Core Curriculum For Medical Assistants Medical Assisting .

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Core Curriculum for Medical AssistantsFoundations for Clinical Practice:Medical assistants graduating from Big Bend Community College will demonstrate critical thinking based on knowledge of academic subject matterrequired for competence in the profession. They will incorporate the cognitive knowledge in performance of the psychomotor and affective domains intheir practice as medical assistants in providing patient care.I.C Cognitive (Knowledge Base)I. P Psychomotor (Skills)I. A Affective (Behavior)I. Anatomy & Physiology1. Describe structural organization of the human body2. Identify body systems3. Describe body planes, directional terms,quadrants, and cavities4. List major organs in each body system5. Describe the normal function of each body system6. Identify common pathology related to each body system7. Analyze pathology as it relates to the interactionof body systems8. Discuss implications for disease and disability whenhomeostasis is not maintained9. Describe implications for treatment related to pathology10. Compare body structure and function of thehuman body across the life span11. Identify the classifications of medications, includingdesired effects, side effects and adverse reactions12. Describe the relationship between anatomy andphysiology of all body systems and medications used fortreatment in eachI. Anatomy & Physiology1. Obtain vital signs2. Perform venipuncture3. Perform capillary puncture4. Perform pulmonary function testing5. Perform electrocardiography6. Perform patient screening usingestablished protocols7. Select proper sites for administering parenteralmedication8. Administer oral medications9. Administer parenteral (excluding IV) medications10. Assist physician with patient care11. Perform quality control measures12. Perform hematology testing13. Perform chemistry testing14. Perform urinalysis15. Perform immunology testing16. Screen test resultsI. Anatomy & Physiology1. Apply critical thinking skills in performing patientassessment and care2. Use language/verbal skills that enable patients’understanding3. Demonstrate respect for diversity in approachingpatients and familiesII.C Cognitive (Knowledge Base)II. P Psychomotor (Skills)II. A Affective (Behavior)II. Applied Mathematics1. Demonstrate knowledge of basic math computations2. Apply mathematical computations to solve equations3. Identify measurement systems4. Define basic units of measurement in metric,apothecary and household systems5. Convert among measurement systems6. Identify both abbreviations and symbols used incalculating medication dosages7. Analyze charts, graphs and/or tables in theinterpretation of healthcare resultsII. Applied Mathematics1. Prepare proper dosages of medication foradministration2. Maintain laboratory test results using flow sheets3. Maintain growth chartsII. Applied Mathematics1. Verify ordered doses/dosages prior to administration2. Distinguish between normal and abnormaltest results1

III.C Cognitive (Knowledge Base)III. P Psychomotor (Skills)III. A Affective (Behavior)III. Applied Microbiology/Infection Control1. Describe the infection cycle, including the infectiousagent, reservoir, susceptible host, means oftransmission, portals of entry, and portals of exit2. Define asepsis3. Discuss infection control procedures.4. Identify personal safety precautions asestablished by the Occupational Safety andHealth Administration (OSHA)5. List major types of infectious agents6. Compare different methods of controlling thegrowth of microorganisms7. Match types & uses of personal protectiveequipment (PPE)8. Differentiate between medical and surgical asepsisused in ambulatory care settings, identifying wheneach is appropriate9. Discuss quality control issues related to handlingmicrobiological specimens10. Identify disease processes that are indications forCLIA waived tests11. Describe Standard Precautions, including:a. Transmission based precautionsb. Purposec. Activities regulated12. Discuss the application of Standard Precautionswith regard to:a. All body fluids, secretions and excretionsb. Bloodc. Non intact skind. Mucous membranes13. Identify the role of the Center for Disease Control(CDC) regulations in healthcare settings.III. Applied Microbiology/Infection Control1. Participate in training on Standard Precautions2. Practice Standard Precautions.3. Select appropriate barrier/personal protectiveequipment (PPE) for potentially infectious situations4. Perform handwashing5. Prepare items for autoclaving6. Perform sterilization procedures7. Obtain specimens for microbiological testing8. Perform CLIA waived microbiology testingIII. Applied Microbiology/Infection Control1. Display sensitivity to patient rights and feelings incollecting specimens2. Explain the rationale for performance of aprocedure to the patient3. Show awareness of patients’ concerns regardingtheir perceptions related to the procedurebeing performed*Core Curriculum is based off of Medical Assisting Education Review Board (MAERB) 2008 Curriculum Plan.2

