Blueprint Schwerpunktprüfung Geriatrie (Version 2011) Medical Content Category
|
|
|
- Roberta Webb
- 5 years ago
- Views:
Transcription
1 Blueprint Schwerpunktprüfung Geriatrie (Version 2011) A A1 A2 Gerontology Demography and epidemiology Psychology and sociology of aging Demographic development in Switzerland, Europe and USA Life expectancy in Switzerland, Europe and USA compared to economically underdeveloped countries Interpretation of corresponding BFS (Bundesamt für Statistik) figures for Switzerland Knowledge of demographic scenarios for Switzerland Sociological theories of aging (at least 2 different) A3 Biology and physiology of aging Biological theories of aging (at least 2) Skin Musculoskeletal system and connective tissue disorders Pulmonary system Cardiovascular system Gastrointestinal system and oral tract Urogenital system Central and peripheral nervous system Hearing and visual system Endocrine system Immune system Risk factors for accelerated aging
2 B Diseases in the elderly B1 Allergy Drug allergies B2 Cardiovascular Disease Atrial flutter/fibrillation Cardiac failure Hypertension Orthostatic hypotension Syncope Autonomic failure B3 Dermatology Xerodermia Pruritus Malignant skin tumors (Basalioma, Spinalioma, Melanoma) Bullous skin disease Herpes zoster Specialty of skin of the elderly (Decubitus, venous Ulcers, wound management) B4 Endocrinology Diabetes mellitus Metabolic syndrome Thyroid disorders Disorders of calcium and vitamin D metabolism B5 Gastroenterology Constipation Diarrhea Colon cancer Dysphagia B6 Genitourinary Diseases of the Prostate (carcinoma, benign prostate hypertrophy BPH) Descensus of the bladder / uterus Sexual dysfunction (men/women) B7 Hematology Decreased blood cell counts/anemia Vitamin B12, folate and iron deficiency Myelodysplastic syndromes B8 Infectious Diseases Atypical presentation Respiratory infections Genitourinary infections Drug-resistant/emergent infections Clostridium difficile Tuberculosis Infections due to indwelling catheters or devices B9 Nephrology Electrolyte dysbalance (i.e. Hyponatremia, Hypokaliemia) 2
3 Chronic kidney disease B10 Neurology Seizures Movement disorders Stroke and Transient Ischemic Attacks Aphasias Parkinson`s disease and Parkinson Plus syndroms Chronic subdural hematoma Normal pressure hydrocephalus Peripheral neuropathies B11 Oral Health Dental caries Periodontal diseases Candidiasis Xerostomia Salivary glands Leukoplakia Dentures Nutritional deficiencies and oral health B12 Pulmonary Disease Chronic obstructive pulmonary disease B13 Rheumatology / Physical Low back pain Medicine and Rehabilitation Lumbar spinal stenosis Osteoarthritis Osteoporosis Crystal deposition disease Polymyalgia rheumatica and giant cell arteritis 3
4 C Geriatric Psychiatry C1 Dementia Mild Cognitive Impairment Alzheimer s disease Lewy body dementia Fronto-temporal lobar degeneration Vascular dementia Dementia due to infectious diseases (Lues, HIV) Prion disease Medication-induced cognitive dysfunction Reversible dementia syndromes Diagnostic and management of dementia related symptoms (agnosia, aphasia, apraxia, agression, agitation, wandering) C2 Depression Depression C3 Anxiety Anxiety disorder Fear of falling C4 Schizophrenia, psychosis, hallucinations C5 Alcohol and substance abuse D Geriatric Syndromes D1 Delirium D2 Dizziness / lightheadedness D3 Falls and gait disorders D4 Sensory loss D5 Ophthalmology other than vision loss D6 ENT (ear, nose, throat) other than hearing loss D7 Incontinence D8 Consequences of immobility D9 Sleep disorders D10 Acute and chronic pain in older persons D11 Malnutrition D12 Frailty The frailty concept Definition and diagnosis of the frailty syndrome Management of the frailty syndrome D13 Multimorbidity Definition of multimorbidity Impact of multimorbidity on patient management D14 Management of chronic disorders and of Geriatric Syndromes (multidimensionality) 4
