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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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领域i：生物医学模型
A.生物医学的临床应用
科学、药理学及营养素和补充剂（30%）
1.生物医学
A)区分正常和不正常的结构和功能
B)识别有普通疾病的迹象、症状、疾病
C)医学术语
2.药理学
A)分类、机制、副作用和不利影响
B)行政路线
C)使用塔巴科、酒精和其他滥用药物的影响
D)医药补充剂相互作用
3.营养素和补充剂
A)分类、行动和潜在的不利影响
E.G.氨基酸、矿物素
B)不良反应水平异常的迹象和症状
E.G.维生素a d,k 14
B.病人病史和身体检查(25%)
1.病人病史
主要投诉，目前的病史，过敏，过去的医疗/外科病史。个人和社会历史，家庭或当前的药物。
2.身体检查
A)一般制度检查
E.G、Vital征、肺心血管观察、听诊和触诊
B)肌肉骨骼检查
E.G.，运动范围，肌肉力量测试，深肌腱反射
C)神经检查
E.G.，颅神经、感觉和运动功能的核心功能评估
3.化验，化验，还有其他的医学研究，
A)成像
e.g.x线、mrl、ct、结肠镜检查
B)实验室测试
E.G.，全血计数，尿检，肝功能，生殖激素
C)其他医学研究
E.G,emg,ekg
E.G,emg,ekg
c.临床评估过程(30%)
1.典型地介绍常见的疾病状况
2.识别医疗红旗，心理健康红旗，以及受虐待和创伤的迹象
d.临床决策和护理标准(5%)
1.无需转诊、共同管理、转诊(紧急、紧急、例行)
2.常规的生物医学预测、管理和/或一般医疗条件下的护理标准
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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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领域二：办公室安全和专业责任
a.风险管理和办公室安全
1.E.G.烧伤发作，下降，过敏反应
2.实施应急办公室协议o
b.感染。控件
1.E.G.，艾滋病毒结核病
2.传播方式、预防措施
3.办公室管理和适用普遍福利
c.联邦条例
E.G.职业安全和卫生管理
保险可携带性和责任性a
d.报告和记录保存
1.医疗记录的必要内容和维护
2.规定的可报告条件
E.G.虐待老人和儿童。传染病
3.icd.cpt的定义和目的。代码
4.保险类型和要求
鸡蛋、一般责任、医疗事故保险
e.道德操守和专业精神
1.ncaom道德守则和其他道德原则
E.G.、知情同意、疏忽、违反边界
2.与患者、公众和其他医疗服务提供者进行有效和专业的沟通。
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