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Some people might alter their bodies with hormones or surgery so that their gender identity and biological sex at birth match more closely. Others may express gender in less permanent ways, including through clothing, hair, makeup, pronoun usage, and other gender expression behaviors. Still others choose not to alter their external appearance. Regardless, transgender people are unified by the desire to be seen and treated in a way consistent with how they self-identify. Transgender people have many of the same health concerns as non-transgender people. There is a relative lack of data on transgender people but existing research suggests that transgender people have higher rates of adverse outcomes in substance abuse, HIV, depression, anxiety, self-harm, and violence. Sexual orientation refers to the sex of people someone is attracted to and has sexual interest in, while gender identity refers to a person’s internal understanding of his or her own gender. Someone who is transgender may identify as heterosexual, bisexual, or gay or lesbian.
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Medical offices are professional workplaces and staff need to dress, speak, and purport themselves professionally. Patients are customers and customer service should be paramount. Give all patients the utmost respect and practice compassion, compassion, compassion. First of all, please spell it correctly. One P, two As. Secondly, know what it means and make it so!
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Aerospace medicine deals with medical problems related to flying and space travel. Addiction medicine deals with the treatment of addiction. Medical ethics deals with ethical and moral principles that apply values and judgments to the practice of medicine. Biomedical Engineering is a field dealing with the application of engineering principles to medical practice. Clinical pharmacology is concerned with how systems of therapeutics interact with patients.
Conservation medicine studies the relationship between human and animal health, and environmental conditions. Also known as ecological medicine, environmental medicine , or medical geology. Disaster medicine deals with medical aspects of emergency preparedness, disaster mitigation and management. Diving medicine or hyperbaric medicine is the prevention and treatment of diving-related problems.
Evolutionary medicine is a perspective on medicine derived through applying evolutionary theory. Forensic medicine deals with medical questions in legal context, such as determination of the time and cause of death, type of weapon used to inflict trauma, reconstruction of the facial features using remains of deceased skull thus aiding identification.
Gender-based medicine studies the biological and physiological differences between the human sexes and how that affects differences in disease. Hospice and Palliative Medicine is a relatively modern branch of clinical medicine that deals with pain and symptom relief and emotional support in patients with terminal illnesses including cancer and heart failure. Hospital medicine is the general medical care of hospitalized patients.
Documentation and Data Improvement Fundamentals Ruthann Russo, JD, MPH, RHIT Introduction The absence of complete documentation in patient medical records can have a negative effect on statistical databases, financial planning, clinical preparedness, and gross revenue for the healthcare organization. It is for this reason that every healthcare organization should be focused on ensuring accuracy and completeness in clinical documentation, at any cost.
Documentation improvement is not a new concept in healthcare, but rather an evolving trend. The healthcare system in the US is constantly changing. First, from a clinical perspective, we have seen a movement away from postponing care until patients are severely ill and in need of hospitalization to preventive medical care.
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NCQA is a private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA is committed to providing health care quality information for consumers, purchasers, health care providers and researchers.
This certification represents FSMB’s commitment to improving quality by promoting high standards of performance to greater meet the changing health care needs in service to our member boards in their protection of the public. A national oversight committee of physicians analyzes the team’s finding and determines certification based on the CVO’s compliance with NCQA standards. A service of the FSMB, the Federation Credentials Verification Service provides physicians and physician assistants with a lifetime portfolio of primary-source verified credentials.
The service is accepted by nearly all state medical boards and has been used by more than , physicians and physician assistants. Credentials stored by FCVS include medical education, postgraduate training, examination history, history of medical board actions, board certification and identifying information. That information is now disseminated electronically via the Physician Data Center PDC , a repository of board action and licensure data on U. The PDC receives regular updates from state medical boards when they take disciplinary actions.
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As a physician specializing in the treatment of myasthenia gravis MG , a rare, debilitating neurological disorder, I witness on a daily basis the adversities my patients face. Imagine being a hard-working, active adult—a mom who drove her kids to school every day, who liked to garden and exercise—suddenly faced with a disease that makes it difficult to see, walk or even talk. This is the reality of MG. It steals muscle strength to the point where those living with the disorder can no longer do the things they love.
But many fight back, and I am consistently inspired by the strength and perseverance my patients exhibit to overcome these challenges and to not let their disease define them. June is an important month for the MG community because it marks Myasthenia Gravis Awareness Month—a time when the community can come together, share experiences, and increase awareness for this rare, debilitating disorder.
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Examination of maternal cervix and adnexa, as clinically appropriate and when technically feasible B. Limited Examination13,14 A limited examination is performed to answer a specific clinical question e. Specialized Examinations13,14,17 Specialized examinations are typically performed starting at 32 weeks of gestation but may be done earlier if there are multiple risk factors or particularly worrisome problems.
A specialized anatomic ultrasound examination is performed when an anomaly e. A BPP is typically recommended when there is an increased risk of problems that could result in pregnancy complications or lead to stillbirth. Other specialized examinations include fetal Doppler ultrasound, fetal echocardiogram, or additional biometric measurements.
Section III — Training Methodology Family physicians can acquire skills for performing obstetric ultrasound examination during their family medicine residency training or a post-residency fellowship. Obstetric ultrasound examination courses organized and presented by family physicians and sponsored by the AAFP have been offered since Other organizations also offer training through accredited continuing medical education CME activities and workshops.
Most physicians who have a base of knowledge in maternal-fetal anatomy and physiology can rapidly learn basic limited applications of obstetric ultrasound examination, including assessment of fetal life, fetal number, fetal presentation, quantity of amniotic fluid, and placental location. In the ideal situation, a physician would engage in a preliminary period of extensive reading, followed by a basic course that includes didactic and experiential activities.