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JAMA. 2002;287:1469-1470.

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:

Cognitive Outcome After Off-Pump and On-Pump Coronary Artery Bypass Graft Surgery1405

Educational Objective: To learn that cognitive impairment was similar among patients undergoing on-pump and off-pump coronary artery bypass surgery.

Risk of Non-Hodgkin Lymphoma in Celiac Disease1413

Educational Objective: To learn that celiac disease may be a risk factor for non-Hodgkin lymphoma.

Relationship Between Insulin Resistance and an Endogenous Nitric Oxide Synthase Inhibitor1420

Educational Objective: To learn that the adverse effects of insulin resistance on endothelial function may be mediated by an endogenous nitric oxide synthase inhibitor.

Biochemical Diagnosis of Pheochromocytoma: Which Test Is Best?1427

Educational Objective: To compare the accuracy of diagnostic tests for pheochromocytoma.

-Blockers and Reduction of Cardiac Events in Noncardiac Surgery: Scientific Review1435

Educational Objective: To review the evidence that perioperative -blockade may reduce the risk of adverse cardiac events in patients undergoing major noncardiac surgery.

-Blockers and Reduction of Cardiac Events in Noncardiac Surgery: Clinical Applications1445

Educational Objective: To understand how to identify surgical patients who may benefit from perioperative -blockade.

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

RELATED ARTICLES

Cognitive Outcome After Off-Pump and On-Pump Coronary Artery Bypass Graft Surgery: A Randomized Trial
Diederik Van Dijk, Erik W. L. Jansen, Ron Hijman, Arno P. Nierich, Jan C. Diephuis, Karel G. M. Moons, Jaap R. Lahpor, Cornelius Borst, Annemieke M. A. Keizer, Hendrik M. Nathoe, Diederick E. Grobbee, Peter P. T. De Jaegere, Cor J. Kalkman, and for the Octopus Study Group
JAMA. 2002;287(11):1405-1412.
ABSTRACT | FULL TEXT  

Risk of Non-Hodgkin Lymphoma in Celiac Disease
Carlo Catassi, Elisabetta Fabiani, Giovanni Corrao, Maria Barbato, Amalia De Renzo, Angelo M. Carella, Armando Gabrielli, Pietro Leoni, Antonio Carroccio, Mariella Baldassarre, Paolo Bertolani, Paola Caramaschi, Michele Sozzi, Graziella Guariso, Umberto Volta, Gino R. Corazza, and for the Italian Working Group on Coeliac Disease and Non–Hodgkin's-Lymphoma
JAMA. 2002;287(11):1413-1419.
ABSTRACT | FULL TEXT  

Relationship Between Insulin Resistance and an Endogenous Nitric Oxide Synthase Inhibitor
Markus C. Stühlinger, Fahim Abbasi, James W. Chu, Cindy Lamendola, Tracey L. McLaughlin, John P. Cooke, Gerald M. Reaven, and Philip S. Tsao
JAMA. 2002;287(11):1420-1426.
ABSTRACT | FULL TEXT  

Biochemical Diagnosis of Pheochromocytoma: Which Test Is Best?
Jacques W. M. Lenders, Karel Pacak, McClellan M. Walther, W. Marston Linehan, Massimo Mannelli, Peter Friberg, Harry R. Keiser, David S. Goldstein, and Graeme Eisenhofer
JAMA. 2002;287(11):1427-1434.
ABSTRACT | FULL TEXT  

-Blockers and Reduction of Cardiac Events in Noncardiac Surgery: Scientific Review
Andrew D. Auerbach and Lee Goldman
JAMA. 2002;287(11):1435-1444.
ABSTRACT | FULL TEXT  

-Blockers and Reduction of Cardiac Events in Noncardiac Surgery: Clinical Applications
Andrew D. Auerbach and Lee Goldman
JAMA. 2002;287(11):1445-1447.
ABSTRACT | FULL TEXT