home study cme enrollment form/questionnaire

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Home Study CME Enrollment Form/Questionnaire Program Description and Objectives: The Journal of Urology ® Home Study Course is a comprehensive learning activity developed by a team of educators, academicians and clinicians. After completing the program, urologists will be able to demonstrate an increase in or affirmation of their knowledge of clinical medicine. They will also be able to evaluate the appropriateness of clinical data and apply it to their practice and to the provision of improved patient care. Program Format: Two volumes of The Journal of Urology ® are published annually. Each volume is comprised of 6 issues. Five clinically relevant articles are selected by the editor to be read in each issue of The Journal. Answer 5 related questions on the examination and either mail the paper form in the provided envelope or submit online. Completion of each test and a score of 80% or more qualify for 2 hours of Category 1 CME Credit to a maximum of 24 credits annually. Program Enrollment: There are 3 convenient ways to enroll in The Journal of Urology Home Study Course. 1) Complete the form below and return by MAIL with payment of $60.00 for 2 volumes (24 credits) enrollment. Please designate your choice of paper examination forms or online examinations. If you choose paper, answer sheets and pre-addressed envelopes will be sent to you. 2) Complete the form below and return by FAX to 410-689-3904 with payment of $60.00 for two volumes (24 credits) enrollment. Please designate your choice of paper examination forms or online examinations. If you choose paper, answer sheets and pre-addressed envelopes will be sent to you. 3) Go online to www.auanet.org. Choose Catalog/ Products. On the next screen select Home Study/CME and click on Print from the choices offered. With your AUA identification number, password and credit card information, you may purchase 6-month volumes (12 credits) and designate your choice of paper or online examinations. Accreditation: The American Urological Association Education and Research, Inc. is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education (CME) for physicians. The American Urological Association Education and Research, Inc. takes responsibility for the content, quality and scientific integrity of this CME activity. CME Credit: The American Urological Association Education and Research, Inc. designates this Journal educational activity for a maximum of 24 category 1 credits toward the AMA Physician’s Recognition Award. Each physician should claim only those credits that he/she actually spent on this educational activity. See page 1835 for questionnaire The Journal of Urology ® Home Study Program Registration Form Volume # $60 subscription cost covers two consecutive volumes beginning with Vol. 171 Volume # 24 Category 1 credit hours Name: Address: City: State: Zip: Daytime Phone: ( ) ( ) Check enclosed for $ payable to: American Urological Association Education and Research, Inc. ® Charge to ( ) VISA ( ) MasterCard ( ) AMEX Card Number: Exp. Date: Signature: Please mail or fax registration form to: American Urological Association Education and Research, Inc. ® 1000 Corporate Blvd. Linthicum, MD 21090 Telephone: 1-410-689-3934 Fax: 1-410-689-3937 1834

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Home Study CME Enrollment Form/QuestionnaireProgram Description and Objectives: The Journal of Urology® Home Study Course is a comprehensive learning activity developed by a team ofeducators, academicians and clinicians. After completing the program, urologists will be able to demonstrate an increase in or affirmation of theirknowledge of clinical medicine. They will also be able to evaluate the appropriateness of clinical data and apply it to their practice and to theprovision of improved patient care.

Program Format: Two volumes of The Journal of Urology® are published annually. Each volume is comprised of 6 issues. Five clinically relevantarticles are selected by the editor to be read in each issue of The Journal. Answer 5 related questions on the examination and either mail the paperform in the provided envelope or submit online. Completion of each test and a score of 80% or more qualify for 2 hours of Category 1 CME Credit toa maximum of 24 credits annually.

Program Enrollment: There are 3 convenient ways to enroll in The Journal of Urology� Home Study Course. 1) Complete the form below andreturn by MAIL with payment of $60.00 for 2 volumes (24 credits) enrollment. Please designate your choice of paper examination forms or onlineexaminations. If you choose paper, answer sheets and pre-addressed envelopes will be sent to you. 2) Complete the form below and return by FAX to410-689-3904 with payment of $60.00 for two volumes (24 credits) enrollment. Please designate your choice of paper examination forms or onlineexaminations. If you choose paper, answer sheets and pre-addressed envelopes will be sent to you. 3) Go online to www.auanet.org. Choose Catalog/Products. On the next screen select Home Study/CME and click on Print from the choices offered. With your AUA identification number,password and credit card information, you may purchase 6-month volumes (12 credits) and designate your choice of paper or onlineexaminations.

