Pediatric Hematology/Oncology Course Director: Ricarchito B. Manera, M.D. Competency Based Goals and Objectives
|
|
- Howard Rice
- 6 years ago
- Views:
Transcription
1 Pediatric Hematlgy/Onclgy Curse Directr: Ricarchit B. Manera, M.D. Cmpetency Based Gals and Objectives COMPETENCY 1. Patient Care. Prvide family centered patient care that is develpmentally and age apprpriate, cmpassinate, and effective fr the treatment f health prblems and the prmtin f health. 1. Gather essential and accurate infrmatin frm the clinical histry, systematic physical examinatin and apprpriate use f diagnstic studies in children presenting with cnditins related t hematlgy/nclgy. 2. Develp a strategic plan utilizing data btained frm the histry, physical examinatin and ancillary studies and determine if the fllwing nn-specific signs and symptms are caused by a hematlgic/nclgic disease prcess and decide if the patient needs treatment r referral prlnged fever fatigue / malaise bleeding / bruising headache seizure gait abnrmality behaviral changes lymphadenpathy hepatmegaly splenmegaly abdminal pain weight lss vmiting abdminal mass jaundice hematuria jint swelling nevi 3. Diagnse and manage cmmn childhd hematlgic cnditins such as: irn deficiency anemia f infectin transient erythrblastpenia f childhd (TEC) immune thrmbcytpenic purpura (ITP) benign neutrpenia f childhd minr transfusin reactins 4. Identify, explain, d the initial management and seek cnsultatin fr the fllwing hematlgic / nclgic cnditins: anemias: underprductin and hemlytic anemias bleeding disrders, cngenital and acquired majr cmplicatins f inherited cagulatin disrders like hemphilia and vn Willebrand disease hemglbinpathies like sickle cell disease and its cmplicatins like pain crises, fever, splenic sequestratin, acute chest syndrme, aplastic crisis and strke neutrpenia, cngenital and acquired, including neutrpenic fever in children with cancer
2 thrmbcytpenia abdminal mass mediastinal mass lytic bne lesins suspected brain tumr cnditins that predispse t malignancy r assciated with it including Dwn s syndrme, neurfibrmatsis, familial cancer and hemihypertrphy. 5. Develp a keen diagnstic acumen t recgnize and plan the initial management f cmmn hematlgic / nclgic emergencies. mediastinal mass causing superir vena caval syndrme hyperleukcytsis tumr lysis syndrme spinal crd cmpressin neutrpenic fever in children with cancer 6. Prvide supprtive care t children with malignancy r bld disrders. empiric antibitics fr neutrpenic fever antiemetic use in cancer chemtherapy use f grwth factrs i.e. GCSF and erythrpietin in cancer chemtherapy transfusin therapy central line care 7. Prvide preventive cunseling t families f children with bld disrders r cancer. prvisin f adequate diet and avidance f excessive milk intake t prevent irn deficiency anemia in children with sickle cell disrders, the imprtance f rutine immunizatins including pneumcccal vaccinatin, antibitic prphylaxis and emergent evaluatin fr fever and early signs f crises avidance f drugs knwn t induce hemlysis in children with G6PD deficiency 8. Prvide screening fr cmmn hematlgic cnditins screening fr hemglbinpathies in the newbrn perid screening fr irn deficiency anemia in the first tw years f life screening infants and tddlers fr lead pisning screening adlescents fr signs f irn deficiency anemia screening fr bleeding disrder in a pre-perative patient screening fr the risk f strke in children with sickle cell anemia 9. Observe and assist cmmn clinical prcedures in hematlgy / nclgy bne marrw aspiratin bne marrw bipsy lumbar puncture with administratin f intrathecal chemtherapy exchange transfusin pheresis prcedures COMPETENCY 2. Medical Knwledge. Understand the scpe f established and evlving bimedical, clinical, epidemilgical and scial-behaviral knwledge needed by a pediatrician; demnstrate the ability t acquire, critically interpret and apply this knwledge in patient care. 1. Distinguish nrmal frm pathlgic states f the hematlgic system Knw the changes in nrmal values f hemglbin, hematcrit, cncentratins f hemglbin A and F, and MCV with age Knw the nrmal range f white bld cell cunt and differential fr a newbrn infant, an infant belw the age f 1 year and children greater than 1 year f age
3 Distinguish nrmal lymph nde frm infectius lymphadenitis and malignant lymphadenpathy Distinguish nrmal-sized liver and spleen frm hepatsplenmegaly 2. Describe the etilgy, pathphysilgy, epidemilgy, clinical manifestatins and differential diagnses as well as management f cmmn childhd anemias. Irn deficiency anemia Describe the nrmal requirements, absrptin, metablism f irn frm birth t adlescence Identify the cmmn causes and clinical features f irn deficiency anemia Distinguish irn deficiency frm ther micrcytic, hypchrmic anemias like thalassemia trait, anemia f chrnic disease, lead pisning thrugh apprpriate use f labratry tests including red cell indices, reticulcyte cunt, ferritin, ttal irn binding capacity, transferrin saturatin and irn level. Describe the management f irn deficiency anemia including irn replacement therapy, diet mdificatin, parent educatin and apprpriate fllw-up t assess treatment respnse Hemlytic anemias Distinguish the different hemlytic anemias in terms f clinical manifestatins, pathphysilgy, labratry features and management autimmune hemlytic anemia hereditary sphercytsis G6PD deficiency hemlytic-uremic syndrme hemglbinpathy including sickle cell disrders and thalassemia Knw the principles behind the tests used t diagnse hemlytic disrders hemglbin electrphresis including quantificatin f hemglbin F and A2 direct antiglbulin test smtic fragility test enzyme assay fr G6PD Knw the characteristic mrphlgic appearance f the hemlytic disrders n a peripheral smear. Sickle cell disrders Knw the varius sickle cell syndrmes ( hmzygus sickle cell anemia, sickle beta-zer thalassemia, sickle-hemglbin C disease and sickle beta-plus thalassemia) including characteristic baseline hemglbin values, hemglbin electrphresis findings and clinical manifestatins and severity f disease. Discuss the cmmn cmplicatins and management f a child with sickle cell anemia : including pain crisis, dactylitis, splenic sequestratin, aplastic crisis, acute chest syndrme, strke, gallstnes, priapism, retinpathy and suspected bacterial infectin. Outline the management f cmmn sickle cell cmplicatins including fluid management, use f analgesics, apprpriate use f antibitics, indicatins fr bld transfusin r exchange transfusin and use f hydrxyurea. Develp a preventive care plan fr a child with sickle cell diseases: prvisin f immunizatins, prphylactic penicillin, use f flate and screening fr strke using transcranial Dppler. Thalassemia disrders Describe the clinical and labratry features f alpha and beta thalassemia traits and disease. Discuss the majr cmplicatins f thalassemia majr
