Because many continuing medical education (CME) activities are clinically useless, I suggest a truly practical one. Most practices store pharmaceutical samples in a "med closet"—often poorly organized and cluttered. Many drugs are rarely used, and many are inappropriate to provide as samples. The ACP should extend CME credits for the academic cleaning and organizing of the "med closet." All physicians and nonphysician practitioners would be required to gather in the "med closet" to review the samples by class and to determine a practice formulary, thereby creating a lively debate about efficacy, effectiveness, cost, side effects, anecdotal experience, consultant's opinions, and other less scientific reasoning. This would identify practitioners who keep up with the literature, use sound scientific reasoning, consider cost, or maintain fixed beliefs. If it catches on, it might lead to specialized training in "med closet" cleaning and even board certification. Visiting scholars could join practices for "med closet" cleaning rounds (although funding sources might be tricky). With new pharmaceuticals being introduced at an ever increasing pace, practitioners need to develop effective means to remain current. We learned much from and about our colleagues in our own closet cleaning.