Special Notice!! Looking for reviewers to help keep the List up-to-date.

American Academy of Family Physicians (AAFP)

American Academy of Family Physicians (AAFP) has nine distinct sub-sites offering CME oriented to family physicians:

• American Family Physician Clinical Quiz
  Last visited...1/2008.
  Credit hours..2.5 to 5.25 per issue (about 100 hours now available).
  Awarded by...AAFP.
  Cost.........Free.
  Instruct. Type...Text-and-Graphics.
  Target Audience....FP.
  Educ. material last updated....24 or 25 issues per year.
  CME Credit Expires...1 year after publication.
  Financial support...None Stated.

Each month's issue of this online journal contains a series of articles concerning clinical issues in primary care and a quiz with questions relating to those articles. Members of the AAFP may submit the answers to quizzes online, while nonmembers must complete and mail in the tear-out card found in the paper version of the journal.

• Family Practice Management Quiz
  Last visited...1/2008.
  Credit hours...2.5 to 3.75 per issue (about 32 hours in 10 issues now available).
  Awarded by...AAFP.
  Cost.........Free.
  Instruct. Type...Text-And-Graphics.
  Target Audience....FP.
  Educ. material last updated....10-11 issues per year.
  CME Credit Expires...1 year after publication.
  Financial support...None Stated.

Each month's issue of this online journal contains a series of articles concerning management issues in primary care and questions relating to those articles. Members of the AAFP may submit the answers to quizzes online, while nonmembers must complete and mail in the tear-out card found in the paper version of the journal.

• CME Bulletins
  Last visited...1/2008.
  Credit hours...12 courses offering 0.5 to 2.0 hours (total of 13.75 hours).
  Awarded by...AAFP.
  Cost.........Free.
  Instruct. Type...Text-Only.
  Target Audience....FP.
  Educ. material last updated....2007.
  CME Credit Expires...2 years after publication.
  Financial support...Pharmaceutical Companies.

This section offers evidence based CME. Some recent activities include: Using an Immunization Registry to Improve Vaccination Rates; Recognition and Management of Anaphylaxis; Diagnosis and Management of Dysfunctional Uterine Bleeding; Preoperative and Postoperative Management of Patients with Hip Fracture; and Caring for Patients Who Have Benign Prostatic Hyperplasia. 

• Video CME Online
  Last visited...1/2008.
  Credit hours...3 courses offering a total of 7.5 hours).
  Awarded by....AAFP.
  Cost..........Free for members; $10 for non-members.
  Instruct. Type...Slide-Video-Lecture.
  Target Audience....FP.
  Educ. material last updated...2006.
  Financial support...Multiple Pharmaceutical Companies.

Three online video CMEs: Cancer: Supporting Patients and Families; Cholesterol: Managing Its Effect on Cardiovascular Disease Risk; and Pathways to Controlling Hepatitis A and B: Vaccination, Prevention and Treatment. In addition to the video presentation, each course offers a monograph as a pdf document (text and graphics). 

• Case Studies
  Last visited...1/2008.
  Credit hours..2.0.
  Awarded by...AAFP.
  Cost.........Free.
  Instruct. Type...Case-Based-Interactive.
  Target Audience....FP.
  Educ. material last updated....2006.
  Financial support...Pfizer and Boehringer Ingelheim Pharmaceuticals.

A single course, COPD: Putting Guidelines into Practice.

• AIM to Change: Encouraging Fitness for All
  Last visited...1/2008.
  Credit hours...2.0.
  Awarded by....AAFP.
  Cost..........Free to AAFP members; $15 each for non-members.
  Instruct. Type...Slide-Audio-Lecture (WebEx).
  Target Audience....FP.
  Educ. material last updated...2/07.
  Financial support...None Stated.

The purpose of this activity is to encourage family physicians to "approach every patient encounter as an opportunity to engage in a fitness conversation" and to "utilize behavioral counseling techniques to open a dialogue" (about fitness and obesity). You may view the slide-audio presentation using WebEx and / or download the slides as a pdf file.

• Ask and Act Webcasts (Smoking Cessation)
  Last visited...1/2008.
  Credit hours...2.0 per webcast (5 webcasts offering a total of 10 hours). Only AAFP members can earn credit.
  Awarded by....AAFP.
  Cost..........Free.
  Instruct. Type...Slide-Audio-Lecture (WebEx).
  Target Audience....FP.
  Educ. material last updated...2006.
  Financial support...Smoking Cessation Leadership Center.
  CME Credit Expires...Not stated.

