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Annual Exam

Prerequisites

Describe and discuss:

  • the distinguishing features of a screening test from a diagnostic test.
  • the qualities of a good screening strategy as it relates to:
    • the nature of the disease being considered for screening
    • the characteristics of the screening test (accuracy, reproducibility, affordability, acceptability)
    • the effect of early detection on the outcome of treatment of the disease
  • the USPSTF grades of screening recommendations according to 1 of 5 classifications (A, B, C, D, I) reflecting the strength of evidence

Demonstrate

  • ability to take a medical history
  • ability to conduct a thorough physical examination
  • basic communication skills

 

Apply Medical Knowledge in the Clinical Encounter

Describe and discuss the 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 (ie, school), activities/employment, drugs/alcohol, suicidality, and sex)Depression screening

Safety

  • Car seat/booster seat use
  • Helmets
  • Driving

Annual exam

 

Describe and discuss the recommended immunization schedule that addresses:

Adults (19 years and older)

Preteens and teens (7 through 18 years)

Infants and children (birth through 6 years)

 

Diagnose

  • Obtain, document, and present an age-appropriate medical history that establishes prior history of screening procedures.
  • Perform a physical exam that addresses the screening need of the patient based on demographic characteristics of the patient
  • Recommend screening tests and immunizations based on the demographic characteristics of the patient

 

Develop a Management Plan

  • Communicate recommended screening tests and immunization needs to patients and their families in a caring and compassionate manner
  • Order screening tests and immunizations in the electronic medical record
  • Update screening and immunization information in the electronic medical record
  • Interpret the results of screening test  and implications for next steps in the care of patients
  • Explain to patients the results of screening tests and implications for next steps in their care