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Online CME: State Mandated CME, Risk Management, Quality Assurance, Ethics, Legal, Cultural Competence, 
Patient Safety, Practice Management, Domestic Violence, Substance Abuse and Long-Term Care

Virtual Lecture Hall (Sponsored Link)
Last visited...8/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...19 programs offering a total of 90 credits.
Awarded by....Various medical schools and professional societies.
Cost for Credit.....$25 to access the site (includes 1 CME credit); additional credits for $25 per hour. 
Instruct. Type....Case-Based-Interactive.
Target Audiences....State-Mandated CME, Risk Management, Pain Management, Infection Control, Cultural Competence, Substance Abuse.
Educational material last updated...Ongoing.
Financial Support...Some programs developed with NIH grant support. Commercial support not accepted.

The Virtual Lecture Hall courses are designed to meet specific state CME mandates, but they also apply to all licensed physicians regardless of state of licensure. 
Examinations are not required for CME credit.
Find the Virtual Lecture Hall courses described in detail in alphabetical order by course name.
Find the Virtual Lecture Hall courses in State alphabetical order:
California, Connecticut, Florida, MassachusettsNevada, New Jersey, New York, Oregon, Pennsylvania, Rhode Island, Tennessee, Texas, and West Virginia
Find the Virtual Lecture Hall courses in order by groups of required topics:
End of Life-Palliative Care; Ethics; HIV-AIDS; Infection Control; Infectious Diseases; Medical Errors; Modes of Transmission; Patient Communications; Patient Safety; Prescribing Practices; Professional Responsibility; and Risk Management.

NetCE Continuing Education on the Internet (Sponsored Link)
Last visited...8/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...1.0 to 15.0 hours (73 courses totaling about 500 hours).
Awarded by....CME Resource.
Cost..........Most cost about $5 per hour; some free.
Instruction  Type....Text-Only.
Target Audiences....General Interest.
Educational material last updated....2010.
Financial Support...None Stated.

Many courses at NetCE meet state licensure requirements. You can easily search from the main page according to your state's requirements.
You can order courses individually or in groups. Some groups of courses are:
Physicians Special Offer - 30 Hours for $79;
Medical Ethics (5 hours for $19);
Risk Management (5 hours for $19);
Florida Medical Error Prevention (2 hours for $10); and
Florida Domestic Violence (2 hours for $10).
You can also find a list of All NetCE Courses for Physicians.

Medical Risk Management, Inc. (MedRisk)
Last visited...9/2010.
Reviewed by...Bernard Sklar, MD. 
Credit hours...1.0 to 10.0 per program (Over 50 courses offering a total of more than 214 hours).
Awarded by....Medical Risk Management, Inc.
Cost for Credit....$15 per credit.
Instruct. Type....Text-Only.
Target Audience...Risk Management (all providers who need CME in risk management, patient safety and medical error prevention).
Educational material last updated...2010.
Financial Support...None Stated.

Medical Risk Management, Inc. (MedRisk) provides online CME focusing on risk management, patient safety and medical error prevention. MedRisk offers over 50 courses for physicians, dentists and nurses. Representative topics include preventing medical errors; avoiding “never” events; avoiding medical systems failures; low health literacy; cultural competency; medical ethics; and electronic medicine. Specialty-specific courses are also available. Courses meet most states’ requirements for licensure as well as many malpractice insurers’ requirements for premium discounts. Print versions are available by mail if you prefer those to taking the courses online.

Survival Skills for the 21st Century Gynecologist
Last visited...9/2010.
Reviewed by...Bernard Sklar, MD,
Credit hours...12.
Awarded by....Oakstone Medical Publishing.
Cost...........$695 to 995 depending on format.
Format...Video DVD, Video MP4, Audio CD, Audio MP3 DVD and others.
Target Audience...OB/GYN.
Educational material last updated...2010.
Financial support...None Stated.

