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JAMA. 2001;285:1903-1904.

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:

Treatment of Primary Cutaneous Melanoma 1819

Educational Objective: To review the latest evidence regarding the treatment of primary cutaneous melanoma, focusing on appropriate surgical margins and the roles of elective and sentinel lymph node dissection.

Identification of a Novel Common Genetic Risk Factor for Lumbar Disk Disease 1843

Educational Objective: To learn that a genetic mutation may increase the risk of lumbar disk disease.

Use of Statins and Risk of Fractures 1850

Educational Objective: To learn that statin use may not decrease the risk of fractures.

Cognitive Behavioral Therapy for Treatment of Chronic Primary Insomnia: A Randomized Controlled Trial 1856

Educational Objective: To learn that cognitive behavioral therapy may be effective for chronic primary insomnia.

Predictors of Cardiac Events After Major Vascular Surgery: Role of Clinical Characteristics, Dobutamine Echocardiography, and -Blocker Therapy 1865

Educational Objective: To understand the benefits of dobutamine stress echocardiography for evaluating patients who need major vascular surgery.

Impact of Recommendations to Suspend the Birth Dose of Hepatitis B Virus Vaccine 1874

Educational Objective: To learn that a temporary recommendation to suspend hepatitis B vaccination for newborns may have had long-term effects on vaccine delivery.

HIV-Associated Non-Hodgkin Lymphoma: Incidence, Presentation, and Prognosis 1880

Educational Objective: To review the clinical management of HIV-associated non-Hodgkin lymphoma.

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

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Treatment of Primary Cutaneous Melanoma
Matthew H. Kanzler and Serena Mraz-Gernhard
JAMA. 2001;285(14):1819-1821.
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Identification of a Novel Common Genetic Risk Factor for Lumbar Disk Disease
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Use of Statins and Risk of Fractures
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Cognitive Behavioral Therapy for Treatment of Chronic Primary Insomnia: A Randomized Controlled Trial
Jack D. Edinger, William K. Wohlgemuth, Rodney A. Radtke, Gail R. Marsh, and Ruth E. Quillian
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Predictors of Cardiac Events After Major Vascular Surgery: Role of Clinical Characteristics, Dobutamine Echocardiography, and -Blocker Therapy
Eric Boersma, Don Poldermans, Jeroen J. Bax, Ewout W. Steyerberg, Ian R. Thomson, Jan D. Banga, Louis L. M. van de Ven, Hero van Urk, Jos R. T. C. Roelandt, and for the DECREASE Study Group
JAMA. 2001;285(14):1865-1873.
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Impact of Recommendations to Suspend the Birth Dose of Hepatitis B Virus Vaccine
Ronda J. Oram, Robert S. Daum, John B. Seal, and Diane S. Lauderdale
JAMA. 2001;285(14):1874-1879.
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HIV-Associated Non-Hodgkin Lymphoma: Incidence, Presentation, and Prognosis
Richard F. Little, Martin Gutierrez, Elaine S. Jaffe, Alice Pau, McDonald Horne, and Wyndham Wilson
JAMA. 2001;285(14):1880-1885.
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