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Quick Answer
Both Empire and PracticalCME use a hybrid training model — online didactic first, then live hands-on with real patients. The difference is scale: Empire offers this across 6 academies, 50+ courses, and 35+ cities with 3 learning formats (in-person, livestream, on-demand), while PracticalCME focuses on a smaller catalog in select locations with a maximum class size of 6.
Empire Medical Training and PracticalCME both use a hybrid training model — students complete the online didactic portion first, then attend in-person to practice on live patients. Empire was founded in 1998 with 200,000+ graduates across six academies and 50+ courses, and offers this hybrid format across 35+ US cities plus two additional learning formats (livestream with live Q&A and self-paced on-demand). PracticalCME was founded in 2008 and calls their version FAST TRACK™, with a maximum of six students per live session in select cities.
The key difference is scale and flexibility. Both deliver the same hybrid structure, but Empire provides far more scheduling options, a broader curriculum, and additional learning formats to fit any lifestyle.
Why This Comparison Matters
Choosing between Empire Medical Training and PracticalCME isn't just about one course. It's about the service menu you'll be able to offer three years from now — because the practitioners who win the next decade of cash-pay medicine won't be the ones who mastered a single procedure. Here's what's actually at stake:
Convenience wins. Patients bouncing between providers eventually consolidate with the one who offers the most.
One supply disruption or new competitor nearby puts your entire income at risk. Multi-service practices absorb shocks.
Every new service turns the same patient into 2–4x the lifetime revenue with zero acquisition cost.
A new injector opens every month in every city. A full-service practice is almost impossible to replace.
This is the real question when you compare Empire Medical Training to PracticalCME: which provider can actually train you to deliver enough services to be the only provider your patients need? Scroll down to the side-by-side to see exactly how the two stack up on course breadth, pathways, and the full practice toolkit.
Side by Side
A fact-based comparison across the criteria most practitioners use to choose a training provider. Competitor data is from public sources as of April 16, 2026.
Competitor data sourced from PracticalCME Medical Training's public website (www.practicalcme.com) as of April 16, 2026. Empire Medical Training figures are first-party. A tied row reflects genuine parity — both providers deliver comparable quality on that criterion.
Deep Dive
Both Empire and PracticalCME use the same proven hybrid approach: complete your didactic education online first, then attend in-person to practice hands-on with live patients. PracticalCME calls theirs FAST TRACK™ and limits sessions to 6 students. Empire uses the same model across 50+ courses in 35+ cities — giving you far more scheduling flexibility and location options.
But Empire goes further with three total learning formats: the hybrid in-person model, a live instructor-led livestream with real-time Q&A, and self-paced on-demand courses. If you complete the livestream first, you can attend in-person later at a discounted rate to add the hands-on component. No other training provider offers this level of format flexibility.
PracticalCME offers a focused catalog covering injectables (Botox, fillers), PRP, microneedling, and bioidentical hormone therapy. Empire Medical Training covers all of those plus cosmetic laser, PDO threads, sclerotherapy, IV nutrition, peptide therapy, weight management, pain management procedures, dermatology, and a full Business & Marketing academy — 50+ workshops total.
If you only need Botox and filler training, PracticalCME's focused catalog works. If you're building a multi-service practice, Empire's academy system means you never outgrow your training provider.
PracticalCME limits live classes to a maximum of 6 students, which is a genuine advantage for individual attention. Empire also maintains small instructor-to-student ratios in its hands-on courses and supplements with the Empire Live Mentor™ program — monthly live Zoom Q&A with faculty after course completion — providing ongoing access to instructor guidance beyond the training day itself.
Empire awards AMA PRA Category 1 Credits directly through ACCME — the gold standard. PracticalCME offers CME accreditation but doesn't specify ACCME direct accreditation. For license renewal confidence, direct ACCME is the clearest path.
After your course, PracticalCME references "ongoing MD support" in marketing materials. Empire provides Empire Live Mentor™ — structured weekly live Zoom Q&A sessions with physician faculty, available to all members. This is a dedicated, scheduled program — not ad-hoc support.
Beyond the Classroom
Every Empire Medical Training student receives access to the Empire Student Portal — a full practice-operations toolkit with 12+ tools built specifically for medical aesthetic and functional medicine practices. Training is only half of launching a successful cash-pay service line. The portal handles the other half.
Guided learning pathways take you from foundational training to advanced specialty certification with a clear, recommended sequence — so you always know which course to take next to build the clinical skill set your practice needs.
Run revenue projections, customer acquisition cost (CAC) analysis, patient retention modeling, and profitability calculations directly inside the portal. Built for practice owners actually running the numbers on new service lines — not generic spreadsheet templates.
Model staff compensation, commission structures, and service pricing with the MedSpa Compensation Builder. Plan financing for new equipment, project ROI on laser purchases, and build cash-flow models for launching new service lines.
Build membership and loyalty programs for your practice without hiring a marketing consultant. The Memberships Design Lab walks you through tiered pricing, recurring revenue modeling, and patient retention strategies proven in successful Empire-trained practices.