Survival Skills for the 21st Century Gynecologist stresses how to enhance your day-to-day office GYN practice with relevant, important procedures and therapies that are easy to master, comfortable to incorporate and solidly reimbursable. Upgrade your skills and clinical approach to meet the needs of your gynecologic patients for the 21st century. Feel good about offering comprehensive, up-to-date information and services that will expand your gynecologic practice while making it more enjoyable and rewarding for you. Whether in a solo or a group practice, this program will change the way you practice medicine.

The Business of Radiology
Last visited...9/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...16.5
Awarded by....The Oakstone Institute
Cost...........$595 to 795. 
Format...Video DVD,  Audio CD, Audio MP3 DVD and others.
Target Audience...RAD, General Interest
Educational material updated...2010.
Financial Support...None Stated.
Expiration of CME credit...March 24, 2013.

After completing The Business of Radiology, you should be able to:
• Apply business principles that lead to a more efficient and profitable radiology practice;
• Interpret guidelines for credentialing, certification, fraud avoidance, and malpractice prevention that ensure high physician quality performance; and 
• Employ leadership skills, expense management, collection-accounts receivable guidelines, quality assurance tenets, and efficiency guidelines that will lead to more effective provision of patient care.

Looking for more State-Mandated CME?

Visit ApolloCME.com (State-Mandated CME)

Looking for more Risk Management CME?

Visit ApolloCME.com (Risk ManagementCME)

Looking for more Ethics CME?

Visit ApolloCME.com (Ethics CME)

Looking for more Cross-Specialty CME?

Visit ApolloCME.com (Cross-Specialty CME)

AMDA E-University
Last visited...4/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours....2 courses offering 5.5 hours of credit).
Awarded by....American Medical Directors Association.
Cost for Credit....$20 for AMDA members; $40 for nonmembers.
Instruction Type...Slide-Video Lecture.
Target Audiences...FP, IM, GERO.
Educational material last updated....2005.
Financial Support...Multiple Pharmaceutical Companies.

This site is aimed at physicians who are medical directors in long-term care facilities. 
You will find these archived activities: 
Medical Director F-Tag (F501)- 3.5 CME Credits ($15 total) is available for completing the "Medical Director F-Tag (F501)" program, comprised of 3 self-study sessions and accompanying post-tests: Session F5--The Updated Medical Director F-Tag: What Does it Mean?; Session M10--Are You Prepared for the Legal Consequences of the New F501 Guidelines?; and New CMS Medical Director F-Tag. 
Leadership in LTC Self Study 2 hours

AAFP Family Practice Management Quiz
Last visited...3/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...2.5 to 4.0 per issue (17.25 hours in 6 issues now available).
Awarded by...AAFP.
Cost.........Free.
Instruct. Type...Text-And-Graphics.
Target Audience....FP.
Educational material last updated....6 issues per year.
CME Credit Expires...1 year after publication.
Financial support...None Stated.

Each bi-monthly 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.

American Academy of Neurology “Recognizing Abuse in Your Neurology Patients”  
Last visited...6/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours....1 hour.
Awarded by.... The American Academy of Neurology (AAN) 
Cost...........Free for AAN members, $10 for non-members.
Instruction Type...Slide-Audio (webcasts).
Target Audiences...NEURO.
Educational material last updated....2010.
Financial support...None

Recognizing Abuse in Your Neurology Patients provides detailed definitions of the types of abuse and neglect, outlines the impact of abuse and neglect, and describes the association of abuse with neurologic diagnoses. It also provides information on how to ask about and document abuse and mandatory reporting requirements.

American Board of Quality Assurance and Utilization Review Physicians (ABQAURP)
Last visited...4/2009.
Credit hours...7 courses offering about 50 hours of credit.
Awarded by....ABQAURP.
Cost for Credit....About $35 per hour (members pay less).
Instruction Type....Text-and-Graphics and one slide-video lecture course.
Target Audience...General Interest.
Educational material last updated....Not stated; probably after 2006.
Financial support...None Stated.

