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CME administrators have a responsibility to inform their institutions of new national norms regarding commercial gifts and to assist their institutions in developing consistent policies and procedures to deal with commercial gifts for all of the institution's activities. This article presents one institution's guidelines for receiving commercial support and gifts for all types of activities. Equally important, the processes of developing and implementing the guidelines are described. These processes were integral to the shaping of the guidelines, their acceptance, and their incorporation into routine operations.