Five webcasts on various aspects of helping patients with tobacco dependence. You may view the slide-audio presentation using WebEx and / or download the slides as a pdf file.

• METRIC: Measuring, Evaluating and Translating Research Into Care
  Last visited...1/2008.
  Credit hours...20.
  Awarded by....AAFP.
  Cost..........Free to members.
  Instruct. Type...Self-Directed Study.
  Target Audience....FP.
  Educ. material last updated...N/A.
  Financial support...None Stated.

METRIC is an online practice improvement program that allows you to earn CME credit in your office. The program is designed to assist you in fulfilling the requirement for Part IV of Maintenance of Certification. You begin by filling out a short practice assessment questionnaire. Next, you pull 10 patient records for chart review. Once you’ve entered data for 10 charts, you will see how your data compares with other users’ data. Next, you build an action plan that’s based on your feedback report. The program provides descriptions of possible interventions and tools to help build a plan that’s right for your needs. Your action plan becomes a guide to making change in your practice systems over the three-month action period. You then complete a second practice questionnaire and review of a second set of 10 patient charts.

• Topics in the News
  Last visited...1/2008.
  Credit hours...1.0 per lecture (total of 4 lectures offering 4 hours).
  Awarded by....AAFP.
  Cost..........Free.
  Instruct. Type...Slide-Only.
  Target Audience....FP.
  Educ. material last updated...2007
  Financial support...None Stated.

Three topics: Pandemic Flu; Avian Influenza; and Methicillin Resistant Staphlococcus Aureus (MRSA).

American Academy of Pediatrics PediaLink

AAP PediaLink offers 3 kinds of instruction:

• eQIPP: Education in Quality Improvement for Pediatric Practice
  Last visited...6/2006.
  Credit hours...1 module with 22 credits.
  Awarded by....American Academy of Pediatrics.
  Cost for Credit.....Various plans from $79 to 169 depending on level of training and AAP membership status.
  Instruction Type....Case-Based-Interactive with group discussions.
  Target Audience....PED, FP.
  Educational material last updated...2005.
  Financial Support...Pfizer Pediatric Health, GlaxoSmithKline.

eQIPP is a quality improvement CME program that allows you to evaluate your practice online. Each module has 4 units: Assessing Your Practice; Treating Your Patients; Developing Your Action Plan; and Next Steps For Your Practice. The only current offering is: Managing Your Patients with ADHD.

• PREP Self-Assessment Online
  Last visited...6/2006.
  Credit hours...40 (AAP) or 20 (AAFP) for each module (3 modules totaling 120 hours)
  Awarded by....American Academy of Pediatrics.
  Cost...........$130 to $190 depending on level of training and AAP membership status.
  Instruction Type....Question-and-Answer.
  Target Audience...PED, FP.
  Educational material last updated....2006.
  Financial support...None Stated.

Each PREP Self-Assessment Exercise offers over 250 multiple choice questions including critiques; links to many of the references; and search capabilities. You can now purchase the PREP Self-Assessment Exercise for 2006, 2005 and 2004.

• Other AAP online courses
  Last visited...6/2006.
  Credit hours...14 activities totaling about 114 hours.
  Awarded by....American Academy of Pediatrics.
  Cost...........$15 per credit for AAP members; $20 per credit for nonmembers.
  Instruction Type....Cased–based interactive, Text-Only, Streaming Video, Question-and-Answer.
  Target Audience...PED, FP.
  Educational material last updated....2005.
  Financial support...Various.

Other AAP online courses (and hours offered) are: Asthma Coding Clues (1.5); Early Education & Child Care (5); Dermatology: Skin Essentials (8); Childhood Hearing (5); Pediatric Leadership Alliance (7); NeoReviews 2005 (24) or NeoReviews "Plus" (36); New Spin On Childhood Obesity (6); Asthma Gadgets (7); 2006 Hot Topics - annual series of 6 - 20 minute CME modules (3); AAP Grand Rounds 2006 monthly review newsletter (18); and 5 Pediatric Prescribing Updates (PPU), each 1.5 hours: Allergy & Asthma; Analgesics & Sedation; Dermatology Agents; Psychoactive Medications; and Bioterrorism Counteragents. 