Some large comprehensive courses (3 to 13 credit hours) are: Medical Error Prevention and Patient  Safety, Parts 1 and 2; A Review of the Core Body of Knowledge; Patient Safety Certificate Course; and Health Care Quality and Patient Safety

Area Health Education Center (AHEC) of Southern Nevada
Last visited....3/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours: 8 courses offering 1.5 to 4.0 hours each (total of 17.0 hours).
Awarded by: AHEC of Southern Nevada
Cost for Credit... $12.00 - $15 per credit.
Instruction Type: Streaming Video or Slide-Video lectures.
Target Audience: General Interest.
Education material last updated: 2009
Financial Support: State and Federal Grants (ASPR, CDC) and Pharmaceutical Companies (HealthInsight, ESA Biosciences. 
CME Credit Expires: Varies; 2010-2012. 

Current course offerings include: 
Making Unsafe Injection Practices a "Never" Event (1 credit); Domestic Violence and Medical Ethics (2.0 credits); Ethical Issues in Prescribing Antibiotics (1 credit); Geriatric Assessment, Treatment and Recovery in Disasters and Emergencies (1.5 credits); A Primary Care Providers Guide to Post-Disaster Mental Health Screening (2.0 credits); Small Victims, Big Challenges: Pediatric Triage, Treatment and Recovery in Disasters (2.0 credits); Smallpox and Vaccinia: The Forgotten Risk (2.0 credits); They Run Better Unleaded: Childhood Lead Poisoning Prevention in Southern Nevada (1.5 credits); Weapons of Mass Destruction (4.0 credits, meets Nevada AB250 legislation requirements for licensure renewal).

(AskAFIP) Armed Forces Institute of Pathology Legal Medicine
Last visited....3/2010.
Reviewed by...Bernard Sklar, MD
Credit hours....5.0 each (Total of 55 hours).
Awarded by....AFIP.
Cost...........$50 for each course.
Instruction Type....Text-and-Graphics.
Target Audiences....General Interest.
Educational material last updated....2009.
Financial Support...None Stated.

Register or log in at the AskAFIP Home Page. Then choose "Education," then "Course Catalog" to scroll your way down to Legal Medicine 2009.This site contains articles concerning legal aspects of medical practice with special emphasis on the concerns of  military and federal health care providers. Current titles are: Legal Aspects Of Minimally Invasive Surgery; Forensic Applications Of DNA Analysis; The National Practitioner Data Bank-Selected Data Elements From the Public Use File For Calendar Year 2007; Trends In Telehealth: Taming the Wild West; Healthcare Errors: Disclosure and Apology; and Leading Court Decisions. You can also earn credit by studying issues as far back as 1999. 

Baylor Medical Ethics 
Last visited...3/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...2 courses offering 1.75 total hours.
Awarded by....Baylor.
Cost for Credit....Free.
Instruction Type....Slide-Video Lecture.
Target Audiences.....General Interest.
Educational material last updated....2009.

Two presentations, illustrating several aspects of medical ethics, drawn from the pediatrics section of the Baylor site: A Challenge for the Pediatrician: The Adolescent Interview; and Pediatric Assent and Confidentiality in Clinical Practice.

CMELLC Practice Management
Last visited...6/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...7 activities offering 12.5 hours.
Awarded by....CME LLC.
Cost...........Free.
Instruction Type...Slide-Audio.
Target Audiences....General Interest
Educational material last updated....6/10.
Financial Support...None Stated.

The main content of this site is a set of 7 text-only articles from Physicians Practice dealing with legal and practice management issues. Some recent topics are: Patient Records Legal Primer; Lawyer Repellant and Rethinking Retirement; Electronic Health Records; and The Patient-Centered Primary Care Practice: Focus on Diabetes: Research and Findings.

Command Spanish Online: Spanish for Physicians
Last visited...7/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...25.0.
Awarded by....Creative Educational Concepts, Inc
Cost...........$99.
Instruction Type...Not Stated.
Target Audiences....General Interest.
Educational material last updated....Not Stated.
Financial Support...None Stated.

Upon completion of this course, you will be able to utilize Spanish in order to do the following: Greet patients; Employ basic social and courtesy phrases; Use communication strategies to negotiate a mutual level of understanding; Express and recognize numbers 0-999; Conduct a complete physical exam; Explain diagnosis and treatment; Explain discharge instructions.
You will also gain a basic understanding of various differences between U.S. and Latino cultures that are important to know in order to avoid possible misunderstandings.

