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JAMA. 1999;282:201-202.

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:

Prescribing for Seniors: Neither Too Much nor Too Little (SEE ARTICLE)

Educational Objective: To learn specific examples of the need to neither underprescribe nor overprescribe drugs for older patients.

Effectiveness of Live, Attenuated Intranasal Influenza Virus Vaccine in Healthy, Working Adults (SEE ARTICLE)

Educational Objective: To learn the effects of an intranasal influenza vaccine.

Queuing for Coronary Angiography During Severe Supply-Demand Mismatch in a US Public Hospital (SEE ARTICLE)

Educational Objective: To understand that delaying coronary angiography may be hazardous.

Prevalence of Carpal Tunnel Syndrome in a General Population (SEE ARTICLE)

Educational Objective: To learn that carpal tunnel syndrome may be common.

Quality of Care in Investor-Owned vs Not-for-Profit HMOs (SEE ARTICLE)

Educational Objective: To compare the quality of care delivered in investor-owned vs not-for-profit HMOs.

Mandatory Reporting of Diseases and Conditions by Health Care Professionals and Laboratories (SEE ARTICLE)

Educational Objective: To understand state priorities for public health surveillance.

A New Doctor in the House: Ethical Issues in Hospitalist Systems (SEE ARTICLE)

Educational Objective: To understand how hospitalist systems may affect the patient-physician relationship.

Does This Adult Patient Have Acute Meningitis? (SEE ARTICLE)

Educational Objective: To review the clinical diagnosis of adult meningitis.

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RELATED ARTICLES

Prescribing for Seniors: Neither Too Much nor Too Little
Paula A. Rochon and Jerry H. Gurwitz
JAMA. 1999;282(2):113-115.
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Effectiveness of Live, Attenuated Intranasal Influenza Virus Vaccine in Healthy, Working Adults: A Randomized Controlled Trial
Kristin L. Nichol, Paul M. Mendelman, Kenneth P. Mallon, Lisa A. Jackson, Geoffrey J. Gorse, Robert B. Belshe, W. Paul Glezen, Janet Wittes, and for the Live Attenuated Influenza Virus Vaccine in Healthy Adults Trial Group
JAMA. 1999;282(2):137-144.
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Queuing for Coronary Angiography During Severe Supply-Demand Mismatch in a US Public Hospital: Analysis of a Waiting List Registry
Salvatore Rosanio, Monica Tocchi, David Cutler, Barry F. Uretsky, George A. Stouffer, Christopher R. deFilippi, Edward J. MacInerney, Susan R. Runge, Joann Aaron, Javier Otero, Sandeep Garg, and Marschall S. Runge
JAMA. 1999;282(2):145-152.
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Prevalence of Carpal Tunnel Syndrome in a General Population
Isam Atroshi, Christina Gummesson, Ragnar Johnsson, Ewald Ornstein, Jonas Ranstam, and Ingmar Rosén
JAMA. 1999;282(2):153-158.
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Quality of Care in Investor-Owned vs Not-for-Profit HMOs
David U. Himmelstein, Steffie Woolhandler, Ida Hellander, and Sidney M. Wolfe
JAMA. 1999;282(2):159-163.
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Mandatory Reporting of Diseases and Conditions by Health Care Professionals and Laboratories
Sandra Roush, Guthrie Birkhead, Denise Koo, Angela Cobb, and David Fleming
JAMA. 1999;282(2):164-170.
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A New Doctor in the House: Ethical Issues in Hospitalist Systems
Steven Z. Pantilat, Ann Alpers, and Robert M. Wachter
JAMA. 1999;282(2):171-174.
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Does This Adult Patient Have Acute Meningitis?
John Attia, Rose Hatala, Deborah J. Cook, and Jeffrey G. Wong
JAMA. 1999;282(2):175-181.
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