We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
JAMA Masthead |

About This Journal FREE

JAMA. 2012;308(20):2061. doi:10.1001/jama.308.20.2061.
Text Size: A A A
Published online


Key Objective
To promote the science and art of medicine and the betterment of the public health

Critical Objectives

  1. To maintain the highest standards of editorial integrity independent of any special interests

  2. To publish original, important, valid, peer-reviewed articles on a diverse range of medical topics

  3. To foster responsible and balanced debate on important issues that affect medicine, health, health care, and health policy

  4. To provide physicians with continuing education in basic and clinical science to support informed clinical decisions and ongoing career development

  5. To enable physicians to remain informed in multiple areas of medicine, including developments in fields other than their own

  6. To improve health and health care internationally by elevating the quality of medical care, disease prevention, and research

  7. To inform readers about the various aspects of medicine and public health, including the political, philosophic, ethical, legal, environmental, economic, historical, and cultural

  8. To recognize that, in addition to these specific objectives, JAMA has a social responsibility to improve the total human condition and to promote the integrity of science

  9. To achieve the highest level of ethical medical journalism and to produce a publication that is timely, credible, and enjoyable to read

  10. To use technologies to drive innovation and improve the communication of journal content


Howard Bauchner, MD

Executive Editor
Phil B. Fontanarosa, MD, MBA

Deputy Editors: Drummond Rennie, MD, Ronna Henry, MD, Robert M. Golub, MD, Edward H. Livingston, MD
Managing Deputy Editor: Annette Flanagin
Senior Editor: Jody W. Zylke, MD
Associate Senior Editor: Roxanne K. Young
Contributing Editors: Derek C. Angus, MD, MPH, Robert G. Badgett, MD, Anne Rentoumis Cappola, MD, ScM, Huan J. Chang, MD, MPH, Helene M. Cole, MD, Thomas B. Cole, MD, MPH, W. Gregory Feero, MD, PhD, J. Michael Gaziano, MD, MPH, Richard M. Glass, MD, Preeti N. Malani, MD, MSJ, David H. Mark, MD, MPH, Mary McGrae McDermott, MD, Robert A. McNutt, MD, George T. O’Connor, MD, MS, Boris Pasche, MD, PhD, Eric D. Peterson, MD, MPH, Jeanette M. Smith, MD, Janet M. Torpy, MD, Wolfgang C. Winkelmayer, MD, MPH, ScD, John L. Zeller, MD, PhD
Statistical Editor: Naomi Vaisrub, PhD
Associate Editor: Charlene Breedlove
Fishbein Fellow: Denise M. Goodman, MD, MS
Contributing Writers: Robert H. Brook, MD, ScD, Christine K. Cassel, MD, Nicholas A. Christakis, MD, PhD, MPH, Allan S. Detsky, MD, PhD, Mark Duggan, PhD, Ezekiel J. Emanuel, MD, PhD, Elliott S. Fisher, MD, MPH, Lawrence O. Gostin, JD, Kathy Hudson, PhD, John P. A. Ioannidis, MD, DSc, Ashish K. Jha, MD, MPH, David S. Ludwig, MD, PhD, Howard Markel, MD, PhD, Steven E. Nissen, MD, Bruce M. Psaty, MD, PhD, Joshua M. Sharfstein, MD, Stephen M. Shortell, PhD, MPH, MBA, Harold C. Sox, MD, Robert Steinbrook, MD, Mary E. Tinetti, MD, Abraham Verghese, MD, Jason Wang, MD, PhD, Steven H. Woolf, MD, MPH
Medical News & Perspectives: Joan Stephenson, PhD (editor); Bridget M. Kuehn, MSJ, Mike Mitka, MSJ (senior staff writers); Rebecca Voelker, MSJ (associate managing editor)
Assistant Editors: Carrie Butt, Kate Pezalla, Jennifer Reiling
Manuscript Editing: Stacy L. Christiansen (director); Emily A. Greenhow, Joy K. Jaeger, Phil Sefton, Heather A. Shebel, Kristine B. Simmons, Beverly Stewart (senior manuscript editors); Kim S. P. Campbell; Cara Wallace (freelance manuscript editor)
Editorial Graphics: Cassio Lynm, Alison E. Burke (senior medical illustrators); David Song (editorial assistant)
Electronic Media: Michelle Kurzynski (director, development and design); Eric Butkus, Christopher Hastings, Craig McCaffrey (developers/designers); Reuben Rios (Web administrative assistant)
Administration: Marla A. Hall (director); Gloria Tate (supervisor); Deanna M. Willis (staff assistant)
Editorial Assistants: Mary Cannon, Susan Collister, Carmina Conley, Dawn Cortez, Cheryl Dixon, Georgia Eaton, Audrey Forman, Gwenn Gregg, Lisa Hardin, Rachell M. Lozano, Rosa E. Miranda, Lupe Morales
Content Management Systems and Projects: Larry Bryant (director); Paul Frank (systems administrator); Monica Mungle (editorial systems manager); J.D. Neff (associate developer); Helene Biernacki (project administrator)
Editorial Systems and Administration: Elaine Williams (director); Gale Saulsberry (database specialist); Lenette Gardner-Gullens (electronic input supervisor); Delayna Brown, Fanny L. Brown (electronic input assistants)
Editorial Counsel: Joseph P. Thornton, JD
Copyright/Library Services Coordinator: Yolanda Davis
Survey Research Specialist: Joseph S. Wislar
JAMA/Archives Media Relations: Jann Ingmire (director); Jim Michalski, Deanna Bellandi, Cassie Brasseur


