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 10 sub-sites offering CME oriented to family physicians, Sites are listed in the same order as shown on the AAFP Online CME page.

• Board Review Questions
  Last visited...3/2009.
  Reviewed by...Bernard Sklar, MD.
  Credit hours...21.25.
  Awarded by...AAFP.
  Cost.........These questions are available at no charge to AAFP members. They are also available to non-members who have registered for a live AAFP Board Review Course.
  Instruct. Type...Question-and-Answer.
  Target Audience....FP.
  Educ. material last updated....2008.
  Financial support...None Stated.

This collection of practice questions is intended to help you prepare for the certification/recertification exam. The questions are organized into 10-question quizzes by topic, corresponding to the categories in the exam. There are also mixed reviews. The questions are multiple choice with one correct answer. Explanations and supporting references are provided for each question. Each 10-question quiz is eligible for 0.25 CME credits. To report your credit, simply click the "Submit your quiz results" button when you finish the quiz.

• METRIC: Measuring, Evaluating and Translating Research Into Care
  Last visited...3/2009.
  Reviewed by...Bernard Sklar, MD.
  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.

• American Family Physician Online Quiz
  Last visited...3/2009.
  Reviewed by...Bernard Sklar, MD.
  Credit hours..2.5 to 5.25 per issue (about 90 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...3/2009.
  Reviewed by...Bernard Sklar, MD.
  Credit hours...3.0 to 4.75 per issue (about 31 hours in 8 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.

• AAFP Monographs
  Last visited...3/2009.
  Reviewed by...Bernard Sklar, MD.
  Credit hours..2.0.
  Awarded by...AAFP.
  Cost.........Free.
  Instruct. Type...Text-Only.
  Target Audience....FP, PAIN.
  Educ. material last updated....10/08.
  Financial support...None Stated.
  CME Credit Expires...10/10.

A single monograph, Chronic Pain Patients on Opioid Therapy.

• CME Bulletins
  Last visited...3/2009.
  Reviewed by...Bernard Sklar, MD.
  Credit hours...15 activities offering a total of 19.25 credits.
  Awarded by....AAFP.
  Cost..........Free.
  Instruct. Type...Text-Only.
  Target Audience....FP.
  Educ. material last updated...11/08.
  Financial support...None Stated.
  CME Credit Expires...After 2 years.

Some newer Bulletins are: Seasonal Influenza Prevention and Treatment; Assessment, Prevention and Treatment of Childhood Obesity; Stroke-TIA; Use of Hormone Therapy for Menopausal Symptoms; and Caring for Patients Who Have Chronic Low Back Pain.

• AAFP Learning Link
  Last visited...11/2009.
  Reviewed by...Bernard Sklar, MD.
  Credit hours...7 lectures each offering 2.0 hours each (total of 14 hours).
  Awarded by....AAFP.
  Cost..........Free.
  Instruct. Type...Slide-Video Lecture.
  Target Audience....FP.
  Educ. material last updated...2008.
  Financial support...Various pharmaceutical companies.
  CME Credit Expires...Two years.

The first set of activities in the new AAFP Learning Link is the Pain Management Series, which consists of these 4 lectures: Assessment and Management of Chronic Pain; Managing the Chronic Pain Patient at Risk or with a History of Addiction; Challenging Issues in Chronic Pain Management; Disparities in Care: and Special Populations in Pain Management. The second set  consists of 3 activities in Type II Diabetes Mellitus: Type 2 Diabetes 2009; Quality Management of Type 2 Diabetes: Approach to Medical Treatment; and The Role of Diabetes Education in Optimizing Glycemic Control and Improving Outcomes in Type 2 Diabetes.

• AAFP CME Case Studies
  Last visited...3/2009.
  Reviewed by...Bernard Sklar, MD.
  Credit hours...1.0.
  Awarded by....AAFP.
  Cost..........Free.
  Instruct. Type...Case-Based Interactive.
  Target Audience....FP.
  Educ. material last updated...5/08.
  Financial support...Abbott Laboratories.

A single case study, Opioid Abuse in Chronic Pain: Identifying the Problem and Reducing the Risk.

• Multimedia/Webcasts
  Last visited...3/2009.
  Reviewed by...Bernard Sklar, MD.
  Credit hours...4.25.
  Awarded by....AAFP.
  Cost..........Free.
  Instruct. Type...Slide-Video Lectures.
  Target Audience....FP.
  Educ. material last updated...2008.
  Financial support...Various commercial supporters.

