HC Reform Update by Mark Sanna: Spending on postgraduate education for doctors declined for the second year in a row, as did biomedical industry support for the programs, according to a report from the Accreditation Council for Continuing Medical Education. Commercial support declined to $856 million in 2009, from $1 billion and $1.2 billion the previous two years. Industry financing from drug and device companies has come under attack for perceived conflicts of interest.