Physicians with current and valid licenses in
the United States, Canada, or Mexico who read any 3 of the selected
continuing medical education (CME) articles in this issue of
JAMA, complete the CME Evaluation Form on the next page, and
fax it to the number or mail it to the address at the bottom of the CME
Evaluation Form are eligible for category 1 CME credit. There is no
The American Medical Association (AMA) is accredited by the
Accreditation Council for Continuing Medical Education to sponsor CME
for physicians. The AMA designates this educational activity for up to
1 hour of category 1 CME credit per JAMA issue toward the AMA
Physician's Recognition Award (PRA). Each physician should claim for
credit only those hours that were actually spent in this educational
Physicians with current and valid licenses in the United
States, Mexico, or Canada are eligible for CME credit even if they live
or practice in other countries. Physicians licensed in other countries
are also welcome to participate in this CME activity. However, the PRA
is available only to physicians licensed in the United States, Canada,
To earn credit, read 3 of the articles listed below that
are designated for CME credit carefully and complete the CME Evaluation
Form on the next page. The CME Evaluation Form must be submitted within
1 month of the issue date. A certificate awarding
1 hour of category 1 CME credit will be faxed or mailed to you; it is
then your responsibility to maintain a record of credit received.
One of our goals is to assess continually the educational
needs of our readers so we may enhance the educational effectiveness of
JAMA. To achieve this goal, we need your help. You must
complete the CME Evaluation Form to receive credit.
JAMA is a general medical journal. Its mission and
educational purpose is to promote the science and art of medicine and
the betterment of the public health. A flexible curriculum of article
topics is developed annually by THE JOURNAL's
editorial board and is then supplemented throughout the year with
information gained from readers, authors, reviewers, and editors. To
accommodate the diversity of practice types within JAMA's
readership, the Reader's Choice CME activity allows readers, as adult
learners, to determine their own educational needs and to assist the
editors in addressing their needs in future issues.
Readers of JAMA should be able to attain the
following educational objectives: (1) select and read at least 3
articles in 1 issue to gain new medical information on topics of
particular interest to them as physicians, (2) assess the articles'
value to them as practicing physicians, and (3) think carefully about
how this new information may influence their own practices. The
educational objective for each CME article is given after the article
The following articles in this issue may be read for CME
Educational Objective: To learn recent
changes in diagnosis and treatment of urologic problems in men.
Multiple Antibiotic–Resistant KlebsiellaandEscherichia coliin Nursing HomesArticle
Educational Objective: To learn that antibiotic use and
infection control practices may facilitate the spread of resistant
bacteria in nursing homes.
Impaired Chronotropic Response to Exercise Stress Testing as a
Predictor of MortalityArticle
Educational Objective: To learn that an attenuated heart rate
response to exercise may be an independent risk factor for death.
Association of Nonspecific Minor ST-T Abnormalities With
Cardiovascular Mortality: The Chicago Western Electric StudyArticle
Educational Objective: To learn that minor ST-T abnormalities
may be associated with an increased risk of death.
Sexual Dysfunction in the United States: Prevalence and
Educational Objective: To learn about the prevalence of sexual
dysfunction in US men and women.
Midlife Hand Grip Strength as a Predictor
of Old Age DisabilityArticle
Educational Objective: To learn that hand grip strength in
midlife may predict disablity in old age.
February 10, 1999. JAMA. 1999;281(6):581-582. doi:10.1001/jama.281.6.581