Accreditation: The American Urological Association Education and Research, Inc. is accredited by the Accreditation Council for ContinuingMedical Education (ACCME) to provide continuing medical education (CME) for physicians. The American Urological Association Education andResearch, Inc. takes responsibility for the content, quality and scientific integrity of this CME activity.

CME Credit: The American Urological Association Education and Research, Inc. designates this Journal educational activity for a maximum of 24category 1 credits toward the AMA Physician’s Recognition Award. Each physician should claim only those credits that he/she actually spent on thiseducational activity.

See page 1835 for questionnaire

The Journal of Urology® Home Study Program Registration Form

Volume #

$60 subscription cost covers two consecutive volumes beginning with Vol. 171Volume # 24 Category 1 credit hours

Name:

Address:

City: State: Zip:

Daytime Phone: ( )

( ) Check enclosed for $ payable to: American Urological Association Education and Research, Inc.®

Charge to ( ) VISA ( ) MasterCard ( ) AMEX

Card Number: Exp. Date:

Signature:

Please mail or fax registration form to: American Urological Association Education and Research, Inc.®

1000 Corporate Blvd.Linthicum, MD 21090Telephone: 1-410-689-3934Fax: 1-410-689-3937

1834

CME QUESTIONS FOR MAY 2005 ISSUE OFTHE JOURNAL OF UROLOGY

1. NOMOGRAMS INCLUDING NUCLEAR MATRIX PROTEIN 22 FOR PREDICTION OF DISEASE RECURRENCEAND PROGRESSION IN PATIENTS WITH Ta, T1 OR CIS TRANSITIONAL CELL CARCINOMA OF THEBLADDER (vol. 173, pp. 1518–1525)

Addition of urinary levels of nuclear matrix protein 22 using the cut point of 10 units per ml improves the predictive accuracy ofurinary cytology, age and gender for prediction of bladder transitional cell carcinoma recurrence and progression by:

a) 0%b) 10%c) 20%d) 30%e) 50%

2. EVALUATION OF THE INTACT SPECIMEN IN PATIENTS WHO UNDERGO LAPAROSCOPIC RADICALNEPHRECTOMY FOR CLINICALLY LOCALIZED RENAL CELL CARCINOMA IDENTIFIES A SUBSET OFPATIENTS AT INCREASED RISK FOR RECURRENCE (vol. 173, pp. 1487–1491)

Preoperative computerized tomography staging of renal tumors may miss extrarenal extension of renal cell carcinomain approximately what percentage of patients?

a) less than 5%b) 20%c) 50%d) 75%e) more than 95%

3. A PROSPECTIVE ANALYSIS OF THE TIME TO NORMALIZATION OF SERUM ANDROGENS FOLLOWING 6MONTHS OF ANDROGEN DEPRIVATION THERAPY IN PATIENTS ON A RANDOMIZED PHASE III CLINICALTRIAL USING LIMITED HORMONAL THERAPY (vol. 173, pp. 1567–1571)

After 6 months of gonadotropin-releasing hormone therapy the median time to normalization of testosterone is:

a) 1 monthb) 2 monthsc) 3 monthsd) 4 monthse) 6 months

4. IMPACT OF HOSPITAL AND SURGEON VOLUME ON IN-HOSPITAL MORTALITY FROM RADICALCYSTECTOMY: DATA FROM THE HEALTH CARE UTILIZATION PROJECT (vol. 173, pp. 1695–1700)

Hospitals performing a high volume of radical cystectomies annually have the following characteristics:

a) high length of inpatient stayb) higher total average charges compared to low volume hospitalsc) lower in-hospital mortality compared to low volume hospitalsd) higher in-hospital mortality compared to low or moderate volume hospitalse) are no different in any way from low volume hospitals

5. MODEL TO PREDICT IF VASOEPIDIDYMOSTOMY WILL BE REQUIRED FOR VASECTOMY REVERSAL (vol. 173,pp. 1681–1684)

In addition to duration of obstruction (time from vasectomy), what preoperative patient parameter appears to predictthe likelihood of requiring vasoepididymostomy at the time of vasectomy reversal?

a) testicular sizeb) age of the patientc) serum follicle-stimulating hormoned) seminal fluid antisperm antibodiese) serum testosterone level

The Journal of Urology®

Volume 173, Number 5, May 2005

1835