Cultural Competence Online for Medical Practice (CCOMP) - A Clinician's Guide to Reduce Cardiovascular Disparities
Last visited....7/2010.
Credit hours...2.0.
Awarded by....University of Alabama at Birmingham.
Cost for Credit....Free.
Instruction Type....Case-Based Interactive.
Target Audience....FP, IM, General Interest.
Educational material last updated....2008.
Financial Support...Multiple non-profits and foundations.

This website offers cultural competence training with the main purpose to reduce cardiovascular disparities. Studying the cases will assist you in improving knowledge, awareness and skills, and in learning effective cross-cultural approaches to care for African-American patients with cardiovascular disease, especially hypertension.

DIA Learning
Last visited...7/2010.
Credit hours...Up to 14.4 hours per course (5 courses offering a total of 72 hours).
Awarded by....St. Louis University Center for Health Care Ethics.
Cost for Credit....Cost is reduced for each additional hour of credit; you pay $231 if you purchase all 12 credits per course.
Instruction Type...Slide-Video Lecture, Text-and-Graphics, Interactive testing.
Target Audiences.....General Interest (Ethics).
Educ. material last updated...2005.
Financial support...None Stated.

Five courses: Persistent Vegetative State “To Live…or Let Die,” featuring the Terri Schiavo story;  A National Emergency “Patient Safety;” Assisted Suicide and End of Life Care: “Dying Well; "Stem Cell Research: “Frontier of Hope and Concern;” and Born Too Soon: “Life and Death in the NICU.”

eACLS (Advanced Cardiac Life Support)
Last visited...5/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours..6.0.
Awarded by...American College of Emergency Physicians.
Cost.........$130.
Instruction Type...Not Stated.
Target Audience....ER (And all medical professionals who are required to be credentialed in advanced cardiac life support).
Educational material last updated....Not Stated.
Financial support...None Stated.

eACLS™ covers the ten advanced cardiac life support topics required for certification:
* Acute coronary syndromes
* AED use
* Asystole
* Bradycardia
* Narrow complex tachycardia
* Pulseless electrical activity
* Respiratory arrest
* Stroke
* Ventricular fibrillation and pulseless ventricular tachycardia
* Wide complex tachycardia
The online course takes an average of four hours to complete (approximately 20 minutes per topic). After completing all 10 sections of the course, a 50-question final exam follows. A score of 80% or higher on the final exam is required. 

Florida Medical Association Online CME
Last visited...2/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...1.0 to 3.0 each; total of 8 hours.
Awarded by...Florida Medical Association.
Cost.........$50 per hour (Free for members of Florida Medical Association).
Instruction Type....Slide-Audio-Lecture.
Target Audience....General Interest.
Educational material last updated.....2008.
Financial Support...None Stated.

These four courses are part of the licensure requirements for Florida physicians. They may also be taken for credit by non-Florida physicians. Those courses are: Domestic Violence (2 hours); End-of-Life Care (3 hours);  Prevention of Medical Errors (2 hours) and HIV/AIDS (1 hour).

Healthcare Improvement Skills Center (HISC)
Last visited...3/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...6 modules each offering 1.0 hour of credit.
Awarded by....School of Medicine, University of Missouri-Columbia.
Cost for Credit......$10 per module. 
Instruction Type...Case-Based Interactive.
Target Audiences...General Interest.
Educational material last updated...12/07.
Financial Support...Center for the Health Professions, University of California, San Francisco.

This set of 6 modules examines the gap between evidence-based best practice and what clinicians are able to achieve on a daily basis for patients. After completing this course, you will be better able to analyze current care, generate hypotheses about the link between action and results, develop ideas about how to improve, design a test of a change in practice, and plan to disseminate and sustain successful results.

Improving the Health of Vulnerable Populations
Last visited...3/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...1.5.
Awarded by....AMA.
Cost...........Free.
Instruct. Type....Slide-Video Lectures.
Target Audiences....FP, IM, General Interest.
Educational material last updated....2008.
CME Credit Expires...December 15, 2010.
Financial support...None Stated.