AMA Therapeutic Insights
Last visited...1/2008.
Credit hours...1.0 hour for each newsletter (total of 4.0 hours).
Awarded by....AMA.
Cost...........Free.
Instruct. Type....Text-Only (pdf).
Target Audiences....FP, IM.
Educ. material last updated....12/07.
CME Credit Expires...One year after posting.
Financial support...None Stated.

AMA Therapeutic Insights is a "disease-specific CME newsletter with the latest treatment guidelines and unprecedented prescribing data views." The four newsletters are: Management of depression in primary care; Current management of dyslipidemia; Initial treatment of type 2 diabetes--oral hypoglycemics; and Diagnosis and Treatment of Migraines.

AMAprimarycare.org
Last visited...1/2008.
Credit hours...1.0 hour each (total of 5 hours).
Awarded by....AMA.
Cost...........Free.
Instruct. Type....Slide-Video.
Target Audiences....FP, IM.
Educ. material last updated....2007.
CME Credit Expires...(Probably) one year after posting.
Financial support...Various pharmaceutical companies.

Current subjects include depression, Parkinson's disease and Type 2 Diabetes Mellitus. 

Cicatelli Associates Distance Learning
Last visited...5/2006.
Credit hours...One course offering 3.5 hours.
Awarded by...Washington University.
Cost for Credit...$20.
Instruction Type....Text-Only and Streaming Video.
Target Audiences.... PSYCH.
Educational material last updated...2004.
Financial Support...The September 11th Fund.

A single course, Responding to Trauma: Assessment and Treatment Skills for Primary Care Providers; 

Cleveland Clinic Disease Management Project Clinical Decisions Cases
Last visited...7/2006.
Credit hours...0.5 each (total of 14.5 hours).
Awarded by....Cleveland Clinic.
Cost..........Free.
Instruct. Type...Case-Based-Interactive.
Target Audiences...FP, IM.
Educ. material last updated....2005.
Financial Support...Audio-Digest Foundation.

This series applies practice guidelines to clinical practice. Each case includes didactic information as well as interactive case-based lessons to aid in patient management. 
Some specialty areas are: Cardiology; Endocrinology; Gastroenterology/Hepatology; Hematology/Oncology; Infectious Diseases; Nephrology; Neurology; Psychiatry; and Pulmonary Diseases.

Cleveland Clinic Journal of Medicine
Last visited...7/2006.
Credit hours...1.5 for each issue (9 hours currently available).
Awarded by....Cleveland Clinic.
Instruction Type...Text-Only.
Target Audiences...FP, IM.
Cost for Credit...Free.
Educational material last updated...7/06.
Financial Support...None Stated.

You will find the full text and the CME questions from the last 6 months of the Cleveland Clinic Journal of Medicine. You will need to flip back and forth from the articles to the CME questions.

Clinical Cornerstone
Last visited...7/2007.
Credit hours...3 issues for total of 16 hours; 9 supplements for total of 22.5 hours.
Awarded by....Elsevier Office of CME (Excerpta Medica) and the American Academy of Family Physicians (AAFP).
Cost..........Free.
Instruction Type...Text-Only (PDF).
Target Audience....FP, IM.
Educational material last updated...2006
Financial support...None Stated.
CME Credit Expires...Two years after posting

Each issue provides up to 8 CME or AAFP credits. Supplements provide up to 3 credits.  CME tests and evaluation must be completed on paper and faxed or mailed. Topics include: Management of Osteoporosis; Prevention of Thromboembolic Events; and Cardiometabolic Risk Management;  Sleep-Disordered Breathing in Children; Advances in Cardiometabolic Health; Neutropenia; Abdominal Adiposity and Cardiometabolic Risk; Osteoporosis in the Male Patient; Early Intervention for Optimal Outcomes; Dyslipidemia In Metabolic Syndrome; Realizing Near-Normoglycemia; and Treatment Options for Thyroid Disease.

Clinical Directors Network (CDN) - Clinical Leadership Webcasts
Last visited...6/2006.
Credit hours...up to 300.
Awarded by....AAFP.
Cost..........Free.
Instruction Type...Slides/Videos/Live interactive discussions.
Target Audience....FP, IM.
Educational material last updated...Daily.
Financial support...None Stated.

