Background: Continuing Medical Education (CME) is concerned with the maintenance, improvement, and promotion of the health care and exhausts the physicians’ working life-span. Although international research is extensive, only a dearth of studies exists in Saudi Arabia and the Middle East. This study aims to explore CME practices of resident physicians in Abha City and the existing gaps. Method : A cross-sectional questionnaire-based descriptive study conducted on residents training in various health-care facilities in Abha city. Results: Participants in the study were (n=300) doctors, of whom (n = 239, 79.7%) reported attending lectures and seminars for their CME needs followed by (n = 119, 39.7%) who attended case presentations. Electronic CMEs were used by a minority of (n = 24, 8%), and only (n = 82, 27.3%) attended journal clubs. Being busy was the main barrier against self-reading as per (n = 212, 70.7%) of participants, and by (n = 155, 51.7%) against lectures and seminars, and by (n = 124, 41.3%) against courses attendance. There was no significant association between gender, nationality, or training level and satisfaction with CME activities (p = 0.982, p = 0.924, and p = 0.5400 respectively). Satisfaction with CME activities varied considerably across specialties (p = 0.039), psychiatry trainees were far less satisfied than their restorative dentistry counterparts (p = 0.0046), as well as for General Surgery trainees (P = 0.0230), Ophthalmology trainees (p = 0.0301), pediatrics trainees (p = 0.0214), and Preventive Medicine trainees (p = 0.0283). Conclusion: The participant physicians favoured contact CME activities but not non-contact CME activities. In consistence with global research findings, being busy was the main barrier against CME goals attainment. Participants affirmed that CME activities improved their clinical practice, clinical skills and academic skills. Promotion of online learning in Saudi Arabia. Support of residents with protected time for their CME activities. Encouragement of trainees in specialties of psychiatry, general surgery, paediatrics, ophthalmology and preventive medicine to further advice about their preference in terms of CME forms to help boost their engagement.