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 ofthe 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
The following articles in this issue may be read for CME credit:
New Findings in the Genetics of Alcoholism (SEE ARTICLE)
Educational Objective: To learn of some heritable characteristics that may be associated with increased risk for alcoholism.
Fall-Induced Injuries and Deaths Among Older Adults (SEE ARTICLE)
Educational Objective: To learn that fall injuries that require hospitalization may be increasing.
Are Guidelines Following Guidelines? The Methodological Quality of Clinical Practice Guidelines (SEE ARTICLE)
Educational Objective: To learn that practice guidelines often do not meet methodological standards.
Risk of Meningococcal Infection in College Students (SEE ARTICLE)
Educational Objective: To learn that college students living in dormitories may be at increased risk of meningococcal infection.
Tourism and Hotel Revenues Before and After Passage of Smoke-Free Restaurant Ordinances (SEE ARTICLE)
Educational Objective: To learn that smoke-free restaurant ordinances may not decrease tourism.
Clinical Epidemiological Quality in Molecular Genetic Research: The Need for Methodological Standards (SEE ARTICLE)
Educational Objective: To learn that research on the risk, diagnosis, and treatment of genetic disease is often methodologically flawed.
Meta-analysis of Trials Comparing 
-Blockers, Calcium Antagonists, and Nitrates for Stable Angina (SEE ARTICLE)
Educational Objective: To compare the safety and effectiveness of anti-anginal drugs.
A 44-Year-Old Woman With Severe Pain at the End of Life (SEE ARTICLE)
Educational Objective: To review the clinical management of terminally ill patients with persistent pain.
RELATED ARTICLES
New Findings in the Genetics of Alcoholism
Marc A. Schuckit
JAMA. 1999;281(20):1875-1876.
EXTRACT
| FULL TEXT
Fall-Induced Injuries and Deaths Among Older Adults
Pekka Kannus, Jari Parkkari, Seppo Koskinen, Seppo Niemi, Mika Palvanen, Markku Järvinen, and Ilkka Vuori
JAMA. 1999;281(20):1895-1899.
ABSTRACT
| FULL TEXT
Are Guidelines Following Guidelines?: The Methodological Quality of Clinical Practice Guidelines in the Peer-Reviewed Medical Literature
Terrence M. Shaneyfelt, Michael F. Mayo-Smith, and Johann Rothwangl
JAMA. 1999;281(20):1900-1905.
ABSTRACT
| FULL TEXT
Risk of Meningococcal Infection in College Students
Lee H. Harrison, Diane M. Dwyer, Charles T. Maples, and Lillian Billmann
JAMA. 1999;281(20):1906-1910.
ABSTRACT
| FULL TEXT
Tourism and Hotel Revenues Before and After Passage of Smoke-Free Restaurant Ordinances
Stanton A. Glantz and Annemarie Charlesworth
JAMA. 1999;281(20):1911-1918.
ABSTRACT
| FULL TEXT
Clinical Epidemiological Quality in Molecular Genetic Research: The Need for Methodological Standards
Sidney T. Bogardus, Jr, John Concato, and Alvan R. Feinstein
JAMA. 1999;281(20):1919-1926.
ABSTRACT
| FULL TEXT
Meta-analysis of Trials Comparing -Blockers, Calcium Antagonists, and Nitrates for Stable Angina
Paul A. Heidenreich, Kathryn M. McDonald, Trevor Hastie, Bahaa Fadel, Vivian Hagan, Byron K. Lee, and Mark A. Hlatky
JAMA. 1999;281(20):1927-1936.
ABSTRACT
| FULL TEXT
A 44-Year-Old Woman With Severe Pain at the End of Life
Kathleen Foley
JAMA. 1999;281(20):1937-1945.
EXTRACT
| FULL TEXT
