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JAMA. 1999;281:581-582.

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 on the next page, 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 on the next page. 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
The following articles in this issue may be read for CME credit:

Urology (SEE ARTICLE)

Educational Objective: To learn recent changes in diagnosis and treatment of urologic problems in men.

Multiple Antibiotic–Resistant Klebsiella and Escherichia coli in Nursing Homes (SEE ARTICLE)

Educational Objective: To learn that antibiotic use and infection control practices may facilitate the spread of resistant bacteria in nursing homes.

Impaired Chronotropic Response to Exercise Stress Testing as a Predictor of Mortality (SEE ARTICLE)

Educational Objective: To learn that an attenuated heart rate response to exercise may be an independent risk factor for death.

Association of Nonspecific Minor ST-T Abnormalities With Cardiovascular Mortality: The Chicago Western Electric Study (SEE ARTICLE)

Educational Objective: To learn that minor ST-T abnormalities may be associated with an increased risk of death.

Sexual Dysfunction in the United States: Prevalence and Predictors (SEE ARTICLE)

Educational Objective: To learn about the prevalence of sexual dysfunction in US men and women.

Midlife Hand Grip Strength as a Predictor of Old Age Disability (SEE ARTICLE)

Educational Objective: To learn that hand grip strength in midlife may predict disablity in old age.

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Urology
Mark S. Litwin
JAMA. 1999;281(6):495-496.
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Multiple Antibiotic–Resistant Klebsiella and Escherichia coli in Nursing Homes
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Impaired Chronotropic Response to Exercise Stress Testing as a Predictor of Mortality
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Association of Nonspecific Minor ST-T Abnormalities With Cardiovascular Mortality: The Chicago Western Electric Study
Martha L. Daviglus, Youlian Liao, Philip Greenland, Alan R. Dyer, Kiang Liu, Xiaoyuan Xie, Cheng-Fang Huang, Ronald J. Prineas, and Jeremiah Stamler
JAMA. 1999;281(6):530-536.
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Sexual Dysfunction in the United States: Prevalence and Predictors
Edward O. Laumann, Anthony Paik, and Raymond C. Rosen
JAMA. 1999;281(6):537-544.
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Midlife Hand Grip Strength as a Predictor of Old Age Disability
Taina Rantanen, Jack M. Guralnik, Dan Foley, Kamal Masaki, Suzanne Leveille, J. David Curb, and Lon White
JAMA. 1999;281(6):558-560.
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