> no system in place to enforce up-to-date knowledge I don't think that's correct. Many states require a certain amount of continuing medical education to main

> no system in place to enforce up-to-date knowledge I don't think that's correct. Many states require a certain amount of continuing medical education to maintain a medical or nursing license. It's often not a TON of training and you have some flexibility in what topics you choose to study, but it's something.