CME Evaluation Form -- The Permanente Journal - Vol. 12, No. 2 - Spring 08

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••Spring 2008/Vol. 12, No. 2

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 the online quiz. To participate, go to www.kp.org/permanentejournal. 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. 2 - Spring 08

Article 1.
Gaining New Insights into Early Abdominal Aortic Aneurysm Disease

Which of the following does not characterize the pathophysiology of AAA disease?
a. impaired extracellular remodeling
b. disease limited to the intima and media
c. smooth muscle cell apoptosis
d. transmural inflammation

The US Preventive Services Task Force reported that screening reduced AAA-related mortality by what percentage in men 65-75 years of age?
a. 16%
b. 27%
c. 43%
d. 56%

Article 2.
Implementation of a High-Alert Medication Program

What three High-Alert Medication Program drugs or drug classes have been identified as the most error prone as measured by the rate of error reports in Northern California?
a. heparin, opiates, and insulin
b. cytotoxic chemotherapy, neuromuscular blocking agents, and concentrated electrolytes
c. magnesium sulfate, norepinephrine, and epidural medications
d. patient-controlled analgesia, alteplase (t-PA), and epinephrine

Which of the following is not a data category collected when reporting high-alert medication errors?
a. near misses
b. human factors
c. outcome
d. applicable Joint Commission standard

Article 3.
Natural Orifice Transluminal Endoscopic Surgery:
The Future of Gastrointestinal Surgery

Human NOTES procedures can potentially yield all of the following benefits except:
a. less wound complications
b. faster recovery
c. less pain
d. shorter hospitalization
e. greater access to care

Which was the first NOTES procedure described in a human being?
a. cholecystectomy
b. appendectomy
c. oopherectomy
d. cancer staging

Article 4.
Cauda Equina Syndrome--Think of Cancer

In the Chow and McCutcheon study (1996), the most frequent primary source of intrathecal metastases was:
a. The gastrointestinal tract
b. The lung
c. The breast
d. The skin

In the Pavlidis review (2004), which cancer was found to be the most common solid tumor complicated by leptomeningeal carcinomatosis:
a. lung cancer
b. melanoma
c. colon cancer
d. breast cancer

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 The article covered the statedsay

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:*
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