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CMEList.com - Online CME: Internal Medicine

CMEInfo - Programs in Internal Medicine (Sponsored Link)
Last visited...8/2010.
Reviewed by...Bernard Sklar, MD,
Credit hours...7 programs, offering 19.5 to 90 hours  ===>
Awarded by....Various medical schools and societies.
Cost...........Prices vary according to the format and number of credits, from $477 to $1595. 
Instruction Type...Video DVD, Video MP4, Audio CD, Audio MP3 DVD and others. 
Target Audience...IM.
Educational material last updated...2010.
Financial support...None Stated.

Seven Board Review courses; follow the links below to a full description of each course: 
Intensive Review of Internal Medicine (Harvard Medical School, 73.5 credit-hours)
Internal Medicine Board Certification and Recertification Review (University of California, San Francisco, UCSF Medical Center, 25.5 credit-hours)
The Brigham Update in Medicine (Harvard Medical School, 20.5 credit-hours, scroll to middle of page)
Comprehensive Board Review in Internal Medicine (Emory University School of Medicine, 37.5 credit-hours, scroll to middle of page)
New Orleans' Internal Medicine Board Review and Recertification Course (Tulane University Health Sciences Center, 35.5 credit-hours, scroll to middle of page)
MKSAP™ 15 Audio Companion (American College of Physicians and Oakstone Medical Publishing, 90 credit-hours, scroll to middle of page)
MKSAP™ 15 Audio Companion Starter Kit (American College of Physicians and Oakstone Medical Publishing, 19.5 credit-hours, scroll to bottom of page)

American College of Physicians - South Carolina Chapter Scientific Meeting
Internal Medicine: Preparing for the Future
(Sponsored Link)
Reviewed by...Bernard Sklar, MD.
Dates: October 14 to 17, 2010.
Location: Crowne Plaza Resort, Hilton Head Island, South Carolina
Credit hours...12.0. 
Awarded by....American College of Physicians
Cost..........Fees vary from Free to $200 according to level of training and membership status. See brochure for fee details and to register for the meeting.
Instruction Type...Live meeting with lectures and discussion.  
Target Audience...General internists, Subspecialty internists, Family Practitioners, Fellows in subspecialty training, Allied Health Practitioners, Residents and Medical Students.

Presentations include: 
• College Update by Dawn E. Clancy, MD, MSCR, FACP, ACP Regent
• Diabetes Update
• Current Management of Atrial Fibrillation and Atrial Flutter
• Risk Factors for Readmission to Inpatient Care
• Chronic Kidney Disease
• Hospice and Palliative Medicine
• Perioperative Anticoagulation
• Implementation of Electronic Health Records in the Medical Office
• Health Care Reform Issues
• Cancer and Noncancer Pain Management
• Geriatric Update
• Women’s Health and Cancer Screening and Prevention
• See the brochure for the Full Schedule of Events and to register for the meeting.

Osteoporosis and Fracture Prevention - Experts Responding to Your Questions: Video Q&A (Sponsored Link)
Last visited...8/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...Parts 1 and 2, 0.25 hour each part;  Parts 3 and 4, 0.5 hour each.
Awarded by....Projects in Knowledge.
Cost...........Free.
Instruction Type....Streaming Video (Short talks based on answers to viewers' questions).
Target Audiences...FP, IM, ENDO, OB-GYN, ORTHO, RHEUM.
Educational material last updated.....2010
Financial Support...Amgen.

This 4-part activity offers busy clinicians who have questions about the management of patients with osteoporosis access to faculty experts, who provide answers via video. This activity series features Dr. Dolores Shoback, Dr. Paul Miller, and Dr. Nancy Lane. Topics include the role of bone markers, screening/diagnosis, risk factors for fracture, current treatment strategies, and adherence and monitoring.

Martin A Samuels Neurology Review for Primary Care Physicians
Credit hours...25.
Awarded by....Johns Hopkins.
Cost...........$485 to 695.. 
Instruction Type...Video DVD, Video MP4.
Target Audience...FP, IM, ER.
Educational material last updated...2010.
Financial support...None Stated.

