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 charge.
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, or Mexico.
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
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 credit:
Ultrasonography and Limited Computed Tomography in
the Diagnosis and Management of Appendicitis in ChildrenArticle
Educational Objective: To learn that diagnostic
imaging may accurately diagnose appendicitis in children.
Prognostic Value of a Treadmill Exercise Score in
Symptomatic Patients With Nonspecific ST-T Abnormalities on Resting ECGArticle
Educational Objective: To learn how resting
and exercise electrocardiograms can be used together for prognosis.
The Hazards of Scoring the Quality of Clinical Trials
Educational Objective: To learn that the choice
of quality score may determine the result of a meta-analysis.
Empirical Evidence of Design-Related Bias in Studies
of Diagnostic TestsArticle
Educational Objective: To understand that studies
with methodological shortcomings may overestimate the accuracy of diagnostic
Academic Managed Care Organizations and Adverse Selection
Under Medicaid Managed Care in TennesseeArticle
Educational Objective: To learn that chronically
ill patients may be more likely to enroll in managed care organizations affiliated
with academic medical centers.
Long-term β-Carotene Supplementation and Risk
of Type 2 Diabetes Mellitus: A Randomized Controlled TrialArticle
Educational Objective: To learn that β-carotene
may not prevent type 2 diabetes mellitus.
The Future of Organ and Tissue Transplantation: Can
T-Cell Costimulatory Pathway Modifiers Revolutionize the Prevention of Graft
Educational Objective: To review the prevention
of immune system–mediated allograft rejection.
September 15, 1999. JAMA. 1999;282(11):1099-1100. doi:10.1001/jama.282.11.1099