CDN online training sessions contain more than 30 tracks including asthma, bioterrorism, cancer prevention, cardiovascular disease, clinical
informatics, dental, depression, diabetes, obesity, smoking cessation, Spanish, women's health and many more. These sessions are delivered on a weekly basis by content experts from the specific clinical fields. Once the live session is completed, webcasts are added to the archived webcast database. Viewers can fill out online CME questionnaire to receive CME certificate via email.

Core Content Review of Family Medicine 2007
Last visited...3/2007.
Credit hours...One hour for each 10 questions answered correctly (Total of 124.5 hours).
Awarded by.....Connecticut Academy of Family Physicians and Ohio Academy of Family Physicians.
Cost for Credit.....$15 per credit.
Instruction Type...Question-and-Answer.
Target Audiences....FP, IM, PED.
Educational material last updated...10/26.
Financial Support...None Stated.

This site offers a set of over 900 questions or 12 Clinical Set Problems, aimed at family physicians. The questions are by the authors of the Core Content Review of Family Medicine. You receive immediate feedback on how your first answer compares to the first answers of fellow participants. One hour of credit is available for each 10 questions correctly answered. You will also find 23 topic areas which can also be searched by specialty for non-primary care physicians.

Cyberounds "Conferences" (Text-Only)
Last visited...1/2008.
Credit hours...Up to 50.0 hours per year. Also accredited by the American Osteopathic Association.)
Awarded by....Albert Einstein College of Medicine.
Cost...........$125, including an annual registration charge.
Instruction Type...Text-Only.
Target Audiences....FP, IM.
Educational material last updated....Monthly.
Financial Support...None Stated.

Cyberounds was the first producer of online CME, beginning in 1996. There are programs in 16 specialties, developed by a panel of academic clinicians from 15 U.S. medical schools.

DDHealthInfo.org (Developmental Disabilities)
Last visited...10/2007.
Credit hours...About 50 activities, each offering 0.5 credit-hours (total of about 25 hours).
Awarded by....University of California, San Diego School of Medicine.
Cost for Credit.....Free. 
Instruction Type....Text-Only.
Target Audiences....FP, PEDS, PSYCH.
Educational material last updated...2007.
Financial Support...California Department of Developmental Services.
CME Credit Expires...June 30, 2010.

This website is designed to assist physicians in caring for persons with developmental disabilities. Topics include: Autistic Spectrum Disorders; Cerebral Palsy; Fetal Alcohol Syndrome; Down Syndrome; Spina Bifida; and 
more than 50 additional conditions and associated medical issues. Each activity is presented in outline style followed by five multiple choice questions.

Drexel University College of Medicine Virtual Grand Rounds
Last visited...6/2006.
Credit hours...1.5 each (total of 130.5 hours).
Awarded by....Drexel University College of Medicine.
Cost for Credit....$25.
Instruction Type...Slide-Video-Lecture.
Target Audiences...FP, IM.
Educ. material last updated....5/04.
Financial Support...Various Pharmaceutical Companies..

There are 87 lectures on general internal medicine and medical subspecialty areas. Some lectures are almost 7 years old (1996) but still available for credit. Some recent subjects (5/2004) are: HIV Associated Nephropathy; Kidney Transplantation in HIV Patients; Physiologic Impairments in COPD; Overview of COPD: and Management of Hypertension in African-American Patients.

Focus on Immunization and Preventable Disease Management
Last visited...1/2008.
Credit hours...1 activity offering 2.0 hours.
Awarded by....AMA.
Cost...........Free.
Instruct. Type....Slide-Audio.
Target Audiences....FP, PED, ID.
Educ. material last updated....2005.
CME Credit Expires...12/31/2008.
Financial support...Wyeth.

After completing this course, you should understand the vaccines that are recommended for routine use with children and adolescents; recognize the indications for childhood and adolescent vaccination; integrate the current immunization schedules and guidelines into clinical practice; and understand and implement strategies for optimizing immunization rates.

Johns Hopkins Advanced Studies in Medicine Journal
Last visited...6/2006.
Credit hours...3.25 hours per month (36 issues for total of 117 hours).
Awarded by......Johns Hopkins.
Cost for Credit......Free.
Instruction Type....Text-Only (pdf)
Target Audiences...FP, IM.
Educational material last updated....2006.
Expiration of CME credit...2 years after posting.
Financial Support...Various Pharmaceutical Companies.

