229

GARDENJENNINGSPLBS1SHING COMPAN LTD.The Western Journal of Medicine®

SINCE 1902

A PUBLICATION OF CARDEN JENNINGS PUBLISHING CO, LTD * 1224 WEST MAIN STREET, SUITE 200 * CHARLOTTESVILLE, VIRGINIA 22903-2858TELEPHONE (804) 979-8034; FACSIMILE (804) 979-4025; E.MAIL wjm@cjp.com

LINDA HAWES CLEVER, MD, EditorEDWARD D HARRIS JR, MD, Associate EditorWILLIAM T CARDEN JR, Publisher

ALLISON SPEARMAN, Managing EditorDAVID ERN, Marketing Director

SARAH BRUCE, Senior Copy EditorTRACY ROTHSCHILD LYNCH, Copy Editor

editorial communications to DR CLEVER * business communications to MS SPEARMAN

Official Journal of the Alaska State Medical Association, the Arizona Medical Association, the California Medical Association, the Denver Medical Society, the IdahoMedical Association, the Nevada State Medical Association, the New Mexico Medical Society, the Utah Medical Association, the Washington State Medical Association,and the Wyoming Medical Society.Affiliated Clinical Investigation Societies: the Western Association of Physicians; the Westem Society for Clinical Investigation; the Westem Section, American Federationfor Medical Research; the Western Society for Pediatric Research; the Western Region, Society for Investigative Dermatology.

SPECIAL EDITORSSpecial Editor for ArizonaMarshall B. Block, Phoenix, ArizSpecial Editor for DenverDavid Shander, Denver, ColoSpecial Editor for IdahoE. R. W. Fox, Coeur d'Alene, IdahoSpecial Editor for NevadaAnton P. Sohn, Reno, NevSpecial Editor for New Mexico1. Brian Taylor, Carlsbad, NMSpecial Editor for UtahC. Basil Williams, Salt Lake City, UtahSpecial Editor for WashingtonDavid Hopkins, Federal Way, WashSpecial Editor for WyomingJoseph P. Murphy, Casper, WyoASSISTANT EDITORSClinical InvestigationH. Benfer KaltreiderHealth and Public PolicyRalph CrawshawInternational HealthAnvar VeljiLessons From the PracticeStephen J. McPheeJonathan E. Rodnick

Medical Staff ConferencesNathan M. BassPoetryMargaret KaufmanPrimary Care MedicineStephen J. McPheeTerrie MendelsonRadiologic CasesJonathan M. Levy

EDITORIAL BOARDEditor EmeritusMalcolm S. M. Watts, San Francisco, CalifAnesthesiologyCarol Lake, Sacramento, CalifBiostatistics and EpidemiologyVirginia L. Emster, San Francisco, CalifCardiac and Thoracic SurgeryNorman E. Shumway, Stanford, CalifDermatologyClifton R. White Jr, Portland, OreEmergency MedicineWilliam A. Boehm, Alamogordo, NMGeneral and Family PracticeNorman Kahn, Kansas City, MoThomas E. Norris, Seattle, WashJoe Schoeber, Casper, Wyo

Intemal MedicineAlbert Deisseroth, Houston, TexasAlan Fogleman, Los Angelas, CalifPatricia Gabow, Denver, ColoJohn H. Holbrook, Salt Lake City, Utah

Philip Hopewell, San Francisco, CalifIrwin 1. Schatz, Honolulu, HawaiiWalter E. Stamm, Seattle, WashReginald Strickland, Albuquerque, NMStephen 1. Wasserman, San Diego, Calif

NeurologyRobert Collins, Los Angeles, CalifJohn Greenlee, Salt Lake City, Utah

Leslie Wiener, Los Angeles, CalifEari Zimmerman, Portland, Ore

NeurosurgeryGeorge A. Ojemann, Seattle, WashRobert F. Spetzler, Phoenix, Ariz

Nuclear MedicineJerold M. Lowenstein, San Francisco, Calif

Obstetrics and GynecologyDaniel Mishell Jr, Los Angeles, Calif

Occupational MedicineLinda Rosenstock, Washington, DC

OphthalmologySandy Feldman, La Jolla, Calif

OrthopedicsThomas DeCoster, Albuquerque, NM

PathologyRonald Weinstein, Tuczon, Ariz

PediatricsAllen W. Mathies Jr, Pasadena, CalifDiane Wara, San Francisco, Calif

PharmacologyRubin Bressler, Tucson, Ariz

Physical Medicine and RehabilitationJulie G. Madorsky, Pomona, Calif

Preventive Medicine and Public HealthJoseph L. Lyon, Salt Lake City, Utah

PsychiatryJ. Christian Gillin, San Diego, CalifLewis Judd, La Jolla, Calif

RadiologyGary Glazer, Stanford, CalifMichael L. Manco-Johnson, Denver, ColoAlbert A. Moss, Seattle, Wash

SurgeryHaile T. Debas, San Francisco, CalifAlex G. Little, Las Vegas, Nev

UrologyLinda Shortliffe, Stanford, Calif

Senior Members at LargeThomas Elmendorf, Davis, CalifEdgar Waybum, San Francisco, Calif

ADVISORY BOARD, CLINICAL INVESTIGATIONBrian A. Cason, San Francisco, Calif Howard Lien, Tucson, Ariz John Owings, Sacramento, Calif Jeffrey Saver, Los Angeles, CalifJohn Christenson, Salt Lake City, Utah Barbara M. Lippe, Los Angeles, Calif Robert Robbins, Stanford, Calif David Schriger, Los Angeles, CalifKari Connolly, San Francisco, Calif MichaelW McDermott, San Francisco, Calf Henry Rosen, Seattle, Wash Jack H. Simon, Denver, ColoBruce W. Goldberg, Portland, Ore Jeanette Mladenovic, Denver, Colo Mary H. Samuels, Portland, Ore Peggy Sue Weintrub, San Francisco, CalifPhilip Goodman, Reno, Nev Kenneth M. Moser, San Diego, Calif George A. Sarosi, San Jose, Calff Owen M. Wolkowitz, San Francisco, CalifRoy Jones, Albuquerque, NM James C. Orcutt, Seattle, Wash

DISPLAY & CLASSIFIED ADVERTISING INFORMATIONCONTACT: MJ Mrvica Associates, Inc, 2 West Taunton Ave, Berlin, NJ 08009 * (609) 768-9360/FAX (609) 753-0064Advertisements-The journal is published the second week of the month. Display advertising must be received no later than the first of the month preceding issue.Advertising rates will be sent on request. Acceptance of advertising is contingent upon approval by the Publisher.The journal reserves the right to reject any advertisement.