5 E Gerontopharmacology E1 Age-related changes Pharmacokinetic/-dynamic E2 Adverse Drug Events (ADE) E3 Prescribing principles, compliance Inappropriate medications in old persons E4 Drug Interactions E5 Complementary and alternative medications E6 Polypharmacy F Functional Assessment and Rehabilitation F1 Conceptual models of disablement disability F2 Screening for and assessment ADL, IADL of Disability Cognition Depression / Mood Delirium Hearing Visual system (including macular degeneration) Pain Gait/Balance, Mobility Nutrition and Malnutrition Incontinence Social network F3 Aspects of rehabilitation Identification of rehabilitation potential in geriatric patients Knowledge of relevant rehabilitation settings for geriatric patients Effects of geriatric rehabilitation ICF and other models of rehabilitation Impairment, activity and participation Disability Management of the interdisciplinary team Assistive devices Adaptive equipment Therapeutic modalities Orthotics Prosthetics Environmental modifications F4 Rehabilitation settings F5 Insurance issues 5
6 G Caring for the elderly G1 Preventive medicine Screening Immunization Role of exercise G2 Economic aspects of health care G3 Healthcare delivery systems G4 Ethical principles of care SAMW Guidelines G5 Caregiver and family concerns G6 Cultural aspects of aging G7 End-of-life and palliative Pain care Nausea Constipation Dyspnea Terminal rales Kachexia, Asthenia Delirium Depression Sleep disorders Mobility Sedation Singultus Fluid management Anxiety Reanimation Support of the family G8 Elder mistreatment G9 Long time care Nursing homes, SPITEX G10 Financial management and support of old persons G11 Legal aspects of caring for the elderly Guardianship, medical power of attorney, living wills The older driver Commitment to an institution Actively and passively assisted suicide Use of physical restraints 6
Public Dissemination Effective: January 2018
Board of Pharmacy Specialties Board Certified Geriatric Pharmacist (BCGP) Detailed Content Outline 1. GENERAL PRINCIPLES OF AGING (20%) A. Apply the knowledge of physiologic changes associated with aging
The primary medical content categories of the blueprint are shown below, with the percentage assigned to each for a typical exam:
Geriatric Medicine Certification Examination Blueprint Purpose of the exam The exam is designed to evaluate the knowledge, diagnostic reasoning, and clinical judgment skills expected of the certified geriatrician
UNTHSC TCOM Geriatric Competencies Curriculum Mapping Document
INSTRUCTIONS: Place a "B" (Basic), "I" (Intermediate), or "A" (Advanced) in the box next to the Geriatric Competency to indicate the Geraitaric Competency being taught, the corresponding Method of Subject
ICD-9-CM CODING FUNDAMENTALS CODING EXERCISES
Steps to Accurate Coding Underline the main term, then locate code: Stenosis of Carotid Artery Transient Ischemic Attack Gastrointestinal hemorrhage Degenerative Joint Disease Coronary Artery Disease Alcoholic
Internal Medicine Certification Examination Blueprint
Internal Medicine Certification Examination Blueprint What Does the Examination Cover? The exam is designed to evaluate the extent of the candidate s knowledge and clinical judgment in the areas in which
GERIATRIC MEDICINE Maintenance of Certification (MOC) Examination Blueprint
GERIATRIC MEDICINE Maintenance of Certification (MOC) Examination Blueprint ABIM and ABFM invite diplomates to help develop the Geriatric Medicine MOC exam blueprint Based on feedback from physicians that
Table of Contents. Course CME Credits. General Principles Topic CME Credit(s)
Table of Contents Course Course CME Credits Med-Challenger SPEX Comprehensive Review 266.0 CME Credits General Principles 21.0 CME Credit(s) Abdominal Pain 1.0 Acute Pelvic Pain in Women 1.0 Acute Vaginal
United Council for Neurologic Subspecialties Geriatric Neurology Written Examination Content Outline
United Council for Neurologic Subspecialties Geriatric Neurology Written Examination Content Outline REV 3/24/09 The UCNS Geriatric Neurology examination was established to determine the level of competence
Physician Assistant (Associate) Education in an Aging World
Physician Assistant (Associate) Education in an Aging World Gerry A. Gairola, Ph.D. and David Fahringer, PA-C,MSPAS, MSPH University of Kentucky College of Health Sciences Department of Clinical Sciences
NurseAchieve. CHAPTERS INCLUDED IN THE NURSEACHIEVE COMPREHENSIVE NCLEX REVIEW NURSING SKILLS AND FUNDAMENTALS:
NurseAchieve www.nurseachieve.com CHAPTERS INCLUDED IN THE NURSEACHIEVE COMPREHENSIVE NCLEX REVIEW NCLEX TEST STRATEGIES: NCLEX EXAM OVERVIEW TEST TAKING STRATEGIES NURSING SKILLS AND FUNDAMENTALS: ADMINISTRATION