A selection of webcasts: Osteoporosis: An Online Plenary Session from the 2008 Scientific Assembly )1.0 hour); Diabetes: Treatment of Type 2 Diabetes and the Role of Insulin (2.25 hours); and AIM to Change: Encouraging Fitness for All (1.0 hours).

• Ask and Act Webcasts (Tobacco Cessation)
  Last visited...3/2009.
  Reviewed by...Bernard Sklar, MD.
  Credit hours...8.0.
  Awarded by....AAFP.
  Cost..........Free.
  Instruct. Type...Slide-Video Lectures.
  Target Audience....FP.
  Educ. material last updated...2007.
  Financial support...Various commercial supporters.

A set of four activities helping you to develop new skills and practice strategies that will help you help your patients live tobacco-free lives. Each offers 2.0 credits: Conduct and Get Paid for Tobacco Cessation Group Visits; Beyond the Guidelines: Advances in Tobacco Cessation Treatment and Payment; Become a Tobacco Aware Practice: Using an Organizational and Team-based Approach ; and Treating Tobacco Dependence.

American Academy of Pediatrics PediaLink

AAP PediaLink offers 3 kinds of instruction:

• eQIPP: Education in Quality Improvement for Pediatric Practice
  Last visited...2/2009.
  Reviewed by...Bernard Sklar, MD.
  Credit hours...1 module with 30 credits.
  Awarded by....American Academy of Pediatrics.
  Cost for Credit.....Various plans from $79 to 229 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...2007.
  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 current offering is: Nutritional Assessment.

• PREP Self-Assessment Online
  Last visited...12/2008.
  Reviewed by...Bernard Sklar, MD.
  Credit hours...76 for 2008; 40 for 2007; 40 for 2006. (3 modules totaling 156 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....2008.
  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 2008, 2007 and 2006.

• Other AAP online courses
  Last visited...2/2009.
  Reviewed by...Bernard Sklar, MD.
  Credit hours...37 activities totaling about 100 hours (not counted)
  Awarded by....American Academy of Pediatrics.
  Cost...........(Probably) $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....2009.
  Financial support...Various.

Some newer topics are: Childhood Tuberculosis; Issues in the Emergency Evaluation of Adolescents Following Suicidal Behavior; The Avulsed Tooth in Prepubertal Children; Pertussis Disease and Prevention; Family-Centered Communication in Challenging Pediatric Encounters; A Roadmap for Professional Development; and Public versus Private Cord Blood Banking: What’s the Difference? 

AMAprimarycare.org
Last visited...2/2009.
Reviewed by...Bernard Sklar, MD.
Credit hours...1.0 hour each (total of 18 hours).
Awarded by....AMA.
Cost...........Free.
Instruct. Type....Slide-Video and Slide-Audio.
Target Audiences....FP, IM.
Educ. material last updated....2008.
CME Credit Expires...(Probably) one year after posting.
Financial support...Various pharmaceutical companies.

Current subjects include depression (7 hours), Parkinson's disease (6 hours) and Type 2 Diabetes Mellitus (5 hours). 

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.

American Diabetes Association Self-Assessment Program (ADA-SAP™) - Module 2- Pharmacological Treatment of Hyperglycemia
Last visited...2/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...5.0.
Awarded by....American Diabetes Association.
Cost..........Free.
Instruction Type...Question-and-Answer (either online or as downloadable pdf).
Target Audience....FP, IM, ENDO.
Educational material last updated...10/08.
Financial support...Merck.
CME Credit Expires...Oct. 31, 2010.

This program is designed to assess and strengthen your knowledge of diabetes and provide you with a better understanding of the options available for managing patients with type 2 diabetes mellitus. You can complete this program at your own pace. After you answer 75 multiple choice questions, the program directs you to a discussion of the correct responses.

American Kidney Fund
Last visited...12/2009.
Reviewed by...Bernard Sklar, MD,
Credit hours...1.5. 
Awarded by....American Academy of Family Physicians.
Cost...........Free.
Instruction Type...Slide-Audio lecture
Target Audience...FP, IM, NEPH.
Educational material last updated...2008.
Financial support...American Kidney Fund.

A single activity, Identifying Chronic Kidney Disease and Slowing Its Progression. After completing this course, you will be able to "describe the demographics of the CKD population; list the medical interventions needed to prevent or slow the progression of CKD; identify complications associated with the progression of CKD; and recognize the importance of early referral to a nephrologist."

