Preventative Health
Required Skills/Procedures:
1. Perform situation-appropriate (problem-focused or complete) history and physical examinations
2. Interpret clinical information to formulate a prioritized differential diagnosis
3. Guide the creation of a patient-specific management plan
Appropriate Setting: Inpatient and Outpatient
Expected level of Responsibility: Direct supervision with real patients
Learning Topics during encounters with a patient for PREVENTATIVE HEALTH can include:
Medical Knowledge Learning Topics related to PREVENTATIVE HEALTH
1. Recommendations for or against screening strategies (counseling, preventative medication, screening) that address:
Adults (by system)
Physical exam
- Annual physical examination procedure
Cardiovascular disease
- Aortic aneurysm
- Coronary artery disease prevention with aspirin
- Diabetes
- Hypertension
- Lipid disorders
Cancer
- Breast cancer
- Cervical Cancer
- Colorectal cancer
- Lung cancer
- Ovarian cancer
- Prostate cancer
- Skin cancer
Infectious disease
- Chlamydia, gonorrhea, STD’s
- Hepatitis A, B, and C
- HIV
- Syphilis
- Tuberculosis
Other conditions
- Alcohol misuse
- Depression
- Domestic violence
- Fall risk
- Obesity
- Osteoporosis
- Safe driving (seatbelts, texting)
- Tobacco use counseling
Children (by age)
- Infant/toddler
- School age
- Adolescent
Infant/toddler
Age appropriate milestones
- Meeting milestones for speech and motor skills
- Screening for developmental delays
- Screening for Autism Spectrum disorder
Maternal Depression Screening (newborns)
Dental screening
Vision/Hearing
Anemia risk factors
Lead risk factors
TB risk factors
Safety
- Car seat/booster seat use
- Helmets
Annual exam
School age
School performance
Dental screening
Vision/hearing
TB risk factors
CV disease as listed (screen for HTN, lipid disorders)
Safety
- Car seat/booster seat use
- Helmets
Annual exam
Adolescents
School performance
CV disease
- Obesity
- HTN
- lipid disorders
HEADDSS assessment (home, education (i.e., school), activities/employment, drugs/alcohol, suicidality, and sex)
Depression screening
Safety
- Car seat/booster seat use
- Helmets
- Driving
Annual exam
2. Recommended immunization schedules that addresses:
- Adults (19 years and older)
- Preteens and teens (7 through 18 years)
- Infants and children (birth through 6 years)
Diagnostic Evaluation Learning Topics related to PREVENTATIVE HEALTH
1. Age-appropriate medical history taking, documentation, and presentation regarding prior history of screening procedures.
2. Physical examination to address the screening need of the patient based on demographic characteristics of the patient
3. Recommended screening tests and immunizations based on the demographic characteristics of the patient
Management Plan Learning Topics related to PREVENTATIVE HEALTH
1. Communication of recommended screening tests and immunization needs to patients and their families in a caring and compassionate manner
2. Process and procedure of ordering screening tests and immunizations in the electronic medical record
3. Documentation of screening and immunization information in the electronic medical record
4. Interpretation of screening test and implications for next steps in the care of patients
5. Communication and explanation of the results of screening tests, implications, and next steps in care to patients
Potential Differential Diagnosis Topics Include:
Not applicable for this VC3 problem