7:30 a.m. 8:05 a.m. Welcome/Introductions and Tips for Success
AGENDA SATURDAY, DECEMBER 2 ND 7:30 a.m. 8:05 a.m. Welcome/Introductions and Tips for Success 8:05 a.m. 10:05 a.m. Assisted Living Complex Case Carol Fox, PharmD, CGP ACPE Number: 0204-0000-17-972-L01-P
CUMULATIVE ILLNESS RATING SCALE (CIRS)
CUMULATIVE ILLNESS RATING SCALE (CIRS) The CIRS used in this protocol is designed to provide an assessment of recurrent or ongoing chronic comorbid conditions, classified by 14 organ systems. Using the
American Board of Physical Medicine & Rehabilitation. Part I Curriculum & Weights
American Board of Physical Medicine & Rehabilitation Part I Curriculum & Weights Neurologic Disorders 30% Stroke Spinal Cord Injury Traumatic Brain Injury Neuropathies a) Mononeuropathies b) Polyneuropathies
Western University of Health Sciences, College of Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of
Western University of Health Sciences, College of Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. Topic UAN# Target Audience A
Patient Medical Information. Last. Sex: M / F Age: Date of Birth: Home Address: City: State: Zip Code: Business Address: City: State: Zip Code:
Patient Medical Information Name: First Middle Last Sex: M / F Age: Date of Birth: Social Security # Driver s License # Home Address: City: State: Zip Code: Home Phone: Occupation: Cell: Employer: Business
Pharmacotherapy Handbook
Pharmacotherapy Handbook Eighth Edition Barbara G. Wells, PharmD, HP, FCCP, BCPP Dean and Professor Executive Director, Research Institute of Pharmaceutical Sciences School of Pharmacy, The University
LECOM Health Ophthalmology
Patient Name: Date of Birth: New Patient Questionnaire Your answers will be used by your healthcare provider get an accurate history of your medical conditions and ocular concerns. If you are uncomfortable
The role of the Geriatrician
Post-operative management of the older adults with cancer The role of the Geriatrician Sofia Duque Hospital Beatriz Ângelo Geriatric University Unit Faculty of Medicine of Lisbon Geriatrics Study Group
Pharmacy Prep. Qualifying Pharmacy Review
Pharmacy Prep 2014 Misbah Biabani, Ph.D Director, Tips Review Centres 5460 Yonge St. Suites 209 & 210 Toronto ON M2N 6K7, Canada Luay Petros, R.Ph Pharmacy Manager, Wal-Mart, Canada 1 Disclaimer Your use
TEXAS VASCULAR ASSOCIATES, P.A. PATIENT CLINICAL INTAKE FORM
TEXAS VASCULAR ASSOCIATES, P.A. PATIENT CLINICAL INTAKE FORM PATIENT NAME: DATE OF BIRTH: TVA Physician being seen: Date of Visit: PAST MEDICAL HISTORY HEART PROBLEMS NEUROLOGICAL Congestive Heart Failure
American Board of Psychiatry and Neurology, Inc. Geriatric Psychiatry Core Competencies Outline
American Board of Psychiatry and Neurology, Inc. Geriatric Psychiatry Core Competencies Outline I. Geriatric Psychiatry Patient Care and Procedural Skills Core Competencies A. Geriatric psychiatrists shall
Chapter Goal. Learning Objectives 9/12/2012. Chapter 36. Geriatrics. Use assessment findings to formulate management plan for geriatric patients
Chapter 36 Geriatrics Chapter Goal Use assessment findings to formulate management plan for geriatric patients Learning Objectives Describe dependent & independent living environments Identify local resources
Geriatric Modules with Learning Objectives in the Comprehensive Geriatric Program
Geriatric Modules with Learning Objectives in the Comprehensive Geriatric Program Date Created: Jul. 4, 2017 Basic Concepts Module 1: The Impact of Aging After successful completion of this learning module,
DISCLAIMER: ECHO Nevada emphasizes patient privacy and asks participants to not share ANY Protected Health Information during ECHO clinics.
DISCLAIMER: Video will be taken at this clinic and potentially used in Project ECHO promotional materials. By attending this clinic, you consent to have your photo taken and allow Project ECHO to use this
Premium Specialty: Pediatrics
Premium Specialty: Pediatrics Credentialed Specialties include: Adolescent Medicine, Pediatric Adolescent, and Pediatrics This document is designed to be used in conjunction with the UnitedHealth Premium
PLEASE COMPLETE ALL SECTIONS OF THIS FORM
PLEASE COMPLETE ALL SECTIONS OF THIS FORM Patient Name: Date of Birth: Referring Doctor? (Name, telephone number and address) Chief Complaint: Why have you come here? How did it start? What are the symptoms?