California Academy of Family Physicians Online CME (CAFP)
Last visited...2/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...One hour per course (8.0 hours). Some programs give additional AAFP credit for being "evidence-based."
Awarded by....California Academy of Family Physicians.
Cost...........Free.
Instruction Type....Slide-Audio or Text-Only.
Target Audience....FP, IM.
Educational material last updated....2008.
Financial support...Various Pharmaceutical Companies.
CME Credit Expires...One or two years after posting.

Activities are: Alzheimer's Disease Summit: Translating Research Advances Into Clinical Practice; Off-Label Use of Pharmaceuticals; Emerging Parenteral Therapies for Multimodal Postoperative Analgesia; Controlling Perioperative Nausea and Vomiting New Solutions for an Ongoing Problem; Atrial Fibrillation (American College of Physicians ; TLC™ Multiple Myeloma Module 5 Case 1: Mr EZ, a 52-Year-Old Man With a Femur Fracture; Optimizing the Management of Crohn's Disease In the Era of Biologics; Improving the Detection, Monitoring, and Pharmacologic Treatment of Patients With Anxiety Disorders; Advancements in Ventral Hernia Repair; and Addressing Patient Inquiries about Specific Medications Advertised Directly to Consumers.

Cleveland Clinic Disease Management Project Clinical Decisions Cases
Last visited...6/2008.
Reviewed by Julie Hughbanks, MLS
Credit hours...Each activity awards 0.5 or 0.75 credit-hours; 18 activities offering a total of 11.25 hours.
Awarded by....Cleveland Clinic.
Cost..........Free.
Instruct. Type...Case-Based-Interactive.
Target Audiences...FP, IM. 
Educ. material last updated....2008.
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; Gastroenterology/Hepatology; 
Hematology/Oncology; Infectious Diseases; Nephrology; Neurology; Pulmonary Diseases; and Rheumatology.

Cleveland Clinic Journal of Medicine
Last visited...1/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...1.5 for each issue (18 hours currently available).
Awarded by....Cleveland Clinic.
Instruction Type... Text-Only.
Target Audiences...FP, IM.
Cost for Credit...Free.
Educational material last updated...1/10.
Financial Support...None Stated. 

You will find the full text and the CME questions from the last 12 months of the Cleveland Clinic Journal of Medicine. Articles in the January issue include: Acetaminophen: Old drug, new warnings; Lesions on the hands, high aminotransferase levels; Myelodysplastic syndromes: A practical approach to diagnosis and treatment; Food allergy and eosinophilic esophagitis: Learning what to avoid; and Abdominal pain in a 20-year-old woman.

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...2/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...About 504 (not all activities have CME credit; probably 504 hours, not counted).
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.

Clinical Directors Network, Inc. (CDN) is dedicated to providing and improving primary and preventive health care services for poor, minority, and underserved populations. CDN online training sessions contain about 35 tracks including Access To Care; Adolescent Health; Alternative Medicine; Asthma/Pulmonary; Bioterrorism; Cancer Prevention and Care; Cardiovascular Disease/Hypertension; Clinical Ethics; Clinical Informatics; Clinical Leadership; Clinical Research; Cultural Competency; Dental/Oral Medicine; Depression/Mental Health; Diabetes; Geriatric Medicine; Health Disparities; HIV/AIDS; 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 an online CME questionnaire to receive CME certificate via email.

CMELectures.org
Last visited...2/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...1.5 per lecture (about 133 lectures offering about 200 hours of credit).
Awarded by....Drexel University, Graduate Education Foundation.
Cost...........Annually $150 (payable monthly at $12.50 per month for 12 months); or quarterly ($44.95).
Instruction Type...Slide-Audio Lectures
Target Audiences....FP, IM.
Educational material last updated....2009.
Financial Support...Graduate Education Foundation.

Online lectures are presented in Grand Rounds format.  Presentations are authored by more than 100 physician educators, most of whom have contributed to the basic text in their specialty. A record of lectures and credits are stored in a personal file for each subscriber. 

Consultant.Live.com
Last visited...12/2008.
Credit hours...16 cases for 8 hours.
Awarded by....The Beam Institute.
Cost...........Free.
Instruction Type...Text-and-Graphics, Text-Only.
Target Audiences....FP, IM.
Educational material last updated....12/08.
Financial Support...None Stated.

Each issue of this online journal presents a photograph and accompanying clinical information for two patients. The program asks you to select a diagnosis from a list of possibilities, then follows with a didactic presentation based on the correct diagnosis. Each case offers 0.5 hour of CME credit.

