Table of Contents - Original Articles - TPJ Summer 2008

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••Summer 2008/Vol. 12, No. 3

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

Physicians may earn up to 4 AMA PRA Category 1 credits^TM 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. 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. 3 - Summer 08

Article 1.
Collaborative Cardiac Care Service: A Multidisciplinary Approach to Caring for Patients with Coronary Artery Disease

The authors discussed consideration of all of the following factors when developing a service such as the Collaborative Cardiac Care Service (CCCS), except?
a. identifying appropriate personnel and their roles
b. staffing schedules
c. physician collaboration
d. available information systems

The Collaborative Cardiac Care Service (CCCS), regardless of how soon patients were enrolled following their cardiac event, has been able to decrease all-cause mortality by how much?
a. 22%
b. 55%
c. 76%
d. 91%

Article 2.
The Kaiser Permanente National Total Joint Replacement Registry

What are the current THA and TKA revision burdens for KP?
a. THA=11.2%, TKA=5.5%
b. THA=5.5%, TKA=11.2%
c. THA=15.0%, TKA=1.2%
d. THA=0%, TKA=10%

What does “revision burden” mean in your practice?
a. number of revision procedures per number of primary and revision procedures combined
b. rate of your own primaries that were revised
c. number of primaries per revisions you performed
d. number or your colleagues’ revisions per your own revisions

Article 3.
Computed Tomography Findings of Unanticipated Prolonged Ileocolic Intussusception in Children

CT scan appearance of ileocolic intussusception include all of the following, except:
a. target sign
b. dilated bowel with air-fluid level
c. sausage-shaped mass of different attenuation
d. less-defined kidney-like mass
e. intraluminal, eccentrically located fat

All are true regarding pediatric ileocolic intussusception, except:
a. it is the most common cause of bowel obstruction in children < 2 years of age
b. contrast enema is the diagnostic modality of choice
c. the majority require operative intervention
d. air can be used to reduce ileocolic intussusception
e. may be an unsuspected finding in patients with vague abdominal complaints

Article 4.
Integrating Herbs and Supplements in Managed Care: A Pharmacy Perspective

Appropriate issues to consider when evaluating an herbal supplement for inclusion in a hospital or clinic formulary include all of the following, except:
a. is there sufficient evidence from randomized controlled trials to suggest efficacy?
b. are there significant concerns regarding product safety and drug-herb interactions?
c. is a high-quality product available?
d. has the product received substantial media attention?

All of the following supplements may be safe and effective with the exception of:
a. ephedra for weight loss
b. St John’s wort for mild-moderate depression
c. saw palmetto for symptoms of benign prostatic hypertrophy
d. glucosamine sulfate for osteoarthritis

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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