Medical History Form
Medical History Form Name: ; Birth date: / / ; Date: / / Person filling out form: ; Relationship: Thank you for taking the time to fill out this valuable information. This allows us to provide the best
Hospice and Palliative Medicine
Hospice and Palliative Medicine Certification Examination Blueprint Purpose of the exam The exam is designed to evaluate the knowledge, diagnostic reasoning, and clinical judgment skills expected of the
Chapter 39. Objectives. Objectives 01/09/2013. Geriatrics
Chapter 39 Geriatrics Prehospital Emergency Care, Ninth Edition Joseph J. Mistovich Keith J. Karren Copyright 2010 by Pearson Education, Inc. All rights reserved. Objectives 1. Define key terms introduced
RECOMMENDED COURSE ORDER
Although you have the flexibility to view the videos in any order, we strongly recommend that you watch the videos in the order in which your dashboard presents them regardless of how many videos you view
Past Medical History. Chief Complaint: Patient Name: Appointment Date: Page 1
Appointment Date: Page 1 Chief Complaint: (Please write reason, symptoms, condition or diagnosis that prompts your appointment) Past Medical History PERSONAL SKIN HISTORY YES NO Yes - Details Melanoma
Geriatric Medicine I) OBJECTIVES
Geriatric Medicine I) OBJECTIVES 1 To provide a broad training and in-depth experience at a level sufficient for trainees to acquire competence and professionalism required of a specialist in Geriatric
Long-stay patients methodology Published by NHS England and NHS Improvement
Long-stay patients methodology Published by NHS England and NHS Improvement July 2018 1 Document Title: Long-stay patients methodology Version number: 1.0 First published: 9 July 2018 Updated: Prepared
Chapter 1 Certain Infectious and Parasitic Diseases
Chapter 1 Certain Infectious and Parasitic Diseases 1.1 A patient is seen for right lower leg muscle atrophy that is the result of a previous bout of polio. Chapter 2 Neoplasms 2.1 Small cell carcinoma
SCHEDULE OF CONTINUING EDUCATION COURSES FOR RN s and CNAs. January 2018 WALK INS ARE ACCEPTED BUT WE ADVISE STUDENTS TO PRE-REGISTER BEFORE THURSDAY
SCHEDULE OF CONTINUING EDUCATION COURSES FOR RN s and CNAs January 201 DATE DAY TIME TOPICS January 04 January 11 January 1 January 25 9:00AM 9:00AM 9:00AM 9:00AM 1. Understanding Fibromyalagia 2. Diabetes
CONTENT OUTLINE FOR THE PHARMACOTHERAPY CERTIFICATION EXAMINATION
CONTENT OUTLINE FOR THE PHARMACOTHERAPY CERTIFICATION EXAMINATION The following domains, tasks and knowledge statements were delineated by the BPS Specialty Council on Pharmacotherapy and validated through
J. Van Lier Ribbink, M.D., F.A.C.S. Center for Endocrine and Pancreas Surgery at Honor Health
J. Van Lier Ribbink, M.D., F.A.C.S. Center for Endocrine and Pancreas Surgery at Honor Health Patient Clinical Information Questionnaire 1.0 Date of Questionnaire Completion; / / 2.0 Patient Data 2.1 Name:
DATE OF BIRTH: MELANOMA INTAKE
MELANOMA INTAKE GENERAL INFORMATION How was your first diagnosed? (Check the diagnosis that describes your condition.) Melanoma Merkel Cell Carcinoma Squamous Cell Carcinoma Basal Cell Carcinoma Other
SCHEDULE OF CONTINUING EDUCATION COURSES FOR RN s and CNAs. January 2019
January 2019 DATE DAY TIME TOPICS TOTAL January 03 1. Alcoholism 2. Nutrition for the Elderly 3. Uterine Fibroids 4. HIPAA 5.Arthritis 6. Childhood Obesity January 10 1. Understanding Epilepsy: Latest
SCHEDULE OF CONTINUING EDUCATION COURSES FOR RN s and CNAs. January 2018
January 201 DATE DAY TIME TOPICS TOTAL January 04 1. Understanding Fibromyalagia 2. Diabetes and Cardiovascular Disease 3. Prostate Cancer 4. Hepatitis C 5. Understanding Hepatitis B January 11 1. Dysphagia
Interventional Pain Medicine. P. Tennent Slack, M.D. Dr. Greg Jackson, M.D. Ben Fleming, PA-C