Martin A Samuels Neurology Review for Primary Care Physicians
This activity begins with coverage of functional neuroanatomy and the neurological exam. Building from this base, Dr. Samuels surveys the common neurological conditions that primary care physicians manage such as dizziness, movement disorders, cognitive disorders, headache, and stroke. Throughout the program Dr. Samuels provides guidelines to the accurate diagnosis and appropriate treatment. Topics covered include: Functional Neuroanatomy Review; The Neurological Examination; Movement Disorders; Dizziness; Headaches; Coma and Disorders of Consciousness; Degenerative and Demyelinating Diseases; Stroke; Peripheral Neuropathy; Neurocardiology; Neurohematology; and Selected Topics in Medical Neurology.

Insulin Simulation Instructional System (ISIS) (Sponsored Link)
Last visited...8/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...16 hours (for all 5 modules).
Awarded by....AAFP or CFPC (Canada).
Cost...........$39 per module (except Module 2 which costs $49). When you register, be sure to enter Affiliate Code "APOLLO" (without the quotes).
Instruction Type....Case-based interactive (simulation).
Target Audiences...ENDO, FP, IM.
Educational material last updated.....2009
Financial Support...None.
CME Credit Expires: 18 December 2010 (will probably be extended).

After completing the Insulin Simulation Instructional System (ISIS) program, you will be better able to start and adjust insulin programs for a variety of patient types. You will be evaluating a group of simulated patients and ordering and scheduling the appropriate insulin to stabilize their condition.  Each time you order insulin ISIS will calculate the new blood glucose levels and will update the patient’s logbook accordingly. The patients will also communicate with you describing their progress. You will continue to treat the patients until you have effectively stabilized them. Along the way ISIS will give you expert help and opinions which will guide you in your task. As you work through each patient you’ll be developing a useful diabetes reference library which will help you in your day to day practice. 3 of  5 modules are presently available: Starting Insulin (3 cases); Making Adjustments (4 cases); and Advanced (3 cases). Pregnancy and Insulin Pumps are not yet posted. When you register, be sure to enter Affiliate Code "APOLLO" (without the quotes).

Practical Reviews in Internal Medicine (Sponsored Link)
Last visited...8/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours... 48 per year (4.0 per month).
Awarded by.... Johns Hopkins.
Cost.......... $349 per year.
Instruction Type...Text-Only; Audio.
Target Audience...IM.
Educational material updated monthly.
Financial Support...None Stated.
Expiration of CME credit...Two years after date of publication.

Practical Reviews in Internal Medicine allow you to keep abreast of all the latest research – and the most important developments – in Internal Medicine, in as little as 28 minutes a week. Each issue contains: downloadable audio of 24-28 articles summarized and reviewed in each issue; downloadable PDF of written reviews with Take-Home Pearls that reinforce the audio material and give you a valuable reference for instant recall by subject; and self-assessment online quizzes to highlight key points and reinforce what you've learned. 

Looking for more Internal Medicine Board Reviews or Internal Medicine Audio-Video  CME?

Visit ApolloCME.com (Internal Medicine)

ACP Medicine Online Version
Last visited...2/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours....120 per year.
Awarded by....University of Alabama School of Medicine and Medscape.
Cost...........$280 per year.
Instruction Type...Text-and-Graphics.
Target Audiences...IM.
Educational material last updated....Monthly.
Financial support...None Stated.

The Online Edition of ACP Medicine offers "the latest evidence and ... recommendations on diagnosis and treatment from over 200 of the world's leading specialists." Its chapters cover eleven major subspecialties of internal medicine; women's health; geriatrics; palliative medicine; psychology; dermatology; and neurology. A subscription to ACP Medicine Online Version includes twelve online tests, each test offering ten CME credits.

ACP MKSAP 15 Digital Edition
Last visited...7/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours....166.
Awarded by....American College of Physicians (ACP).
Cost...........$439 ($329 for ACP members).
Instruction Type...Text-and-Graphics.
Target Audiences...IM.
Educational material last updated....January 2010.
Financial support...None.