4 Knw the ratinale fr chrnic transfusin therapy, prphylactic penicillin, irn chelatin therapy and prmpt evaluatin f fever. 3. Understand the physilgy, pathphysilgy and management f cmmn bleeding disrders Outline an apprpriate diagnstic evaluatin fr thrmbcytpenia in a newbrn infant and a child Discuss the pathgenesis, clinical features and management f cmmn causes f thrmbcytpenia like nenatal allimmune thrmbcytpenia, thrmbcytpenia in a baby with maternal ITP and childhd ITP. Knw the indicatins fr platelet transfusin as well as the management and clinical recgnitin f patients wh becme refractry t platelet transfusin. Describe the schema f bld cagulatin. Indicate the prper questins fr btaining a bleeding histry in the child and family members. Outline a differential diagnsis and a diagnstic wrk-up f a patient with abnrmal bleeding in the newbrn perid as well as in childhd. Cite the cmmn cnditins that wuld result in abnrmalities f cmmn cagulatin screening tests like the Ivy bleeding time, prthrmbin time and partial thrmbplastin time. State the clinical features, labratry findings, cmplicatins and management f hemphilia A, hemphilia B, vn Willebrand disease, disseminated intravascular cagulatin, vitamin K deficiency and Hench-Schnlein purpura. 4. Discuss the presentatin, pathphysilgy, and prgnsis f cmmn malignancies in children and adlescents. Summarize the presenting signs and symptms, cmmn age at presentatin, diagnstic prcedures, staging, principles f current therapy, prgnsis and lng-term cmplicatins fr the fllwing malignancies: Leukemia (ALL, AML) Brain tumrs Neurblastma Hdgkin s and nn-hdgkin s lymphma Wilms tumr Rhabdmysarcma and ther sft tissue sarcmas Bne tumrs like stesarcma and Ewing s sarcma Langerhans cell histicytsis Knw the mechanisms f actin, mde f administratin and imprtant side effects f cmmnly used chemtherapeutic agents: vincristine, asparaginase, prednisne, methtrexate, cyclphsphamide, cytarabine, anthracycline agents and epipdphylltxins. Knw the adjunctive medicatins that can increase a patient s tlerance t chemtherapy, e.g., leukvrin rescue fr methtrexate, cardiprtectants like dezrazxane fr anthracyclines, mesna fr cyclphsphamide as well as grwth factrs like GCSF and erythrpietin. Discuss the cmmn early and late cmplicatins f cancer treatment such as myelsuppressin, endcrine suppressin and risk fr secndary cancer. Discuss the principles, indicatins and cmplicatins f stem cell r bne marrw transplantatin.
5 COMPETENCY 3. Cmmunicatin Skills. Demnstrate interpersnal and cmmunicatin skills that result in infrmatin exchange and partnering with patients, their families and prfessinal assciates. 1. Obtain, recrd and present in a systematic and rganized fashin the histry, physical examinatin findings and pertinent data frm ancillary studies f patients presenting with hematlgic/nclgic cnditins. 2. Prvide accurate and detailed infrmatin t the patient, the parents, and ther family members pertaining t the patient s diagnsis, prgnsis, curse f management, alternative treatments if any, risks, side effects and cmplicatins f treatment. Assist the specialist in delivering bad news t the family f a child with a life-threatening cnditin like malignancy Assist the specialist in btaining an infrmed cnsent frm the family when enrlling a child in a clinical trial. Prepare a set f patient educatin materials a list f pertinent peer-reviewed web sites t assist the family. 3. Maintain cnstant cmmunicatin with the referring physician and ther health care prfessinals n matters pertaining t the patient s cnditin including prviding cntinuing feedback n the patient during the curse f treatment. 4. Mtivate patient and parents in maintaining and prmting health, infectin preventin thrugh anticipatry guidance and cunseling 5. Demnstrate sensitivity in cmmunicating with patients and families taking int cnsideratin their level f educatin, age, cultural backgrund, religin and persnal beliefs. COMPETENCY 4. Practice-based Learning and Imprvement. Demnstrate knwledge, skills and attitudes needed fr cntinuus self-assessment, using scientific methds and evidence t investigate, evaluate, and imprve ne s patient care practice. 1. Use scientific methds that are evidence-based t update and imprve the standards f patient care Be able t access infrmatin and d nline searches n particular presenting prblems and cnditins in a patient. Identify standardized guidelines fr diagnsis and treatment f hematlgic / nclgic cnditins such as clinical prtcls fr the treatment f children with cancer and practice guidelines in the management f patients with sickle cell disease. 2. Be aware f new trends and advances in the field f hematlgy / nclgy and be prepared t alter r mdify ne s practice in respnse t these changes 3. Critique new scientific infrmatin encuntered in the medical literature and determine its relevance t clinical practice. 4. Evaluate ne s perfrmance thrugh self-assessment as well as thrugh feedback frm patients, peers and superirs t imprve patient care. COMPETENCY 5. Prfessinalism. Demnstrate a cmmitment t carrying ut prfessinal respnsibilities, adherence t ethical principles, and sensitivity t diversity.