SUBSCRIPTION INFORMATIONThe subscription price per year is $65 in the United States and Canada (US funds); $80 Allow six weeks for subscriptions to begin. Past issues must be bought individually. Soin all other countries. Institutional rate $90. Single copies are $10. Special issues are long as reserve stocks are available, missing issue requests from subscribers are hon-$10. Address all subscription communications to: ored for up to six months after the issue date. Thereafter, the single copy rate of $10THE WESTERN JOURNAL OF MEDICINE Circulation, 1224 W Main St, Suite 200, is applicable for each issue available. Special issues are $10.Charlottesville, VA 22903-2858 * Tel: (804) 979-8034 Change of Address-Requests for change of address should give both the old and new

address. Allow six weeks for changeover.

SUBMITTING MANUSCRIPTSManuscripts for consideration should be sent to the managing editor, Allison "Instructions for Authors"-A complete guide to manuscript submission and WIMSpearman, 1224 W Main St, Suite 200, Charlottesville, VA 22903-2858. style available from the publisher. Manuscripts may be prepared in accordance with

the "Uniform Requirements for Manuscripts Submitted to Biomedical Joumals."

PUBLISHERCopyright © 1998 by Carden Jennings Publishing Co, Ltd * Owned and Published by Carden Jennings Publishing Co, LtdAll material subject to this copyright appearing in THE WESTERN JOURNAL OF MEDICINE may be photocopied for the noncommercial purpose of scientific or edu-cational advancement. Volumes begin with January and July.THE WESTERN JOURNAL OF MEDICINE (ISSN 0093-0415/USPS 084 480) is published monthly by Carden Jennings Publishing Co, Ltd, 1224 W Main St,Charlottesville, VA 22903-2858. Periodicals postage paid at Easton, Pennsylvania.POSTMASTER: Send address changes to The Western Journal of Medicine, Circulation, 1224 W Main St, Suite 200, Charlottesville, VA 22903-2858.

232

Continuing Medical EducationARIZONA * CALIFORNIA, HAWAII, NEVADA * COLORADO * IDAHO * NEW MEXICO * UTAH * WASHINGTON * WYOMING

ARIZONAThe following list of continuing medical education programsin Arizona is compiled by the Arizona Medical Association. Allcourses listed have been certified as meeting the criteria forCategory I of the ArMA CME Certificate and the AMA Physi-cians Recognition Award. To list Category I continuing med-ical education programs, please send information to ArizonaMedical Association, 810 West Bethany Home Road,Phoenix, AZ 85013; or phone (602) 246-8901.

Brochures and registration forms are available from the con-tact person or organization sponsoring the program.

CONTACT INFORMATIONArMA-Contact: Arizona Medical Association, 810 W Bethany Home Rd, Phoenix, AZ85013. (602) 246-8901.

Mayo Clinic-Scottsdale-Contact: Postgraduate Courses, Mayo Clinic-Scottsdale, (602)301 -7447.

U of A-Contact: University of Arizona College of Medicine, Arizona Health SciencesCenter, Tucson, AZ 85724. (520) 626-7832; (800) 328-5868.

CALIFORNIA, HAWAII, AND NEVADAThis listing of continuing education programs in California,Hawaii, and Nevada is supplied by the Committee onContinuing Medical Education of the California Medical As-sociation. All courses and meetings listed have beenapproved for Category credit toward the CMA Certificatein Continuing Medical Education. To have accreditedcourses listed here, please send information at least twomonths in advance to Paulette Richardson, ContinuingMedical Education, California Medical Association, PO Box7690, San Francisco 94120-7690; or phone (415) 882-3387. For more information on accreditation or certifica-tion, please write to the above address.

ANESTHESIOLOGYMay 17-22-UCSD Anesthesiology Review Course. UCSD at La Jolla Mar-

riott, San Diego. Sun.-Fri. 37.5 hrs. $600. Contact: Carol Heil (619) 543-5202.

CARDIOLOGYMay 7-9-8th Annual Symposium on Coronary Stenting. Scripps Clinic at

Sheraton Grande Torrey Pines Hotel, La Jolla. Thurs.-Sat. Contact: LaurelSteigerwald, Scripps Clinic (619) 554-8556.

May 3 I-June 3-Echo San Diego: Advanced Interpretations with the Ex-perts. American College of Cardiology at Hyatt Islandia, San Diego.Sun.-Wed. 23 hrs. Contact: ACC, 9111 Old Georgetown Rd., Bethesda,MD 20814-1699, (800) 253-4636 ext. 695.

September 10-12-Coronary Interventions 1998. Scripps Clinic at SheratonGrande Torrey Pines Hotel, La Jolla. Wed.-Sat. 28 hrs. Contact: LaurelSteigerwald, Scripps Clinic, Department of Academic Affairs, 403C, 10666N. Torrey Pines Rd., La Jolla, CA 92037 (619) 554-8556.

September 14-18-Cardiology Board Review. UCSF at Cathedral Hill Ho-tel, San Francisco. $725. Contact: Postgraduate Programs, Box 0656,UCSF, San Francisco, CA 94143-0656.

October 8-10--Cardiology Update 1998. UCSF at Carmel Valley Ranch Resort,Carrnel. Thurs.-Sat. 12 hrs. $485-$560. Contact: UCSF (415) 476-5208.

October 31-Update in Electrocardiography and Arrythmias. UCSF atRadisson Miyako Hotel, San Francisco. Sat. 7.5 hrs. $195. Contact: UCSF(415) 476-5208.