Over 1,000 multiple-choice questions and over 2,500 pages of supporting content are organized into 11 books covering the gamut of Internal Medicine: Cardiovascular Medicine, Gastroenterology and Hepatology, Hematology, Oncology, Neurology, Rheumatology, Dermatology, Endocrinology, General Internal Medicine, Infectious Disease, Nephrology, Pulmonary Medicine and Critical Care. Self-assessment format provides immediate feedback with full critiques explaining not only the correct answer but also the rationale and evidence and explanations for each incorrect item, as well.

Adult Pneumococcal Disease Education
Last visited…8/2010
Reviewed by…Bernard Sklar, MD.
Credit hours…3 activities offering a total of 4.5 hours.
Awarded by… University of Nebraska Medical Center.
Cost for Credit…Free.
Instruction Type… Podcast, Slide-Video Lecture, Text-Only.
Target Audience.... FP, IM, ID, GERO, WELLNESS, HOSPITAL MEDICINE (and other physicians who treat adults at risk for pneumococcal disease).
Educational material last updated...2010.
Financial Support...Wyeth.

Adult Pneumococcal Disease Education provides information about pneumococcal disease in adults, and its prevention and treatment.
There are 3 sections:
The Peer-to-Peer Audio Podcast Series (6-10 minute clips; 1.5 hours) features commentary from a group of experts in adult pneumococcal disease.
The Applications in Practice Clinical Tool Kit (2.0 hours) is a collection of resources that "delivers a review of the current pneumococcal disease burden, the changing epidemiology of pneumococcal disease, pneumococcal vaccines for adults, and strategies for improving vaccination rates." It consists of an Expert Faculty Summary and Clinical Pearls.
Webinar: Adult Pneumococcal Disease Education: A Regional Learning Series (1.0 hour).

AMA Therapeutic Insights
Last visited...3/2010.
Reviewed by...Bernard Sklar, MD.
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.
Educational material last updated....12/09.
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 current newsletters are: Management of Hypertension; Treatment of Type 2 Diabetes; Management of Chronic Insomnia in Adults; and Management of Early Parkinson Disease. 

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...8/2010.
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.
CME Credit Expires...August 18, 2011.

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."
A second activity, Weighing the Outcomes: Ethical Issues in Kidney Disease, offers credit for nephrology nurses, technicians and social workers, but not for physicians.

Archives of Internal Medicine
Last visited...6/2010.
Reviewed by...Bernard Sklar, MD,
Credit hours...1.0 hour per issue (22 hours total).
Awarded by....American Medical Association.
Cost...........Free to subscribers to Archives of Internal Medicine and AMA members.
Instruction Type...Text-Only
Target Audience...IM.
Educational material last updated...2010.
Financial support...None.
CME Credit Expires...Two years after posting.

Individual subscribers to Archives of Internal Medicine and AMA members may participate in Archives of Internal Medicine CME. You will find a wide selection of internal medicine topics. Some topics covered frequently are: Aging/Geriatrics, Cardiovascular System, Drug Therapy, Nutritional and Metabolic Disorders and Public Health.

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.

CIRCULATEcme.org (ChronIc ObstrRuCtive PULmonary DiseAse EducaTion for SpEcialists) 
Last Visited...8/2010.
Reviewed by... Bernard Sklar, MD.
Credit Hours: 2 activities offering a total of 4.5 hours.
Awarded by...The France Foundation.
Cost….Free.
Instruction Type…Text-Only, Slide-Only, Podcast, Case-Based-Interactive, Point of Care.
Target Audiences… PULMO (CHEST MED), FP, IM (and other physicians who care for patients with COPD).
Educational material last updated….2010.
Financial Support…AstraZeneca.

CIRCULATEcme.org provides information and tools to optimize the care of patients with chronic obstructive pulmonary disease (COPD). COPD is a progressive inflammatory lung disease which is frequently associated with a history of smoking.
Navigate to CME-Online Activities to find these presentations:
4 webinars: Recalcitrant Smoker with COPD (0.5 Credit); End-Stage COPD (1.0 Credit); Frequent Exacerbations (0.5 Credit); and COPD with Pulmonary Hypertension (0.5 Credit).
Peer-to-Peer Dialogues: 2 audio-only discussions between experts, 1.0 hour each.