6 1. Demnstrate persnal respnsibility and accuntability fr patient care thrugh diligent fllw-up f a patient s prgress, labratry and ancillary prcedures, writing cmprehensive ntes and cmmunicating regularly with the referring physician 2. Display behavirs that fster and maintain a family s trust and cnfidence such as apprpriate attire, gd grming, hnesty, curtesy, respect fr cnfidentiality at all times. 3. Meet high standards f legal and ethical behavir in dealing with patients, families, as well as peers, superirs and nn-medical supprt staff 4. Advcate the interests f ne s patients ver self-interest 5. Demnstrate sensitivity t patients and clleagues gender, age, culture, religin, disabilities, ethnicity and sexual rientatin. COMPETENCY 6. Systems-Based Practice. Understand hw t practice quality health care and advcate fr patients within the cntext f the health care system. 1. Interact with the case manager and scial wrker t facilitate setting up hme care services t facilitate patient access t nursing care and ther services utside the hspital with awareness f the family situatin and resurces. 2. Help set-up a fllw-up plan fr a patient prir t discharge t ensure cmpliance and cntinuity f care 3. Interact with the scial wrker in setting up hspice care t children with chrnic debilitating cnditins r terminal illness. 4. Be aware f the supprt grups available t families dealing with children with special needs and chrnic cnditins like: Leukemia Sciety, American Cancer Sciety, Cley s Anemia Fundatin, Fancni s Anemia, Aplastic Anemia Organizatin and thers. 5. Knw the resurces available lcally and in the hspital t imprve quality f care and enhance a patient s well-being such as: Child Life Schl Prgram t tutr the children Make a Wish Fundatin Special Friends Prgram
Iowa Early Periodic Screening, Diagnosis and Treatment Care for Kids Program Provider Training
Iwa Early Peridic Screening, Diagnsis and Treatment Care fr Kids Prgram Prvider Training The Early Peridic Screening, Diagnsis and Treatment (EPSDT) Care fr Kids prgram is Iwa s Medicaid prgram fr children.
More informationConsensus Recommendations for the Management of Chronic Lymphocytic Leukemia: Primary Care Guideline
Practice Guideline: Clinical Guide Cnsensus Recmmendatins fr the Management f Chrnic Lymphcytic Leukemia: Primary Care Guideline CCMB Practice Guideline Clinical Guide Develped by: Lymphprliferative Disrders
More informationMeeting the Nutritional Requirements of Individuals with Dementia
Unit 15: Understanding and Meeting the Nutritinal Requirements f Individuals with Dementia Unit reference number: D/616/7124 Level: 3 Unit type: Optinal Credit value: 3 Guided learning hurs: 26 Unit summary
More informationRequest for Prior Authorization for Click here to enter text. Website Form Submit request via: Fax
Request fr Prir Authrizatin fr Click here t enter text. Website Frm www.highmarkhealthptins.cm Submit request via: Fax - 1-855-476-4158 Updated: 05/2018 DMMA Apprved: 05/2018 All requests fr Intravenus
More informationGENERAL / VASCULAR SONOGRAPHY OPTION COURSE OUTLINE AURORA ST. LUKE S MEDICAL CENTER SCHOOL OF DIAGNOSTIC MEDICAL SONOGRAPHY COURSE OVERVIEW
AURORA ST. LUKE S MEDICAL CENTER SCHOOL OF DIAGNOSTIC MEDICAL SONOGRAPHY COURSE OVERVIEW The cre curriculum defines several majr mdules f ultrasund educatin. All lectures are crrelated with scan lab demnstratin
More informationMy Symptoms and Medical History for Adult Chronic Immune Thrombocytopenia (ITP)
My Symptms and Medical Histry fr Adult Chrnic Immune Thrmbcytpenia (ITP) Call t talk t a registered nurse 1-855-7Nplate (1-855-767-5283), Mnday Friday, 9:00 AM 9:00 PM ET Indicatin Nplate is a man-made
More informationManaging the Symptoms of Stroke
Unit 26: Recgnising and Managing the Symptms f Strke Unit reference number: F/616/7312 Level: 2 Unit type: Optinal Credit value: 3 Guided learning hurs: 28 Unit summary A strke can be a life-threatening
More informationContinuous Quality Improvement: Treatment Record Reviews. Third Thursday Provider Call (August 20, 2015) Wendy Bowlin, QM Administrator
Cntinuus Quality Imprvement: Treatment Recrd Reviews Third Thursday Prvider Call (August 20, 2015) Wendy Bwlin, QM Administratr Gals f the Presentatin Review the findings f Treatment Recrd Review results
More informationITP typically presents with the sudden appearance of a petechial rash, spontaneous bruising and/or bleeding in an otherwise well child.
Acute Immune Thrmbcytpenia Purpura (ITP) Backgrund Primary immune thrmbcytpenia (ITP) is an acquired immune mediated disrder characterised by islated thrmbcytpenia, defined as a peripheral bld platelet
More informationSwindon Joint Strategic Needs Assessment Bulletin
Swindn Jint Strategic Needs Assessment Bulletin Swindn Diabetes 2017 Key Pints: This JSNA gives health facts abut peple with diabetes r peple wh might get diabetes in Swindn. This helps us t plan fr medical
More informationPediatric Health History Form
Pediatric Health Histry Frm Child s Name Date f Birth Mther s Name Father s Name Parent Cncerns - Please explain any ther cncerns r questins yu have abut yur child Des yur child have any allergies? Yes
More informationApproaches to the Care and Support of Individuals with Dementia
Unit 14: Persn-centred Appraches t the Care and Supprt f Individuals with Dementia Unit reference number: H/601/2879 Level: 2 Unit type: Optinal Credit value: 2 Guided learning hurs: 17 Unit summary Understanding
More informationA Phase I Study of CEP-701 in Patients with Refractory Neuroblastoma NANT (01-03) A New Approaches to Neuroblastoma Therapy (NANT) treatment protocol.
