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JAMA. 2002;287:2723-2724.

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.

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 Hiatus: CME will be suspended between July and December 2002. Beginning in early 2003, we will offer CME online. We apologize for the interruption.

CME Articles in This Issue of JAMA
Vaginal Birth After Cesarean Delivery: Current Status2627

Educational Objective: To explore the controversies surrounding trial of labor and vaginal birth after cesarean delivery and the implications for physicians.

State Trends in Health Risk Factors and Receipt of Clinical Preventive Services Among US Adults During the 1990s2659

Educational Objective: To review state-by-state progress toward US health goals.

Effect of Lower Doses of Conjugated Equine Estrogens With and Without Medroxyprogesterone Acetate on Bone in Early Postmenopausal Women2668

Educational Objective: To learn that low-dose estrogen therapy may increase bone mineral density in postmenopausal women.

Pulse Pressure and Cardiovascular Mortality: Follow-up Study of the Multiple Risk Factor Intervention Trial (MRFIT)2677

Educational Objective: To learn the value of considering both systolic and diastolic blood pressure in cardiovascular disease risk assessment.

Risk of Perinatal Death Associated With Labor After Previous Cesarean Delivery in Uncomplicated Term Pregnancies2684

Educational Objective: To compare risks of perinatal death for trial of labor vs planned repeat cesarean delivery for women with previous cesarean delivery.

Empirical Studies Assessing the Quality of Health Information for Consumers on the World Wide Web: A Systematic Review2691

Educational Objective: To review the relationship of research methods and conclusions in studies of the quality of online health information.

Does This Woman Have an Acute Uncomplicated Urinary Tract Infection?2701

Educational Objective: To review the clinical diagnosis of acute urinary tract infection.

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

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Vaginal Birth After Cesarean Delivery: Current Status
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