Cleveland Clinic Disease Management Project Clinical Decisions Cases
Last visited...3/2010.
Reviewed by...Bernard Sklar, MD
Credit hours...Each activity awards 0.25 to 0.75 credit-hours; 17 activities offering a total of 6.0 hours.
Awarded by....Cleveland Clinic.
Cost..........Free.
Instruct. Type...Case-Based-Interactive.
Target Audiences...FP, IM.
Educational material last updated....2010.
Financial Support...None Stated. 

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 recent topics are: Osteoporosis and Bone Densitometry in Clinical Practice; Asthma; Hypertension; Vaccination in Adults; and Skin Signs of Systemic Disease.

Cleveland Clinic Internal Medicine and Subspecialties
Last visited...3/2010.
Reviewed by...Bernard Sklar, MD
Credit hours....95 activities offering a total of about 85 hours (not counted).
Awarded by....Cleveland Clinic.
Cost..........Free.
Instruct. Type...Slide-Video and Slide-Audio Lectures, Podcasts, Text-Only.
Target Audiences...IM.
Educational material last updated....2010.
Financial Support...Some activities have commercial support.
CME Credit Expires...2 years after posting.

Some recent activities include: Selecting Therapy for a Patient with Diabetes and Risk of Renal Impairment; Osteoporosis and Bone Densitometry in Clinical Practice; B Cells, Cytokines, and Systemic Lupus Erythematosus: Exploring New Therapeutic Strategies; A 40-year-old man with spells of generalized weakness and paresthesias; Managing acute upper GI bleeding, preventing recurrences; Omeprazole and clopidogrel: Should clinicians be worried?; and Preventing venous thromboembolism in long-term care residents: Cautious advice based on limited data.

Cleveland Clinic Journal of Medicine
Last visited...3/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...1.0 hour per article; Up to 4.0 hours for each issue (up to 48 hours per year).
Awarded by....Cleveland Clinic.
Instruction Type... Text-Only.
Target Audiences...FP, IM.
Cost for Credit...Free.
Educational material last updated...3/10.
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 March issue include: Treating silent reflux disease does not improve poorly controlled asthma; Stenting atherosclerotic renal arteries: Time to be less aggressive; When and how to evaluate mildly elevated liver enzymes in apparently healthy patients; and Measles: Not just a childhood rash.

Cleveland Clinic Medicine Today: Internal Medicine Webcast Series
Last visited...3/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...15 webcasts offering 1.0 hour each (total of 15 hours).
Awarded by....Cleveland Clinic.
Cost for Credit...Free.
Instruct. Type....Slide-Audio Lecture.
Target Audiences....IM.
Educational material last updated....2010.
Financial Support...Audio-Digest Foundation.

This series presents topics from the Division of Medicine's Medical Grand Rounds. Some recent topics are: Prostate Cancer: Recent Developments Relevant for Internal Medicine Physicians; Bariatric Surgery: Treatment of Choice for the Metabolic Syndrome; Heart Failure in the Acute Hospital Setting; Non-Alcoholic Fatty Liver Disease: A Journey from Epidemiology to Pathophysiology and Biomarkers; The Acute Cardio-Renal Syndrome: How the Heart and the Kidney Communicate with Each Other; and Hypertension Update: Best Practices in Achieving Blood Pressure Targets.

Clinical Cornerstone
Last visited...3/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...2 issues (2008) for total of 13.25 hours; 2 supplements for total of 8 hours.
Awarded by....Elsevier Office of CME and the American Academy of Family Physicians (AAFP).
Cost..........Free.
Instruction Type...Text-Only (PDF).
Target Audience....FP, IM.
Educational material last updated...2008
Financial support...None Stated.
CME Credit Expires...Two years after posting

Two issues: Abdominal Adiposity: An Emerging Marker of Cardiometabolic Risk (6.75 hours); and The Current and Future State of Asthma Treatment (6.5 hours); Two supplements: Managing Cardiovascular Risk Factors in Type 2 Diabetes Mellitus (Revised) (4 hours); and Therapeutic Options for Cardiometabolic Risk Factors (4 hours).  CME tests and evaluation must be completed on paper and faxed or mailed. 

