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, 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 activity.
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. 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
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
Buckle Up! Is Not Enough: Enhancing Protection of the Restrained
Educational Objective: To learn current recommendations to
give parents for child restraint in motor vehicles.
Hormone Replacement Therapy and Risk of Breast Cancer With a
Favorable Histology: Results of the Iowa Women's Health StudyArticle
Educational Objective: To learn that hormone replacement
therapy may increase the risk for certain types of breast cancer.
The Unreliability of Individual Physician "Report Cards" for
Assessing the Costs and Quality of Care of a Chronic DiseaseArticle
Educational Objective: To learn that physician report cards
may do more harm than good.
A Prospective Study of Coffee Consumption and the Risk of
Symptomatic Gallstone Disease in MenArticle
Educational Objective: To learn that coffee consumption by men
is associated with decreased risk of symptomatic gallstone disease.
Impairment of Endothelial Functions by Acute Hyperhomocysteinemia
and Reversal by Antioxidant VitaminsArticle
Educational Objective: To learn that antioxidant vitamins may
protect against the effects of acute hyperhomocysteinemia on the
Inhaled Budesonide in Addition to Oral Corticosteroids to Prevent
Asthma Relapse Following Discharge From the Emergency DepartmentArticle
Educational Objective: To learn that inhaled corticosteroids
may have additional benefits for asthmatic patients discharged and
receiving oral corticosteroids.
Smallpox as a Biological Weapon: Medical and Public Health
Educational Objective: To learn the dangers of smallpox used
as a biological weapon.
June 9, 1999. JAMA. 1999;281(22):2157-2158. doi:10.1001/jama.281.22.2157