This program provides physicians with specific public health and preventative medicine strategies to apply in medical practice in order to improve the health of vulnerable populations, including: HIV screening, chronic care management, complementary or alternative treatment use, family violence exposure, unhealthy lifestyles, and sexual health.

InforMed
Last visited...3/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...4 courses; 6 hours.
Awarded by....InforMed.
Cost...........About $20.
Instruct. Type...Text-and-Graphics.
Target Audiences...General Interest.
Educational material last updated....2009.
Financial Support...None Stated.

INFORMED specializes in providing CME that meets the requirements  for physicians  seeking initial licensure or wishing to renew their licenses in Florida. Courses include Self-Directed Learning, The Internet and CME; Medical Errors; HIV/AIDS; and Domestic Violence. All content is included in a downloadable 66 page pdf file.

Massachusetts Medical Society Online CME
Last visited...3/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...1.0 to 3.0 each. About 43 courses offering a total of about 46 hours.
Awarded by....Massachusetts Medical Society.
Cost for Credit....$10 for MMS members; $20 for non-members.
Instruction Type..."Case Study, Podcast, Slides, Slide-Audio Lecture, Text & Graphics."
Target Audiences...General Interest.
Educational material last updated....2009.
Financial Support...None Stated.

Courses are organized into these groups: Communication; Health and Wellness; Legal Risk Management; Medical Ethics; Patient Safety; Practice Improvement; and Public Health. Two Featured Courses are: Legal Advisor: Advance Directives; and Health Care Providers Brace for Medicare Audits (RAC).

Medical Risk Management, Inc. (MedRisk)
Last visited...9/2010.
Reviewed by...Bernard Sklar, MD. 
Credit hours...1.0 to 10.0 per program (Over 50 courses offering a total of more than 214 hours).
Awarded by....Medical Risk Management, Inc.
Cost for Credit....$15 per credit.
Instruct. Type....Text-Only.
Target Audience...Risk Management (all providers who need CME in risk management, patient safety and medical error prevention).
Educational material last updated...2010.
Financial Support...None Stated.

Medical Risk Management, Inc. (MedRisk) provides online CME focusing on risk management, patient safety and medical error prevention. MedRisk offers over 50 courses for physicians, dentists and nurses. Representative topics include preventing medical errors; avoiding “never” events; avoiding medical systems failures; low health literacy; cultural competency; medical ethics; and electronic medicine. Specialty-specific courses are also available. Courses meet most states’ requirements for licensure as well as many malpractice insurers’ requirements for premium discounts. Print versions are available by mail if you prefer those to taking the courses online.

Medication safety: The Physician's Role in Medication Reconciliation
Last visited...3/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...1.0.
Awarded by....AMA.
Cost...........Free.
Instruct. Type....Text-Only (Monograph)
Target Audiences....General Interest.
Educ. material last updated....2008
CME Credit Expires...November 2010.
Financial support...None Stated.

This monograph provides information for physicians to heighten awareness of the role of medication reconciliation in the safe use of medications. The monograph provides a framework for physicians to understand their roles and responsibilities in this process. The monograph offers general concepts and strategies, implementation steps, and case-based learning. The program includes a guide to completing an AMA My Medications© patient medication card.

NEOUCOM (Northeastern Ohio Universities Colleges of Medicine and Pharmacy)
Last visited...2/2010.
Reviewed By...Bernard Sklar, MD.
Credit hours...10 courses each offering 0.75 or 1.0 (total of 9 hours).
Awarded by....NEOUCOM.
Cost..........Free.
Instruction  Type....Slide-Video Lecture
Target Audiences....General Interest, DERM.
Educational material last updated....2009.
Financial Support...None Stated.

