Target Audience

Southern Medical Journal (SMJ) is an interdisciplinary, multi-specialty Journal, and articles span the spectrum of medical topics, providing timely, up-to-date information for primary care physicians and specialists alike. The SMJ enables physicians to provide the best possible care to patients in this age of rapidly changing modern medicine.  Therefore, the readers of the SMJ are an appropriate target for this article.

Goals and Objectives

Syncope is a common reason for hospital admission and often is associated with high-cost, low-value diagnostic testing. There is a strong body of research showing that processes of care at teaching hospitals vary significantly from those at nonteaching hospitals. Despite its diagnostic challenge and high incidence, the relation between inpatient syncope management and teaching status has not been extensively studied, and the authors sought to characterize it. Findings of significantly different management of syncope among hospitals of varying teaching intensity would be meaningful for a number of reasons. First, understanding differences in testing utilization for syncope admissions would allow a better understanding of what care processes and incentives drive the overuse of diagnostic testing for syncope admission, but also during hospitalizations more generally. Second, this would suggest that these processes of care at hospitals that avoid use of unnecessary diagnostic testing should be replicated at other hospitals. At the conclusion of the session, learners should be better prepared to:

  • Consider the role of ischemic evaluations in the workup of syncope;
  • Understand the differential use of ischemic evaluations among hospitals of varying teaching intensity;
  • Review your hospital's guidelines and experience with evaluating syncope with respect to appropriate resource utilization.

Course Information

CME Release Date: March 5, 2019
Valid for credit through: March 5, 2020
Course type: CME Journal Article
Estimated time of completion: 1 hour 

Credits Available

Southern Medical Association is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Southern Medical Association designates this CME Journal Article for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.  All healthcare professionals who are not MDs or DOs will receive a certificate of participation.

Instructions for Participation and Credit

This activity is designed to be completed within the time designated; learners should claim only those credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period noted, following these steps:

  • Read the goals and objectives, accreditation information, and author disclosures.
  • Login in below to access the article in order to study the educational content and references.
  • Online, choose the best answer to each test question. To receive a certificate, you must receive a passing score of 80%.
  • Complete the activity evaluation and attestation.

Upon successful completion of the test, evaluation and attestation, your certificate will be processed and emailed from [email protected] within approximately 1 hour. Credits will be archived for 6 years; at any point within this time period you may login to your account to print a duplicate copy of your certificate.

Click the Disclosure Tab for the Author/Faculty Information

Disclosure of Relevant Financial Relationships

As an organization accredited by the ACCME, Southern Medical Association requires everyone who is in a position to control the content of an education activity to disclose all relevant financial relationships with any commercial interest. The ACCME defines "relevant financial relationships" as financial relationships in any amount, occurring within the past 12 months, including financial relationships of a spouse or life partner that could create a conflict of interest.

Southern Medical Association encourages Speakers/Authors to identify investigational products or off-label uses of products regulated by the US Food and Drug Administration, at first mention and where appropriate in the content.

The following individuals, unless otherwise notedhave no relevant financial relationships to disclose.

Manuscript Author(s):
Michael I. Ellenbogen, MD
Daniel J. Brotman, MD
Jungwha Lee, PhD, MPH
Kimberly Koloms, MS
Kevin J. O’Leary, MD, MS

SMJ Editor-in-Chief:
G. Richard Holt, MD, MSE, MPH, MABE, D BE

Southern Medical Association/Southern Medical Journal Editorial Staff:
Jennifer S. Price, MA, Managing Editor
Anita McCabe, Copyeditor

Course Materials


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