SAMPLE INFORMED CONSENT A Phase I Study f CEP-701 in Patients with Refractry Neurblastma NANT (01-03) A New Appraches t Neurblastma Therapy (NANT) treatment prtcl. The wrd yu used thrughut this dcument
More informationHospital Preparedness Checklist
Hspital Preparedness Checklist http://pandemicflu.gv Preparedness Subject 1. Structure fr planning and decisin making An internal, multidisciplinary planning cmmittee fr influenza preparedness has been
More informationPolicy Guidelines: Genetic Testing for Carrier Screening and Reproductive Planning
Plicy Guidelines: Genetic Testing fr Carrier Screening and Reprductive Planning Cntents Overview... 1 Cverage guidelines... 2 General cverage guidelines... 2 Rutine carrier screening... 2 Carrier screening
More informationR3s should be able to independently obtain the above details for patients with a complex medical history.
Educatinal Gals & Objectives Musculskeletal cmplaints are extremely cmmn in the practice f primary care. They may reflect veruse r trauma, r be a manifestatin f a brad range f musculskeletal disrders r
More informationPET FORM Planning and Evaluation Tracking ( Assessment Period)
Divisin f: Behaviral Studies PET FORM Planning and Evaluatin Tracking (2010 2011 Assessment Perid) Persn Respnsible fr this Divisin: Jerry Mller Department f: Behaviral Sciences Persn Respnsible fr this
More informationFrequently Asked Questions: IS RT-Q-PCR Testing
Questins 1. What is chrnic myelid leukemia (CML)? 2. Hw des smene knw if they have CML? 3. Hw is smene diagnsed with CML? Frequently Asked Questins: IS RT-Q-PCR Testing Answers CML is a cancer f the bld
More informationduring Last Days of Life
Unit 36: Supprting Individuals during Last Days f Life Unit reference number: F/616/7374 Level: 3 Unit type: Optinal Credit value: 4 Guided learning hurs: 32 Unit summary Prmting respnsive care in the
More informationMEASURE #10: PLAN OF CARE FOR MIGRAINE OR CERVICOGENIC HEADACHE DEVELOPED OR REVIEWED Headache
MEASURE #10: PLAN OF CARE FOR MIGRAINE OR CERVICOGENIC HEADACHE DEVELOPED OR REVIEWED Headache Measure Descriptin All patients diagnsed with migraine headache r cervicgenic headache wh had a headache management
More informationChronic Fatigue Syndrome
Chrnic Fatigue Syndrme (Als knwn as Myalgic encephalmyelitis/encephalmyelpathy) What is CFS/ME? CFS/ME cmprises a range f symptms that include fatigue, malaise, headaches, sleep disturbances, difficulties
More informationCurriculum For Resident Training in Clinical Infectious Diseases Division of Infectious Diseases University of California, Davis School of Medicine
Curriculum Fr Resident Training in Clinical Infectius Diseases Divisin f Infectius Diseases University f Califrnia, Davis Schl f Medicine Faculty Representative: Stuart Chen, MD Prgram Directr Reviewer:
More informationPracticum Evaluation Form - Formative Assessment
Practicum Evaluatin Frm - Frmative Assessment Candidate Name: Candidate ID#: Mentr/Principal Name: LEA/District: Cllege/University: Prgram Crdinatr: This frm is t be cmpleted and frmally shared with the
More informationMemory Screening Site s PROGRAM HANDBOOK
Memry Screening Site s PROGRAM HANDBOOK 866-232-8484 www.alzfdn.rg/memry-screening/ Table f Cntents Page 3 Page 5 Page 6 Page 7 Page 8 Page 10 Page 12 Page 13 All Abut the Natinal Memry Screening Prgram
More informationProgramme of Learning. Physical Education. Key Stage 4 Year 10 BTEC Sport
Prgramme f Learning Physical Educatin Key Stage 4 Year 10 BTEC Sprt BTEC Sprt Level 2 Unit 1Fitness fr Sprt and Exercise... 2 Learning aim A: Knw abut the cmpnents f fitness and the principles f training...
