PHYSICIANS WHO read selected articles in this issue of Archives of Family Medicine, answer the Self-assessment Quiz, complete the CME Evaluation, and mail in the Answer Card are eligible for category 1 credit toward the American Medical Association (AMA) Physician's Recognition Award (PRA). There is no charge to subscribers or nonsubscribers.
The AMA is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medical education for physicians. The AMA designates this education activity for up to 3 hours of category 1 credit per issue toward the AMA PRA. Each physician should claim only those hours of credit that he or she actually spent in the educational activity.
In addition, Archives of Family Medicine has been approved by the American Academy of Family Physicians (AAFP) as having educational content acceptable for Prescribed credit hours. This issue has been approved for up to 3 Prescribed credit hours. Credit may be claimed for 1 year from date of individual issue.
EARNING CREDIT
To earn credit, read the articles designated for CME credit carefully and take the following Self-assessment Quiz. Mark your responses on the accompanying Answer Card and complete the CME Evaluation. Then fax your Answer Card to the Blackstone Group at (312) 269-1636 or mail it to the address on the back of the card. Answers are provided in Figure 1 so that you can immediately assess your performance.
Answer Cards must be submitted within 1 year of the issue date. The AMA maintains no permanent record of individual quiz scores. A certificate specifying the total amount of credit received for this educational activity will be returned to you by mail or fax. Please allow up to 4 weeks for your certificate to arrive. Questions about CME processing should be directed to the Blackstone Group; fax: (312)269-1636.
CME EVALUATION
Our goal is to continually assess the educational needs of our readership for the purpose of enhancing the educational effectiveness of the Archives of Family Medicine. To achieve this goal, we need your help. You must complete the CME Evaluation on the Answer Card to receive credit. Participants are encouraged to reply within 2 months of the issue date, to facilitate the assessment of its educational value.
STATEMENT OF EDUCATIONAL PURPOSE
The Archives of Family Medicine is devoted to strengthening the science, practice, and art of family medicine. Its emphasis is on original research that is clinically practical and academically sound. 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.
Readers of the Archives of Family Medicine should be able to attain the following educational objectives: (1) use the latest information on diagnosis and treatment of diseases commonly seen in clinical practice to maximize patient health; (2) recognize uncommon illnesses that present with common symptoms to the family physician and treat or refer as appropriate; (3) use practical tools for health promotion and disease prevention; and (4) learn the clinical indications and adverse effects of pertinent new drugs or new uses for available drugs.
Self-assessment Quiz
Questions for January 2000
Continuity of Care, Informed Consent, and Fiduciary Responsibilities (SEE ARTICLE)
Q1. Informed consent requires:
A. A signed piece of paper.
B. Discussion of the cost of treatment.
C. Discussion of legitimate alternative treatments.
D. Provision of all of the information directly by the physician.
E. Inclusion of significant others, such as a spouse, in decision making.
Biohazardous Waste Management (SEE ARTICLE)
Q2. Biohazardous waste:
A. Is federally regulated.
B. Is defined as materials or equipment in contact with any human or animal.
C. Comes primarily from hospitals.
D. Poses little risk to the general public.
E. Contains more microorganisms with pathogenic potential than household waste.
Q3. Medical waste can be effectively treated with:
A. Autoclaving.
B. Incineration.
C. Chemical inactivation.
D. Sanitary sewage treatment.
E. All of the above.
Q4. In a physician's office, which of the following should go in the biohazardous waste container?
A. Tongue depressors.
B. Blood-soaked gauze.
C. Paper towels.
D. Packaging.
E. Batteries.
Depressed Family Medicine Outpatients (SEE ARTICLE)
Q5. Concerning somatic symptoms and treatment of depression in family practice:
A. Somatic presentations of distress encountered in primary care are usually equivalent to DSM-IV somatoform disorders.
B. Most depressed primary care patients primarily present with mental health complaints.
C. Hypochondriacal symptoms have been shown to be related to high rates of adherence to antidepressants.
D. As compared with conversion symptoms, somatization and hypochondriacal symptoms are more likely to improve with pharmacotherapy.
Patient Communication Skills and Compliance (SEE ARTICLE)
Q6. Trained patients:
A. Participate more actively in interviews.
B. Have lower rates of patient satisfaction.
C. Have the same recall of information as patients who are not trained.
D. Have a high no-show rate for office visits.
Medical Record Documentation and Community Family Practice (SEE ARTICLE)
Q7. Documentation of evaluation and management services as billed by family physicians:
A. Indicates undercoding for about one third of visits.
B. Can be examined by multiple raters and receive the same billing code about 90% of the time.
C. Is less concordant for established patients than for new patients.
D. Indicates discrepancies by more than 1 code in fewer than 5% of visits.
E. Takes little physician time to be accurate.
Cervical Ectopic Pregnancy (SEE ARTICLE)
Q8. Cervical ectopic pregnancy:
A. Requires an emergency hysterectomy more than 90% of the time.
B. Carries a risk of substantial bleeding if the patient is given methotrexate in the amniotic sac.
C. Is usually detected after the fetus has died and is partially extruded.
D. Has nondetectible human chorionic gonadotropin levels at the time of presentation.
E. Is best detected by hysteroscopy.
Binge Eating in Black Women (SEE ARTICLE)
Q9. Recurrent binge eating with at least 2 episodes per week for the last 3 months:
A. Is associated with normal body weight.
B. Is not associated with psychological adjustment.
C. Is accompanied by fasting, self-induced vomiting, or laxative or diuretic abuse more than half of the time.
D. Is more common in adolescents than in young adults.
E. Is more common in black women than in white women.
Videotaping Obstetric Procedures (SEE ARTICLE)
Q10. Videotaping in the delivery room:
A. Is permissible in all 50 states.
B. Is required at patient request in most states.
C. Is ethically required on patient request.
D. Is encouraged by the American College of Obstetricians and Gynecologists.
E. Has been shown to prevent malpractice suits.