DERMATOLOGYMay 3-6--Practical Dermatology for the Primary Care Physician. Las Ve-

gas. Sponsored by Continuing Medical Education Associates. Caesar'sPalace Las Vegas. Method, AV, L, SB, W. $575. Sun.-Wed. 20 hrs. credit:AMA, AOA, AAP, AAFP. Information: Victoria Gonzales, P.O. Box270469, San Diego, CA 92198. (800) 993-2632 or (619) 674-5200.

EMERGENCY MEDICINEApril 20-24-Emergency Medicine Symposium III. UCSD at La Jolla Mar-

riott, San Diego. Mon.-Fri. 32 hrs. $495. Contact: OCME (619) 534-3940.May 11-15-Emergency Medicine Symposium. UCSD at La Jolla Marriott,

San Diego. Mon.-Fri. 16 hrs. $225. Contact: OCME (619) 534-3940.May 15-16-Trauma/Critical Care. Ritz-Carlton Huntington Hotel,

Pasadena. Mon.-Tues. 14 hrs. Contact: USC School of Medicine, Postgrad-uate Div., 1975 Zonal Ave., KAM 307, Los Angeles 90033-1039. (800)USC-1119, fax (213) 342-2152.

May 13-16-Semiannual Wound Management Workshop. UCSD at LaJolla Marriott, San Diego. Wed.-Sat. 15 hrs. $475. Contact: Edith Book-stein (619) 454-3212.

August 9-12-Essentials in Emergency Medicine and Urgent Care. Con-tinuing Medical Education Associates at Hotel del Coronado, San Diego.Sun.-Wed. Contact: CMEA P.O. Box 270469, San Diego, CA 92198-2469or web: http://www.cmea.com.

October 8-10-17th Annual Advances in Pulmonary and Critical Care.UCSF at Palace Hotel, San Francisco. Thurs.-Sat. 17 hrs. $495. Contact:UCSF (415) 476-5208.

October 19-20-Trauma Uncensored: 1998. UC Davis at Hyatt Regency,Sacramento. Mon.-Tue. Contact: (916) 734-5390.

October 19-23-Emergency Medicine Symposium I. UCSD at La Jolla Mar-riott, San Diego. Mon.-Fri. 32 hrs. $495. Contact: OCME (619) 534-3940.

October 26-30-27th Annual Topics in Emergency Medicine. UCSF atRadisson Miyako Hotel, San Francisco. Mon.-Fri. 32 hrs. $675. Contact:UCSF (415) 476-5208.

ENDOCRINOLOGYApril 24-25-Update in Diabetes. USC at Disneyland Pacific Hotel, Anaheim.

Fri.-Sat. 12.5 hrs. $60.00 Contact: USC School of Medicine, PostgraduateDivision, 1975 Zonal Ave., KAM 307, LA, CA 90033-1039. (213) 342-2555; (800) USC-1119; fax (888) 665-8650 or (213) 342-2152. Email: usc-cme@hsc.usc.edu.

FAMILY PRACTICE/PRIMARY CAREApril 22-26-Annual Scientific Program and Postgraduate Course. Pacific

Coast Fertility Society at Renaissance Esmeralda Resort, Indian Wells.Wed.-Sun. 18 hrs. $335-$650. Contact: Dir. of Medical Education, PacificCoast Fertility Society, PO Box 1656, La Mirada, CA 90637-1656, (562)947-7068.

April 23-26-Office Orthopedics and Bone Radiology for the PrimaryCare Physician. Continuing Medical Education Associates at Hyatt Re-gency, San Francisco. Thurs.-Sun. 20 hrs. $575. Contact: Victoria Gonza-les (800) 993-2632.

May 15-19-Primary Care Essentials. Sponsored by Continuing MedicalEducation Associates. Grand Hyatt on Union Square San Francisco.Method, AV, L, SB, W. $750. Fri.-Tues. 32 hrs. credit: AMA, AOA, AAFP.Information: Victoria Gonzales, P.O. Box 270469, San Diego, CA 92198.(800) 993-2632 or (619) 674-5200.

April 23-26-Office Orthopedics and Bone Radiology for the PrimaryCare Physician. Continuing Medical Education Associates at Hyatt Re-gency, San Francisco. Thurs.-Sun. 20 hrs. $575. Contact: Victoria Gonza-les (800) 993-2632.

June 5-12th Annual AIDS Conference. Califomia Academy of Family Prac-

CONTINUING MEDICAL EDUCATION

titioners at Mills College, Oakland. Fri. 7 hrs. Contact: Caroline Carey,CME Coordinator. (510) 204-3884.

July 1-5-The Orlando Primary Care Review Course. Sponsored by Con-tinuing Medical Education Associates. Buena Vista Palace, Orlando, FL.Wed.-Sun. 30 hrs. Credit: AMA, AOA, AAFP. $750. Contact: VictoriaGonzales, PO Box 270469, San Diego, CA 92198. (800) 993-2632 or (619)674-5200.

July 6-9-Family Practice Board Review Course. Fairmont Hotel, SanFrancisco. 25 hrs. $475 ($525 if postmarked after May 25). Contact: Pro-gram Coordinator, Dept. of Family and Community Medicine, UCSFSchool of Medicine, 500 Pamassus Ave., MU-3E, San Francisco 94143-0900. (415) 476-5250.

July 23-27-Masters of Medicine. Sponsored by Continuing Medical Educa-tion Associates. Marriott Marquis, New York, NY. Thurs.-Mon. 30 hrs.Credit: AMA, AOA, AAFP. $795. Contact: Victoria Gonzales, PO Box270469, San Diego, CA 92198. (800) 993-2632 or (619) 674-5200.

August 6-9-Cardiology in Primary Care. Sponsored by Continuing Med-ical Education Associates. Hotel del Coronado, San Diego, CA.Mon.-Thurs. 20 hrs. Credit: AMA, AOA, AAP, AAFP. $575. Contact: Vic-toria Gonzales, P.O. Box 270469, San Diego, CA 92198. (800) 993-2632 or(619) 674-5200.

August 9-12-Essentials in Emergency Medicine and Urgent Care. Spon-sored by Continuing Medical Education Associates. Hotel del Coronado,San Diego, CA. Thurs.-Sun. 20 hrs. Credit: AMA, AOA, AAFP. $575.Contact: Victoria Gonzales, P.O. Box 270469, San Diego, CA 92198. (800)993-2632 or (619) 674-5200.