More informationObesity/Morbid Obesity/BMI
Obesity/mrbid besity/bdy mass index (adult) Obesity/Mrbid Obesity/BMI Definitins and backgrund Diagnsis cde assignment is based n the prvider s clinical judgment and crrespnding medical recrd dcumentatin
More informationCSHCN Services Program Benefits to Change for Outpatient Behavioral Health Services Information posted November 10, 2009
CSHCN Services Prgram Benefits t Change fr Outpatient Behaviral Health Services Infrmatin psted Nvember 10, 2009 Effective fr dates f service n r after January 1, 2010, benefit criteria fr utpatient behaviral
More informationActivities. Common disease states encountered in this setting (List not inclusive) CARDIOVASCULAR DISORDERS: CHF MI
Managed Care Descriptin f Rtatin: The gal f a managed care rtatin is t allw the student t understand rganized health care delivery that is utilized t imprve the quality and accessibility f health care
More informationBreast Cancer Awareness Month 2018 Key Messages (as of June 6, 2018)
Breast Cancer Awareness Mnth 2018 Key Messages (as f June 6, 2018) In this dcument there are tw sectins f messages in supprt f Cancer Care Ontari s Breast Cancer Awareness Mnth 2018: 1. Campaign key messages
More informationHealth for Life Chiropractic At Cloverdale Mall Unit # The East Mall Etobicoke, ON, M9B 3Y
Health fr Life Chirpractic At Clverdale Mall Unit #143-250 The East Mall Etbicke, ON, M9B 3Y8 416-232-1822 416-232-0060 Child and Adlescent Health Questinnaire Name:_ Birth date: Address:_ Telephne: Medical
More informationHealth Screening Record: Entry Level Due: August 1st MWF 150 Entry Year
Health Screening Recrd: Entry Level MIDWIFERY EDUCATION PROGRAM HEALTH SCREENING REQUIREMENTS (Rev. June 2017) 1. Hepatitis B: Primary vaccinatin series (3 vaccines 0, 1 and 6 mnths apart), plus serlgic
More informationBariatric Surgery FAQs for Employees in the GRMC Group Health Plan
Bariatric Surgery FAQs fr Emplyees in the GRMC Grup Health Plan Gergia Regents Medical Center and Gergia Regents Medical Assciates emplyees and eligible dependents wh are in the GRMC Grup Health Plan (Select
More informationSOCIETY FOR PEDIATRIC SEDATION 2209 Dickens Rd., Richmond, VA (804) Fax: (804)
SPS SOCIETY FOR PEDIATRIC SEDATION safe and sund SOCIETY FOR PEDIATRIC SEDATION 2209 Dickens Rd., Richmnd, VA 23230-2005 (804) 565-6354 Fax: (804) 282-0090 www.pedsedatin.rg 1. SKILLS A. Pre-Sedatin Physical
More informationSub-Topic: Massage for Depression, Anxiety, and Sleep Disorders Level 1 Knowledge: Attain and Comprehend Skills: Observe and Imitate
Nte: Feedback frm prfessin stakehlders n the first draft f the Entry-Level Massage Educatin Blueprint indicated that this sub-tpic was beynd entry-level r unnecessary fr safe and cmpetent practice. The
More informationCONSENT FOR KYBELLA INJECTABLE FAT REDUCTION
CONSENT FOR KYBELLA INJECTABLE FAT REDUCTION INSTRUCTIONS This is an infrmed cnsent dcument which has been prepared t help yur Dctr infrm yu cncerning fat reductin with an injectable medicatin, its risks,
More informationCardiac Rehabilitation Services
Dcumentatin Guidance N. DG1011 Cardiac Rehabilitatin Services Revisin Letter A 1.0 Purpse The Centers fr Medicare and Medicaid Services (CMS) has detailed specific dcumentatin requirements fr Cardiac Rehabilitatin
More informationState Health Improvement Plan Choosing Priorities, Creating a Plan. DHHS DPH - SHIP Priorities (Sept2016) 1
State Health Imprvement Plan 2017-2021 Chsing Pririties, Creating a Plan DHHS DPH - SHIP Pririties (Sept2016) 1 Creating a Plan: 2017-2021 SHIP Welcme! Wh s here? What is the State Health Imprvement Plan
More informationCommissioning Policy: South Warwickshire CCG (SWCCG)
Cmmissining Plicy: Suth Warwickshire CCG (SWCCG) Treatment Indicatin Criteria FreeStyle Libre Flash Cntinuus Glucse Mnitring System Type I Diabetes Prir apprval must be requested frm the Individual Funding
More informationWhat Should One Know About Thalassaemia Minor
What Shuld One Knw Abut Thalassaemia Minr What Is Thalassaemia? Thalassaemia is a cmmn inherited genetic disrder f hemglbin (Hb). T understand Thalassaemia ne shuld knw a bit mre abut Hb and its Structure
More informationLEVEL OF CARE GUIDELINES: INTENSIVE BEHAVIORAL THERAPY/APPLIED BEHAVIOR ANALYSIS FOR AUTISM SPECTRUM DISORDER HAWAII MEDICAID QUEST
OPTUM LEVEL OF CARE GUIDELINES: INTENSIVE BEHAVIORAL THERAPY / APPLIED BEHAVIOR ANALYSIS FOR AUTISM SPECTRUM DISORDER HAWAII MEDICAID QUEST LEVEL OF CARE GUIDELINES: INTENSIVE BEHAVIORAL THERAPY/APPLIED
More informationRituxan (rituximab) Effective Date: 10/01/2015. Line(s) of Business: HMO; PPO; QUEST Integration Akamai Advantage
Rituxan (rituximab) Line(s) f Business: HMO; PPO; QUEST Integratin Akamai Advantage Effective Date: 10/01/2015 POLICY A. INDICATIONS The indicatins belw including FDA-apprved indicatins and cmpendial uses
More informationEASTERN ARIZONA COLLEGE Criminal Investigation
EASTERN ARIZONA COLLEGE Criminal Investigatin Curse Design 2017-2018 Curse Infrmatin Divisin Scial Sciences Curse Number AJS 103 Title Criminal Investigatin Credits 3 Develped by Kris Matthews Lecture/Lab
More informationPROVIDER ALERT. Comprehensive Diagnostic Evaluation (CDE) Guidelines to Access the Applied Behavior Analysis (ABA) Benefit.
Cmprehensive Diagnstic Evaluatin (CDE) Guidelines t Access the Applied Behavir Analysis (ABA) Benefit May 5, 2017 Clinical infrmatin that utlines medical necessity is required t supprt the need fr initial
More information2018 Medical Association Poster Symposium Guidelines
2018 Medical Assciatin Pster Sympsium Guidelines Overview The 3 rd Annual student-run Medical Assciatin f the State f Alabama Research Sympsium will take place n Friday and Saturday, April 13-14 at the
More informationChild and Adult Preventive Care Services
Child and Adult Preventive Care Services Adult and Child Preventive Care Services will meet the requirements as determined by federal and state law. Cvered preventive care services prvided by a Participating
More informationCLL Updated February 2016 by Dr. Manna (PGY 5 Hematology Resident, University of Calgary)
CLL Updated February 2016 by Dr. Manna (PGY 5 Hematlgy Resident, University f Calgary) Reviewed by Dr. Michelle Geddes (Staff Hematlgist, University f Calgary) and Dr. Matt Cheung (Staff Hematlgist, University
More informationHSC 106 Personal Health Plan for Learning Activities & Assessment linked to Michigan Teacher Preparation Standards
HSC 106 Persnal Health Plan fr Learning Activities & Assessment linked t Michigan Teacher Preparatin Standards Standard 1 Cmpetency 1.1 Understand basic health cntent as it relates t schl health educatin.
