R1 Office Office longitudinal topics
Day 1
Job Aid: Topic : Templates:
Goals : Have current templates
Are able to pull them into a note
Day 2
Job Aid: Topic : Telephone Messages and Referrals
Phone:
Referrals:
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(Pages 1-3 only)
Goals : Complete a phone note
Reassign note to another staff member
Place a referral and send to faculty
Day 3
Job Aid: Topic : Favorites And Macros
Favorites:
https://connect.medcity.net/documents/46900396/96881411/Creating+Labs+DI+and+Procedure+Favorites.pdf
Macros: See printed
Goals: Create at least 5 order favorites
Write 1 macro
Day 4
Job Aid: Topic : Patient Education
Patient Education:
Goals : Print and send patient education to portal
Day 5
Job Aid: Topic : Defaults:
Goals : Create a normal exam default
Day 6
Job Aid: Topic : Vaccinations
Child Vaccination:
https://www.cdc.gov/vaccines/schedules/hcp/imz/child-adolescent.html
Adult Vaccination:
https://www.cdc.gov/vaccines/schedules/hcp/imz/adult.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov
%2Fvaccines%2Fschedules%2Fhcp%2Fadult.html#vacc-adult
Vaccine Adverse Effects:
https://www.aafp.org/afp/2017/0615/afp20170615p786.pdf
Vaccine Hesitancy:
https://www.aafp.org/afp/2016/0715/p94.html
Goals : Understand common vaccination schedules
Day 7
Job Aid: Topic : Pediatric Exams
Goals : Describe frequency and main components of pediatric exams
Day 8
Job Aid: Topic : Pre-participation, Physicals
AAFP Practice Guidelines: AAFP Practice Guidelines:
https://www.aafp.org/afp/2020/0601/afp20200601p692.pdf
Missouri Athletic Association Form:
https://www.mshsaa.org/resources/pdf/PreParticipationPhysicalEvaluation_1617.pdf
Goals : Review and understand preparticipation forms and areas of concern for participation
Day 9 Job Aid: Adult well visit/USPSTF USPSTF screening Recommendations:
Goals : State difference in annual physical and a wellness exam
Utilize templates for wellness exams
Know screening for cervical, ovarian, breast, prostate, colorectal, lung cancer. Hep C, PSA. AAA, ASA, DEXA recommendations.
Day 10
Job Aid: Topic : Gyn exam/PAP
USPSTF Screening for Cervical Cancer Recommendations:
https://www.aafp.org/afp/2019/0215/afp20190215od1.pdf
USCCP App for guidelines and algorithms
Cervical Cancer Screening:
https://www.aafp.org/afp/2018/0401/afp20180401p441.pdf
Goals : Differentiate between guidelines for <21yo, 21-29yo, and 30-65 yo.
Determine recommendation for next step after abnormal pap
Day 11
Job Aid: Topic : Controlled Medications
DEA Scheduling:
https://www.dea.gov/drug-scheduling
Our Clinic Policy:
See:
Controlled substance Agreement
Two-item Graded Chronic Pain Scale
Opioid Risk Tool
FAQ5
Rules for controlled scripts, documenting
Urine Drug Tests:
https://www.aafp.org/afp/2019/0101/afp20190101p33.pdf
Identification and Management of the Drug Seeking Patient:
https://www.aafp.org/afp/2000/0415/p2401.html
Discussion of the Missouri PDMP
Goals : Understand office policies for controlled substances and documentation of prescriptions
Day 12
Job Aid : Topic : Death Certificates
Let’s Get It Right:
https://www.aafp.org/afp/2005/0215/p652.html
MO Death Certificate:
https://health.mo.gov/IVrecords/death_certificate7-14-10.pdf
Case Examples:
https://www.mypcnow.org/wp-content/uploads/2019/02/FF-155-Death-Certificate.-3rd-Ed.pdf
Goals : Review resources provided
Day 13
Job Aid: Topic: Handicap parking permit
2 Types in MO:
https://dor.mo.gov/motorv/placards/
MO Form:
https://dor.mo.gov/forms/1776.pdf
Permanent Placard:
https://dor.mo.gov/motorv/placards/permanent.php
Goals : Know Qualification Criteria
Temporary vs permanent
Day 14
Job Aid: Topic: FMLA
FMLA FAQ’s:
https://www.dol.gov/agencies/whd/fmla/faq
Department of Labor Fact Sheet:
https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/whdfs28.pdf
Form Example:
https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH-380-E.pdf
*Assure written consent prior to releasing any information to employer
Goals : -Understand what FMLA is and what is requested on forms
Day 15
Job Aid: Topic: Depression / Anxiety
Depression and PHQ-9:
https://www.aafp.org/afp/2018/1015/afp20181015p508.pdf
Generalized Anxiety Disorder and GAD-7:
https://www.aafp.org/afp/2015/0501/afp20150501p617.pdf
Goals : Scoring and utility of PHQ9 and GAD7
Day 16
Job Aid: Topic: Billing/Coding
T BD based on new coding guidelines and resources
Goals : Understand different physical, wellness codes and use appropriately
Day 17
Job Aid: Topic : Wet mount
Vaginitis Dx/Tx:
https://www.aafp.org/afp/2018/0301/afp20180301p321.pdf
Wet Prep Slides:
http://www.api-pt.com/Reference/Commentary/2015Bscope.pdf
Work with Tameka in the lab to prepare and view slides
Goals : -When to do a wet mount and how to interpret
Prepare your own slide for analysis
Treatment for BV, vaginal candidiasis, and trichomonas
Day 18
Job Aid: T Topic: UTI
Urinalysis:
https://www.aafp.org/afp/2005/0315/afp20050315p1153.pdf
Treating UTI:
https://www.aafp.org/afp/2011/1001/afp20111001p771.pdf
Case Presentations:
https://www.aafp.org/afp/2014/1015/afp20141015p542.pdf
Goals : When to treat
How long
Common pathogens
Follow up
Day 19
Job Aid: Topic: OM/tympanogram
Otitis Media:
https://www.aafp.org/afp/2019/0915/afp20190915p350.pdf
Otitis Externa:
https://www.aafp.org/afp/2012/1201/afp20121201p1055.pdf
Tympanometry:
https://www.aafp.org/afp/2004/1101/afp20041101p1713.pdf
Goals : How to treat otitis media and otitis externa
How and when to use office tympanometry
Day 20
Job Aid: Topic: Asthma/spirometry Asthma/spirometry
Asthma Guideline:
https://www.aafp.org/afp/2020/0615/afp20200615p762.pdf
COPD:
https://www.aafp.org/afp/2017/0401/afp20170401p433.pdf
Office Spirometry:
https://www.aafp.org/afp/2020/0315/afp20200315p362.pdf
Goals : Basic treatment guidelines for asthma and how to use and interpret spirometry
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