Daniel M. Albert, MD, MS, University of Wisconsin Hospital and Clinics, Madison, Wisconsin
Editor, Archives of Ophthalmology
Donald M. Berwick, MD, MPP, Newton, Massachusetts
Philip Cagle, MD, The Methodist Hospital, Houston, Texas
Jordan J. Cohen, MD, The George Washington University
Washington, DC
Joseph T. Coyle, MD, Harvard Medical School, Boston, Massachusetts
Editor, Archives of General Psychiatry
Ezekiel J. Emanuel, MD, PhD, University of Pennsylvania
Philadelphia, Pennsylvania
Julie Freischlag, MD, Johns Hopkins University School of Medicine, Baltimore, Maryland
Editor, Archives of Surgery
Thomas R. Frieden, MD, MPH, Centers for Disease Control and Prevention, Atlanta, Georgia
Michael M. E. Johns, MD, Robert W. Woodruff Health Sciences Center of Emory University, Atlanta, Georgia
Wayne F. Larrabee Jr, MD, University of Washington, Seattle, Washington
Editor, Archives of Facial Plastic Surgery
Paul A. Levine, MD, University of Virginia, Charlottesville, Virginia
Editor, Archives of Otolaryngology– Head & Neck Surgery
Donald A. B. Lindberg, MD, National Library of Medicine, Bethesda, Maryland
C. David Naylor, MD, DPhil, University of Toronto, Toronto, Ontario, Canada
Rita F. Redberg, MD, MSc, University of California, San Francisco School of Medicine, San Francisco, California
Editor, Archives of Internal Medicine
Uwe E. Reinhardt, PhD, Princeton University, Princeton, New Jersey
Frederick P. Rivara, MD, MPH, University of Washington, Seattle, Washington
Editor, Archives of Pediatrics & Adolescent Medicine
June K. Robinson, MD, The Feinberg School of Medicine, Northwestern University, Chicago, Illinois
Editor, Archives of Dermatology
Griffin Rodgers, MD, National Institute of Diabetes and Digestive and Kidney Diseases Bethesda, Maryland
Roger N. Rosenberg, MD, University of Texas Southwestern Medical Center, Dallas, Texas
Editor, Archives of Neurology
Joshua M. Sharfstein, MD, Maryland Department of Health and Hygiene, Baltimore, Maryland
Harold C. Sox, MD, Dartmouth Medical School Hanover, New Hampshire


Edward H. Shortliffe, MD, PhD (chair), Columbia University, New York, New York Arizona State University, Scottsdale, Arizona
Kent R. Anderson,Journal of Bone and Joint Surgery, Needham, Massachusetts
Karen Antman, MD, Boston University, School of Medicine, Boston, Massachusetts
Steven L. Kanter, MD, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
Raynard S. Kington, MD, PhD, Grinnell College, Grinnell, Iowa
James L. Madara, MD, American Medical Association, Chicago, Illinois
Claire Pomeroy, MD, MBA, UC Davis Health System University of California, Davis School of Medicine, Sacramento, California


Nathan S. Davis, MD (1883-1888)
John B. Hamilton, MD (1889, 1893-1898)
John H. Hollister, MD (1889-1891)
James C. Culbertson, MD (1891-1893)
Truman W. Miller, MD (1899)
George H. Simmons, MD (1899-1924)
Morris Fishbein, MD (1924-1949)
Austin Smith, MD (1949-1958)
Johnson F. Hammond, MD (1958-1959)
John H. Talbott, MD (1959-1969)
Hugh H. Hussey, MD (1970-1973)
Robert H. Moser, MD (1973-1975)
William R. Barclay, MD (1975-1982)
George D. Lundberg, MD (1982-1999)
Catherine D. DeAngelis, MD, MPH (2000-2011), Editor in Chief Emerita


Senior Vice President and Interim Publisher, Periodical Publications
Robert A. Musacchio, PhD

