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

Baylor Surgery
Last visited...1/2009.
Reviewed by...Bernard Sklar, MD.
Credit hours...2 courses offering a total of 2.25 hours.
Awarded by....Baylor.
Cost...........Free.
Instruction Type....Slide-Video Lecture.
Target Audiences....SURG.
Educ. material last updated....2008.

Two courses are: A Case of Adolescent Obesity: The Role of Bariatric Surgery; and Sterilization Methods for Women.

Cleveland Clinic Controversies, Choices & Collaboration in Treating Heart Disease
Last visited...2/2009.
Reviewed by...Bernard Sklar, MD
Credit hours...0.5.
Awarded by....Cleveland Clinic.
Cost..........Free.
Instruct. Type...Slide-Video Lecture.
Target Audiences...CARD, SURG.
Educ. material last updated....2008.
Financial Support...Boston Scientific, sanofi-aventis U.S. and St. Jude.

The first section of a 3-part series on cardiac disease is Atrial Fibrillation: Choice of Therapy, which consists of Ablation vs. Anti-Arrythmic Agents: What is the best therapy? and Surgical Ablation of Atrial Fibrillation: When is it the Answer?

Cleveland Clinic: Findings from the Department of Outcomes Research and Outcomes Research Consortium (Perioperative Hypothermia)
Last visited...3/2009.
Reviewed by...Bernard Sklar, MD
Credit hours....4 activities, offering 0.5 or 2.0 hours (total of 5.0 hours)
Awarded by....Cleveland Clinic.
Cost..........Free.
Instruct. Type...Slide-Video lectures.
Target Audiences...SURG, ANES, CRIT CARE.
Educ. material last updated....2008.
Financial Support...Cleveland Clinic Foundation
CME Credit Expires...4/09.

After completing this series, you should be able to: review the effects of regional and general anesthesia on thermoregulatory control; discuss heat balance and how surgical patients become hypothermic; review the consequences of hypothermia and how to maintain normothermia; and identify methods of reducing the risk of surgical infection. Lectures are titled: Non-Pharmacologic Prevention of Surgical Wound Infection; Perioperative Shivering: Physiology and Pharmacology; Prevention and Treatment of Perioperative Hypothermia; and Temperature Monitoring and Perioperative Thermoregulation.

(The) CMF(Craniomaxillofacial) Hyperguide
Last visited...11/2009.
Reviewed by...Bernard Sklar, MD.
Credit hours... About 67 activities offering up to 20 hours per year. 
Awarded by.... Vindico Medical Education
Cost for Credit......Free.
Target Audiences…ENT, OPHTH, PLASTIC SURG.
Instruction Type...Text-and-Graphics, Slide-Audio Lecture
Educational material last updated....2005.
Financial Support... Stryker.

CMF Hyperguide provides an interactive study tool and educational resource for Oral and Maxillofacial Surgeons, Otolaryngology/Head & Neck Surgeons, Plastic Surgeons, and Neurosurgeons, Specialists in Ophthalmology, Speech and Language Pathology, Pediatric Dentistry, Orthodontics, Prosthodontics, and Genetics. Content is organized into 4 modules:  Trauma; Deformity; Cancer and Other Diseases; and General Topics. Credit is awarded according to how many hours you spend at the site. There is no specific credit for any one activity and no post-test. 

Colonial Classic (Colorectal Cancer)
Last visited...3/2008
Reviewed by...Bernard Sklar, MD.
Awarded by....Cyberounds.
Cost...........Free.
Instruction Type...Interactive Game.
Target Audiences....ONCO, SURG.
Educational material last updated....2007.
Financial Support...Bristol-Myers Squibb.

The Colonial is an interactive golf game from Cyberounds. It concerns the evaluation and management of colorectal cancer  with special emphasis on adjuvant chemotherapy. Upon completion of this activity you should be able to discuss the role of adjuvant chemotherapy for Stage IIB colorectal cancer; compare and contrast the types of chemotherapy for IIB; select chemotherapy for adjuvant treatment; describe the role of EGFR testing prior to use of EGFR blocking therapy; and describe the role of VEGF monoclonal antibodies in metastatic colorectal cancer.

Head and Neck Interventional (Cyberounds)
Last visited...3/2009
Reviewed by Bernard Sklar, MD.
Awarded by....Albert Einstein College of Medicine.
Cost..........Free.
Instruction Type...Interactive Game.
Target Audience....SURG, ONCO, ENT.
Educational material last updated...2007.
Financial Support...Bristol Meyers Squibb.
CME Credit Expires...August 31, 2009.

The Cyberounds® Head and Neck Interventional is an interactive program on the treatment and management of head and neck cancer. Go to the Cyberrounds main page and click on Free CME at our Head and Neck Interventional to enter the program. 

HemostasisCME.org
Last visited...12/2008.
Reviewed by...Bernard Sklar, MD.
Credit hours...About 6 courses each offering 1.0 hour.
Awarded by....FCG Institute for Continuing Education.
Cost for Credit......Free.
Instruction Type... Slide-Audio Lectures.
Target Audiences...ANES, HEMA, SURG.
Educational material last updated...2008.
Financial Support...Various pharmaceutical companies.