More informationMedication Assisted Treatment for Opioid Use Disorder in Rural Colorado
Medicatin Assisted Treatment fr Opiid Use Disrder in Rural Clrad Why is piid use disrder getting s much attentin? Opiid Use Disrder (OUD) has seen an epidemic rise in the United States ver the past decade.
More informationClinical Orthopaedic Rehabilitation Spinal Disorders
COURSE DESCRIPTION Clinical Orthpaedic Rehabilitatin Spinal Disrders This prgram is a practical, clinical guide that prvides guidance n the evaluatin, differential diagnsis, treatment and rehabilitatin
More informationIll Health. Unit reference number: L/616/7295 Level: 3. Credit value: 3 Guided learning hours: 16. Unit summary
Unit 11: Understand Mental Ill Health Unit reference number: L/616/7295 Level: 3 Unit type: Optinal Credit value: 3 Guided learning hurs: 16 Unit summary Mental ill health culd be ne f the mst serius health
More informationPosition Title Diabetes Educator Program / Funding Stream Primary Health Care
P O S I T I O N P R O F I L E POSITION TITLE: Diabetes Educatr Psitin Title Diabetes Educatr Prgram / Funding Stream Primary Health Care Psitin Classificatin RAHP Leve 4 - Level 5 r NUR Level 3 - Level
More informationEmergency Department Performance Measures
Emergency Department Perfrmance Measures ACEP Clinical Emergency Data Registry () ACEP Campaign Centers fr Medicare and Medicaid Services (CMS) Medicare Beneficiary Quality Imprvement Prject (MBQIP) ED
More informationCode of Conduct for Employees
Crprate Human Resurces Plicy Cntent Updated: 2016-06-22 Wrk Envirnment Plicy N: HR-01-09 Page 1 f 5 Apprval: 2014-09-24 Cde f Cnduct fr Emplyees POLICY STATEMENT The residents and businesses f the City
More informationUNM SRMC SLEEP MEDICINE CLINICAL PRIVILEGES.
Initial privileges (initial appintment) Renewal f privileges (reappintment) Expansin f privileges (mdificatin) INSTRUCTIONS All new applicants must meet the fllwing requirements as apprved by the UNM SRMC
More informationMEDICATION GUIDE LEMTRADA (lem-tra-da) (alemtuzumab) Injection for intravenous infusion
MEDICATION GUIDE LEMTRADA (lem-tra-da) (alemtuzumab) Injectin fr intravenus infusin Read this Medicatin Guide befre yu start receiving LEMTRADA and befre yu begin each treatment curse. There may be new
More informationPBTC-026: A Feasibility Study of SAHA Combined with Isotretinoin and Chemotherapy in Infants with Embryonal Tumors of the Central Nervous System
PBTC-026: A Feasibility Study f SAHA Cmbined with Istretinin and Chemtherapy in Infants with Embrynal Tumrs f the Central Nervus System PURPOSE: This clinical trial is studying the side effects f giving
More informationContinuous Positive Airway Pressure (CPAP) and Respiratory Assist Devices (RADs) including Bi-Level PAP
Cntinuus Psitive Airway Pressure (CPAP) and Respiratry Assist Devices (RADs), Including Bi-Level PAP Benefit Criteria t Change fr Texas Medicaid Effective March 1, 2017 Overview f Benefit Changes Benefit
More informationWARNING: FATAL AND SERIOUS TOXICITIES: SEVERE DIARRHEA AND CARDIAC TOXICITIES
INDICATION FARYDAK (panbinstat) capsules, a histne deacetylase inhibitr, in cmbinatin with brtezmib and dexamethasne, is indicated fr the treatment f patients with multiple myelma wh have received at least
More informationEASTERN ARIZONA COLLEGE Study of Substance Abuse
EASTERN ARIZONA COLLEGE Study f Substance Abuse Curse Design 2011-2012 Curse Infrmatin Divisin Scial Sciences Curse Number SSE 121 Title Study f Substance Abuse Credits 3 Develped by B. Stephen Cullen,
More informationHODGKIN S LYMPHOMA (HODGKIN S DISEASE)
HODGKIN S LYMPHOMA (HODGKIN S DISEASE) LYMPHOMAS GENERAL One f the mst curable and treatable malignancy Diverse grup f disrders Lymphma bilgy and management has led t several majr breakthrughs in cancer
More informationSolid Organ Transplant Benefits to Change for Texas Medicaid
Slid Organ Transplant Benefits t Change fr Texas Medicaid Infrmatin psted February 13, 2015 Nte: All new and updated prcedure cdes and their assciated reimbursement rates are prpsed benefits pending a
More informationOral Surgery (Facial Pain) Service Specification
Oral Surgery (Facial Pain) Service Specificatin Service Cmmissiner Lead Prvider Lead Perid 2. Oral Surgery Facial Pain (SBCH Ref N. SS_046) 1. Purpse 1.1 Aims T prvide a Cnsultant-led specialist diagnstic,
More informationDOMAIN II: SAFE and EFFECTIVE CLINICAL PRACTICE
DOMAIN II: SAFE and EFFECTIVE CLINICAL PRACTICE Definitin Dentists are required t ensure that they are capable f prviding apprpriate care fr their patients, whilst als effectively managing and leading
More informationReference: Patient A. Brenda WXXXXX Date of Birth: 4/15/57
Reference: Patient A Brenda WXXXXX Date f Birth: 4/15/57 49 year ld white female patient presented n July 20, 2006 with chief cmplaint f stage 4 cancer, initially diagnsed in Octber, 2003 with Cervical
More informationCatherine Worthingham Fellows of APTA Instructions for Writing a Letter of Support
