R1OFFICE – R1 Office Longitudinal

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
TBD 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