Interventional Pain Medicine P. Tennent Slack, M.D. Dr. Greg Jackson, M.D. Ben Fleming, PA-C Gainesville Braselton Medical Park 1, Suite 300 Medical Plaza B, Suite 402 1315 Jesse Jewell Parkway 1404 River
Patient Name: Date of Birth: Preferred Pharmacy: (name/location/phone #)
Patient Name: Date of Birth: Referring Doctor: Primary Care Dr: Preferred Pharmacy: (name/location/phone #) CURRENT MEDICATIONS: Please list all Medication Dose Frequency 1 2 3 4 5 6 7 8 9 10 11 12 13
The Geriatrician in the Trauma Service. Trauma Quality Improvement Program (TQIP) Annual Scientific Meeting and Training 2013
The Geriatrician in the Trauma Service Trauma Quality Improvement Program (TQIP) Annual Scientific Meeting and Training 2013 Challenges of the Geriatric Trauma Patient Challenges of the Geriatric Patient
Evaluating Exam Review Book and Guide
Pharmacy Prep Evaluating Exam Review Book and Guide Misbah Biabani, Ph.D Director Toronto Institute of Pharmaceutical Sciences (TIPS) Inc. Toronto, ON M2N 6K7 Pharmacy Prep Professional Exams Preparation
PATIENT HEALTH QUESTIONNAIRE Radiation Oncology
REVIEWED DATE / INITIALS Safety: Yes No Are you at risk for falls? Do you have a Pacemaker? Females; Is there a possibility you may be pregnant? Allergies: Yes No If YES, please list medication allergies:
Barbara G. Wells, PharmD, FASHP, FCCP, BCPP Dean and Professor School of Pharmacy, The University of Mississippi Oxford, Mississippi
Barbara G. Wells, PharmD, FASHP, FCCP, BCPP Dean and Professor School of Pharmacy, The University of Mississippi Oxford, Mississippi Joseph T. DiPiro, PharmD, FCCP Panoz Professor of Pharmacy, College
PATIENT HEALTH QUESTIONNAIRE Radiation Oncology
REVIEWED DATE / INITIALS Safety: Are you at risk for falls? Do you have a Pacemaker? Females; Is there a possibility you may be pregnant? Allergies: If YES, please list medication allergies: Do you have
Bend Surgical Associates. Michael J. Mastrangelo, MD, FACS. Medication Name Dosage Frequency Medication Name Dosage Frequency
Bend Surgical Associates Michael J. Mastrangelo, MD, FACS PATIENT NAME: DATE F BIRTH: MEDICATINS Please list all of your current prescription, non-prescription medications, vitamins, minerals, and supplements.
Providence Medical Group
Providence Medical Group To our valued patients: In order to provide you with our full attention when you come for an appointment, we would like to ask you to be aware of the following guidelines. Insurance
Recommended Geropsychiatric Competency Enhancements for Gerontological Nurse Practitioners
Recommended Geropsychiatric Competency Enhancements for Gerontological Nurse Practitioners These recommended competency enhancement statements draw attention to the special needs of older adults with mental
General Principles: 5% 7%
General Principles: 5% 7% International Foundations of Medicine Clinical Science Exam Blueprint Infancy and Childhood (normal growth and development) Adolescence (sexuality, separation from parents/autonomy,
In your own words, please write the reason you are here. Please be specific, putting in dates as necessary. Use the back of the form if needed.
Name: SS# In your own words, please write the reason you are here. Please be specific, putting in dates as necessary. Use the back of the form if needed. Patient Medical, Surgical and Family History Review
Introduction to Dementia: Diagnosis & Evaluation. Created in March 2005 Duration: about 15 minutes
Introduction to Dementia: Diagnosis & Evaluation Created in March 2005 Duration: about 15 minutes Axel Juan, MD The Geriatrics Institute axel.juan@med.va.gov 305-575-3388 Credits Principal medical contributor:
CCR Keywords Primary keywords
CCR Keywords Primary keywords 1 Aboriginal health 2 Administration and health services 3 Allied health 4 Anaesthesia and intensive care 5 Biochemistry 6 Cardiology and cardiac surgery 7 Complementary medicine
Mental Health Counseling for mood, aging, and coping with life transitions and chronic illness.
