Welcome PIER: The Physicians' Information and Education Resource. Find authoritative, evidence-based guidance to improve clinical care. Register for access (ACP members only) Browse a Topic Type: Diseases Screening and Prevention Complementary/Alternative Medicine Ethical and Legal Issues Procedures Quality Measures Drug Resource The information included herein should never be used as a substitute for clinical judgment and does not represent an official position of ACP.   Mobile PIER: Learn more...   Earn CME: Learn more... Enter a Keyword to Search: Find: within Entire site Diseases Screening and Prevention Complementary/Alternative Medicine Legal and Ethical Issues Procedures For more options try Structured Search.    What's New Quality Measures: The updated PIER Quality Measures Tool comprises all 208 measures included in the 2011 Physician Quality Reporting System (PQRs) from the Centers for Medicare and Medicaid Services (CMS). Included are the criteria for applying the quality measures and links to supporting recommendations and evidence in PIER. Updated modules: Cervical Cancer (1/25/12) Perioperative Management of Adrenal Insufficiency (1/25/12) Gonorrhea (1/24/12) Peripheral Arterial Disease (1/19/12) Pneumothorax (1/19/12) Clostridium difficile Antibiotic-associated Diarrhea (1/12/12) Papanicolaou Smear (1/12/12) Screening for Coronary Artery Disease (1/11/12) Screening for Osteoporosis (1/12/12) Smoking Cessation (1/12/12) Urinary Tract Infection (1/10/12) Perioperative Management of Hyperthyroid Patients (1/6/12) Renal Artery Stenosis (1/6/12) Atopic Dermatitis (1/5/12) Hepatitis A (1/5/12) PIER Point-of-Care CME Program ACP Members can earn 10 free AMA PRA Category 1 Credits™ by using the PIER Point-of-Care CME tool. You can access this tool by clicking on the "CME Diary" link in the upper right corner of any PIER module page. This CME program enables you to record your clinical questions in a "diary" and document the location of the answers to these questions in PIER. Before submitting your questions for credit, the PIER Point-of-Care CME tool also requests that you complete an evaluation form. Each question you answer is worth 0.5 AMA PRA Category 1 Credit™. Once you have completed 4 questions, you may submit them to earn 2 AMA PRA Category 1 Credits™. All entries must be submitted in sets of 4 questions. After using your 10 free credits, you have the option of purchasing another 10 credits. Please note that AMA rules limit you to earning 20 credits per year through the PIER Point-of-Care CME program. See a list of modules currently included in PIER. Overview | Terms of Use | Who We Are | Contact Us ACP Online | Annals of Internal Medicine | ACP Journal Club The information included herein should never be used as a substitute for clinical judgment and does not represent an official position of ACP. Because all PIER modules are updated regularly, printed web pages or PDFs may rapidly become obsolete. Therefore, PIER users should compare the date of the last update on the website with any printout to ensure that the information being referred to is the most current available. PIER is copyrighted © 2012 by the American College of Physicians, 190 N. Independence Mall West, Philadelphia, PA 19106-1572, USA.