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...2/2009.
Reviewed by Clara Auty, MD
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...2008.
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...1/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...37 lectures offering 1.5 hours each (total of 55.5 hours).
Awarded by...Drexel University College of Medicine.
Cost... $25 per course.
Instruction Type ... Slide-Video-Lecture.
Target Audiences...FP, IM.
Education material last updated...1/09.
Financial Support...Various pharmaceutical companies and Foundations.

There are 37 lectures on general internal medicine and medical subspecialty areas. Some lectures are almost 5 years old (2005) but have been recently reviewed and are eligible for credit. Recent subjects include: The Role of the Electronic Medical Record in Medical Malpractice; Beta-Blockers in Hypertension; Which Anti-RAAS Shall We Use?; Vaccination: A New Approach to RAAS Inhibition?; Pathophysiology of Clinical Disorders of Renal Tubular Electrolyte Reabsorption & Causes of Hypertension vs. Hypotension; and C. difficile – A Community Epidemic. Courses can be sorted by topic, date or speaker.

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.

Journal of Clinical Outcomes Management
Last visited...2/2009.
Credit hours...1.0 hour per article (12 articles at present).
Awarded by....Wayne State University School of Medicine.
Cost for Credit...$9 per hour.
Instruction Type...Text-Only.
Target Audience...FP, IM.
Educational material last updated..12/08.
Financial Support...None Stated.
Expiration of CME credit...One year after date of publication.

The Journal of Clinical Outcomes Management is a peer-reviewed journal dedicated to helping physicians and managed care decision makers improve outcomes of care. Each issue of this journal contains an article offering one hour of CME credit. You may read the abstract without charge, but to read the entire article and earn credit, you must first pay $9. Some recent subjects are: Gallstone Disease; Preeclampsia; Primary Care Management of the Patient with Cirrhosis; Postoperative Delirium; and Anorexia Nervosa.

Journal of Family Practice CME Supplements
Last visited...12/2009.
Reviewed by...Bernard Sklar, MD.
Credit hours...(Probably 36 articles each offering 1.0 credits; some offer 2 hours AAFP credit).
Awarded by....Various Sponsors.
Cost................Free.
Instruction Type....Text-Only.
Educational material last updated....2009.
Financial Support...Multiple Pharmaceutical Companies.

Some recent titles include: Clinical practice in type 2 diabetes: After metformin and lifestyle, then what?; Issues in postmenopausal hormone therapy: Depression, endometrial health, and discontinuation; Frequently asked questions in the evaluation and management of overactive bladder and HPV: Past, present, and in practice.

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...8/2008.
Reviewed by... Medical Content Developers, India. Ph: +91-98700 18888.
Credit hours.....8 multimedia case studies offering 0.75 to 1.75 hours for a total of 9 credits; and 3 Payor Podcasts offering 0.5 hours each for a total of 1.5 hours.
Awarded by....Thomson Professional Postgraduate Services.
Cost for Credit...Free.
Instruction Type....Case-Based-Interactive, Podcast..
Target Audiences....FP, IM, ENDO.
Educational material last updated....8/2008.
Financial Support...Thomson Professional Postgraduate Services. 

The National Diabetes Education Initiative (NDEI) offers several kinds of activities, all related to Type 2 Diabetes.
The only activities offering current CME credit are 8 multimedia case studies and 3 "Payor Podcasts."

NEJM Weekly CME Program
Last visited...2/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours ...One per exam, three per week. (Total of about 140 hours now available).
Awarded by....Massachusetts Medical Society.
Cost..........Free to subscribers to NEJM; $15 (or $100 for bundles of ten) for non-subscribers).
Instruction  Type....Text-and-Graphics.
Target Audiences....FP, IM, IM subspecialists.
Educational material last updated....Weekly.
Financial Support...None Stated.

Each week, three articles in the New England Journal of Medicine have a companion CME exam available online. You can earn up to one CME credit for each exam successfully completed. NEJM subscribers receive 20 online exams per year as part of their subscription. Non-subscribers may pay on an hourly basis ($15 per single credit or $100 for 10 exams) and read the articles and take the exams completely online.

Primary Care Education Network Online CME
Last visited...11/2009.
Credit hours...54 courses offering about 54 hours (not counted).
Awarded by....Primary Care Education Network.
Cost for Credit.....Free.
Instruction Type....Slide-Audio Lectures, Text-and-Graphics (pdf), Podcasts.
Target Audience....FP, IM.
Educational material last updated...2009.
Financial Support...Many Pharmaceutical Companies.

