The rapid advancement in technology for distance learning renders item 2 preposterous. As other commenters have noted, being physically present in class for CE lectures doesn't indicate any learning has gone on, indeed I have also seen plenty of colleagues reading the newspaper or checking their phones, even grabbing the attendance certificate and skipping out to play golf. Webinars, interactive chats, podcasts and such allow for much more flexibility as well rather than scheduling well at a large conference. You can ask more questions that are typically practical in a lecture setting, and are tested on the material. I am however strongly in favor of item 4, requiring that at least 8 credits must be in pharmacology, diagnostics, and therapeutics. 

Perhaps instead the VOA can tout how progressive and forward thinking we are to allow 100% of credits to be obtainable online.