You will find 36 issues of Advanced Studies in Medicine. Each issue offers a set of CME Clinical Evaluation Articles (3 Credit Hours). In addition, each issue has a "Case of the Month" offering 0.25 hours of credit. The most recent issue (May 2006) contains these articles: Update on Pharmacologic Strategies for Atrial Fibrillation; Early Ovarian Cancer; and Prevention of Type 2 Diabetes. The "Case of the Month" features a 20-year-old morbidly obese woman presenting with progressive enlargement of her legs.

MDcme.ca
Last visited...1/2005.
Credit hours...3.0 to 5.0 hours per course (5 courses offering 22 hours).
Awarded by.....The Canadian medical university that develops the course.
Cost...........$50 to 65 (Canadian; about $32 to $42 US). 
Instruction Type....Case-Based-Interactive with online facilitator.
Target Audiences....GP, FP.
Educational material last updated....2004.
Financial Support...Health Canada, ACOA, Pfizer, Merck Frosst.

MDcme.ca is produced by a consortium of ten Canadian medical universities. The primary emphasis is to help rural MDs maintain medical competence. The following courses are offered in specific time periods and involve interaction with other students and an instructor: Chronic Non-Cancer Pain; Emergency Medicine: Case Studies; Falls in the Elderly; Follow up Care for Cancer Patients; and Joint Adventures: Optimizing the Management of MSK Pain. The next group of courses can be taken at any time and do not require interaction with other students and an instructor: AACT in Hypertension (Addressing Additional Cardiovascular risk facTors in Hypertension); Emergency Medicine - Trauma Cases; Healthy Child Development; and Joint Adventures: Optimizing the Management of MSK Pain.

National Diabetes Education Initiative (NDEI)
Last visited...5/2006.
Credit hours.....Total of 29.5.
Awarded by....Thomson Professional Postgraduate Services.
Cost for Credit...Free.
Instruction Type....Case-Based-Interactive, Text Only and Slide-Audio Lecture.
Target Audiences....FP, IM, ENDO.
Educational material last updated....2005.
Financial Support...Thomson Professional Postgraduate Services.

The National Diabetes Education Initiative (NDEI) offers several kinds of activities, all related to Type 2 Diabetes.
Clinical Insights in Diabetes is a newsletter containing reviews on the management of type 2 diabetes. When you sign up, you will receive your newsletter monthly and apply for credit at year end (12 hours).
CME on Demand offers 7 programs totaling 15 hours of credit.
A single CME monograph, ß-Cell Adaptation and Failure: Opportunities for Prevention and Treatment of Type 2 Diabetes (2.5 hours).

Patient Care
Last visited....6/2006.
Credit hours...1 hour per course (total of 16 hours).
Awarded by....CMEWeb.
Cost...........Free.
Instruction Type...Text-Only.
Target Audiences....FP, IM.
Educational material last updated....Monthly.
Financial Support...None Stated.

Each issue of this online journal has a single article accredited for CME. Recent articles include: Relieving the burden of pain in fibromyalgia; Latest perspectives on antibiotic use in the community; Implementing palliative care for dying patients; Managing non-ST-elevation acute coronary syndrome; and Atrial fibrillation treatment focus shifts from rhythm to rate control.

Penn CME  
Last visited...6/2006.
Credit hours...About 76 courses offering about 53 hours (plus the 11 hours described ==>).
Awarded by...University of Pennsylvania School of Medicine.
Cost for Credit.....Free.
Instruction Type....Text-Only.
Target Audience...FP, IM.
Educational material last updated...2004.
Financial Support...Various pharmaceutical companies. 

A group of courses on varying subjects, mostly internal medicine, mostly offering 0.75 to 2.0 hours. You will also find two modules titled Succeeding as an Executive: Wharton Executive Development Series. These two modules offer a total of 11 hours of CME credit.

Pri-Med Online
Last Visited...9/2007.
Credit hours..."Over 300 activities" offering 0,25, 1.0 or 2.0 hours each (probably a total of about 450 hours - not counted).
Awarded by....Pri-Med Institute.
Cost for Credit.....Free.
Instruction Type....Case-Based Interactive, Slide-Audio lecture, Text-Only.
Target Audience....FP, IM.
Educational material last updated...2007.
Financial Support...Probably None.

