RT Journal A1 Fagan TC T1 "User-friendly" cme in the archives of internal medicine JF Archives of Internal Medicine JO Archives of Internal Medicine YR 1999 FD April 12 VO 159 IS 7 SP 648 OP 648 DO 10.1001/archinte.159.7.648 UL http://dx.doi.org/10.1001/archinte.159.7.648 AB Managed care organizations and changes in Medicare documentation requirements and reimbursement, imposed by the Health Care Financing Administration, have reduced the discretionary time of physicians to levels even lower than 5 years ago. At the same time, the continued rapid pace of medical innovation has made life-long learning even more essential for physicians.