Catherine Wrthingham Fellws f APTA Instructins fr Writing a Letter f Supprt Fllwing is infrmatin designed t assist persns asked t write a letter f supprt fr a nminee fr the American Physical Therapy Assciatin
More informationInfluenza (Flu) Fact Sheet
Influenza (Flu) Fact Sheet What is the flu? The flu is a cntagius respiratry illness caused by influenza viruses. It can cause mild t severe illness, and at times can lead t death. Sme peple, such as lder
More informationTest Blueprinting II: Creating a Test Blueprint NBME
Test Blueprinting II: Creating a Test Blueprint NBME Natinal Bard f Medical Examiners 3750 Market Street Philadelphia, PA 19104 Test Blueprinting II: Creating a Test Blueprint Cpyright 2019 Natinal Bard
More informationSpecifically, on page 12 of the current evicore draft, we find the statement:
Octber 23, 2016 evicre Healthcare Attn: Dr Greg Allen 400 Buckwalter Place Bulevard Blufftn, SC 29910 RE: evicre Draft Onclgy Imaging Guidelines, v 19.0 Gentlepersns: Prstate Cancer Internatinal is a nt-fr-prfit
More informationTHROUGH 1979, immunosuppressive
Five-Year Survival After Liver Transplantatin THROUGH 1979, immunsuppressive therapy fr liver transplantatin at ur center was with aathiprine (r cyclphsphamide) and sterids, t which antilymphcyte glublin
More informationAcquired Optic Neuropathies
Acquired Optic Neurpathies Jseph J. Pizzimenti, OD, FAAO Carl J. Pelin, OD, FAAO GOAL The gal f this presentatin is t prvide the participant with useful clinical infrmatin in the diagnsis and treatment
More informationWhat You Need to Know About ZIKA VIRUS
What Yu Need t Knw Abut ZIKA VIRUS Refugee and Immigrant Health Seminar Tuesday, Nvember 1, 2016 Malaya Fletcher, MPH Glbal Migratin & Mnitring Crdinatr PDPH Divisin f Disease Cntrl 1 Backgrund n Zika
More informationo Procedures performed o Diagnoses Identified o Certain devices/equipment/supplies acquired for patient
Image Surce: https://s-media-cache-ak0.pinimg.cm/736x/7c/29/91/7c2991805f004e1ca05e42a79883f4a7.jpg 6/30/2017 Curse Objectives A Practical Guide t Cding fr Audilgists in 2017 Megan Keirans, AuD University
More informationWelcome to the Cardiovascular Fellowship Program
Welcme t the Cardivascular Fellwship Prgram HCMC Cardilgy Fellwship Manual 2017-2018 TABLE OF CONTENTS Welcme t the Cardivascular Fellwship Prgram... 7 Missin Statement... 7 Prgram Descriptin... 7 Fellw
More informationWeight Assessment and Counseling for Children and Adolescents (NQF 0024)
Weight Assessment and Cunseling fr Children and Adlescents (NQF 0024) EMeasure Name Weight Assessment and EMeasure Id Pending Cunseling fr Children and Adlescents Versin Number 1 Set Id Pending Available
More informationBritish Sign Language (BSL) Plan October 2018 Scottish Charity Regulator
British Sign Language (BSL) Plan 2018-2024 Octber 2018 Scttish Charity Regulatr Cntents Sectin 1: Intrductin and cntext 1.1 Intrductin 1.2 Our wrk and what we d Sectin 2: Our BSL Plan 2.1 Scttish Public
More informationOrganizational Capacity for Change and Patient Safety
Organizatinal Capacity fr Change and Patient Safety Debrah M. Nadzam, PhD, FAAN - Jint Cmmissin Resurces Lrrie Jnes-Hartley, MSN, CRRN-A - Durham Reginal Hspital Presentatin Objectives Briefly describe
More information77 WHO/IPA workshop on Immunisation
77 WHO/IPA wrkshp n Immunisatin cst/efficacy f either f them des nt justify their rutine use. Cntents f such diseases shuld be within the respnsibilities f the Epidemilgy Department. XVII INTERNATIONAL
More informationNew England Pediatric Sickle Cell Consortium
New England Pediatric Sickle Cell Cnsrtium Rutine Health Care Maintenance f Pediatric Patients with Sickle Cell Disease Prepared by: Kathleen Ryan, RN, MPH, Philippa Sprinz, MD, Anju Chawla, MD, and Matthew
More informationDividers and Tab Headers :Layout 1 16/5/07 18:02 Page 22 MA TERN AL MEDICINE 9
MATERNAL MEDICINE Mdule 9 : Maternal Medicine Learning utcmes: T understand and demnstrate apprpriate knwledge, skills and attitudes in relatin t maternal medicine. Knwledge criteria Clinical cmpetency
More informationAccounting Assessment Report
Accunting 2014-2015 Assessment Reprt 1. Please give a brief verview f the assessment data yu cllected this year. This can be in any frm yu feel is apprpriate, such as a table, a shrt narrative f results,
More informationUpdate on Concussions in Soccer
Update n Cncussins in Sccer Ricard E. Clberg, M.D., RMSK Andrews Sprts Medicine & Orthpedic Center American Sprts Medicine Institute Hw many here have had a cncussin? Definitins Signs & symptms Management
More informationEASTERN ARIZONA COLLEGE Sports Psychology
EASTERN ARIZONA COLLEGE Sprts Psychlgy Curse Design 2014-2015 Curse Infrmatin Divisin Health & Physical Educatin Curse Number HPE 276 Title Sprts Psychlgy Credits 3 Develped by Andrea Bagnall Lecture/Lab
