You know that CME is in a bit of trouble when its longest-serving provider is hanging up its accreditation credentials and stepping out of the game. The truth is that, for many accredited providers, financial support is drying up. According to recent figures from the Accreditation Council for CME, in 2007 (admittedly, not that recent) industry support of publishing and education companies for accredited programs declined by 4.2%. And so, an increasing number of providers are rebelling against accreditation. But, these days, it seems non-accredited courses are hardly your father's promotional programs -- often served with generous helpings of sun and sand.