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DOMAIN I: Biomedical Model
A. Clinical Application
of Biomedical
Sciences, Pharmacology, and Nutrients and Supplements (30%)
1. Biomedical sciences
a) differentiate normal and abnormal structures
& functions
b) recognize signs, symptoms, morbidities with
common medical conditions
c) Medical terminology
2. Pharmacology
a) classifications,mechanism, side and adverse
effects
b) routes of administration
c) the effects of the use of tabacco, alcohol, and
other drugs of abuse
d) pharmaceutical-supplement interactions
3. Nutrients and Supplements
a) classitications, actions, and potential adverse
effects
e.g. amino acids, mineraisvtamins
b) signs and symptoms of abnormal lever of N&S
e.g. Vitamin A D,K 14
B. Patient History and Physical
(Examination 25%)
1. Patient history
Chief complaint, history of present
illness, allergies,past medical/surgicalhistory . personal and social
history, familyhistor current medications.herbsand suppleme
review of systems
2. Physical examination
a) Generalsystems examination
e.g,vitalsigns,pulmonary cardiovascular
observation, auscultation & palpation
b) Musculoskeletal examination
e.g.,range.of motion,muscle strength
testing,deep tendon reflexes
c) Neurological examination
e.g.,
assessment of cogritive function evaluation of cranialnerves,sensory &
motor function
3.lmaging, laboratory tests,
and other medical stud,
a) Imaging
e.g.,x-ray,MRl,CT,colonoscopy
b)Laboratorytests
e.g.,complete blood count,
urinalysis,liverpanel, reproductive hormones
c) Other medical
studies
e.g, EMG,EKG
C. Clinical Assessment Process
(30%)
1. Typical presentations of commonly
encountered medical conditions
2. Recognize medical red flags,
mental health Red flags, and sign of abused and trauma
D. Clinical Decision-Making
and Standard of Care (5%)
1. recognize without referral,
co-management, referral (emergent, urgent, routine)
2. conventional biomedical
prognoses, management, and/or standard of care for common medical conditions
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領(lǐng)域i：生物醫(yī)學(xué)模型
A.生物醫(yī)學(xué)的臨床應(yīng)用
科學(xué)、藥理學(xué)及營(yíng)養(yǎng)素和補(bǔ)充劑（30%）
1.生物醫(yī)學(xué)
A)區(qū)分正常和不正常的結(jié)構(gòu)和功能
B)識(shí)別有普通疾病的跡象、癥狀、疾病
C)醫(yī)學(xué)術(shù)語(yǔ)
2.藥理學(xué)
A)分類、機(jī)制、副作用和不利影響
B)行政路線
C)使用塔巴科、酒精和其他濫用藥物的影響
D)醫(yī)藥補(bǔ)充劑相互作用
3.營(yíng)養(yǎng)素和補(bǔ)充劑
A)分類、行動(dòng)和潛在的不利影響
E.G.氨基酸、礦物素
B)不良反應(yīng)水平異常的跡象和癥狀
E.G.維生素a d,k 14
B.病人病史和身體檢查(25%)
1.病人病史
主要投訴，目前的病史，過(guò)敏，過(guò)去的醫(yī)療/外科病史。個(gè)人和社會(huì)歷史，家庭或當(dāng)前的藥物。
2.身體檢查
A)一般制度檢查
E.G、Vital征、肺心血管觀察、聽(tīng)診和觸診
B)肌肉骨骼檢查
E.G.，運(yùn)動(dòng)范圍，肌肉力量測(cè)試，深肌腱反射
C)神經(jīng)檢查
E.G.，顱神經(jīng)、感覺(jué)和運(yùn)動(dòng)功能的核心功能評(píng)估
3.化驗(yàn)，化驗(yàn)，還有其他的醫(yī)學(xué)研究，
A)成像
e.g.x線、mrl、ct、結(jié)腸鏡檢查
B)實(shí)驗(yàn)室測(cè)試
E.G.，全血計(jì)數(shù)，尿檢，肝功能，生殖激素
C)其他醫(yī)學(xué)研究
E.G,emg,ekg
E.G,emg,ekg
c.臨床評(píng)估過(guò)程(30%)
1.典型地介紹常見(jiàn)的疾病狀況
2.識(shí)別醫(yī)療紅旗，心理健康紅旗，以及受虐待和創(chuàng)傷的跡象
d.臨床決策和護(hù)理標(biāo)準(zhǔn)(5%)
1.無(wú)需轉(zhuǎn)診、共同管理、轉(zhuǎn)診(緊急、緊急、例行)
2.常規(guī)的生物醫(yī)學(xué)預(yù)測(cè)、管理和/或一般醫(yī)療條件下的護(hù)理標(biāo)準(zhǔn)
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DOMAIN ll: office
Safety and Professional Responsibilities
A. Risk management and office Safety
1.e.g. burns
seizures falls, anaphylaxis
2. implement
emergency office protocols O
B. Infection. Control
1. e.g.,hepatitis
HIV tuberculosis
2. modes of
transmission, preventive measurements
3. office management
and apply Universal Pececautions
C. Federal Regulations
e.g.,
Occupational Safety and Health Administration(OSHA
Insurance
Portability and AccountabilityActHIPAA
D. Reporting and Record-Keeping
1. required
contents and maintenance of medical records
2. mandated
reportable conditions
e.g. elder
and child abuse. Infectious diseases
3. definition
and purpose of ICD.CPT,E/M. codes
4.insurance
types and requirements
egg, general liability,
malpractice insurance
E. Ethics and Professionalism
1. NCCAOM code
of Ethics and other ethical principles
e.g., informed
consent,negligence, boundaryviolations
2. Communicate effectively and professionally with patients, the
public, and other healthcare providers.
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領(lǐng)域二：辦公室安全和專業(yè)責(zé)任
a.風(fēng)險(xiǎn)管理和辦公室安全
1.E.G.燒傷發(fā)作，下降，過(guò)敏反應(yīng)
2.實(shí)施應(yīng)急辦公室協(xié)議o
b.感染?？丶?/span>
1.E.G.，艾滋病毒結(jié)核病
2.傳播方式、預(yù)防措施
3.辦公室管理和適用普遍福利
c.聯(lián)邦條例
E.G.職業(yè)安全和衛(wèi)生管理
保險(xiǎn)可攜帶性和責(zé)任性a
d.報(bào)告和記錄保存
1.醫(yī)療記錄的必要內(nèi)容和維護(hù)
2.規(guī)定的可報(bào)告條件
E.G.虐待老人和兒童。傳染病
3.icd.cpt的定義和目的。代碼
4.保險(xiǎn)類型和要求
雞蛋、一般責(zé)任、醫(yī)療事故保險(xiǎn)
e.道德操守和專業(yè)精神
1.ncaom道德守則和其他道德原則
E.G.、知情同意、疏忽、違反邊界
2.與患者、公眾和其他醫(yī)療服務(wù)提供者進(jìn)行有效和專業(yè)的溝通。
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