August 9-12-Essentials in Emergency Medicine and Urgent Care. Spon-sored by Continuing Medical Education Associates. Hotel del Coronado,San Diego, CA. Thurs.-Sun. 20 hrs. Credit: AMA, AOA, AAFP. $575.Contact: Victoria Gonzales, P.O. Box 270469, San Diego, CA 92198. (800)993-2632 or (619) 674-5200.

October 14-16-13th Annual Primary Care Medicine: Principles andPractice. UCSF at Cathedral Hill Hotel, San Francisco. Wed.-Fri. 20 hrs.$550. Contact: Postgraduate Programs, Box 0656, UCSF, San Francisco,CA 94143-0656. (415) 476-5208.

October 22-26-Masters of Medicine. Sponsored by Continuing Medical Ed-ucation Associates. Marriott Marquis, New York, NY. Thurs.-Mon. 30 hrs.Credit: AMA, AOA, AAFP. $795. Contact: Victoria Gonzales, PO Box270469, San Diego, CA 92198. (800) 993-2632 or (619) 674-5200.

GERIATRICSMay 7-8-Latest Advances in Alzheimer's Disease. UCSD at San Diego.

Thurs.-Fri. 16 hrs. $225. Contact: Phyllis Lessin/Joyce Zilner (619) 662-5800.November 8-1 1-Geriatrics Update 1998. Sponsored by Continuing Medical

Education Associates. Loews Coronado Bay Resort, San Diego, CA.Sun.-Wed. 20 hrs. Credit: AMA, AOA, AAFP. $525. Contact: VictoriaGonzales, PO Box 270469, San Diego, CA 92198. (800) 993-2632 or (619)674-5200.

INFECTIOUS DISEASEMay 6-9-19th Annual Advances in Infectious Diseases. UCSF at Palace Ho-

tel, San Francisco. Wed.-Sat. 17.5 hrs. $430. Contact: UCSF (415) 476-5208.November 5-8-Advances in Infectious Disease. Sponsored by Continuing

Medical Education Associates. Loews Coronado Bay Resort, San Diego,CA. Thurs.-Sun. 20 hrs. Credit: AMA, AOA, AAFP. $525. Contact: Victo-ria Gonzales, PO Box 270469, San Diego, CA 92198. (800) 993-2632 or(619) 674-5200.

DREW:

LLU:

STAN:UCD:

UCI:

UCLA:

UCSD:

UCSF:

USC:

KEY TO ABBREVIATIONSCharles R. Drew Postgraduate Medical School, Office of ContinuingMedical Education, (213) 563-4800.Loma Linda University, Continuing Medical Education Programs,(909) 824-4963.Stanford University, Postgraduate Education, (415) 723-5594.University of Califomia, Davis, Office of Continuing MedicalEducation, (916) 734-5390.University of California, Irvine, Memorial/UCI Center for HealthEducation, (714) 824-5926.University of California, Los Angeles, Continuing Education inMedicine and Health Sciences, (310) 794-2620.University of California, San Diego, Office of Continuing MedicalEducation, (619) 534-3940.University of California, San Francisco, Extended Programs in MedicalEducation, (415) 476-4251.University of Southern California, Postgraduate Division,(800) USC-1 119.

December 2-6-Internal Medicine - 1998 Fall Program. Sponsored by Con-tinuing Medical Education Associates. Boca Raton Resort and Club, BocaRaton, FL. Wed.-Tues. 30 hrs. Credit: AMA, AOA, AAP, AAFP. $750.Contact: Victoria Gonzales, PO Box 270469, San Diego, CA 92198. (800)993-2632 or (619) 674-5200.

INTERNAL MEDICINEApril 22-26-Annual Scientific Program and Postgraduate Course. Pacific

Coast Fertility Society at Renaissance Esmeralda Resort, Indian Wells.Wed.-Sun. 18 hrs. $335-$650. Contact: Dir. of Medical Education, PacificCoast Fertility Society, PO Box 1656, La Mirada, CA 90637-1656, (562)947-7068.

May 18-22-26th Annual Advances in Internal Medicine. UCSF at Cathe-dral Hill Hotel, San Francisco. Mon.-Thurs. 33.5 hrs. Contact: UCSF (415)476-5208.

October 9-13-Internal Medicine - 1998 Fall Program. Sponsored by Con-tinuing Medical Education Associates. Loews Coronado Bay Resort, SanDiego, CA. Fri.-Tues. 30 hrs. Credit: AMA, AOA, AAP, AAFP. $750. Con-tact: Victoria Gonzales, P.O. Box 270469, San Diego, CA 92198-2469.(800) 993-2632 or (619) 674-5200. http//www.cmea.com.

MANAGED CARESeptember 10-12-Management of the Hospitalized Patient in the Man-

aged Care Era. UCSF at Palace Hotel, San Francisco. 20 hrs. $475. Con-tact: UCSF (415) 476-5208.

May 15-17-Managed Care - Trends and the Future of Managed Care inCalifornia. California Orthopaedic Association at Resort at Squaw Creek,Lake Tahoe. Fri.-Sun. 12.5 hrs. $110. Contact: (916) 454-9884.

OB/GYNOctober 23-27-OB/GYN Review. Red Lion Hotel, Glendale. $675.

Sat.-Tues. 38 hrs. Contact: USC School of Medicine, Postgraduate Divi-sion, 1975 Zonal Ave., KAM 307, Los Angeles, CA 90033-1039; Phone(213) 342-2555 or (800) USC-1119; Fax (213) 342-2152 or (888) 665-8650; email usccme@hsc.usc.edu.

OCCUPATIONAL & ENVIRONMENTALMay 15-16-17th Annual Occupational & Environmental Medicine Sym-

posium with Postgraduate Mini-Courses. UC Davis at UCDMC CancerCenter Auditorium, Sacramento. Thurs.-Fri. Contact: UCD (916) 734-1394.

May 24-26-California Society of Physical Medicine and Rehabilitation.UC Davis at Doubletree Hotel, Sacramento. Sun.-Thurs. Contact: UCD(916) 734-5390.

