Medicine witnessing and tremendous progress in all fields, the enormous strides in the understanding of bases of diseases have been permitted more rational bases for the diagnostic tool and new therapies are continuously emerging and contributing to improve patients care and management, the raising the hoop for more specific and curtain therapy for many disorders. training and continuing medical education (CME) regard the stand for high quality of the services, CME the process for which physician keep their knowledge up to date and lifelong learning.