CME Evaluation

CME Questions

This section provides a review. Mark each statement according to the factual material contained in this issue and the opinions of the authors. A score of 70% is required to qualify for CME credit.

Article One (pp. 5–11)

1. Which of the following is true regarding administrative databases?

   • They are prospectively designed clinical databases.

   • They are typically derived from requests to insurers for health care payments and claims for clinical services and therapies.

   • They are not reliant on coders for data accuracy.

   • Direct cause and eff ect may be ascertained using administrative databases.

2. Medicare data provides individual patient clinical information including stage of disease. True or False?

3. NSQIP variables include operating room information including estimated blood loss and blood product transfusion. True or False?

   Article Two (pp. 12–16)

4. A conflict of commitment occurs when:

   • A physician is ethically opposed to his or her research project.

   • A company works with more than one institution.

   • An academic medical center performs research with more than one company.

   • A researcher performs work for industry instead of their institution's research.

5. A conflict of conscience occurs when:

   • A physician is in conflict with his or her own research due to personal or religious beliefs.

   • A patient refuses to participate in research due to their own beliefs.

   • A company attempts to perform unethical research.

   • An academic center forbids a study to evaluate a patient's beliefs.

   Article Three (pp. 17–22)

6. Electronic medical records (EMRs) provide the following advantages over paper-based medical charts:

   • Ease of storage

   • Rapid retrieval of data

   • Ability to integrate electronic billing codes

   • Potential for use in outcomes research

   • All of the above

7. In the past decade, the use of electronic medical records in the United States has:

   • Increased

   • Decreased

   • Not changed

8. The Health Insurance Portability and Accountability Act (HIPAA) is meant to:

   • Provide financial incentives to new users of EMR technology

   • Protect the confidentiality of patient data

   • Facilitate electronic billing services by EMR systems

   • Financially support Medicare and Medicaid patients

   Article Four (pp. 23–30)

9. Clinical decision support is a process for enhancing health-related decisions and actions with pertinent, organized clinical knowledge and patient information to improve health and health care delivery.

   True or False?

10. Which of the following is an example of clinical decision support?

    • A point-of-care alert for a metoprolol order in a surgical patient with active order for atenolol

    • Estimating 10-year diverticulitis recurrence risk for a patient with complicated diverticulitis

    • Suggesting an order for a hemoglobin test with an order for mesalamine

    • Computer-based triage recommendations for patients with acute abdominal pain

    • All of the above

    Article Five (pp. 31–35)

11. MEDLINE's 19 million biomedical articles in the database are indexed with medical subject headings (MeSH), which collectively constitute the NLM-controlled vocabulary thesaurus that can be used to search PubMed.

    True or False?

12. Embase enhances on PubMed's library by including which of the following categories?

    • Medical devices and medications

    • Original publications on innovative technology

    • Publications prior to 1946

    • Video-based submissions

13. Uptodate is a web-based resource for physicians that:

    • Provides an online database of physician-written articles aimed at helping providers make optimal point-of-care decisions

    • Is a repository of similarly grouped headings edited by physicians that include per review articles under those headings

    • Relays information deemed valuable by the editors of major peer-reviewed journals

    • Correlates common therapies and technologies provided voluntarily by the website of various surgical societies

    Article Six (pp. 36–38)

14. Social media allows for:

    • One-way interactions between people

    • Bidirectional communication

    • Easily retracted information

    • Improved patient privacy

15. Social media avenues have been used in which of the following settings?

    • Monitoring patient complaints

    • Patient contact

    • Public messaging

    • All of the above

    Article Seven (pp. 39–46)

16. Although total mesorectal excision (TME) for rectal cancer performed via laparoscopy has yielded mixed results in the literature, most rectal surgeons believe that robotic-assisted TME will produce superior short-term results. True or False?

17. Two large, prospective, randomized trials have shown equal short-term oncologic and perioperative outcomes when comparing laparoscopically assisted to roboticassisted total mesorectal excision for rectal cancer.

    True or False?

    Article Eight (pp. 47–55)

18. The type of validity that systematically examines a test to determine if it covers all facets of what is to be measured is called:

    • Face validity

    • Content validity

    • Construct validity

    • Concurrent validity

19. In a randomized controlled trial, Seymor et al were the first to show the transfer skills from a virtual reality simulator to the operating room. True or False?

    Article Nine (pp. 56–62)

20. Systems Outcomes and Clinical Resources AdministraTive Efficiency Software (SOCRATES) is a novel data merging, warehousing, analysis, and reporting technology, which brings together disparate hospital administrative systems generating automated or customizable risk-adjusted reports. True or False?

21. SOCRATES cannot link Activity and Claims data. True or False?

22. ERP have only been implemented and evaluated in the field of surgery. True or False?

23. Many institutions have disparate data collecting systems that cannot be reliably evaluated for combined outcome metrics. True or False?

    ANSWERS: You will receive a graded copy of your post-test along with the answer key when you are mailed your CME certificate from the Ochsner Clinic Foundation.