My husband participates with Spear Education that is hosted by a local periodontist. They meet once a month for most of the year - not during the summer - and he does get credit every time he attends. There is a fee for it, but not sure how that is calculated, and he does just the study club. I think there are other levels that you get more, like attending a seminar. He enjoys it - it's a small group - and they get to share ideas.