Clinical Directors Network (CDN) - Clinical Leadership Webcasts
Last visited...7/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...About 539 (not all activities have CME credit; probably 539 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.

CliniciansCME
Last visited....3/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours... 10 activities totaling  about 12 credits. 
Awarded by.....Postgraduate Medical Education.
Cost...........$10.
Instruction Type....Text-Only.
Target Audience....FP, IM.
Educational material last updated...2010.
Financial Support...Various supporters. 

Some activities offer credit only for NPs and PAs. Ten activities currently offer credit for MDs: Noninvasive Modalities for Evaluating Angina; Common Eye Problems; TIA Update; Dietary Supplements: Do You Know What Your Patient Is Taking?; The Neurologic Exam Revisited; Endometriosis; Oral Pathology; Abdominal Pain in the Elderly Patient: Diagnostic Approaches; Common Tickborne Illnesses; and Chronic Venous Insufficiency.

CMELectures.org
Last visited...8/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...1.5 to 2.0 per lecture (about 133 lectures offering about 200 hours of credit).
Awarded by.... Graduate Education Foundation.
Cost...........Annually $150. Institutional subscriptions available priced on bed size.
Instruction Type...Slide-Audio Lectures
Target Audiences....FP, IM.
Educational material last updated....2010.
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 individual subscribers. 

Consultant.Live.com
Last visited...6/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...28 cases for 14 hours.
Awarded by....The Beam Institute.
Cost...........Free.
Instruction Type...Text-and-Graphics, Text-Only.
Target Audiences....FP, IM.
Educational material last updated....6/10.
Financial Support...None Stated.

ConsultantLive now offers two kinds of CME activities. In What's Your Diagnosis?, you see a photograph and accompanying clinical information for a patient. The program asks you to select a diagnosis from a list of possibilities, then follows with a didactic presentation based on the correct diagnosis. (22 cases) In What's the Take Home?, a case is presented and you get to work on the solution. (6 cases) Each case offers 0.5 hour of CME credit.

Cyberounds "Conferences" (Text-Only)
Last visited...3/2010.
Reviewed by...Bernard Sklar, MD.
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. Some current activities are: Suppression of the Renin-Angiotensin-Aldosterone System in Systemic Hypertension: Choice of Agents and Clinical Impact; Blunt Abdominal Trauma: Current Concepts; Neuropathic Complications of Diabetes; The Indigenous Gastrointestinal Microbiota in Health and Disease; Cell and Molecular Biology of Aging; Containing Health Care Costs; Molecularly Targeted Therapies for Malignant Brain Tumors; and Genetic Variation In Taste Receptors and Eating Behavior.

Insulin Simulation Instructional System (ISIS)
Last visited...8/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...16 hours (for all 5 modules).
Awarded by....AAFP or CFPC (Canada).
Cost...........$39 per module (except Module 2 which costs $49). When you register, be sure to enter Affiliate Code "APOLLO" (without the quotes).
Instruction Type....Case-based interactive (simulation).
Target Audiences...ENDO, FP, IM.
Educational material last updated.....2009
Financial Support...None.
CME Credit Expires: 18 December 2010 (will probably be extended).

After completing the Insulin Simulation Instructional System (ISIS) program, you will be better able to start and adjust insulin programs for a variety of patient types. You will be evaluating a group of simulated patients and ordering and scheduling the appropriate insulin to stabilize their condition.  Each time you order insulin ISIS will calculate the new blood glucose levels and will update the patient’s logbook accordingly. The patients will also communicate with you describing their progress. You will continue to treat the patients until you have effectively stabilized them. Along the way ISIS will give you expert help and opinions which will guide you in your task. As you work through each patient you’ll be developing a useful diabetes reference library which will help you in your day to day practice. 3 of  5 modules are presently available: Starting Insulin (3 cases); Making Adjustments (4 cases); and Advanced (3 cases). Pregnancy and Insulin Pumps are not yet posted. When you register, be sure to enter Affiliate Code "APOLLO" (without the quotes).

