home study cme enrollment form/questionnaire

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Home Study CME Enrollment Form/Questionnaire Program Description and Objective: 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 patient care. Program Format: To receive Category 1 CME Credit hours for The Journal of Urology ® Home Study, submit The Journal of Urology ® Home Study CME Enrollment Form with payment of $60.00. Once AUA receives your Journal of Urology Home Study CME Enrollment Form and payment, answer sheets are mailed to you. Five articles are selected by the editor to be read in each issue. Answer five questions on the answer sheet. Return completed answer sheets in the provided envelope. Completion of each test and a score of 80% or more qualify for 2 hours Category 1 CME Credit hours. 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 the CME activity. CME Credit: The American Urological Association Education and Research, Inc. designates this 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 in the educational activity. See page 2117 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 2116

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Home Study CME Enrollment Form/Questionnaire

Program Description and Objective: The Journal of Urology® Home Study Course is a comprehensive learning activitydeveloped by a team of educators, academicians, and clinicians. After completing the program, urologists will be able to demonstratean increase in or affirmation of their knowledge of clinical medicine. They will also be able to evaluate the appropriateness of clinicaldata and apply it to their practice and to the provision of patient care.

Program Format: To receive Category 1 CME Credit hours for The Journal of Urology ® Home Study, submit The Journal ofUrology ® Home Study CME Enrollment Form with payment of $60.00. Once AUA receives your Journal of Urology Home StudyCME Enrollment Form and payment, answer sheets are mailed to you. Five articles are selected by the editor to be read in eachissue. Answer five questions on the answer sheet. Return completed answer sheets in the provided envelope. Completion of each testand a score of 80% or more qualify for 2 hours Category 1 CME Credit hours.

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

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

See page 2117 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

2116

CME QUESTIONS FOR NOVEMBER 2004 ISSUE OFTHE JOURNAL OF UROLOGY

1. ANATOMICAL EXTENT OF LYMPH NODE DISSECTION: IMPACT ON MEN WITH CLINICALLY LOCALIZEDPROSTATE CANCER (vol. 172, pp. 1840–1844)

At the current time, an extended lymph node dissection in men with clinically localized prostate cancer undergoingradical prostatectomy offers which of the following:

a) improves overall survivalb) improves disease specific survivalc) increases the detection of occult nodal metastasesd) no advantage is observede) has complications comparable to limited lymph node dissection

2. WATCHFUL WAITING AND HEALTH RELATED QUALITY OF LIFE IN PATIENTS WITH LOCALIZEDPROSTATE CANCER: DATA FROM CaPSURE (vol. 172, pp. 1830–1834)

Which health related quality of life domain had the largest decrease in score over time above and beyond the agingprocess alone?

a) physical functionb) role physicalc) bodily paind) sexual functione) urinary function

3. TESTICULAR MICROLITHIASIS AND ITS RELATION TO TESTICULAR CANCER ON ULTRASOUND FINDINGSOF SYMPTOMATIC MEN (vol. 172, pp. 1904–1906)

A 25-year-old male presents to the office complaining of testicular pain. The physical examination is normal. Anultrasound examination shows bilateral testicular microlithiasis. This patient is at increased risk for which of thefollowing?

a) testicular carcinomab) varicocelec) epididymitisd) testicular torsione) testicular atrophy

4. PREDICTION OF SUCCESSFUL OUTCOME OF MICRODISSECTION TESTICULAR SPERM EXTRACTION INMEN WITH IDIOPATHIC NONOBSTRUCTIVE AZOOSPERMIA (vol. 172, pp. 1944–1947)

Among preoperative factors, which is not useful for successful microdissection testicular sperm extraction?

a) testicular volumeb) total testosteronec) inhibin Bd) prolactine) follicle-stimulating hormone

5. DETRUSOR OVERACTIVITY: DOES IT REPRESENT A DIFFERENCE IF PATIENTS FEEL THE INVOLUNTARYCONTRACTIONS? (vol. 172, pp. 1915–1918)

The prevalence of overactive bladder in the population older than 40 years has been estimated as:

a) 1%b) 7%c) 10%d) 16%e) 21%

The Journal of Urology®

Volume 172, Number 5, November, 2004

2117