Four courses on using medical informatics tool and understanding the literature: Online Point-of-Care Learning; Writing Educational Objectives for Authentic Curricular Alignment; Information Mastery Practicum: How to Select and Use the Best Hunting and Foraging Tools; and What's Hype? What's Right? Assessing New Information from Pharm Reps to the Latest Journals. Seven courses in dermatology: Difficult Aspects of Actinic Keratosis Treatment; Office-based Therapies for Warts; Mastering the Treatment of Eczema and Contact Dermatitis; Diagnostic Dilemmas; Dermatologic Therapy: How to Add to Your Treatment Palette; Infectious Disease and Skin: Clinical Pathologic Correlation; and Eyes and Skin Disease.

NetCE Continuing Education on the Internet
Last visited...8/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...1.0 to 15.0 hours (73 courses totaling about 500 hours).
Awarded by....CME Resource.
Cost..........Most cost about $5 per hour; some free.
Instruction  Type....Text-Only.
Target Audiences....General Interest.
Educational material last updated....2010.
Financial Support...None Stated.

Many courses at NetCE meet state licensure requirements. You can easily search from the main page according to your state's requirements.
You can order courses individually or in groups. Some groups of courses are:
Physicians Special Offer - 30 Hours for $79;
Medical Ethics (5 hours for $19);
Risk Management (5 hours for $19);
Florida Medical Error Prevention (2 hours for $10); and
Florida Domestic Violence (2 hours for $10).
You can also find a list of All NetCE Courses for Physicians.

Organized Medical Staff Section Educational Program Webcasts from 2008 Annual Meeting  
Last visited...3/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...3 activities for a total of 4.5 hours.
Awarded by....AMA.
Cost...........$50 each for members; $100 each for nonmembers.
Instruct. Type....Webcast.
Target Audiences....General Interest.
Educational material last updated....2008
CME Credit Expires...Not Stated.
Financial support...None Stated.

This section has three 90-minute webcasts. Topics include: Transitioning to an Improved Hospital Discharge; Keys to the Successful Implementation of the revised Joint Commission Medical Staff Bylaws Standard MS.1.20; and Creating a New Future for a New Day with a Revamped Organized Medical Staff Structure.

Penn CME  
Last visited...3/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...40 activities offering 1.0 to 3.5 hours (total of 47 hours).
Awarded by...University of Pennsylvania School of Medicine.
Cost for Credit.....Free (But see comment about Achieving Cultural Competency ===>)
Instruction Type....Slide-Video Lectures, Case-Based Interactive.
Target Audience...General Interest.
Educational material last updated...2010.
Financial Support...Various pharmaceutical companies. 

Penn CME has expanded considerably since my last visit. After registering or logging in, click ion the "Courses" tab, then "List courses." You will find these sets of activities:
The "New Business of Medicine" Series - 3 activities, 5.25 hours.
Achieving Cultural Competency - 27 activities, 27 hours (in order to access these activities, you need to purchase a book for $69.95).
Insights into Pain Management - 7 activities, 7 hours.
Three additional activities - Medical and Surgical Management of Aortic Valve Disease (2.5 hours); Multidisciplinary Practice Management Case Study Series in Cutaneous T-Cell Lymphoma (CTCL) (3.5 hours); and Patient Safety Simulation (2.0 hours).

Pennsylvania Medical Society Continuing Medical Education
Last Visited...6/2010.
Reviewed by...Bernard Sklar, MD.
Credit Hours: 1.0 or 2.0 hours per activity. About 50 activities.
Awarded by... Pennsylvania Medical Society.  
Cost….Mostly free. “Studies in Patient Safety” (total of 7 hours) costs $25 per credit for non-members of the Pennsylvania Medical Society. Some activities restricted to members of the Pennsylvania Medical Society.
Instruction Type…Mostly text.
Target Audiences…Pennsylvania Medical Society members and all physicians. Pennsylvania physicians can use credits to meet state requirements for patient safety and risk management.
Educational material last updated….2009.
Financial Support…None stated.
CME Credit Expires...Three years after posting.

The Pennsylvania Medical Society focuses on patient safety and risk management CME to help physicians meet state requirements in these areas. Studies in Patient Safety is based on real patient safety incidents reported to the Pennsylvania Patient Safety Authority. Consult focuses on risk management and intouch helps improve communications with patients. Domestic Violence: Screen to End Abuse helps physicians create an atmosphere of trust so patients will confide in them about abuse relationships. Counter Details offers clinical CME usually produced in associating with the health care agencies of the Commonwealth of Pennsylvania. Consult and intouch are restricted to members only, while all other activities are also available to non-members.

