The web pages are intended to be read in sequence. Participants can navigate them at their own pace and may choose to print the self-study text to read off-line. After completing the entire CME program, the participant should complete the on-line learning assessment test, which will be electronically scored and the correct answers returned immediately. This activity can be completed in an hour or less.

The University of Michigan Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to sponsor CME for physicians. The University of Michigan Medial School takes responsibility for the content, quality and scientific integrity of this CME activity. The University of Michigan Medical School designates this educational activity for a maximum of one hour of category 1 credit towards the AMA Physician's Recognition Award. Each physician should claim only those hours of credit that he/she actually spent in the educational activity.

In order to obtain AMA PRA category 1 credit, participants are required to (1) complete the course of study provided in this activity and (2) complete and submit the electronic learning assessment test and the electronic credit request provided at the end of the activity. An electronic certificate of participation will be provided immediately, which participants can print for their personal records.

This CME activity was prepared for release in July 2007. CME credit may be awarded for a maximum of three years from its release date, specifically from July 2007 through June 2010. Continuation of credit from that date depends on a thorough review of the content currency and accuracy.