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:
Residual HIV-1 RNA in Blood Plasma of Patients Taking
Suppressive Highly Active Antiretroviral TherapyArticle
Educational Objective: To learn that antiretroviral
therapy may not ablate HIV-1 replication.
Discontinuation of Anticytomegalovirus Therapy in
Patients With HIV Infection and Cytomegalovirus RetinitisArticle
Educational Objective: To learn that anti-CMV
medications may be safely stopped in some patients with stable CMV retinitis
receiving antiretroviral therapy.
Evaluation of Prognostic Criteria for Determining
Hospice Eligibility in Patients With Advanced Lung, Heart, or Liver DiseaseArticle
Educational Objective: To understand the predictive
value of hospice eligibility criteria.
Placental Abruption and Adverse Perinatal OutcomesArticle
Educational Objective: To understand effects
on perinatal outcomes by extent of placental separation.
Adverse Childhood Experiences and Smoking During Adolescence
Educational Objective: To learn that adverse
childhood experiences may increase the risk of adolescent smoking.
Alterations in Liver ATP Homeostasis in Human Nonalcoholic
Steatohepatitis: A Pilot StudyArticle
Educational Objective: To learn that progression
of nonalcoholic steatohepatitis may be related to altered hepatic energy homeostasis.
After reading 3 of these articles, complete the CME Evaluation Form.
November 3, 1999. JAMA. 1999;282(17):1689–1690. doi:10.1001/jama.282.17.1689