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Across Europe and the United States, a range of practices has been developed to manage the ethical challenges of industry-funded CME.

In Europe, the MedTech Europe “Code of Ethical Business Practice” prohibits direct sponsorship of individual healthcare professionals. Instead, industry provides dedicated educational grants to professional societies and healthcare organizations; with that shift, professional societies have become key intermediaries that manage grant applications, ensure compliance with the MedTech Europe and EFPIA Codes, and maintain the separation between commercial and scientific functions. (2)

In the United States, CME providers follow the ACCME Standards for Integrity and Independence, which separate education from promotion. The federal Sunshine Act adds transparency by requiring companies to publicly report all transfers of value to physicians, including educational support. Industry codes such as PhRMA and AdvaMed reinforce these expectations by prohibiting gifts, entertainment, and direct payment for attendance at educational events. (3)

Across both regions, these regulatory pressures have pressured organisations to adopt sponsorship models that protect educational integrity while still keeping programs financially sustainable. Multi-sponsor sessions, independent scientific tracks, and institution-managed hands-on training are increasingly common. Providers also rotate faculty to avoid over-reliance on industry-affiliated experts. Transparency portals, whether mandated by EFPIA in Europe or by federal law in the U.S., allow researchers, journalists, and the public to examine patterns of industry support and identify potential conflicts of interest.

Together, these practices show a clear global shift toward more transparent, accountable, and professionally governed CME.

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