Mental Health Counseling for mood, aging, and coping with life transitions and chronic illness. Silver Linings for Seniors Silver Linings for Seniors, Inc. offers on-site confidential Mental Health Counseling
Delirium Avoid it Recognize it Find the cause of it
Delirium Delirium is acute cognitive dysfunction. It has a 20% - 30 day mortality (usually because of underlying conditions). It is associated with increased lengths of hospital stay, increased disability,
Appendix 1: Supplementary tables [posted as supplied by author]
![Appendix 1: Supplementary tables [posted as supplied by author]](/thumbs/81/83505567.jpg "Appendix 1: Supplementary tables [posted as supplied by author]")
Appendix 1: Supplementary tables [posted as supplied by author] Table A. International Classification of Diseases, Ninth Revision, Clinical Modification Codes Used to Define Heart Failure, Acute Myocardial
Ambulatory Rotation Mini-lecture Curriculum for IM Residents
Ambulatory Rotation Mini-lecture Curriculum for IM Residents Welcome to Department of Medicine s Ambulatory Rotation Mini-lecture Curriculum. This site is your primary source to access the posted Mini-lectures,
UnitedHealth Premium Physician Designation Program Episode Treatment Groups (ETG ) Description and Specialty
UnitedHealth Premium Physician Designation Program Episode Treatment Groups (ETG ) Description and Specialty 666700 Acne Family Medicine, Internal Medicine, Pediatrics 438300 Acute Bronchitis Allergy,
DIAH MUSTIKA HW SpS,KIC Intensive Care Unit of Emergency Department Naval Hospital dr RAMELAN, Surabaya
DIAH MUSTIKA HW SpS,KIC Intensive Care Unit of Emergency Department Naval Hospital dr RAMELAN, Surabaya Encephalopathy is a common complication of systemic illness or direct brain injury. Acute confusional
SECTION I: ACTIVE DIAGNOSES. Active Diagnoses in the Last 7 Days
SECTION I: ACTIVE DIAGNOSES Intent: The items in this section are intended to code diseases that have a relationship to the resident s current functional status, cognitive status, mood or behavior status,
Medical Questionnaire
Medical Questionnaire Date: Day Month Year Please answer these questions as completely as you can. We realize that this form is long, but the information in this form will be extremely valuable to us in
Patient Name: Date of Birth:
Patient Name: Date of Birth: Marital Status: Single Married Divorced Widowed Height: Referring Doctor: Weight: Primary Care Dr.: Preferred Pharmacy:(name/address) ALLERGIES: Do you have any drug allergies?
0301 Anemia Others. Endocrine nutritional and metabolic disorders Others Vascular dementia and unspecified dementia
Certain infectious and parasitic diseases 0101 Intestinal infectious diseases 0102 Tuberculosis 0103 Infections with a predominantly sexual mode of transmission 0104 Viral infections characterized by skin
Episodes of Care Risk Adjustment
Episodes of Care Risk Adjustment Episode Types Wave 1 Asthma Acute Exacerbation Perinatal Total Joint Replacement Wave 2 Acute Percutaneous Coronary Intervention COPD Acute Exacerbation Non-acute Percutaneous
New Patient Questionnaire Pediatric Orthopaedic Surgery
Page 1 of 5 New Patient Questionnaire Pediatric Orthopaedic Surgery First Name: Last Name: Middle: DOB: Height: Weight: Primary Care Physician/Pediatrician Name: Address: Phone Number: Chief Compliant
PAGE 1 NEURO-OPHTHALMIC QUESTIONNAIRE NAME: AGE: DATE OF EXAM: CHART #: (Office Use Only)
PAGE 1 NEURO-OPHTHALMIC QUESTIONNAIRE NAME: AGE: DATE OF EXAM: CHART #: (Office Use Only) 1. What is the main problem that you are having? (If additional space is required, please use the back of this
Selected tables standardised to Segi population
Selected tables standardised to Segi population LIST OF TABLES Table 4.2S: Selected causes of death, all-ages, 2000 2004 (Segi Standard) Table 5.3S: Public hospitalisations by major cause of admission
Frailty. Nicholas Butler MD, MBA Department of Family Medicine University of Iowa
Frailty Nicholas Butler MD, MBA Department of Family Medicine University of Iowa Doris 84 yo female who comes into your clinic with her daughter. She complains of feeling increasingly fatigued and just
Hu J, Gonsahn MD, Nerenz DR. Socioeconomic status and readmissions: evidence from an urban teaching hospital. Health Aff (Millwood). 2014;33(5).
