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JAMA. 1999;281:673-674.

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 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:

Comprehensive Discharge Planning and Home Follow-up of Hospitalized Elders: A Randomized Clinical Trial (SEE ARTICLE)

Educational Objective: To learn that hospital discharge planning and follow-up home care may benefit elderly patients.

Analysis of Missed Cases of Abusive Head Trauma (SEE ARTICLE)

Educational Objective: To learn that abusive head trauma is often unrecognized by physicians.

Geographic Variation in the Treatment of Acute Myocardial Infarction: The Cooperative Cardiovascular Project (SEE ARTICLE)

Educational Objective: To learn that effective therapy for acute myocardial infarction is underused.

Increased Pulse Pressure and Risk of Heart Failure in the Elderly (SEE ARTICLE)

Educational Objective: To learn that increased pulse pressure may predict congestive heart failure.

Is Physician Detection Associated With Thinner Melanomas? (SEE ARTICLE)

Educational Objective: To emphasize the importance of regular skin examination by physicians.

Distribution of Variable vs Fixed Costs of Hospital Care (SEE ARTICLE)

Educational Objective: To understand that most hospital costs are fixed.

Clinical Course of Hypertrophic Cardiomyopathy in a Regional United States Cohort (SEE ARTICLE)

Educational Objective: To learn about the natural history of hypertrophic cardiomyopathy.

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RELATED ARTICLES

Comprehensive Discharge Planning and Home Follow-up of Hospitalized Elders: A Randomized Clinical Trial
Mary D. Naylor, Dorothy Brooten, Roberta Campbell, Barbara S. Jacobsen, Mathy D. Mezey, Mark V. Pauly, and J. Sanford Schwartz
JAMA. 1999;281(7):613-620.
ABSTRACT | FULL TEXT  

Analysis of Missed Cases of Abusive Head Trauma
Carole Jenny, Kent P. Hymel, Alene Ritzen, Steven E. Reinert, and Thomas C. Hay
JAMA. 1999;281(7):621-626.
ABSTRACT | FULL TEXT  

Geographic Variation in the Treatment of Acute Myocardial Infarction: The Cooperative Cardiovascular Project
Gerald T. O'Connor, Hebe B. Quinton, Neal D. Traven, Lawrence D. Ramunno, T. Andrew Dodds, Thomas A. Marciniak, and John E. Wennberg
JAMA. 1999;281(7):627-633.
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Increased Pulse Pressure and Risk of Heart Failure in the Elderly
Claudia U. Chae, Marc A. Pfeffer, Robert J. Glynn, Gary F. Mitchell, James O. Taylor, and Charles H. Hennekens
JAMA. 1999;281(7):634-643.
ABSTRACT | FULL TEXT  

Is Physician Detection Associated With Thinner Melanomas?
Darin S. Epstein, Julie R. Lange, Stephen B. Gruber, Mona Mofid, and Susan E. Koch
JAMA. 1999;281(7):640-643.
ABSTRACT | FULL TEXT  

Distribution of Variable vs Fixed Costs of Hospital Care
Rebecca R. Roberts, Paul W. Frutos, Ginevra G. Ciavarella, Leon M. Gussow, Edward K. Mensah, Linda M. Kampe, Helen E. Straus, Gnanaraj Joseph, and Robert J. Rydman
JAMA. 1999;281(7):644-649.
ABSTRACT | FULL TEXT  

Clinical Course of Hypertrophic Cardiomyopathy in a Regional United States Cohort
Barry J. Maron, Susan A. Casey, Liviu C. Poliac, Thomas E. Gohman, Adrian K. Almquist, and Dorothee M. Aeppli
JAMA. 1999;281(7):650-655.
ABSTRACT | FULL TEXT