Staff: Monica Smith


Director: Jeffery J. Bonistalli
Phone: (312) 464-2551
Manager: Kathy Russell
Staff: Mirna Monal
Sales Representatives:
Maureen A. Reichert
Phone: (973) 263-9191 ext 226
Nancy E. Souza
Phone: (973) 263-9191 ext 209
Advertising Sales, Marketing and Research
Director: Mark Thornbury
Phone: (973) 263-9191 ext 212
Reprint & ePrint Communications
Manager: Susan Lovenberg
Phone: (312) 464-0776
Reprint Sales:
Reprints Desk, Inc
United States: +1 (800) 622-3920
Worldwide: +1 (310) 990-1737
Classified Advertising/Circulation Promotion
Sales Manager: Thalia Moss
Phone: (312) 464-4169
Senior Sales Representative:
Susan J. Henning
Phone: (312) 464-2490
Sales Representative:
Tem Harrier
Phone: (312) 464-2491


Worldwide Sales
Director: Vida Damijonaitis
Phone: +1 (312) 464-4766
Regional Managers: Saskia Bolore, Americas
Phone: +1 (312) 464-4371
Gretchen Linder, Europe/Middle East/Africa
Phone: +1 (312) 464-2543
Brian McCartney, Asia Pacific
Phone: +1 (312) 464-4227
Sales Representatives:
Rebecca Haas, Americas
Phone: +1 (312) 464-2452
Christine Hearne, Americas
Phone: +1 (312) 464-2524
Staff: Irma Millie Lara, Europe/Middle East/Africa
Phone: +1 (312) 464-2465
Audra Lawlor
Phone: +1 (312) 464-4853
Maliya Scott, Asia/Pacific
Phone: +1 (312) 464-4407
Marketing and Product Development
Matt Herron
Phone: +1 (312) 464-2583
Elizabeth Solaro
Phone: +1 (312) 464-4812
Associate Publisher/Senior Product Development:
Geoffrey Flick
Phone: +1 (312) 464-2464
Rick Bell
Phone: +1 (312) 464-2412
Paul Gee
Phone: +1 (312) 464-2534
Michael McGraw
Phone: +1 (312) 464-2570
Sara Nagy
Phone: +1 (312) 464-2453
Stacy Tucker
Phone: +1 (312) 464-4267
Staff: Millette Jackson-Bates
Phone: +1 (312) 464-4868


Directors: Karen Adams-Taylor, Nicole Bossert, Karl Elvin, Sue Sherrill, Brian Shields
Managers: David Antos, Chris Borden, Suzanne J. Bukovsky, Debbie Camp, Lydia Cruz, Diane Darnell, Colleen Kelly, Chris Meyer, Jaye Mize, Sean O’Donnell, Sean Ohlson, Phil O'Leary, Ryan Patella, Susan Price, Emily Mitchell, Denise Steinhauser
Advertising and Production Services: Bernadette Bauer, Kim Boler, Rhonda Bailey Brown, Timothy Burke, Susan Chiara, Daniel DeGroot, Jordynn Farrar, Euwanaha Joiner-Smith, Cindy Rendlen, Ellen Yoshihara
Circulation Services: Julie Burton, Dexter Golden, Erin Hinchliff, Noemi Rivera, Geneine Van Someren
Composition and New Media: Gail Barrett, Regina Brownlee, Brenda Chandler-Grayer, Scott Curl, Amy Evers, Teri Hutchison, Mary Ann Kuranda, Joshua Lampinen, Fred Marshall, Patricia E. Panek, La'son Diggs Sledge, George Thomson
Graphics: Joe Amft, Maria Duda, Fred Furtner, Carolyn Hall, Maria Kowalkowski
Proofreading: Carol Joy Farrell, Daniel James, Judith A. Literskis, Teresa H. Omiotek


Executive Vice President, Chief Executive Officer: James L. Madara, MD
Chief Operating Officer: Bernard L. Hengesbaugh
President: Jeremy A. Lazarus, MD
President-Elect: Ardis D. Hoven, MD
Immediate Past President: Peter W. Carmel, MD
Secretary: Stephen R. Permut, MD, JD
Speaker, House of Delegates: Andrew W. Gurman, MD
Vice-Speaker, House of Delegates: Susan R. Bailey, MD
Trustees: Joseph P. Annis, MD; David O. Barbe, MD, MHA (chair-elect); Peter W. Carmel, MD; Malini P. Daniel; Alexander Ding, MD, MS; Julie K. Goonewardene; Patrice A. Harris, MD; Ardis D. Hoven, MD; William E. Kobler, MD; Jeremy A. Lazarus, MD; Barbara L. McAneny, MD; Mary Anne McCaffree, MD; Albert J. Osbahr III, MD; Stephen R. Permut, MD, JD; Carl A. Sirio, MD; Steven J. Stack, MD (chair); Georgia A. Tuttle, MD; Robert M. Wah, MD (immediate past chair); Monica C. Wehby, MD

The JAMA Network is a consortium of peer-reviewed print and online medical publications that includes JAMA and 9 specialty Archives Journals.

© 2012 American Medical Association. All rights reserved. Reproduction without permission is prohibited.




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Related Content

Customize your page view by dragging & repositioning the boxes below.