Appendix Definitions of Index Admission and Readmission Definitions of index admission and readmission follow CMS hospital-wide all-cause unplanned readmission (HWR) measure as far as data are available.
Delirium. A Geriatric Syndrome. Jonathan McCaleb, MD, CMD, HMDC UNSOM, Assistant Professor of Medicine Geriatrics / Hospice & Palliative Medicine
Delirium A Geriatric Syndrome Jonathan McCaleb, MD, CMD, HMDC UNSOM, Assistant Professor of Medicine Geriatrics / Hospice & Palliative Medicine Introduction Common Serious Unrecognized: a medical emergency
Community Paramedic Training Program
Date: March 2015 Page 1 of 5 Community Paramedic Training Program Training Program Components A. Classroom Training - The Community Paramedic (CP) training course (Appendix 1 Training Curriculum) was developed
Amarillo Surgical Group Doctor: Date:
Office Visit Information (General Surgery) Amarillo Surgical Group Doctor: Date: Patient s Information Name: Last First Middle Social Security #: Date of Birth: Age Gender: [ Male / Female ] Marital Status:
Pre-Admission Testing Questionnaire
Pre-Admission Testing Questionnaire Approximately 2 weeks prior to your surgery date you will receive a telephone call from our Pre-Admission Testing department. During this conversation, a Registered
Student Outline. Improving Transportation Safety: Commercial Driver Medical Examiner Training CHAPTER 1. General FMCSA Information
Student Outline CHAPTER 1 General FMCSA Information FMCSA Mission Statement / Dedicated to Safety / NRCME Important Definitions Regulations Vs. Medical Guidelines Privacy and the Medical Examination 13
Patient Intake Form for Allegany Ear, Nose, & Throat
Patient Intake Form for Allegany Ear, se, & Throat Patient Name: What brings you to the office today? Who is your primary care doctor? Please list your current medications: Are you allergic to any medications?
Mayo Clinic Physician Assistant Board Review
PHARMACOLOGY CONTENT Mayo Clinic Physician Assistant Board Review Select presentations will contain pharmacology content as noted in the program. Identified presentations represent approximately 11.75
MEDICAL HISTORY. Previous Nephrologist. Medication taken Insulin Oral Both. Who manages your diabetes? Blindness Yes No Hearing Problems Yes No
MEDICAL HISTORY Please mark YES or NO and fill in appropriate blanks as needed Chronic Yes No If yes, year diagnosed Previous Nephrologist Transplant Yes No If yes, date Donor type Living Deceased Related
History Form for Exceptional Home-Based Care
Patient Name: ; Birth date: / / ; Date: / / Person filling out form: ; Relationship: Thank you for taking the time to fill out this valuable information. This allows us to provide the best care possible
HD CLINIC MEDICAL HISTORY FORM
HD CLINIC MEDICAL HISTORY FORM Welcome to the HDSA Center of Excellence HD Clinic. Please take a few moments to answer the questions below as best as you can. If you need assistance, a caregiver/companion
PATIENT HISTORY FORM
Please bring completed history form to your scheduled appointment, if not completed this could delay your office visit. Thank you PATIENT HISTORY FORM Appointment Date Appointment Time Name Referring Physician
PLEASE LET US KNOW YOUR REASON FOR TODAY S VISIT : CURRENT MEDICATIONS (WITH DOSAGE) PLEASE INCLUDE VITAMINS AND HERBAL MEDICATIONS:
1 NAME: DATE OF BIRTH PLEASE LET US KNOW YOUR REASON FOR TODAY S VISIT : CURRENT MEDICATIONS (WITH DOSAGE) PLEASE INCLUDE VITAMINS AND HERBAL MEDICATIONS: PAST MEDICAL HISTORY (YOUR MEDICAL HISTORY) :
Medical History Form
Medical History Form NAME DOB / / TODAY S DATE MEDICAL HISTORY What medical Conditions do you have? Select all that apply, or write in if not listed: Diabetes High Blood Pressure Thyroid Disorder Heart
Patient Name: DOB: Age: Sex: Male Female Height: Weight: Dominant Hand: Right Left HISTORY OF PRESENT ILLNESS
CAPS PAINCARE Page 1 of 5 Today s : / / SSN (last 4 digits): xxx-xx - Patient Name: DOB: Age: Sex: Male Female Height: Weight: Dominant Hand: Right Left Type of Accident/Injury: Auto Work Personal Injury
Rosen s Emergency Medicine 2018, 9/e Table of Contents
Rosen s Emergency Medicine 2018, 9/e Table of Contents Dr.hamidmirjalili@gmail.com Telegram: @medup PART I : Fundamental Clinical Concepts Section One : CRITICAL MANAGEMENT PRINCIPLES 1. Arway >> page
