The Physicians' Information and Education Resource (PIER) pdfs provide a convenient way to fulfill CME requirements. PIER modules are available to earn credit. Participants may earn credit by reading a module and successfully completing the online evaluation. These activities have been developed for primary care physicians to facilitate the highest quality professional work in clinical applications, teaching, consultation, or research. Upon completion of a CME activity, participants should be able to demonstrate an increase in the skills and knowledge required to maintain competence, strengthen their habits of critical inquiry and balanced judgment, and to contribute to better patient care.