Applied Communications:Medical assistants graduating from Big Bend Community College will demonstrate critical thinking based on knowledge of academic subject matterrequired for competence in the profession. They will incorporate cognitive knowledge in performance of psychomotor and affective domains in theirpractice as medical assistants in communicating effectively, both orally and in writing.IV.C Cognitive (Knowledge Base)IV. P Psychomotor (Skills)IV. A Affective (Behavior)IV. Concepts of Effective Communication1. Identify styles and types of verbal communication2. Identify nonverbal communication3. Recognize communication barriers4. Identify techniques for overcoming communicationbarriers5. Recognize the elements of oral communication usinga sender-receiver process6. Differentiate between subjective andobjective information7. Identify resources and adaptations that arerequired based on individual needs, i.e., cultureand environment, developmental life stage,language, and physical threats to communication8. Recognize elements of fundamental writing skills9. Discuss applications of electronic technology ineffective communication10. Diagram medical terms, labeling the word parts11. Define both medical terms andabbreviations related to all body systems12. Organize technical information and summaries13. Identify the role of self boundaries in thehealth care environment14. Recognize the role of patient advocacy in thepractice of medical assisting15. Discuss the role of assertiveness in effectiveprofessional communication16. Differentiate between adaptive andnonadaptive coping mechanismsIV. Concepts of Effective Communication1. Use reflection, restatement and clarificationtechniques to obtain a patienthistory2. Report relevant information to others succinctlyand accurately3. Use medical terminology, pronouncing medicalterms correctly, to communicate information,patient history, data and observations4. Explain general office policies5. Instruct patients according to their needs topromote health maintenance and disease prevention6. Prepare a patient for procedures and/or treatments7. Demonstrate telephone techniques8. Document patient care9. Document patient education10. Compose professional/business letters11. Respond to nonverbal communication12. Develop and maintain a current list ofcommunity resources related topatients’ healthcare needs13. Advocate on behalf of patientsIV. Concepts of Effective Communication1. Demonstrate empathy in communicating withpatients, family and staff2. Apply active listening skills3. Use appropriate body language and othernonverbal skills in communicating with patients,family and staff4. Demonstrate awareness of the territorialboundaries of the person with whomcommunicating5. Demonstrate sensitivity appropriate to the messagebeing delivered6. Demonstrate awareness of how an individual’spersonal appearance affects anticipated responses7. Demonstrate recognition of the patient’s level ofunderstanding in communications8. Analyze communications in providing appropriateresponses/ feedback9. Recognize and protect personal boundaries incommunicating with others10. Demonstrate respect for individual diversity,incorporating awareness of one’s own biases inareas including gender, race, religion, age andeconomic status3

Medical Business Practices:Medical assistants graduating from Big Bend Community College will demonstrate critical thinking based on knowledge of academic subject matterrequired for competence in the profession. They will incorporate cognitive knowledge in performance of psychomotor and affective domains in theirpractice as medical assistants in the performance of medical business practices.V.C Cognitive (Knowledge Base)V. Administrative FunctionsV. P Psychomotor (Skills)V. Administrative FunctionsV. A Affective (Behavior)V. Administrative Functions1. Discuss pros and cons of various types ofappointment management systems2. Describe scheduling guidelines3. Recognize office policies and protocols forhandling appointments4. Identify critical information required forscheduling patient admissions and/orprocedures5. Identify systems for organizing medical records6. Describe various types of content maintained ina patient’s medical record7. Discuss pros and cons of various filing methods8. Identify both equipment and suppliesneeded for filing medical records9. Describe indexing rules10. Discuss filing procedures11. Discuss principles of using Electronic MedicalRecord (EMR)12. Identify types of records common to thehealthcare setting13. Identify time management principles14. Discuss the importance of routine maintenanceof office equipment1. Manage appointment schedule, using establishedpriorities2. Schedule patient admissions and/or procedures3. Organize a patient’s medical record.4. File medical records5. Execute data management usingelectronic healthcare records such as theEMR6. Use office hardware and software tomaintain office systems7. Use internet to access information related to themedical office8. Maintain organization by filing9. Perform routine maintenance of officeequipment with documentation10. Perform an office inventory1. Consider staff needs and limitations in establishmentof a filing system2. Implement time management principles tomaintain effective office function4

