Continuing medical education (CME) in Germany, as in other countries, is an estab - lished instrument for the delivery of ongoing training in medicine. Since September 2004, Deutsches Ärzteblatt has published 155 CME papers, and, as of the 12th of August 2016, readers have logged on more than three million times to fill out a final evaluation form. The multiple-choice questions included in the CME modules in Deutsches Ärzteblatt have been analysed in a number of studies on medical education and compared with other German-language CME units from other providers. This article will present the mechanisms used at Deutsches Ärzteblatt to improve the quality of our CME units and reveal the aspects of medical education pedagogy that fed into this process.