You will find 3 types of CME activities: Online CME contains 17 slide-audio lectures, many dealing with diabetes; Primary Issues eNewsletter features 12 downloadable pdf newsletters on a variety of topics; and 25 Podcasts, also on a variety of topics. There is considerable overlap between the topics in the 3 types of activities. 

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.

Projects In Knowledge Living Medical Textbook - Osteoporosis - Fracture Prevention and Therapeutic Management
Last visited...2/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...5 chapters, each offering 2.0 hours.
Awarded by.....Projects in Knowledge.
Cost............Free.
Instruction Type....Text-and-Graphics with links to audio and video podcasts.
Target Audience....FP, IM, OB-GYN.
Educational material last updated....2010.
Financial Support...Amgen.
CME Credit Expires...One year after posting.

Five chapters at present: Overview of Osteoporosis; Identifying Patients at Risk for Osteoporosis and Fractures; Assessment of Fracture Risk Using FRAX®; Treatment of Osteoporosis; and Management of the Postfracture Patient.

Projects in Knowledge Osteoporosis Compendium
Last visited...2/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...28 activities offering a possible total of 35.0 hours. (Some activities are the same as in the Osteoporosis Living Medical Textbook described above.)
Awarded by.....Projects in Knowledge and Endocrine Society.
Cost............Free.
Instruction Type....Text-and-Graphics with links to audio and video podcasts.
Target Audience....FP, IM, OB-GYN.
Educational material last updated....2010.
Financial Support...Amgen.
CME Credit Expires...One year after posting.

The Osteoporosis Compendium is comprised of 28 courses. You may select courses that suit your particular needs or interests. Earn a Certificate of Achievement upon the successful completion of 5 courses. You may earn up to 5 Certificates of Achievement. Complete ALL 28 courses and earn the Compendium Certificate of Advanced Study.
After completing this course, you should be able to: assess risk factors and disease burden associated with the development of osteoporosis and fractures and diagnostic methodology to improve screening and diagnosis; evaluate the bone remodeling process to determine the impact of resorptive/catabolic pathways and anabolic pathways on osteoporosis and fractures; analyze how osteoporosis and fracture prevention therapies impact the pathophysiology of bone health to reduce fracture risk; formulate successful osteoporosis and fracture prevention and treatment regimens that include current antiresorptive/anticatabolic and anabolic agents; and assess the potential role of emerging osteoporosis and fracture prevention and treatment regimens in patients at risk for or with osteoporosis, when these agents are approved by the FDA.

Self Learning (College of Family Physicians of Canada)
Last visited......2/2009
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......$192 (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 Association's MedEd On-Demand
Last visited...12/2008.
Credit hours...69 activities offering a total of 69 hours.
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.....2008.
CME Credit Expires...Two years after posting.
Financial Support...None Stated.

Lectures are organized into groups. Some of the newer groups are: Pulmonary Medicine and Sleep Disorders; Osteoporosis; Ask The Experts; and Practice Management. You can also search for lectures by keyword.

Southern Medical Journal
Last visited...6/2008.
Credit hours...30.
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.

Each monthly online journal offers one to three hours of CME credit. Some recent articles are: Control of Cardiovascular Risk Factors and Use of Aspirin in Diabetic Patients Remain Elusive; Platelet Function in Patients with Depression; Brain Abscess and Hereditary Hemorrhagic Telangiectasia; Human Trafficking and the Healthcare Professional; C-Reactive Protein: The Harbinger of Cardiovascular Diseases; and Endobronchial Ultrasound in the Evaluation of Lung Cancer.

Temple University 32nd Annual Family Practice Review Online
Last visited...1/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...52.
Awarded by.....Temple University.
Cost for Credit.....$750.
Instruction Type....Lectures (probably slide-audio or slide-video). 
Target Audiences....FP.
Educational material last updated...2008.
Financial Support...None Stated.
CME Credit Expires...October 15, 2010.

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...2/2009.
Reviewed by...Bernard Sklar, MD.
Credit hours...0.5 to 1.5 per lecture (most activities offer 1.0); 54 activities offering a total of about 48 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.
Educational material last updated....1/09.
Financial Support...None Stated.

Lectures on general medical subjects. Each lecture was originally presented as a video teleconference. Some recent lectures are: Update on Polyposis Syndromes; Analysis of Type II Diabetes Mellitus in the Pediatric Population; Enhancing Treatment for Patients with Comorbid Depression, Diabetes and Heart Disease; Pica: A tale of three hypotheses; and Mind-Body Medicine Meditation, Biofeedback and Imagery: Are They Good for Your Health? To receive CME credit, print and mail or fax the evaluation form.