To the Editor: In his Commentary, Dr Brook1 wrote, “After reading the first half of the Medical Knowledge Self-Assessment Program [MKSAP] curriculum for internists, I was fascinated by the absence of any quantitative decision tools.” It appears that Brook reviewed edition 14, published in 2006. Edition 15 has been available to subscribers since July 2009.
Evidence-based recommendations and quantitative decision tools are included as part of the MKSAP program. For example, the first book of MKSAP 15, “Cardiovascular Medicine,” includes pretest probability estimates of coronary artery disease; the TIMI risk score for unstable angina/non– ST-elevation myocardial infarction, and its use in managing patients; the CHADS2 decision tool; and the Framingham Risk Score (with a link to an online Framingham risk calculator).