One department’s story of developing and deploying a solution to eliminate paper sign-in sheets. The College of Medicine-Tucson’s Office of Continuing Medical Education (CME) approves credit for and oversees hundreds of grand round professional education sessions annually across all of the College’s medical departments. These sessions require tracking of attendance, reporting to the CME Office, and manually entering activity for each participant. See a quick overview of how the department has made the transition from coordinator managed paper sign-in sheets to participant managed SMS check-in.