Build custom, attorney-reviewed consent forms for every procedure you offer — Botox, dermal fillers, PRP, cosmetic laser, IV therapy, peptide therapy, and more. The built-in consent forms builder lets you generate branded, practice-specific documents in minutes instead of starting from scratch or paying a healthcare attorney to draft each one.
Manage your Botox, filler, and supply inventory with real-time expiration tracking, reorder alerts, and cost-per-treatment analysis. Built specifically for medical aesthetic and injectable practices — not a generic retail inventory tool.
A curated library of AI tools for patient communication, marketing content generation, appointment scheduling optimization, and practice automation — vetted for healthcare and updated quarterly as the AI landscape evolves.
The full Empire training library on-demand — review any course you've completed, preview courses you're considering, and access technical videos demonstrating procedures you can replay as you build confidence treating your own patients.
Bring real practice questions back to Empire's healthcare professional faculty after your course. Live monthly Zoom sessions give you a structured opportunity to get clarification on any procedure, technique, or patient case from an experienced instructor — a safety net during the critical first months of offering a new service.
Access Empire's Marketplace for discounted access to equipment, products, and services from preferred vendors across the medical aesthetic and functional medicine supply chain. A real savings line item most solo practitioners can't negotiate on their own.
Most competing training providers — including PracticalCME — focus on delivering clinical instruction and stop there. Empire's Student Portal and Live Mentor™ system extend your training into the operational and clinical support you actually need in the first 90 days of offering a new service.
In the Interest of Fairness
PracticalCME may be a fit if you value a guaranteed maximum of 6 students per session and your training needs are limited to injectables, PRP, microneedling, and hormone therapy in select cities. Note that PracticalCME’s hybrid format — online first, then hands-on — is the same model Empire uses, but with fewer scheduling options and a narrower curriculum.
The Bottom Line
Here’s why 175,000+ healthcare professionals have chosen Empire over the alternatives.
Empire and PracticalCME use the same hybrid training model — online didactic first, then live hands-on with real patients. The difference is everything else: Empire delivers this across 6 academies, 50+ courses, 35+ cities, and 3 learning formats (in-person hybrid, livestream with live Q&A, and on-demand). Add AMA PRA Category 1 Credits™, unlimited-access memberships, Empire Live Mentor™ post-course support, and a dedicated Business & Marketing academy — and Empire is the broader, more flexible platform for building a real practice.
Browse the full course calendar or call 844.997.3231 to speak with a training advisor.
Aesthetics, Functional Medicine, Pain Management, Cosmetics, Business & Marketing, and Virtual — all under one roof.
Practice on real patients under direct physician supervision — not mannequins, cadavers, or video alone. Small groups for individual attention.
In-person hands-on in 35+ cities, live instructor-led livestream with Q&A, and self-paced on-demand — choose the format that fits your schedule.
CME-accredited workshops recognized by medical boards nationwide. Certification upon completion of every course.
Weekly live sessions with physician instructors after your course — ongoing mentorship no other training organization offers.
The only CME provider with a dedicated business academy — learn how to start a med spa, price services, and grow a practice.
Every in-person workshop includes a vendor expo where you meet industry leaders, discover new products and devices, and get exclusive pricing — preparing you for practice ownership from day one.
Data-driven course progressions across all academies — Level I (Start Here), Level II (Specialty), Level III (Practice Ownership) — so you always know exactly what to learn next.
175,000+
Professionals Trained
28+
Years of Experience
700+
Courses Annually
35+
US Cities
6
Academies
Hear from real healthcare professionals who chose Empire Medical Training over the alternatives — and what it changed for their practice.
FAQ
Not fundamentally. Both use the same hybrid approach: you complete online didactic content first, then attend in-person to practice on live patients. PracticalCME brands theirs as FAST TRACK™ and caps classes at 6 students. Empire uses the same hybrid model across 50+ courses in 35+ cities, plus offers two additional learning formats — livestream with live Q&A and self-paced on-demand — for maximum flexibility.
No. PracticalCME focuses on injectables, PRP, microneedling, and hormone therapy. Empire Medical Training offers 50+ workshops across six academies including cosmetic laser, pain management, functional medicine, and business & marketing.
Both programs offer CME accreditation. Empire Medical Training specifically awards AMA PRA Category 1 Credits™ through the ACCME — the gold standard for physician, NP, and PA license renewal.
For a single course, pricing is comparable. For multiple courses, Empire's unlimited-access membership model provides dramatically lower per-course costs than purchasing individual courses at any competitor.
Both programs include live-patient practice. PracticalCME caps classes at 6 students. Empire also maintains small groups and supplements with Empire Live Mentor™ — weekly faculty Q&A sessions after your course for ongoing clinical guidance.
No. PracticalCME focuses on injectables, PRP, microneedling, and hormone therapy. Empire Medical Training offers 50+ courses across six academies including pain management, functional medicine, cosmetic laser, and a dedicated Business & Marketing academy.
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