October 5-9-Occupational and Environmental Medicine I. UCSF atRadisson Miyako Hotel, San Francisco. Mon.-Fri. 40 hrs. $725. Contact:Postgraduate Programs, Box 0656, UCSF, San Francisco, CA 94143-0656.(415) 476-5208.

ONCOLOGYSeptember 11-12-4th Annual Cancer Research Program. UC Davis at Can-

cer CenterAuditorium, Sacramento. Fri.-Sat. Contact: UCD (916) 734-5390.September 24-26-22nd Annual Physicians Cancer Symposium. Scripps-

Health at Sheraton San Diego Hotel & Marina. Thurs.-Sat. 16.5 hrs.$425-$450. Contact: Stevens Cancer Center, Scripps Memorial Hospital,9888 Genesee Ave., La Jolla, CA 92037. Tuthanne Crawford (619) 626-6794.

OPHTHALMOLOGYMay 9-Pearls of Ocular Therapy. Scripps Clinic at Scripps Clinic, La Jolla.

Sat. 7 hrs. Contact: Laurie A. Regis, Scripps Clinic (619) 554-8556.May 29-UC Davis Annual Ophthalmology Symposium. UCD at Sacra-

mento Hilton. Fri. 7 hrs. Contact: UCD (916) 734-1394.

ORTHOPEDICSApril 23-26-Office Orthopedics and Bone Radiology for the Primary Care

Physician. San Diego. Sponsored by Continuing Medical Education Associ-ates. Hyatt Regency San Francisco. Method, AV, L, SB, W. $575. Thurs.-Sun.20 hrs. credit: AMA, AOA, AAFP. Infonration: Victoria Gonzales, P.O. Box270469, San Diego, CA 92198. (800) 993-2632 or (619) 674-5200.

i

233WJM, April 1998-Vol 168, No. 4

234 WIM, April 1998-Vol 168, No. 4

CONTINUING MEDICAL EDUCATION

May 3-6-Office Orthopedics and Bone Radiology for the Primary CarePhysician. Las Vegas. Sponsored by Continuing Medical Education Associ-ates. Caesar's Palace Las Vegas. Method, AV, L, SB, W. $575. Sun.-Wed. 20hrs. credit: AMA, AOA, AAP, AAFP. Information: Victoria Gonzales, PO.Box 270469, San Diego, CA 92198. (800) 993-2632 or (619) 674-5200.

May 15-17-Managed Care - Trends and the Future of Managed Care inCalifornia. California Orthopaedic Association at Resort at Squaw Creek,Lake Tahoe. Fri.-Sun. 12.5 hrs. $110. Contact: (916) 454-9884.

PEDIATRICSMay 7-9-31st Annual Advances and Controversies in Clinical Pediatrics.

UCSF at Ritz-Carlton Hotel, San Francisco. Thurs.-Sat. Contact: OCME(415) 476-4251.

September 18-19-California Society of Pediatric Cardiology. UC Davis atSeascape Resort, Aptos. Fri.-Sat. Contact: UCD (916) 734-5390.

RADIOLOGYOctober 3-4-Ultrasound Update: 1998. UC Davis at Doubletree Hotel,

Sacramento. Sat.-Sun. Contact: (916) 734-5390.

RHEUMATOLOGYSeptember 10-12-Rheumatology Board Review. UCSF at Radisson Miyako

Hotel, San Francisco. Thurs.-Sat. 20 hrs. $225. Contact: UCSF (415) 476-5208.

SURGERYMay 9-Thyroid Update '98. Sheraton Grande Hotel, Los Angeles. Sat. 7 hrs.

Contact: USC School of Medicine, Postgraduate Div., 1975 Zonal Ave.,KAM 307, Los Angeles 90033-1039. (800) USC-1119, fax (213) 342-2152.

June 25-27-San Francisco Paranasal Sinus Update - 1998. UCSF at Ritz-Carlton Hotel, San Francisco. Thurs.-Sat. $250$350. Contact: Universityof California, Office of CME, MCB-630, Box 0742, San Francisco, CA94143-0742. (415) 476-4251.

September 11-12-4th Annual Surgical Review Course. UC Davis at Fair-field. Fri.-Sat. Contact: (916) 734-5390.

September 18-4th Annual Surgical Review. UC Davis at TAFT, Fairfield.Fri. Contact: (916) 734-7203.

UROLOGYApril 23-25-International Bladder Research Congress. UCSF at San

Francisco. Thurs.-Sat. 17.5 hrs. $290-$395. Contact: (415) 476-5808.

GENERAL/MULTIDISCIPLINARYSeptember 3-6-Growth Hormone Research Society. UCSF at Marriott Ho-

tel, San Francisco. Thurs.-Sun. Contact: (415) 476-5808.

October 26-28-Telemedicine IV. UC Davis at Hilton Hotel, Anaheim.Mon.-Wed. Contact: (916) 734-5390.

HOME STUDY/SELF-ASSESSMENTAudio-Digest Foundation. California Medical Association. Contact: Audio-

Digest Foundation, 1577 E Chevy Chase, Glendale 91206. (213) 245-8505.

California Physicians' Legal Handbook Series. California Medical Association.Contact: CMA, PO Box 7690, San Francisco 94120-7690. (800) 882-1262.

COLORADOThis listing of continuing medical education programs inColorado is compiled by the Denver Medical Society. To listCME programs here, please send information at least twomonths in advance to: Mr Robert L. Kennedy, Denver Med-ical Society, 1850 Williams Street, Denver, CO 80218; ortelephone (303) 377-1850.

Brochures, course information, and registration forms areavailable from the contact person or organization.

Tuesday Noon Conferences-Various Topics in Medicine. Lutheran MedicalCenter, Wheat Ridge. Contact: Jean A. Kline, (303) 425-2951.

First Wednesday of Each Month-Various Topics in Neurology. ColoradoSociety of Clinical Neurologists. Contact: Colorado Society of Neurolo-gists, (303) 449-3566.

Second Wednesday of Each Month-Cardiovascular Education Series. StAnthony Hospital at St Anthony Hospital, Denver. Contact: Rose Powell,(303) 629-3678.

