First, some self-declarations. Since 1992 I have benefited financially from in-office sales of dietary supplements via the integrative medical practice of my spouse. On multiple occasions over 30 years, I have helped mount or been associated with medical conferences in which the business model relied on exhibits from dietary supplements companies. I have in multiple instances secured grants from natural products companies to support initiatives of various professional organizations, research projects, and for The Integrator Blog. Such relationship are often the rule across the functional, naturopathic, integrative, chiropractic and traditional Chinese medicine communities. What’s new now is that those involved in integrative and functional medicine continuing medical education are increasingly in the spotlight of the Accreditation Council for Continuing Medical Education (ACCME) via new application of old rules, and new ACCME rules under consideration. These may – for better and for worse – shake-up the way integrative CME is offered, and potentially not only for medical doctors.