• Navigating with the Table of Contents
• 
  
• Navigating with the PREVIOUS and NEXT Buttons
• 
  Using the BACK Button on the Browser Toolbar
  Update Content (Syllabus) Toolbar
  Self-Assessment Tools
  
• The Self-Assessment Program
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• Answers and Critiques
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• Test-Taking Tools
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• Test Status (Answer Sheet) and CME Tools
• 
  Summary for MKSAP 12 Update
  Searching MKSAP 12 Update
  Viewing Key Points
  Viewing Tables and Figures
  Decision Support Tools
  Audio Presentations
  Viewing PubMed Links
  Printing Images
  About CME Credit for MKSAP 12 Update
  
• Continuing Education
• 
  
• Application for CME Credit
• 
  
• Change of Address
• 
  Troubleshooting and Technical Support

Special Notes

• AOL Users - Before you begin, you must set your default browser to either Internet Explorer 5.5+ or Netscape 4.78+ (6.2.3+ is recommended)--the AOL browser will not work with this program. To do so, simply open the browser you'd like to use and when you are asked if you want to make it your default browser, select "Yes." For more information, consult AOL help.
• This software uses your Web browser to view content located on the CD-ROM. You are not required to connect to the Internet.
• This software uses a special feature of your Web browser called "cookies" to store your answers. These must be enabled for the program to work properly (this is the standard setting for all browsers). Manual deletion of cookies will result in the permanent loss of your answers.

• Search capabilities to locate specific material quickly and accurately (search the Update content, the questions, the answers, or all three)
• Key Points that summarize each main section
• "Point-and-click" test taking with easy-to-use interactive format
• Automatic test scoring, with immediate feedback on self-assessment questions to track eligibility for up to 30 hours of Category I CME credit
• Instant access to hundreds of PubMed abstracts (Internet connection required for this feature)
• Audio presentations describing the MKSAP 12 Update and the evolution of the MKSAP Program
• Decision-support tools to enrich your learning experience and increase the usefulness of the material

• The expansible/collapsible Table of Contents is displayed in the left-hand frame on your screen in a tree-like format, providing a constant reference point for your location within the MKSAP 12 Update.
• The top of the frame shows two tabs representing the two components of the program: and
  The 13 disciplines covered in the MKSAP 12 Update are shown for each. Within Update Content, each discipline icon branches into icons that represent chapters. Each chapter icon branches into icons that represent levels of headings within the chapter. In the Self-Assessment material, the items available for each discipline are listed. To view pages/items in the right-hand frame, click on a closed icon or heading title.
• NOTE: If the content of a title you wish to open in the Table of Contents exceeds the length of the Table of Contents frame, you may use the scroll bar to view additional information that is out of view. To view titles that exceed the width of the frame, simply move your mouse pointer over the portion of the title that is displayed, and the entire title will appear.

NOTE: When you view tables or figures by clicking on a table or figure reference in the text, you are not clicking on navigation links, but on "new window" links. BACK will not re-open windows that may have been closed. To review tables, figures, or key points, navigate with BACK to the page from which you opened the table, figure, or key points and then re-open the respective item.

Update content is displayed in the right-hand frame on your screen. If the content of the current section exceeds the size of the window, use the scroll bar(s) to view additional information that is out of view. The Update Content Toolbar provides additional navigation among sections.

NOTE: To take full advantage of your screen resolution, press the [F11] key to view the Update in full-screen mode.

	Navigates you backwards through the text in a "page-by-page" fashion. You will visit each page in the exact sequence in which the text occurs in the Table of Contents.
	Navigates you forward through the text in a "page-by-page" fashion. You will visit each page in the exact sequence in which the text occurs in the Table of Contents.
	Allows you to print the screen shown.

Numbered items appear for each discipline in the left-hand frame on your screen. The right-hand frame contains an item heading, presentation, and question text. The shaded area below the question contains the answer options.

To answer questions, read the question text and answer options in the shaded frame. Use the scroll bars to the right to view text that is not visible in the frame shown. Select the best answer to each item by clicking on the radio button next to your desired answer option. You may change your answer at any point during the test, including after you have clicked on

The correct answer will always be displayed in bold. If you select an incorrect answer, your selection will be shown in red.

The screen displays an Answer Sheet table with the test titles, question numbers (which link directly to the questions), your answers and the correct answers (if you have selected incorrect answers), percent correct, and the number of unanswered questions. If you complete a test and are eligible for CME, additional information and a form appear (see below). Use the scroll bar to view all test results.

	Loads the answer and critique for the item you are viewing into the shaded area on your screen. The correct answer appears in bold and an incorrect choice is shown in red.
	Takes you to the CME Status screen, where you may check your eligibility for CME credit.
	Displays the previous question for the current test.
	Displays the next question for the current test.
	Allows you to print the screen you are viewing.