Prescriber's Letter
Last visited...7/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...1.0 hour per month; probably 12 total now available.
Awarded by....Therapeutic Research.
Cost for Credit.....$24 per year for credit only, but must have an subscription to access material, $88 for single subscription, multiuser subscriptions available; you can also view and receive credit for any individual activity for $19.
Instruction Type....Text-Only.
Target Audience....Multiple Specialties, General Interest. 
Educational material last updated...Monthly.
Financial Support...None.

Prescriber's Letter provides analysis and interpretations along with recommendations related to drug therapy. Along with each monthly Letter, subscribers can access Detail-Documents to provide in-depth references and further interpretation and background on any subject. Submit CME quiz online for credit. 

Sarasota Memorial Health Care System
Last visited......2/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours......1.0 each (35 lectures).
Awarded by......Sarasota Memorial Health Care.
Cost......$50 per year.
Instruction Type......Slide-Video Lecture.
Target Audience....Many Specialties, General Interest.
Educational material last updated......2010.
Financial Support...None Stated.

Use Internet Explorer to view the lectures. Some newer lectures include: Managing the Transition to Palliative Care; The Many Dimensions of Loss: Grief as a Core Concept; Patient Safety: Ten Years Later; National Medical Association 2010: Economic Impact of Health Care Reform; Ethics and Pandemics Conference 2009; and H1N1 and Pregnancy. 

Sound Prescribing
Last visited...3/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...1.5.
Awarded by....AMA.
Cost...........Free.
Instruct. Type....Slide-Only.
Target Audiences....General Interest.
Educational material last updated....2009
CME Credit Expires...June, 2011.
Financial support...None Stated.

As a result of participating in these modules, you should be able to: assess your relationship with the pharmaceutical industry and identify sources of bias that may inhibit proper patient care; acquire enhanced communication skills for dealing with patients' requests for direct-to-consumer advertised prescription medicine.

Sullivan Group
Last visited...7/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...Most courses offer two hours of credit (except EMTALA which has a few larger sections). 70 courses offering a total of 160 hours).
Awarded by.....The Sullivan Group
Cost ................$25 per credit hour.
Instruction Type...Not Stated (Probably text-only).
Target Audience...ER, FP, IM.
Educational material last updated...2009.
Financial Support...None Stated.

The Sullivan Group is dedicated to improving patient safety and risk management. 
Present online courses are: Medical Error & Risk Reduction Series: Emergency Medicine (47 Courses - 96 hours); Medical Malpractice Case Review Series: Emergency Medicine (17 Courses - 34 hours); Medical Legal: EMTALA Education (4 Courses - 26 hours); and Emergency Medicine (2 Courses - 4 hours).

Texas Medical Association Ethics CME
Last visited...3/2010
Reviewed by...Bernard Sklar, MD.
Credit hours...16 courses offering a total of 21 hours. 
Awarded by....Texas Medical Association.
Cost for Credit....Probably $10 per credit.
Instruction Type...Text-Only.
Target Audience ...General Interest.
Educational material last updated.... 2009.
Financial Support...None Stated.

16 courses on physicians' health and well being. Topics include: Chemical Dependence in Physicians: Identification and Intervention; Communication Skills: Why Bother?; Coping With Stress in the Practice of Medicine; Depression and Suicide in Physicians; Ethical and Regulatory Aspects of Managing Patients with Pain; Ethical Considerations in Physician Aging and Retirement; Effective Strategies for Smoking Cessation; How to Create Balance in Your Life; How to Establish a Peer Assistance Committee; Joint Commission Standard Regarding Licensed Independent Practitioner Health; Maintenance of Professional Boundaries and Effective Management of Challenging Patient Encounters; Monitoring Physicians in Recovery; Psychiatric Illness and Disruptive Behavior in Physicians; Spirituality in Medicine; The Art and Science of Happiness; and The Family In Addiction and Recovery. To apply for CME credit, print, complete, and mail a 10-item questionnaire along with payment.