Internet-based Studies in Education and Research (University of Pittsburgh)
Last visited...2/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...About 85 activities offering about 85 credit-hours.
Awarded by....University of Pittsburgh (UPMC).
Cost...........Free.
Instruction Type....Text-Only; Slide-Video lectures. 
Target Audiences...IM, OPHTH, PEDS, PUB HEALTH.
Educational material last updated.....Modules are frequently updated.
Financial Support...None Stated.

The major offering at this site is now UPMC Presbyterian Medical Grand Rounds, a set of 13 slide-video lectures, mostly aimed at internists. Another major section contains 27 modules on angiogenesis with special emphasis on angiogenesis in ophthalmology. There are 5 grand rounds presentations in Physical Medicine and Rehabilitation; 4 activities concerning Mental Health and Substance Abuse Problems of Older Adults; 9 in pediatrics with a special emphasis on hearing problems; 8 on Lower Back Pain, 8 in Public Health; and several others in various medical subjects.

Johns Hopkins Advanced Studies in Medicine CME Programs
Last visited...3/2010
Reviewed by... Bernard Sklar, MD.
Credit hours... 1.0 to 2.0 per course. It is not feasible to count the number of activities or credit- hours.
Awarded by... Johns Hopkins.
Cost... Free.
Instruction Type... Podcast, text.
Target Audiences... Many specialties.
Education material last updated... 2008.
Financial Support... Various pharmaceutical companies.

The site offers courses in 23 medical specialty areas. Many courses have "CME expired" noted: make sure that is not the case if you need CME credits. Some new activities (linked from the main page) are: Hepatitis B in Immigrant Populations: Breaking Barriers and Improving Outcomes; Fibromyalgia Syndrome: Science or Somatic?; Case-Based Discussion of Emerging Evidence: Comprehensive Treatment Planning for Patients with High-Grade Gliomas; Type 2 Diabetes Mellitus Highlights from the Endocrine Society Annual Meeting and the American Diabetes Association 69th Scientific Sessions; and Optimizing Dual Antiplatelet Therapy Following Percutaneous Coronary Intervention.

Medscape Internal Medicine
Last visited...4/2010.
Reviewed by... Bernard Sklar, MD.
Credit hours... Varies from time to time. 
Awarded by....Medscape and 50 other sponsoring organizations.
Cost...........Free.
Instruction Type...Text-and-Graphics, Text-Only, Slide-Audio Lecture, Slide-Video Lecture and Case-Based-Interactive.
Target Audiences....IM.
Educational material last updated...New activities posted daily.
Financial Support...Many academic, specialty, and commercial sources as well as self-supported by Medscape.
Expiration of CME Credit...Credit for most activities expires one year after posting.

CME activities of special interest to internists. Medscape contains a variety of educational formats:
CONFERENCE COVERAGE - Reports of  advances presented at major medical conferences; typically includes several tracks with news stories, expert interviews, and in-depth topic overviews.
CLINICAL UPDATE - Comprehensive original review article on scientific advances in a clinical topic.
FAST TRACK CLINICAL UPDATE – Narrowly focused original review article on scientific advances in a clinical topic.
CME-LIVE - Real-time online events with streaming video, synchronized visuals, and interactive questions and answers; archived for 1 year.
CLINICAL BRIEFS - Daily reports of major current medical research articles; 0.25 credits each
JOURNAL CME - Articles selected from a wide selection of peer-reviewed journals.
SPECIAL REPORT CME – Topic-based monthly email newsletter distributed to Medscape’s professional member database by specialty.
INTERACTIVE PATIENT CASES – Original CME activity presented to the physician in an interactive, clinical case-based format. (See especially eMedicine CME Case Presentations.)
CME CIRCLE – Multimedia content certified by other accredited professional education providers, typically from live symposia or monographs, and then posted on Medscape and archived for one year.

NEJM Weekly CME Program
Last visited...7/2010.
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.

