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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


  • 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


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


Anemia risk factors

Lead risk factors

TB risk factors


  • Car seat/booster seat use
  • Helmets

Annual exam

School age

School performance

Dental screening


TB risk factors

CV disease as listed (screen for HTN, lipid disorders)


  • Car seat/booster seat use
  • Helmets

Annual exam


School performance

CV disease

  • Obesity
  • HTN
  • lipid disorders

HEADDSS assessment (home, education (i.e., school), activities/employment, drugs/alcohol, suicidality, and sex)

Depression screening


  • 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