More informationDr.NTR University of Health Sciences. Vijayawada SYLLABUS POST DOCTORAL FELLOWSHIP COURSE IN CHILD AND ADOLESCENT PSYCHIATRY
Dr.NTR University f Health Sciences Vijayawada SYLLABUS POST DOCTORAL FELLOWSHIP COURSE IN CHILD AND ADOLESCENT PSYCHIATRY fr the academic year 2018-19 FELLOWSHIP COURSE IN CHILD AND ADOLESCENT PSYCHIATRY
More informationA. Catalonia World Health Organization Demonstration Project
A. Catalnia Wrld Health Organizatin Demnstratin Prject In 1989, the Health Department f Catalnia (Spain) and the Cancer Unit at the WHO (Geneva) designed and planned a demnstratin prject fr implementatin
More informationInternational Integrative Psychotherapy Association IIPA-
Internatinal Integrative Psychtherapy Assciatin IIPA- www.integrativeassciatin.cm TRAINING STANDARDS FOR CERTIFIED INTERNATIONAL INTEGRATIVE PSYCHOTHERAPY TRAINER AND SUPERVISOR (CIIPTS) AND CERTIFIED
More informationPennsylvania Guidelines on the Use of Opioids to Treat Chronic Noncancer Pain
Pennsylvania Guidelines n the Use f Opiids t Treat Chrnic Nncancer Pain Chrnic pain is a majr health prblem in the United States, ccurring with a pintprevalence f abut ne-third f the US ppulatin.(1) Mre
More informationNational Imaging Associates, Inc. (NIA) Frequently Asked Questions (FAQ s) For PA Health & Wellness Providers
Natinal Imaging Assciates, Inc. (NIA) Frequently Asked Questins (FAQ s) Fr PA Health & Wellness Prviders Questin GENERAL Why is PA Health & Wellness implementing a Medical Specialty Slutins Prgram? Answer
More informationPediatric and adolescent preventive care and HEDIS *
Pediatric and adlescent preventive care and HEDIS * * HEDIS is a registered trademark f the Natinal Cmmittee fr Quality Assurance (NCQA). UniCare Health Plan f West Virginia, Inc. Healthcare Effectiveness
More informationPaediatric Sepsis Form. Sinéad Horgan SSWHG Sepsis Lead
Paediatric Sepsis Frm Sinéad Hrgan SSWHG Sepsis Lead www.hse.ie/sepsis Definitin A life-threatening rgan dysfunctin due t a dysregulated hst respnse t infectin N cnfirmatry test Bld cultures are psitive
More informationUS Public Health Service Clinical Practice Guidelines for PrEP
Webcast 1.3 US Public Health Service Clinical Practice Guidelines fr PrEP P R E S ENTED BY: M A R K T H R U N, M D A S S O C I AT E P R O F E S S O R, U N I V E R S I T Y O F C O L O R A D O, D I V I S
More informationStrategic Plan Publication No: EO-SP
Strategic Plan 2017-2019 Publicatin N: EO-SP-170223 +61 2 9036 5002 www.pcg.rg.au pcg.ffice@sydney.edu.au This dcument was prepared by the PCG Executive Office PCG Publicatin number: EO-SP-170223 Psych-nclgy
More informationAncillary Symposia Request for Proposals Partner with the Endocrine Society to Educatte the Endocrine Community.
Ancillary Sympsia Request fr Prpsals Partnerr with the Endcrine Sciety t Educate the Endcrine Cmmunity. Jin the Endcrine Sciety in Bstn fr the 98 th Annual Meeting & Exp frm April 1 4, 2016. ENDO 2016
More informationNIA Magellan 1 Spine Care Program Interventional Pain Management Frequently Asked Questions (FAQs) For Medicare Advantage HMO and PPO
NIA Magellan 1 Spine Care Prgram Interventinal Pain Management Frequently Asked Questins (FAQs) Fr Medicare Advantage HMO and PPO Questin GENERAL Why is Flrida Blue implementing a Spine Management prgram
More informationVaccine Information Statement: PNEUMOCOCCAL CONJUGATE VACCINE
Vaccine Infrmatin Statement: PNEUMOCOCCAL CONJUGATE VACCINE Many Vaccine Infrmatin Statements are available in Spanish and ther languages. See www.immunize.rg/vis. Hjas de Infrmacián Sbre Vacunas están
More informationSusan Wortman, Career Development Center
Susan Wrtman, Career Develpment Center Audience CV Résumé Fellw academics in yur field f study A general audience f emplyers wh hire fr a wide variety f psitins Gal T present yur full academic histry including
More informationCommunity Health Worker / Certified Recovery Specialist Training Application
APPLICANTS REQUIRED TO COMPLETE APPLICATION WITHOUT ASSISTANCE FROM OTHERS $35 Applicatin Fee is nn-refundable Applying des NOT guarantee admissin int training Date f Applicatin: First Name: Last Name:
More informationAwareness of Autistic Spectrum Conditions
Unit 21: Awareness f Autistic Spectrum Cnditins Unit reference number: H/616/7304 Level: 2 Unit type: Optinal Credit value: 2 Guided learning hurs: 17 Unit summary This unit intrduces yu t autistic spectrum
More informationPatient Name: Date: Address City/State Zip Code. Home. Phone Cell: Work.
Phne: 262-248-6700 Fax: 262-248-6764 Email: inf@excelfamilychir.cm Patient Name: Date: Address City/State Zip Cde Hme. Phne Cell: Wrk. Email Address: Sex: M F (Please circle) Date f Birth: Referred by:
More informationEAGLE CARE A SPORT CLUB CONCUSSION MANAGEMENT MODEL
EAGLE CARE A SPORT CLUB CONCUSSION MANAGEMENT MODEL Cncussin awareness has increased significantly in recent years. The Natinal Cllegiate Athletic Assciatin (NCAA), Natinal Athletic Trainers Assciatin
More information