CONTACT INFORMATIONU of Colo-Contact: University of Colorado Health Sciences Center, School of Medicine,Office of Continuing Medical Education, 4200 E 9th Ave, Denver 80262. (303) 372-9050or (800) 882-9153; FAX (303) 372-9065.

IDAHOThe listing of continuing medical education programs inIdaho is compiled by the Ada County Medical Society. Tolist CME programs here, please send information at leasttwo months in advance to: Ada County Medical Society,Inc. 305 W. Jefferson, PO Box 2668, Boise, Idaho 83701.(208) 336-2930.

Brochures, course information, and registration forms areavailable from the contact person or organization.

NEW MEXICOInformation, requests for accreditation, and items to be listedshould be sent to the chair of the CME Committee, New Mex-ico Medical Society, 7770 Jefferson, Suite 400, Albuquerque,NM 87109, at least two months in advance. For informationon CME accreditation or on the CME requirements of theNew Mexico Board of Medical Examiners, please write to theabove address or call (505) 828-0237.NOTE: Course information in the following listing is subjectto change on occasion. Check with the sponsoringinstitution for current details.

April 29-May 1-Clinical Cardiology Management and Diagnostic Dilem-mas. Santa Fe. Eldorado Hotel. Contact: Registration Secretary, ExtramuralPrograms Department, American College of Cardiology, 9111 Old George-town Rd., Bethesda, MD 20814-1699, (800) 253-4636.

May 21-24-3rd Annual Mammography - Practical Challenges of the 90's:Screening and Beyond. Santa Fe. La Fonda Hotel. Contact: Ryals and As-sociates, Inc, PO Box 1925, Roswell, GA 30077-1925, (770) 641-9773.

May 22-24-Resolving Quandries of the Skin. Phoenix. Royal Palms Hotel.Contact: Terry Hanson, Surgical Pathology Consultants, Inc., 5422 W. Thun-derbird Rd., Ste. 13, Glendale, AZ 85306, (602) 547-1024.

Every First and Third Tuesday-Building and Implementing Clinical Prac-tice Guidelines at the Point of Care. Contact: Thomas A. Naegele, DO,(505) 275-7267.

SATELLITE COURSESContact: Joe Treat or Jim Cato, Immunization Program, (505) 827-2366

CONTACT INFORMATIONUNM SOM-University of New Mexico School of Medicine, Office of CME, PO Box713, Albuquerque 87131. (505) 277-3942.

CONTINUING MEDICAL EDUCATION

UTAHThis listing of continuing medical education courses in Utahis compiled and edited by the CME office of the Utah Med-ical Association. All courses listed have been certified byCME accredited institutions as meeting the criteria for Cat-egory 1 of the Physician's Recognition Award of the Ameri-can Medical Association. Accredited institutions wishing tolist AMA Category 1 CME courses here should send infor-mation at least two months in advance to the Office ofContinuing Medical Education, 540 East Fifth South, SaltLake City, UT 84102; or phone (801) 355-7477. For infor-mation on CME accreditation, please write the CME officeat the above address.NOTE: Course information in the following listing is subject tochange on occasion. Check with the sponsoring insbtution.

MEDICAL GRAND ROUNDSWeekly-Grand Rounds in Internal Medicine, Psychiatry, OB/GYN, and

Pediatrics. Contact: UUSM.Weekly-Pediatric Grand Rounds. Contact: PCMC.

WASHINGTONThe listing of continuing medical education programs inWashington state is compiled by the Washington StateMedical Association. To list Category 1 programs here,please send information at least two months in advance toContinuing Medical Education, Washington State MedicalAssociation, 2033 Sixth Avenue, Suite 1100, Seattle, WA98121; or phone (206) 441-9762 or (800) 552-0612.

Brochures and registration forms are available from the con-tact person or organization listed at the end of each courseor in the list of course sponsors and contact information.

COURSE SPONSORS AND CONTACT INFORMATION

CME HARBORVIEW-Contact: Gayle Splater, Cytology Continuing Education, Dept. ofPathology, Harborview Medical Center, 325 Ninth Ave, Seattle, WA 98104. (206) 223-5953.

PCMS CME-Contact: Executive Director, College of Medical Education, 705 S Ninth,No. 203, Tacoma, WA 98405. (206) 627-7137.

U/W (UNIVERSITY OF WASHINGTON)-Contact: U/W School of Medicine, Div. ofCME, SC-50, Seattle, WA 98195. (206) 543-1050.

VMMC (VIRGINIA MASON MEDICAL CENTER)-Contact: Linda Orgel, Division ofContinuing Medical Education, Virginia Mason Medical Center, PO Box 900, Seattle, WA98111. (206) 340-2058.

WSMA-Washington State Medical Association, Continuing Medical Education, 2033Sixth Ave, Ste 1100, Seattle, WA 98121. (206) 441-9762.

OTHER CME OPPORTUNITIESBrochures and registration forms are available from the con-tact person or organization listed at the end of each courseor in the list of course sponsors and contact information.

AMERICAN ASSOCIATION FOR THE STUDY OF HEADACHE. Novem-ber 6-8, 1998-Scottsdale Headache Symposium. Scottsdale at Mar-riott's Camelback Inn Resort & Spa. Contact: (609) 845-1720..

AMERICAN COLLEGE OF OCCUPATIONAL AND ENVIRONMENTALMEDICINE. April 24-May 1, 1998-57th American OccupationalHealth Conference. Boston, Mass. Contact: ACOEM, 55 W. Seegers Rd.,Arlington Heights, Ill 60005. (847) 228-6850, ext. 184, FAX (847) 228-1856; Website: www.acoem.org.

AMERICAN COLLEGE OF PHYSICIANS. April 2-5,1998-1998 AnnualSession. San Diego Convention Center. Contact: ACP CommunicationsDept. (800) 523-1546, ext. 2655 or 2513, Email: lteer@mail.acponline.org.

AMERICAN DIABETES ASSOCIATION. March 27-29, 1998-Type 2 Di-abetes in the Elderly. The Buttes Resort Tempe (Phoenix), Az. Contact:FAX (602) 861-0542.