Tufts Health Care Institute
Last visited...2/2010.
Credit hours...1.0 per module (total of 10 hours).
Awarded by....Thomas R. Beam Institute and Tufts University School of Medicine.
Cost...........Free.
Instruct ion Type...Text-and-Graphics.
Target Audience ...General Interest.
Educational material last updated....Probably 2004.
Financial Support...Probably Merck; Sanofi-Synthelabo.

A set of ten online courses in the area of Quality Care, Cost-Effectiveness and Care Management. Follow the "Online Learning Campus" link. These modules explore the roles of clinicians as managers of care and stewards of resources, and present strategies, tools and processes that providers can draw upon. The content relates to ACGME/ABMS competencies in Systems-Based Practice and Practice-Based Learning and Improvement.

University of Oklahoma College of Medicine
Last visited...2/2009.
Credit hours...A single course:  Medical Ethics
  (2 credits).
Awarded by....University of Oklahoma College of Medicine.
Cost...........$99.
Instruction Type....Text-Only.
Target Audiences....General Interest.
Educational material last updated...2007.
Financial Support...None Stated.

A single course:  Medical Ethics (2 credits). You must print and mail in the answer sheet along with your check in order to receive CME credit (or submit online).

Virtual Lecture Hall
Last visited...8/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...19 programs offering a total of 90 credits.
Awarded by....Various medical schools and professional societies.
Cost for Credit.....$25 to access the site (includes 1 CME credit); additional credits for $25 per hour. 
Instruct. Type....Case-Based-Interactive.
Target Audiences....State-Mandated CME, Risk Management, Pain Management, Infection Control, Cultural Competence.
Educational material last updated...Ongoing.
Financial Support...Some programs developed with NIH grant support. Commercial support not accepted.

The Virtual Lecture Hall courses are designed to meet specific state CME mandates, but they also apply to all licensed physicians regardless of state of licensure. 
Examinations are not required for CME credit.
Find the Virtual Lecture Hall courses described in detail in alphabetical order by course name.
Find the Virtual Lecture Hall courses in State alphabetical order:
California, Connecticut, Florida, MassachusettsNevada, New Jersey, New York, Oregon, Pennsylvania, Rhode Island, Tennessee, Texas, and West Virginia
Find the Virtual Lecture Hall courses in order by groups of required topics:
End of Life-Palliative Care; Ethics; HIV-AIDS; Infection Control; Infectious Diseases; Medical Errors; Modes of Transmission; Patient Communications; Patient Safety; Prescribing Practices; Professional Responsibility; and Risk Management.

Webility
Last visited...2/2010.
Reviewed by Bernard Sklar, MD.
Credit hours...3.5.
Awarded by....American College of Occupational and Environmental Medicine (ACOEM).
Cost for Credit.....$75 (some insurance companies may pay for the course).
Instruction Type....Text-and-Audio.
Target Audiences....General Interest
Educational material last updated...Unclear.
Financial Support...None Stated.

A single course: Disability Prevention for Treating Clinicians: Talking About Ability to Work. After completing this course, you will know the questions that employers and insurers need treating physicians to answer in disability cases; understand the role of the physician in preventing the development of iatrogenic disability; see the connection between giving timely and adequate return-to-work advice, better patient outcomes, and improved customer satisfaction; and see how you can assist employers in reducing medically unnecessary time off work. 

WebM&M (Morbidity and Mortality Rounds on the Web
Last visited...3/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...14.
Awarded by....AHRQ (Agency for Healthcare Quality and Research)
Cost for Credit.....Free.
Instruction Type....Text-Only
Target Audiences....General Interest.
Educational material last updated...2010.
Financial Support...US Government.

Most presentations illustrate physician, nursing or pharmacist errors and focus on the prevention of such errors. Some recent cases include: Adolescent Diabetes: A Routine Visit?; Standard Deviations; Delirium or Dementia?; and Breakage of a PICC Line.

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Last Updated September 1, 2010.