PERSONAL HISTORY CURRENT HEALTH CONDITION
PERSONAL HISTORY Name: Date S.S.# Address: City: State Zip code Home phone Cell Other: E-Mail Date of Birth Age Sex Male Female Business/Employer Address Type of Work Years Employed Check One Married Single
2018 OCN Keywords January 22, 2018 Subject Area Weight Keywords
Subject Area Weight Keywords Care Continuum 19% Care Continuum Coordination of Care Navigation Psychosocial Symptom Management Health Promotion/Screening and Early Detection Disease Prevention High-Risk
Physical Therapist National Physical Therapy Examination (NPTE) Test Content Outline
Physical Therapist National Physical Therapy Examination (NPTE) Test Content Outline This test is designed to measure whether or not an examinee has the requisite knowledge and skills required of entry-level
How much do you know about illnesses or health problems for your parents, grandparents, brothers, sisters, and/or children? 1 A lot Some None at all
Family Health History Please answer each question as honestly as possible. There are no right or wrong answers to nay of the questions. It is important that you answer as many questions as you can. We
Lauren Griffith McMaster University
The Impact of Chronic Condition List on Prevalence and the Relationship between MCCs and Disability, Social Participation, and Self- Rated Health: Data from the Canadian Longitudinal Study on Aging Lauren
DIVISION OF CARDIOLOGY
Name: Date of Birth: / / Home Phone #: Cell Phone #: Work Phone #: Fax #: Address: City: State: Zip: Primary Care Physician: Office Address: Work #: Fax #: Referring Physician (if different): Office Address:
Table E1. Standardized Mortality Ratios for Total and Specific Causes of Death Parameter Radiologists Psychiatrists No. of Deaths
RSNA, 2016 10.1148/radiol.2016152472 Table E1. Standardized Mortality Ratios for Total and Specific Causes of Death Parameter Radiologists Psychiatrists No. of Deaths Observed/Expected No. of Deaths Observed/Expected
The information you provide us will greatly help us provide the highest quality and most comprehensive care for you.
Rheumatology (circle location of appointment) 111 Hundertmark Rd. Suite 115N 560 S. Maple St. Suite 400 place patient label here Chaska, MN 55318 Waconia, MN 55387 952-361-2450 952-361-2450 The information
PERSONAL MEDICAL AND FAMILY HISTORY Please check applicable boxes.
Name: DOB: PERSONAL MEDICAL AND FAMILY HISTORY Please check applicable boxes. TOBACCO USE: Quit Date Cigarettes Packs/Day Number of years smoked Pipe/Cigar Smokeless Tobacco Electronic or E-cigarette Secondhand
Rehabilitation Medicine Nutrition Occupational and Environmental Medicine Ophthalmology Otolaryngology
Other integrative curricular areas Internal medicine physicians must have a broad range of knowledge which includes an understanding of conditions and topics that are normally considered to be the purview
UND GERIATRIC MEDICINE FELLOWSHIP CURRICULUM ACUTE CARE
LOCATION SITE Sanford Medical Center Fargo 5225 23rd Avenue S Fargo, ND 58104 CONTACT LEAD FACULTY MEMBER Dr. Darin Lang Darin.lang@sanfordhealth.org PROGRAM CONTACT Dr. Gunjan Manocha gunjan.dhawan@und.edu
2017 ST3 Competition Ratios Medical Specialties
2017 ST3 Competition Ratios Medical Specialties Applications Received Posts Available Competition Ratio Acute Internal Medicine 245 125 1.96 Allergy 8 3 2.67 Audiovestibular Medicine 9 1 9 Cardiology 361
The Challenges of Managing the Older Persons
IAG Presidential Oration The Challenges of Managing the Older Persons G.S. Shanthi Professor & Head, Department of Geriatric Medicine, Madras Medical College, Chennai Globally, due to shifting demographics,
INTAKE FORM. Name: Specialty: Phone: Name: Specialty: Phone:
INTAKE FORM Please read and carefully complete the following. It is very important that you provide complete and accurate information because your responses will be relied upon in creating and providing
NC Neuropsychiatry, PA HEALTH QUESTIONNAIRE
NC Neuropsychiatry, PA HEALTH QUESTIONNAIRE Name: DOB: Please give us as much information as you can about your prior medical history. If possible, give dates, medication doses, names and phone numbers