Practical Reviews in Internal Medicine
Last visited...7/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours... 48 per year (4.0 per month).
Awarded by.... Johns Hopkins.
Cost.......... $349 per year.
Instruction Type...Text-Only; Audio.
Target Audience...IM.
Educational material updated monthly.
Financial Support...None Stated.
Expiration of CME credit...Two years after date of publication.

Practical Reviews in Internal Medicine Online allow you to keep abreast of all the latest research – and the most important developments – in Internal Medicine, in as little as 28 minutes a week. Each issue contains: downloadable audio of 24-28 articles summarized and reviewed in each issue; downloadable PDF of written reviews with Take-Home Pearls that reinforce the audio material and give you a valuable reference for instant recall by subject; and self-assessment online quizzes to highlight key points and reinforce what you've learned. 

Primary Care Education Network Online CME
Last visited...7/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...23 courses offering about 23 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...2010.
Financial Support...Many Pharmaceutical Companies.

You will find 3 types of CME activities: Online CME contains 7 slide-audio lectures, many dealing with diabetes and gout; Primary Issues eNewsletter features 6 downloadable pdf newsletters on a variety of topics; and 10 Podcasts, also on a variety of topics. There is considerable overlap between the topics in the 3 types of activities. 

PROACTIVEcme.org (Prostate Cancer Prevention)
Last Visited...8/2010.
Reviewed by... Bernard Sklar, MD.
Credit Hours: 3 activities offering a total of 7 hours.
Awarded by...Duke University School of Medicine.
Cost….Free.
Instruction Type…Text-Only, Slide-Only, Podcast, Case-Based-Interactive, Point of Care.
Target Audiences… UROL, FP, IM
Educational material last updated….2010.
Financial Support…GlaxoSmithKline.

PROACTIVEcme.org provides physicians with practice improvements in the prevention of prostate cancer.
5 webinars: Setting a Course Towards Prostate Cancer Prevention: Communicating the Evidence to Our Patients (0.75 Credit); Patient Risk Factors and Screening Tests for Prostate Cancer (0.75 Credit); Setting a Course Towards Prostate Cancer Prevention: Communicating the Evidence to Our Patients (0.75 Credit); Prostate Cancer Prevention Strategies (0.75 Credit); and Prostate Cancer Screening Guidelines 2010 (1.0 Credit). 
Peer-to-Peer Dialogues: 3 audio-only discussions between experts, 1.0 hour total;
The Applications in Practice Clinical Tool Kit (2.0 hours) is a collection of resources you can utilize to "improve prostate cancer screening, diagnosis, and management." It consists of a Newsletter, Clinical Pearls, and Performance Improvement Tool.

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.

PROTECT™ (SupPorting AppROpriate ImmunizaTions Across the AgE SpeCTrum)
Last visited…8/2010
Reviewed by…Bernard Sklar.
Credit hours…3 activities offering a total of 4 hours.
Awarded by… University of Nebraska Medical Center.
Cost for Credit…Free.
Instruction Type… Podcast, Slide-Video Lecture, Text-Only.
Target Audience.... FP, IM, OB/GYN, PED, WELLNESS (and other physicians who advise patients or parents about immunization).
Educational material last updated...2010.
Financial Support...GlaxoSmithKline.

The PROTECT™ initiative provides information on vaccinations; helps you remain current on the Advisory Committee on Immunization Practices' recommendations; discusses evolving vaccine schedules; clarifies misinformation on immunization risks; and helps you to improve immunization discussions with parents and patients.
There are 3 sections:
The Peer-to-Peer Audio Podcast Series (6-10 minute clips; 1.5 hours of credit) features  commentary from experts in immunizations.
The Applications in Practice Clinical Tool Kit (1.0 hour) is a collection of resources you can utilize to improve immunization rates in your practice. It consists of an Expert Faculty Newsletter, Myth Busters & FAQs, and Video Vignettes.
There are 3  e-Newsletter Updates (1.5 hours total): October 2009 ACIP Meeting;  2010 Updates To The Child, Adolescent, and Adult Immunization Schedules; and H1N1 Influenza

ReachMD
Last visited...6/2010.
Reviewed by Bernard Sklar, MD.
Credit hours...About 40 activities offering 0.25 to 0.5 credits; total of about 14 hours (not counted).
Awarded by....Multiple Sponsors.
Cost...........Free.
Instruction Type....Audio-only lecture, podcast, iPhone, satellite radio .
Target Audiences...FP, IM.
Educational material last updated....2010.
Financial Support...Multiple Pharmaceutical Companies.
CME Credit Expires...One year after posting.

