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Continuing Medical Education
November 15, 2000

November 15, 2000

JAMA. 2000;284(19):2531-2532. doi:10.1001/jama.284.19.2531
Physicians in the United States, Canada, and Mexico

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 in Other Countries

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.

Earning Credit and the CME Evaluation Form

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.

Statement of Educational Purpose

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 title below.

CME Articles in This Issue of JAMA

Delirium at the End of Life: Critical Issues in Clinical Practice and ResearchArticle

Educational Objective: To learn about delirium at the end of life.

Neonatal End-of-Life Decision Making: Physicians' Attitudes and Relationship With Self-reported Practices in 10 European CountriesArticle

Educational Objective: To learn that European physicians' end-of-life decisions for their neonatal patients may be influenced by culture as well as by medical practice setting.

Attitudes and Desires Related to Euthanasia and Physician-Assisted Suicide Among Terminally Ill Patients and Their CaregiversArticle

Educational Objective: To learn the factors associated with views about euthanasia and physician-assisted suicide.

Understanding of Prognosis Among Parents of Children Who Died of Cancer: Impact on Treatment Goals and Integration of Palliative CareArticle

Educational Objective: To learn that children dying of cancer may be more likely to receive palliative care when their parents and physicians recognize that a cure is unrealistic.

Factors Considered Important at the End of Life by Patients, Family, Physicians, and Other Care ProvidersArticle

Educational Objective: To learn how dying patients, their families, and their health care providers evaluate experiences at the end of life.

Patients' Knowledge of Options at the End of Life: Ignorance in the Face of DeathArticle

Educational Objective: To learn that many people may not understand their options for end-of-life care.

Access to Palliative Care and Hospice in Nursing HomesArticle

Educational Objective: To understand systematic barriers to hospice or palliative care for nursing home residents.

Initiating End-of-Life Discussions With Seriously Ill Patients: Addressing the "Elephant in the Room"Article

Educational Objective: To review elements of end-of-life discussions.

After reading 3 of these articles, complete the CME Evaluation Form.