You will find 6 CME activities relating to hemostasis and coagulation issues: Congenital Hemophilia With Inhibitors: Treatment of Bleeding; Hemostatic Strategies in Surgery to Optimize Control of Blood Loss; Coagulation Case Challenge; Acquired Factor VIII Inhibitors: Pathophysiology and Treatment; Unexpected Bleeding Diatheses: Diagnosis and Management; and Optimizing Blood Management in Cardiovascular Surgery: Why & How.

MelanomaCare.org
Last visited...4/2009.
Reviewed by...Bernard Sklar, MD.
Credit hours: 10 webcasts and 5 publications, 1.5 hours each activity (22.5 hours).
Awarded by: The University of Pittsburgh School of Medicine and PharmAdura, LLC.
Cost... Free
Instruction Type... Slide-Video Lecture, audio podcast, Text-and-Graphics.
Target Audiences... DERM, ONCO, SURG.
Educational material last updated...2009.
Financial support... Schering Corporation.
CME Credit Expires...One year after posting.

You will find 10 webcasts/podcasts; the newest are: Melanoma: A Mysterious Disease?; Scientific and Clinical Interpretation of New Data on IFN-a for Adjuvant Therapy of Melanoma; Signal Transduction Inhibitors in Melanoma; Update on histologic and molecular markers for melanoma; and Optimizing imaging studies for baseline assessment and surveillance of melanoma. You will also find 5 text publications on various aspects of melanoma management. You must fax or mail completed test questions in order to receive CME credit.

OR-Live Surgical Video Archives
Last visited...1/2010.
Credit hours...46 activities; most offer 2.0 or 3.0 hours of credit (about 95 CME credits; not counted).
Awarded by....Various Medical Schools.
Cost...........Free.
Instruction Type....Slide-Video with Streaming Video clips. 
Target Audience....Multiple Surgical Specialties. Also some programs of general (not surgical) interest.
Educational material last updated....2009.
Financial Support...Various commercial supporters.

A set of very nice programs of surgical procedures. Each program combines a didactic slide-video lecture with extensive footage of the surgical procedure. Subject areas include: Anesthesia; Cardiac Electrophysiology; Cardiac Procedures; Neurology; Neurosurgery; Oncology; and Urology. There are also some programs of general (not surgical) interest. It is now easier to find the presentations that offer CME credit: after registration and login, choose "videos," then "CME."

(The) Plastic Surgery Hyperguide
Last Visited...11/2009.
Reviewed by...Bernard Sklar, MD.
Credit hours... Up to 20 hours per year. Credit is awarded according to how many hours you spend at the site.
Awarded by.... Vindico Medical Education
Cost for Credit......Free.
Target Audiences…PLASTIC SURG.
Instruction Type...Text-and-Graphics, Streaming Video, Podcast. 
Educational material last updated….Monthly.
Financial Support... Stryker.
CME Credit Expires...October 12, 2010.

The Plastic Surgery Hyperguide provides an interactive study tool and educational resource for plastic surgeons, plastic surgery nurses, EMTs, and plastic surgery residents. 
Materials are organized into five modules with a total of about 87 different topics:
Craniofacial Trauma; Pediatric Plastic Surgery: Congenital and Cleft; Head and Neck Tumors; Patient Safety; and Aesthetics.

Practical Reviews Online in General Surgery (formerly Journalbytes General Surgery)
Last visited...2/2009.
Reviewed by...Bernard Sklar, MD.
Credit hours...36 per year (3.0 per month).
Awarded by.... Johns Hopkins.
Cost..........$299 per year.
Instruction Type...Most is Text-Only; some Audio.
Target Audience...SURG.
Educational material updated monthly.
Financial Support...None Stated.
Expiration of CME credit...Two years after date of publication.

Each issue contains a variety of types of presentations: Literature Reviews; Critical Discussion and Commentary; Vital Topic; Audio Reviews; Tables of Contents from Key Journals; and an E-quiz offering 3.0 CME credit-hours.

Projects In Knowledge Advanced Certificate Program in Hepatocellular Carcinoma
Last visited...2/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...10 activities for a total of 8.5 credits. 
Awarded by…Projects In Knowledge. 
Cost for Credit...Free. 
Instruction Type...Text-and-Graphics, Audio Podcast.
Target Audiences...GI, ONCO , SURG. 
Educational materials last updated...12/09. 
Financial Support...Bayer Healthcare Pharmaceuticals, Inc. and Onyx Pharmaceuticals.
CME Credit Expires...One year after posting.

After completing this course, you should be able to: assess the importance of screening, surveillance, diagnosis, and optimal treatment intervention of patients with or at risk of developing HCC (hepatocellular carcinoma) through an understanding of the risk factors, disease burden, imaging, and biomarkers to customize interventions leading to improved patient outcomes; analyze the benefits of liver transplantation, surgical resection and ablation therapies in eligible patients with HCC to optimize patient outcomes; compare the benefits of various adjunctive therapies, including ablative therapy, radiofrequency ablation (RFA) and chemoembolization; as well as conformal or stereotactic radiation, including radiotherapeutic microspheres, to select single or combined strategies that improve outcomes of patients with HCC; evaluate the benefits of targeted therapeutic agents, based on their efficacy and safety profiles and mechanisms of action, to improve treatment outcomes in patients with HCC; assess tumor- and patient-related factors as predictors of response to determine which patients with HCC are likely to benefit from specific therapies to improve their outcomes; and describe the potential role of systemic chemotherapies in combination with targeted agents, in the future treatment of patients with HCC.

