my EMS service, I would also be responsible for coordinating continuing education for my medics. Like you, I know how less than exciting it can be to sit and listen to someone drone on while flipping through a PP presentation. (The docs were especially good at this. Who needs Ambien when you had them?) I tried a new tactic, based along the lines of what doctors do here, a practice known as a Morbidity and Mortality conference. (M&M conference.) When the docs do it, they generally tear apart their colleagues with case presentations of patients that have met less than favorable outcomes. I did not want it to go quite that far, so I asked that any medic coming to a CME session submit a particularly challenging call that they had the previous month, research it, present it, and the class would critique the call. I would not allow people to rip apart their colleagues choices, but wanted to use this as a teaching tool. It went over very well, and was far more lively than the usual fare, though we did have to sit through these as well, just not quite as often.