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••Fall 2008/Vol. 12, No. 4



 

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  CME Evaluation Form --
Complete this form and submit it to earn CME credits online.

Physicians may earn up to 4 AMA PRA Category 1 creditsTM for reading and analyzing the four designated articles. Other clinicians for whom CME is acceptable in meeting educational requirements may report up to four hours of attendance.

You may earn CME credit for reading the four qualifying articles from this issue of The Permanente Journal that are listed below and then taking this online quiz. Select the most appropriate answer to the questions and complete the online evaluation form. You must complete all sections to receive credit.

The Kaiser Permanente National Continuing Medical Education Program (KPNCMEP) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The KPNCMEP designates this educational activity for 4 AMA PRA Category 1 credits. Each physician should claim only those hours of credit that s/he actually spent in the educational activity. All authors in this issue report no conflict of interest.

The Permanente Journal has been reviewed and is acceptable for up to 8 Prescribed credits by the American Academy of Family Physicians. AAFP accreditation begins 01/01/08. Term of approval is for one year from this date. This issue is approved for 2 Prescribed credits. Credit may be claimed for one year from the date of this issue.

The Permanente Journal - Vol. 12, No. 4 - Fall 08

Article 1.
Associations of Psoriatic Arthritis (PsA) and Cardiovascular Conditions in a Large Population

Study subjects with PsA as compared to control subjects exhibited more:
a. Diabetes
b. Systemic hypertension
c. Coronary artery disease
d. Cerebrovascular disease

Ethnic group with the lowest PsA prevalence:
a. Caucasian
b. Asian Americans
c. African Americans
d. Hispanic

Article 2.
Prognostic Factors for Long-Term Survival after Glioblastoma

Which of the following statements is false regarding the Dehdashti et al. 2007 study?
a. Brachytherapy was used as a boost to radiotherapy
b. In the basic group, three patients lived 11, 16, and 18 years, respectively
c. There was statistically significant association with brachytherapy
d. All of the above
e. None of the above

Which of the following molecular genetic factors increases sensitivity to alkylating agents?
a. Loss of heterozygosity on chromosome 10q
b. Mutations in P53 gene
c. Overexpression of MDM2
d. Epidermal growth factor receptor (EGFR) gene amplification
e. O6-methylguanine–DNA methyltransferase (MGMT) promoter methylation

Article 3.
The Changing Face of HIV Infection

Potential explanations for the increase in HIV prevalence rate among men who have sex with men (MSM) include:
a. Patients not aware they are infected with HIV
b. Substance abuse
c. Complacency about HIV
d. All of the above

When compared to Caucasian, nonHispanic women, the prevalence rate of HIV among African-American women in the US is increased by approximately:
a. 5 times
b. 10 times
c. 20 times
d. 50 times

Article 4.
Information Technology Innovation

What is an important hallmark of technologically innovative organizations?
a. Continuous evidence-based refinement of best practices
b. Early adoption of emerging technologies
c. Technology investments for long-term strategic advantage
d. Organizational culture that gives top priority to learning
e. Mission statement that promotes innovation

The goals of telehealth do not include:
a. Improved disease management
b. Patient convenience
c. Cost savings
d. Global patient triage automation
e. Patient empowerment

Objectives

1) to inculcate the use of evidence based medicine as part of the science of medicine.

2) to stress the art of medicine via enhanced patient physician communication, improved care experience for patients, and more satisfying care giving experience for physicians and staff through better teamwork.

3) to review appropriate updates on the diagnosis and treatment of clinical conditions.

4) to describe infrastructure and systems improvements that lead to improvements in outcomes and patient care experiences.

Referring to the CME articles and the stated objectives,
please choose your level of agreement next to each statement as appropriate

The article covered the stated objectives I learned something new that was important I plan to use this information as appropriate I plan to seek more information on this topic I understood what the author was trying to say
Article 1
Article 2
Article 3
Article 4

What change(s) (if any) do you plan to make in your practice as a result of reading these articles?

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Title:*

NUID #:*

E-mail Address:*
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