The Atopy Syndrome in the Third Millenium. October 2-3, 1998, Zurich,Switzerland, on the occasion of the 50th anniversary of the allergy unit atthe Dept of Dernatology, University Hospital, Zurich, and in collaborationwith the European Academy of Allergology and Clinical Immunology.Contact: Prof. Dr. B. Wiithrich, Zurich, 41-1-255-3079, fax 41-1-255-4431.

CENTER FOR BIO-MEDICAL COMMUNICATION. March 20-22,1998-Clinical Decisions in Urogynecology. Crowne Plaza Manhattan, NewYork, NY. 10.5 hrs. $495 before January 15; $575 after January 15. Con-tact: Staci Cunniffe, CBC, 80 W. Madison Ave., Dumont, NJ 07628. (201)385-8080, email scunniffe @cbcbiomed.com.

CENTER FOR BIO-MEDICAL COMMUNICATION/SOCIETY OF CRITI-CAL CARE MEDICINE. April 22-April 26, 1998-Critical Care Medi-cine-12th Annual Review and Update. Washington, D.C. Contact:CBC, 80 W. Madison Ave., Dumont, NJ 07628. (201) 385-8080.

The Fifth Annual Alimentary Update 1998. February 19, 20, & 21, 1998,Harveys Resort HoteVCasino at Lake Tahoe, NV. Contact: (702) 328-4964;Fax (702) 328-4540; email whsinfo@washoehealth.com.

10th National AIDS Update Conference. March 24-27 Bill Graham CivicAuditorium, San Francisco. Contact: (800) 387-6061; www.nauc.org.

NOTICEState Associations should send their CME listings for publication to:

Allison Spearman, Managing EditorWestern Journal ofMedicine1224 W Main St, Ste 200Charlottesville, VA 22903-2858

(804) 979-8034 * Fax (804) 979-4025 * wjm@cjp.com

AMERICAN ASSOCIATION FOR THE STUDY OF HEADACHE. June26-28, 1998-Fortieth Annual Scientific Meeting of The AmericanAssociation for the Study of Headache. Sheraton Palace, San Francisco.Contact: (609) 845-1720.

WJM, April 1998-Vol 168, No. 4 235

WJM, April 1998-Vol 168, No. 4 Epitomes-Neurology 271

ADVISORY PANEL TO THE SECTION ON NEUROLOGYSTANLEY VAN DEN NOORT, MD

Advisory Panel ChairCMA Council on Scientific Affairs Representative

CARTER G. MOSHER, MDCMA Section ChairSacramento

MARJORIE E. SEYBOLD, MDCMA Section SecretaryVA Medical CenterSan Diego

S. ALLAN DOROSIN, MDCMA Section Assistant SecretarySanta Cruz

DANIEL GIANG, MDLoma Linda University

LESLIE J. DORFMAN, MDStanford University

STANLEY VAN DEN NOORT, MDUniversity of California, Irvine

DAVID P. RICHMAN, MDUniversity of California, Davis

ROBERT C. COLLINS, MDUniversity of California, Los Angeles

LEON J. THAL, MDUniversity of California, San Diego

MICHAEL AMINOFF, MDUniversity of California, San Francisco

J.P. VAN DER MEULEN, MDUniversity of Southern California

LESLIE BIRNBAUMCMA StaffSan Francisco

KATHRYN DUKE, JD, MPHCMA StaffSan Francisco

SHERRY FINKMedical School Representative

ROSABEL YOUNG, MDLos Angeles Society of

Neurological SciencesWoodland Hills

GEORGE A. PERRINE, MDOrange County Neurological SocietyIrvine

LYDIA WYTRES, MDSacramento Neurological SocietySacramento

CHARLES L. JABLECKI, MDSan Diego Neurological SocietySan Diego

FRANK SHARP, MDSan Francisco Neurological SocietySan Francisco

DAVID F. DOZIER, JR, MDSan Francisco Neurological SocietySan Francisco

-1

290 WJM, April 1998-Vol 168, No. 4

____~~~~~~~~~~~~~~~~~~~~~~~~-----------la,

_=_

Many multispecialty groups and hospitals haveasked us to recruit for over 100 positions of variousspecialties. Both permanent and locum tenens. SendCV to:

Westem States Physician Services7510 No. Trellis Circle, Fresno, CA 93720Call (800) 873-0786; FAX (800) 705-7943

email: weserve@lightspeed.net

p-E-w

LOCUM TENENSPERMANENT PLACEMENT

TRACY ZWEIGASSOCIATES

A Physician Registry andPlacement Firm

(805) 641-9141 . (800) 919-9141FAX (805) 641-9143

e-mail: tzweig@isle.net

Since 1979the

P H Y S C ASN.

LocuM TENENS NErWORK has been taking the has-sles of the paperwork and overhead out of practic-ing medicine. Practice near home or travel the coun-

try. We will coordinate all your travel details andprovide you with the best occurrence malpracticepolicy available. Explore a partnership with InterimPhysicians and open new horizons for your future.

Call today! (800) 333-7828

PRIMARY CAREOREGON &SOUTHWESTWASHINGTON

Northws est Permanente. P.C., a professionalgrotup of physicians providing mcdicalservices to 420,000 members of KaiserPermanente in Oregon and SoothwestWN'ashington, has opportu nities in generalfamily practice for BC/BE FamilyPhysicians in the Portland/Vancouverarea, Salem, OR and Longview.Washington (xwith OB for Longvxiewposition) and Internists in Portlandand Salem, OR. Ouir program offers a

professionally stimtulating environment, a

quality lifestyle in the Pacific Northwestand a competitive salary/benefits pack-age. Forward in(Loi ry and CX. to: Niarci K.Clark, Director of Professional Resouirces,NOwrH\W ES'T PERNIANENT'E, PC,500 NE Mlultnomah Strect, Suite 100,Portland, OR 97232-2099. (800) 813-3763.EOE.

