We would like to share an update on the 5th Annual A+MD Symposia scheduled for this May. Due to unforeseen circumstances beyond our control, our CME accrediting agency has very recently notified us that they will be unable to provide CME accreditation for A+MD in 2019. There has been a change in their oversight accrediting body that has resulted in this announcement.After consulting with our sponsors and leadership team on these recent changes, we have come to the unfortunate decision to cancel this year’s Symposia. We simply won’t be able to secure an alternative CME partner with such short notice, and have time to work with sponsors to confirm the necessary funding to assure a successful meeting for all attendees.We want to take this opportunity to thank the Kootenai Health Foundation in Coeur d'Alene, ID, for being such a great partner to work with over the past nearly 5 years. We also would like to thank the Idaho Medical Association for their support in providing CME granting status to the Kootenai Foundation. Together, we have brought advanced education in aesthetic and medical dermatology to nearly 1,000 attendees over the previous 4 years. We could not have achieved this without their mutual support.We would also like to thank the fabulous Coeur d'Alene Resort for hosting the scientific meeting, technology demonstration day, and of course for their wonderful accommodations, food, beverage and hospitality.An important question remains regarding the future of A+MD. In order to help our team make the right decision, we will be sending out a questionnaire shortly, and we would appreciate your thoughtful input.We sincerely apologize for any inconvenience this may cause. If you have already registered, we will be contacting you in the coming days. If you have any questions, please feel free to contact us.