Home Study CME Enrollment Form

Home Study CME Enrollment Form 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 the provision of patient care. Program Format: Two volumes of the 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 offered for CME in each issue of The Journal. For CME credit, the participant must read the articles and answer 5 related questions on the examination; enroll in the home study program; and choose to submit answers either online or on a paper answer sheet that will be sent to you with a return envelope. 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 24.0 category 1 credits toward the AMA Physician’s Recognition Award. Completion of each test and a score of 80% or above qualify for 2 credits of Category 1 CME Credit with up to a maximum of 24 credits annually. Each physician should claim only those credits that he/she actually spent on this educational activity. Estimated time to complete activity is 2 hours. AUA Disclosure Policy: As a provider accredited by the ACCME, the American Urological Association Education and Research, Inc., must insure balance, independence, objectivity and scientific rigor in all its activities. All faculty participating in an educational activity provided by the American Urological Association Education and Research, Inc. are required to disclose to the audience any relevant financial relationships with any commercial interest to the provider. The intent of this disclosure is not to prevent faculty with relevant financial relationships from serving as faculty, but rather to provide members of the audience with information on which they can make their own judgments. The Program Planners and Scientific Planning Committee must resolve any conflicts of interest prior to the commencement of the educational activity. It remains for the audience to determine if the faculty’s relationships may influence the educational content with regard to exposition or conclusion. When unlabeled or unapproved uses are discussed, these are also indicated. Program Enrollment: There are 3 convenient ways to enroll in The Journal of Urology® Home Study Course. ● Complete the form below and return by MAIL including a check or credit card information ● Complete the form below and return by FAX including your credit card information ● Enroll online at www.auanet.org. Choose Catalog/Products. Then, choose Home Study/CME and click on Print and then on Journal of Urology Home Study. ● You will need your AUA identification number, password and credit card to purchase this home study product. For any of these enrollment options you must choose one method to submit your home study answers– either online or by mail on a provided paper answer sheet. The cost for the home study is $30 each for Volumes 175 and 176 in 2006 ($60 for both volumes). Previous home study volumes may be ordered by calling 1-866-746-4282, ext 3747. See page 847 for questionnaire

The Journal of Urology® Home Study Program Enrollment Form Volume # $30 subscription cost per volume Maximum of 24 Category 1 credits annually Name: Address:

City:

State:

( ) Check enclosed for $ Charge to

( ) VISA

Zip:

payable to: American Urological Association Education and Research, Inc.

( ) 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

0022-5347/06/1762-0846/0 THE JOURNAL OF UROLOGY® Copyright © 2006 by AMERICAN UROLOGICAL ASSOCIATION

846

Vol. 176, 846-847, August 2006 Printed in U.S.A. DOI:10.1016/j.juro.2006.04.108

847

CME QUESTIONS FOR AUGUST 2006 ISSUE OF THE JOURNAL OF UROLOGY 1.

WHAT IS A CLINICIAN TO DO—BELIEVE THE PATIENT OR HER URINARY DIARY? (vol. 176, pp. 633– 635) Quality of life impact in women with urge incontinence is most strongly associated with which of the following: a) b) c) d) e)

2.

age race number of incontinence episodes recorded in a urinary diary number of incontinence episodes the patient recalled during the last 7 days number of stress incontinence episodes recorded in a urinary diary

THE OUTCOME OF PATIENTS ON DIALYSIS WITH UPPER URINARY TRACT TRANSITIONAL CELL CARCINOMA (vol. 176, pp. 477– 481) Which of the following descriptions of urinary tract cancer among patients with end stage renal disease is correct? a) transitional cell carcinoma is the most common urological cancer among Western patients on dialysis b) renal cell carcinoma is the most common urological cancer in Taiwanese patients on dialysis c) the statistically significant prognostic factor for disease-free survival of patients with upper urinary tract transitional cell carcinoma among those with end stage renal disease is pT stage d) the major complaint is palpated abdominal mass e) none of the above

3.

BRAIN PROCESSING OF AUDIOVISUAL SEXUAL STIMULI INDUCING PENILE ERECTION: A POSITRON EMISSION TOMOGRAPHY STUDY (vol. 176, pp. 679 – 683) Which of the following brain areas has been reported to be associated with human sexual arousal inducing penile erection? a) b) c) d) e)

4.

hypothalamus midbrain raphe substantia nigra pons periaqueductal central gray matter

EFFICIENCY OF QUESTIONNAIRES USED TO SCREEN FOR INTERSTITIAL CYSTITIS (vol. 176, pp. 587–592) Which of the following is the most helpful at raising the level of suspicion for a diagnosis of interstitial cystitis? a) high total score on a questionnaire such as the O’Leary-Sant Symptom Scale and Problem Index or the Pain, Urgency, Frequency Symptom Scale b) increased urine specific gravity c) increased urinary frequency only d) high score on the Likert pain scale e) pelvic pain associated with microhematuria

5.

DORSAL GRAFT URETHROPLASTY FOR FEMALE URETHRAL STRICTURE (vol. 176, pp. 611– 613) What type of surgery is used for reconstruction for female urethral stricture? a) b) c) d) e)

pedicle labial flap vaginal vestibulum pedicled flap proximal based vaginal flap dorsal-free graft all of the above Publication Date: August 2006 Expiration Date: August 2009