KAISER PERMANENTENorthwest Permanente, P.C.Physicians and Surgeons

MEDICAL NEWSLETTERS

HOW TO PASS BOARDOF

INTERNAL MEDICINE

For first FREE issue (24 pages)Send $5 to cover post & hand to:

ARORA BOARD REVIEW

389 East Mt. Pleasant AvenueLivingston, NJ 07039

Classified Advertisement Order FormWJM Display Classifieds WJM Line Ads - Cost $1.50 per word, with a 30

The classified display rate is $70 per vertical word ($45) minimum. The font and type size are

inch. Maximum sizes: 1 column by 5 inches or consistent in line ads. Headings appear in bold2 columns by 2 inches. Display ads must be in type; you may choose to incorporate bold typefull-inch increments. You may choose to have in the text at no additional cost.your ads typeset, or to supply us with camera-ready artwork. You may incorporate logos orother art with ads that we typeset. Logos andother art will not appear on the website.

Please type or print advertising copy clearly:

Company Name:Number of words x $1.50 = $ Contact:

Optional: Confidential box Addresnumber charge + $10.00 = $ ss

City: State: Zip:Subtotal (minimum $45 or Phone: Fax:

minimum $55 withconfidential box number) $ Submit copy to:

Western Journal of Medicine, Classified Advertising#ofinertonx _______ =(subtotal) 2 West Taunton Avenue

Berlin, NJ 08009

Check enclosed for: $ (609) 768-9360 * FAX (609) 753-0064Don't Forget! All advertisements will be posted on the Western Journal website: www.wjmed.com

l

-

The WesternJournal of MedicineThe Western Journal ofMedicine extends its thanks to those who have already made theircommitment by subscribing to WJM. Take advantage of this opportunity to support theJournal...now available through paid subscription only.

Special O ffer!Subscribe now and receive a special $35 member subscription rate with the $10 purchase of oneof the following special WJM publications. You will receive both the WJM subscription andthe book for a total of only $45:

The Quest for Mercy-The forgotteningredient in health care reform, by Roger J.Bulger, MD ($10)

Successful Aging-A Western Journal EofMedicine special issue, Guest Editor Eric B.

Larson, MD ($10)

fl Call or Fax this ad to or Mail this ad to the(804) 979-8034 (804) 979-4025 address below

r.1I Charge my: E Visa J MasterCard J Check enclosed J Bill me I

Name on card I

Card# lII Ex.p Date |_____________________________________________ Purchase (check one)...I Signature 1 $10 The Quest for Mercy I

Name L $10 Successful AgingI NameI Institution | ...and receive the specialIAddressI annual rate of:City, State, Zip 1 $35 WJM Member RatePhone

I Fax _ ______________ I

I Return to: The Western Journal of Medicine, 1224 West Main Street, Suite 200 1I Charlottesville, VA 22903-2858. Phone (804) 979-8034. Fax (804) 979-4025. WJMS98L.98_j

292 WJM, April 1998-Vol 168, No. 4

* ENJOYA ** SEASIDE VACATION *

IN SAN DIEGO!* SSan Diego Academy of Family Physicians' *

42nd Annual Postgraduate Symposium*"Family Med'icine Update: 1998" *

Hotel Del Coronado * Coronado, California*t June 19-21,1998 *

This SDAFP Symposium features a variety of educitionallectures and specialty workshops. This program has beenaccredited by the AAFP for 18 Category 1 CME credit hours.Th OR'i n rvde ottfw0 his prgn by theAOA AAPAand Bo of Pr y and ReistdNursing

Many entertaining social activities have been planned forthe whole family, so don't miss this opportunity to combineto quality continuing medical education with a fun family

0 ~TO receive a detailed brohre, call, fax or write to:

SAN DIEGO ACADEMY OF FAMILY PHYSICIANSP.O. Box 5996, Chula Visa Clifrnia 91912(619) 422-1186 FAX (619) 476-1536

ADVERTISING INDEXMedical Catalogs ..........2nd CoverSouthern Medical Association . .3rd CoverMedicine and Psychiatry ......4th Cover

WESTERN JOURNAL OF MEDICINEClassified Advertisement Order Form 290

ATTENTION PHYSICIANS - MDs and DOsFor Improving Your Clinical Skills in the Treatment

of ObesityLearn From a Proven CME Provider

For nearly 50 years, only one international medical society has beenteaching physicians in all medical specialties how to treat obesity - theAmerican Society of Bariatric Physicians - ASBP. The ASBP teaches thecomprehensive medical approach to obesity treatment.

Join us in San Francisco, California, April 30 - May 2, 1998, for ourWestern Regional Obesity Course, or in Miami Beach, Florida, May 28- May 30, 1998, for our Eastern Regional Obesity Course which willalso include our New Practitioners Seminar, May 27, 1998. In addition,on the calendar of events in 1998 is our 48th Annual Obesity andAssociated Conditions Symposium in San Antonio, Texas, December 3- 5, 1998. You won't want to miss the Basic Bariatric Course onDecember 1, 1998 or the Practice Productivity Course on December 2,1998 in San Antonio, Texas.

As an adjunct to your existing medical specialty, you can learn thecomprehensive approach to treat obese patients with very low caloriediets, safe and effective pharmaceuticals agents, non-pharmaceutical nat-ural agents, diet, behavior modification, exercise, group therapy, etc. Ourprograms will include some leading obesity experts, as well as clinicianswith many years of experience in the successful treatment of obesity.

American Society of Bariatric Physicians5600 South Quebec Street, Suite 109A

Englewood, Colorado 80111Phone 303/770-2526 Fax 303/779-4834

E-mail us at bariatrc@asbp.orgwww.asbp.org/bariatrics

Attention Investors

We are seeking very limited investment in an elec-tronic medical records service venture. Investorsshould be high net worth, practicing physicianswith a drive to bring easy to use, leading tech-nology to aid primary care physicians in remain-ing competitive in the area of capitated healthcare. We are looking for 15 investors willing toinvest between $50K - $100K each. Interestedinvestors should contact Jim Freeman, 415-626-8190, jfreeman@emraccess.com

Would you like to be a Consultant?

We are hiring practicing physicians interested inbeing part of true improvement of quality ofhealth care through software sales and consultingservices to primary care physicians. Positions in SFBay area immediately and Boston and Atlanta inthe near future. Interested applicants should sub-mit a CV to Philip Strong, M.D., pstrong@emrac-cess.com, 608 Noe, San Francisco, CA 94114.