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JAMA. 2000;284:115-116.

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:

Survival in End-Stage Dementia Following Acute Illness (SEE ARTICLE)

Educational Objective: To learn that patients with dementia and acute illness may have poor prognoses.

Effect of a Monetary Sanction on Immunization Rates of Recipients of Aid to Families With Dependent Children (SEE ARTICLE)

Educational Objective: To learn that a monetary sanction may increase immunization rates.

Effect of a Community Intervention on Patient Delay and Emergency Medical Service Use in Acute Coronary Heart Disease: The Rapid Early Action for Coronary Treatment (REACT) Trial (SEE ARTICLE)

Educational Objective: To learn the effect of a community intervention to reduce delayed treatment for myocardial infarction.

Physicians' Recommendations to Patients for Use of Antibiotic Prophylaxis to Prevent Endocarditis (SEE ARTICLE)

Educational Objective: To learn about physicians' recommendations and patients' use of prophylaxis for infectious endocarditis.

Ischemic Stroke Risk With Oral Contraceptives: A Meta-analysis (SEE ARTICLE)

Educational Objective: To review the risk of ischemic stroke for patients taking oral contraceptives.

Users' Guides to the Medical Literature: XXII: How to Use Articles About Clinical Decision Rules (SEE ARTICLE)

Educational Objective: To learn whether and how to apply published clinical decision rules to a clinical practice.

After reading 3 of these articles, complete the CME Evaluation Form.

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