PVICME (Pacific Vascular Institute for Continuing Medical Education)
Reviewed by...Bernard Sklar, MD.
Last visited...11/2009.
Credit hours...1.0 hour per course (19 hours).
Awarded by.....PVICME
Cost............$30. (one free trial course).
Instruction Type....Streaming Video.
Target Audience....RAD, SURG.
Educational material last updated....2007.
Financial Support...None Stated.
Expiration Date...Not Stated.

Cases include Follow-up of Internal Carotid Stenosis; Cervical Bruit; One Day History of Left Sided Paresis; Hepato-Portal Evaluation; Lower Extremity Arterial Evaluation; One Month History of Calf Pain on Walking; Ten Month History of Calf Pain on Walking; Lower Extremity Venous Evaluation; Two Week History of Left Leg Pain and Swelling; Sudden Onset of Left Calf Pain and Swelling; R/O Renal Artery Stenosis Secondary to HTN; and Left Upper Extremity Cold & Absent Radial Pulse.

Texas Heart Institute Office of Continuing Medical Education
Last Visited: 10/2009.
Reviewed by...Bernard Sklar, MD.
Credit hours: Courses offer 0.5 to 5.5 hours each (about 85 activities offering a total of about 100 credits).
Awarded by: Texas Heart Institute.
Cost: Free.
Instruction Type: Slide-Video or Slide-Audio Lecture.
Target Audiences: CARD, FP, IM, SURG.
Educational material last updated: 2009.
Financial Support: Texas Heart Institute and multiple pharmaceutical and medical equipment companies.

A very nicely organized site. You register for credit and receive a user number AFTER viewing your first course. Types of activities include: 11 Archived Symposia (range from 1.0 to 5.5 hours each); 58 Cardiology Grand Rounds (typically 1.0 hour);  3 presentations on Ethics; 11 on Echocardiography; and 3 "Other."

ThrombosisClinic.com
Last visited...10/2009.
Reviewed by...Bernard Sklar, MD.
Credit hours...About 26 courses, each offering 0,5 to 6.5 hours, for a  total of about 49 hours of credit.
Awarded by....Elsevier Office of Continuing Medical Education.
Cost...........Free.
Instruction Type...Slide-Audio/Video, Text-Audio, Slide-Text, and Text-Only.
Target Audience...CARD, ER, SURG. 
Educ. material last updated....2009.
Financial Support...sanofi-aventis and various other pharmaceutical companies.

This site is for physicians (especially cardiologists, ER specialists and surgeons) who have an interest in the prevention and management of thrombosis. The newest activities include: New Anticoagulants for Prevention and Treatment of Venous Thromboembolism; ThrombosisClinic Vol. 3, No. 2 (new information on how to treat patients with acute coronary syndrome); and Prevention of Venous Thromboembolism in Patients With Acute Ischemic Stroke (efficacy and safety of antiplatelet agents, anticoagulant agents, and mechanical methods for thromboprophylaxis). 

WebSurg
Last visited...6/2008.
Reviewed by...Bernard Sklar, MD.
Credit hours...0.5 or 1.0 per course ( 42 courses offering 41 credit- hours).
Awarded by....WebSurg and McMaster University.
Cost for Credit.....Free.
Instruction Type....Streaming Video, Slide-Video lectures.
Target Audiences....SURG.
Educational material last updated...2008.
Financial Support...Storz, Covidien.

This site focuses on the principles and practices of minimally invasive surgery. Courses feature didactic instruction and streaming video presentations of the surgical procedures. Since my last visit, the site has added 11 lectures (Pediatric surgery, Endocrine surgery, General and digestive surgery, Rectum and anus and Morbid obesity) as well as 7 videos of surgical procedures (a few are: Laparoscopic total extraperitoneal approach for a left inguinal hernia; Laparoscopic proctectomy with stapled coloanal anastomosis; and Endoluminal surgery, Transanal Endoscopic resection of a rectal sessile polyp). 

WoundClosures.com
Last visited...2/2009.
Reviewed by Bernard Sklar, MD.
Credit hours...1.5 hours each (4 courses for a total of 6 hours).
Awarded by....Dannemiller Memorial Educational Foundation.
Cost..........Free
Instruction Type....Text-Only (pdf).
Target Audiences....SURG.
Educational material last updated...6/08
Financial Support...Covidien.

Four articles, each followed by a 10-question post-test: Scientific Basis for the Selection of Wound Closure Sutures; Scientific Basis for the Selection of Skin Closure Sutures; Scientific Basis for the Selection of Abdominal Fascial Closure Sutures; and Scientific Basis for the Selection of Vascular Closure Sutures.