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JAMA. 2002;287:2295-2296.

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:

Timing of New Black Box Warnings and Withdrawals for Prescription Medications2215

Educational Objective: To learn that serious adverse drug reactions commonly emerge after drugs are approved for marketing.

Preoperative -Blocker Use and Mortality and Morbidity Following CABG Surgery in North America2221

Educational Objective: To learn that preoperative -blocker therapy may improve survival for patients undergoing coronary artery bypass graft surgery.

Pathogenesis of High-Altitude Pulmonary Edema: Inflammation Is Not an Etiologic Factor2228

Educational Objective: To learn that the pathogenesis of high-altitude pulmonary edema may be hydrostatic, with altered alveolar-capillary permeability.

Anthrax as a Biological Weapon, 2002: Updated Recommendations for Management2236

Educational Objective: To understand the updated recommendations of a panel of experts for the management of an anthrax attack.

Dignity-Conserving Care—A New Model for Palliative Care: Helping the Patient Feel Valued2253

Educational Objective: To understand the concept of dignity-conserving care at the end of life.

Does This Patient Have an Acute Thoracic Aortic Dissection?2262

Educational Objective: To review the clinical diagnosis of acute thoracic aortic dissection.

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

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Timing of New Black Box Warnings and Withdrawals for Prescription Medications
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Preoperative -Blocker Use and Mortality and Morbidity Following CABG Surgery in North America
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Anthrax as a Biological Weapon, 2002: Updated Recommendations for Management
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Dignity-Conserving Care—A New Model for Palliative Care: Helping the Patient Feel Valued
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Does This Patient Have an Acute Thoracic Aortic Dissection?
Michael Klompas
JAMA. 2002;287(17):2262-2272.
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