ReachMD consists entirely of podcasts offering 0.25 to 0.5 credit-hours. These can be listened to on your computer, mp3 player, XM Satellite radio or iPhone. Most activities are in general adult medicine.

Southern Medical Association's MedEd On-Demand
Last visited...11/2009.
Reviewed by...Bernard Sklar, MD.
Credit hours...112 activities offering a total of 111.5 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, Audio-Only and Text-Only.
Target Audience...FP, IM.
Educational material last updated.....2009.
CME Credit Expires...Two years after posting.
Financial Support...None Stated.

Lectures are organized into groups. Some of the newer groups are: Focus on the Female Patient; Geriatric Practice for the 21st Century; On Becoming a Physician Leader; and Osteoporosis. You can also search for lectures by keyword.

Southern Medical Journal
Last visited...5/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...22.
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 two hours of CME credit. Some recent articles are: Vitamin Deficiency After Gastric Bypass Surgery; Carcinoid Tumors of the Gastrointestinal Tract; Current Concepts and Management Strategies in Atrial Flutter; Diffusion-Weighted Imaging: Not All That Glitters Is Gold; Using the Healthcare Matrix with Interns and Medical Students as a Tool to Effect Change; and Evaluation of Blunt Cervical Spine Injury.

Theory into Practice CME for PCPs (TiPS)
Last visited...3/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...3 courses offering a total of 22.5 hours (more available for some courses ===>)
Awarded by....Boston University,
Cost...........Free.
Instruction Type...Slide-Video Lectures, Point-of-Care.
Target Audience...FP, IM.
Educational material last updated....2009.
Financial Support...Takeda.

In these courses, you will participate as part of a group of learners, and you will use your own patient charts as well as learning from didactic presentations. Three courses are presently available: Advising Patients on Advance Directives (2.5 hours); Stepping up to Insulin in Type 2 Diabetes (10 hours); and Physician Counseling to Enhance Adherence to Colorectal Cancer Screening Guidelines (10 hours). Additional hours are available from the 2nd and 3rd activity if you participate in the Card Study and Performance Activity Study. You should listen to the "Learn More Audio Presentation" and also view the individual course demo before registering.

University of California at Davis (UCDHS) Continuing Medical Education Self-Study Modules
Last visited...2/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...0.5 to 1.5 per lecture (most activities offer 1.0); 67 activities offering a total of about 80 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....12/09 (most are from 2009).
Financial Support...None Stated.
CME Credit Expires...3 years after posting.

Lectures on general medical subjects. Each lecture was originally presented as a video teleconference. Some recent lectures are: Enhancing Surge Capacity and Preparedness Effort: Crisis Care Guidelines; Osteoporotic Spinal Compression Fractures; Overview of Adult Occupational Lead Poisoning in California; “When is Chemotherapy Enough”? Integrating Palliative Care Into Usual Oncology; Healthy Brain Aging; and Varicose Veins, The Orphan and The Clinician Radiologist.  To receive CME credit, print and mail or fax the evaluation form.

Yale Online CME
Last visited...8/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...76 lectures; most offering 1.0 hour; total of 84 hours.
Awarded by...Yale University School of Medicine.
Cost for Credit.....$15 per hour or $200 per year.
Instruction Type....Slide-Audio lectures.
Target Audiences....Mostly IM.
Educational material last updated... 2010.
Financial Support...Multiple pharmaceutical companies. 

The bulk of the instruction is in Internal Medicine Grand Rounds (43). The second largest group is "Connecticut Mandated Courses" (11). Other lectures are in Cancer (4), Surgery (5), Pediatrics (5), OB/Gyn/Reproductive Sciences (4), Neuroscience (1), Diabetes (2) and Dermatology (1).

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Last Updated August 30, 2010.