Upon completion of each test, the system determines if you are eligible for CME credit. If so, you are presented with an option to select the exact number of hours you actually spent on that test (to the nearest quarter hour and up to a maximum determined by the ACP–ASIM for each discipline). A CME submission form will appear at the bottom of the Answer Sheet, along with instructions for transmitting the CME request to the ACP–ASIM in one of three different ways. The Answer Sheet also includes several features specifically designed to assist you with assessing your areas of strength and weakness.

	Calculates and displays your answers (and correct answers) and scores for all tests.
	Provides a summary of all tests completed in the form of a bar chart comparing results among all 13 disciplines.
	Clears all answers for the test you are taking. A confirmation is required to complete this function.
	Provides detailed instructions for obtaining CME.
	Allows you to print a copy of the Answer Sheet for your records.
	Submits your application for CME credit to ACP–ASIM electronically. NOTE: To submit your application for CME credit, you should answer every question in each test, score significantly above the guess level, complete the CME Submission form, select the actual number of hours spent completing each test, and have a live Internet connection.

After performing a search, you will be able to view your search results (hits) in a separate window, with results ordered according to relevancy/match frequency. This window will remain open until you choose to close it. Click on the hit links to display the information in the right-hand frame on your screen. Return to your search results window to select another "hit" topic by navigating back to the Search Results window (find the "Search Results" window pane at the bottom of your screen or hold down your ALT key and hit the TAB key until you see it appear). You may resize the search/hit window as you wish in order to best view your hit selections and your content pages.

Note: If you are currently in the area of the program and wish to navigate to a hit in the area or vice-versa, it may be necessary to click on the hit link twice. The following table contains the on-screen instructions you will see every time you open the search window.

To expand Tables/Figures in the new browser windows, click on the square in the upper right-hand corners of the Tables/Figures. To close the windows, click on the "X" in the upper right hand corners or on NOTE: Some Tables/Figures must be scrolled in order to view them entirely. You may not connect to other links while inside a Table or Figure. To print a Table/Figure, either right click on the page and then select Print or click on

A PalmOS Version of these tools is also available. Follow the on-screen instructions to extract the necessary files to your hard-drive and then install them on your PalmOS device. You must have PalmOS version 3.5 or higher.

These audio clips are in .wav format and will play through the audio device that is configured with your default browser. If you do not have a sound card and speakers, you may read the transcripts of the presentations, available in the windows that contain the audio presentations.

1. Update your knowledge in 13 key areas of internal medicine
2. Apply new clinical problem-solving skills to improve the health of your patients
3. Pursue further in-depth study using critically reviewed evidence-based references
4. Assess the current state of your knowledge in clinical medicine

Accreditation: The American College of Physicians–American Society of Internal Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American College of Physicians–American Society of Internal Medicine designates this educational activity for a maximum of 30 hours in category 1 credit toward the AMA Physician's Recognition Award. Each physician should claim only those hours of credit that he/she actually spent in the educational activity.

General: You will need approximately 30 hours to complete this program, which is delivered exclusively in a CD-ROM format. To participate, read the syllabus, complete the multiple-choice questions in the Self-Assessment area, and submit your answers, as instructed. The program release date is October 18, 2002. CME credit hours are available until the termination date of October 18, 2005.

Faculty: Please see the list of contributors and their credentials on the opening interface of the CD-ROM. Disclosures of significant relationships with relevant commercial companies and organizations are also listed in this area.

You can apply for CME credit for successfully completed sections by one of the following three ways:

1. Online: Click on (Please note that you will need your 10-digit customer ID number printed on the packaging slip included with your program)
2. Via FAX: Print the contents of CME status screen by clicking on and FAX the contents to ACP–ASIM Customer Service at * * * - * * * - * * * * (Please include your telephone number in case the FAX transmission is unclear.)
3. Via mail: Print the contents of the CME status screen by clicking on and mail the contents to: * * *

You can only claim the hours of credit that you have actually spent in studying the material. The maximum number of credit hours that you can earn is listed below.

You can receive a maximum of four (4) credit hours for the Cardiovascular Medicine section. You can receive a maximum of three (3) credit hours each for the Hospital-Based Medicine and Critical Care, Infectious Disease Medicine, Gastroenterology and Hepatology, and Hematology sections. You can receive a maximum of two (2) credit hours each for the Ambulatory Medicine, Endocrinology and Metabolism, Nephrology, Neurology, Oncology, and Rheumatology sections. You can receive a maximum of one (1) credit hour each for the Dermatology and Pulmonary Medicine sections.

For satisfactory completion of all 13 tests, you can earn a maximum of 30 CME credit hours.

A transcript of your participation in ACP–ASIM-Sponsored CME activities is available online as a benefit of ACP–ASIM membership. The online listing compiles all CME credits earned for the last 6 years. Records are updated 6 to 8 weeks after receipt of documentation of your participation in ACP–ASIM-sponsored activities. Visit www.acponline.org/transcript to view and print your CME transcript.

If you are a member of the American College of Physicians–American Society of Internal Medicine (ACP–ASIM) or a subscriber to the Annals of Internal Medicine and have already contacted the ACP–ASIM about an address change, your MKSAP mailing address will be updated automatically when a change is made on those records.