Instruction falls into 5 categories: Patient Case Studies, Slide Lecture Series, Clinical Reviews, Expert Perspectives and Morning Reports; content of these instructions is in 21 Condition Centers: Alzheimer's / Dementia; Anxiety; Asthma; Benign Prostatic Hypertrophy; Cancer in Primary Care; Depression; Diabetes; Dyslipidemia; GI Motility Disorders; Heart Failure; HEENT; Hypertension; Infectious Disease; Migraine; Obesity; Overactive Bladder; Pain Management; Pediatrics; Sleep Disorders; Vascular Disorders and Women's Health.

Self Learning (College of Family Physicians of Canada)
Last visited......6/2006
Credit hours......Up to 30 credits per year.
Credit Type....MainPro M1. (Also AAFP prescribed credit for members of the AAFP)
Awarded by......College of Family Physicians of Canada.
Cost......$162 (Canadian).
Instruction Type......Question-and-Answer.
Target Audience....FP.
Educational material last updated......Every 2 months.
Financial Support...None Stated.

Self Learning allows you to evaluate yourself on how well you are able to keep in touch with current issues in medical literature. Each issue contains a blend of questions from peer-reviewed medical journals, such as American Family Physician, Canadian Family Physician, Medical Journal of Australia, etc. Each question gives you immediate feedback with justification. Each educational point offers a concise summary of relevant information and highlights major points and each reference links directly to Pub Med abstracts and to available full text articles.

Southern Medical Journal
Last visited...8/2007.
Credit hours...12.0.
Awarded by....Southern Medical Association.
Cost...........$15.
Instruct. Type...Text-Only
Target Audience...FP, IM.
Educational material last updated.....Monthly.
CME Credit Expires...One year after posting.
Financial Support...None Stated.

A monthly online journal offering one hour of CME credit. Some recent articles are: The Management of Post Traumatic Stress Disorder (PTSD) in the Primary Care Setting; Secondary Hypertension due to Drugs and Toxins; A Clinician's Guide to the Diagnosis and Treatment of Interstitial Lung Diseases; Perioperative Cardiac Evaluation: Novel Interventions and Clinical Challenges; and Abnormal Uterine Bleeding.

Southern Medical Association's MedEd On-Demand
Last visited...8/2007.
Credit hours..."over 100."
Awarded by....Southern Medical Association.
Cost...........Free to SMA members; $25 per credit to others (or a one year subscription for $199).
Instruction Type...Slide-Audio lectures.
Target Audience...FP, IM.
Educational material last updated.....2007.
CME Credit Expires...Two years after posting.
Financial Support...None Stated.

Lectures are organized into groups. Some of the newer groups are: Spirituality/Medicine Interface - 2006; SMA's 100th Annual Scientific Assembly - 2006; Medical Dilemmas in Primary Care - 2006; and Osteoporosis - 2007. You can also search for lectures by keyword.

Temple University 31st Annual Family Practice Review Online
Last visited...1/2008.
Credit hours...60.
Awarded by.....Temple University.
Cost for Credit.....$750.
Instruction Type....Lectures (probably slide-audio or slide-video). 
Target Audiences....FP.
Educational material last updated...2007.
Financial Support...None Stated.
CME Credit Expires...August 31, 2009.

This course presents a complete review of the field of family medicine; it is intended to prepare physicians for the American Board of Family Medicine Certification Exam.

University of California at Davis (UCDHS) Continuing Medical Education Self-Study Modules
Last visited...1/2008.
Credit hours...0.5 to 1.5 per lecture (most activities offer 1.0); 64 activities offering a total of about 64 hours).
Awarded by....University of California, Davis Health System.
Cost for Credit....Free.
Instruction Type...Slide-Video Lecture (most courses also have pdfs of the slides).
Target Audiences...FP, IM, PED.
Educ. material last updated....8/07.
Financial Support...None Stated.

Lectures on general medical subjects. Each lecture was originally presented as a video teleconference. Some recent lectures are: Clinical Problem Solving: A 61 Year Old Man With Abdominal Pain; IgA Nephropathy and Henoch-Schoenlein Purpura Nephritis; Recent Advances in General Internal Medicine; Postprandial Inflammation: The Fire Within; Primary Care of the County Mental Health Patient; Stones and Bones: Saga of Hypercalciuria in Children; and Delirium Update. To receive CME credit, print and mail or fax the evaluation form.