VI.C Cognitive (Knowledge Base)VI. Basic Practice FinancesVI. P Psychomotor (Skills)VI. Basic Practice FinancesVI. A Affective (Behavior)VI. Basic Practice Finances1. Explain basic bookkeeping computations.2. Differentiate between bookkeeping and accounting3. Describe banking procedures4. Discuss precautions for accepting checks.5. Compare types of endorsement6. Differentiate between accounts payable andaccounts receivable7. Compare manual and computerizedbookkeeping systems used in ambulatoryhealthcare8. Describe common periodic financial reports9. Explain both billing and payment options.10. Identify procedure for preparing patient accounts11. Discuss procedures for collecting outstandingaccounts12. Describe the impact of both the Fair Debt CollectionAct and the Federal Truth in Lending Act of 1968 asthey apply to collections13. Discuss types of adjustments that may be made to apatient’s account1. Prepare a bank deposit2. Perform accounts receivableprocedures, including:a. Post entries on a daysheetb. Perform billing proceduresc. Perform collection proceduresd. Post adjustmentse. Process a credit balancef. Process refundsg. Post non-sufficient fund (NSF) checks.h. Post collection agency payments.3. Utilize computerized office billing systems1. Demonstrate sensitivity and professionalism inhandling accounts receivable activities withclientsVII.C Cognitive (Knowledge Base)VII. Managed Care/InsuranceVII. P Psychomotor (Skills)VII. Managed Care/InsuranceVII. A Affective (Behavior)VII. Managed Care/Insurance1. Identify types of insurance plans2. Identify models of managed care3. Discuss workers’ compensation as it applies topatients4. Describe procedures for implementing bothmanaged care and insurance plans5. Discuss utilization review principles.6. Discuss referral process for patients in a managedcare program7. Describe how guidelines are used in processing aninsurance claim8. Compare processes for filing insurance claims bothmanually and electronically9. Describe guidelines for third-party claims10. Discuss types of physician fee schedules11. Describe the concept of RBRVS12. Define Diagnosis-Related Groups (DRGs)1. Apply both managed care policies and procedures2. Apply third party guidelines3. Complete insurance claim forms4. Obtain precertification, including documentation5. Obtain preauthorization, including documentation6. Verify eligibility for managed care services1. Demonstrate assertive communication with managedcare and/or insurance providers2. Demonstrate sensitivity in communicating with bothproviders and patients3. Communicate in language the patient canunderstand regarding managed care and insuranceplans5

VIII.C Cognitive (Knowledge Base)VIII. Procedural and Diagnostic Coding1. Describe how to use the most current proceduralcoding system2. Define upcoding and why it should be avoided3. Describe how to use the most currentdiagnostic coding classification system4. Describe how to use the most current HCPCS codingVIII. P Psychomotor (Skills)VIII. Procedural and Diagnostic Coding1. Perform procedural coding2. Perform diagnostic codingVIII. A Affective (Behavior)VIII. Procedural and Diagnostic Coding1. Work with physician to achieve the maximumreimbursementMedical Law and Ethics:Medical assistants graduating from Big Bend Community College will demonstrate critical thinking based on knowledge of academic subject matterrequired for competence in the profession. They will incorporate cognitive knowledge in performance of psychomotor and affective domains in theirpractice as medical assistants in providing patient care in accordance with regulations, policies, laws and patient rights.IX.C Cognitive (Knowledge Base)IX. Legal Implications1. Discuss legal scope of practice for medical assistants2. Explore issue of confidentiality as it applies to theMedical assistant.3. Describe the implications of HIPAA for the medicalassistant in various medical settings4. Summarize the Patient Bill of Rights5. Discuss licensure and certification as it applies tohealthcare providers6. Describe liability, professional, personal injury, andthird party insurance7. Compare and contrast physician and medicalassistant roles in terms of standard of care8. Compare criminal and civil law as it applies to thepracticing medical assistant.9. Provide an example of tort law as it would apply to amedical assistant10. Explain how the following impact the medicalassistant’s practice and give examplesa. Negligenceb. Malpracticec. Statute of Limitationsd. Good Samaritan Act(s)e. Uniform Anatomical Gift Actf. Living will/Advanced directivesg. Medical durable power of attorneyIX. P Psychomotor (Skills)IX. Legal Implications1. Respond to issues of confidentiality2. Perform within scope of practice3. Apply HIPAA rules in regard to privacy/releaseof information4. Practice within the standard of care for amedical assistant5. Incorporate the Patient’s Bill of Rights intopersonal practice and medical office policiesand procedures6. Complete an incident report7. Document accurately in the patient record8. Apply local, state and federal health carelegislation and regulation appropriate tothemedical assisting practice settingIX. A Affective (Behavior)IX. Legal Implications1. Demonstrate sensitivity to patient rights2. Demonstrate awareness of the consequencesof not working within the legal scope ofpractice3. Recognize the importance of local, state andfederal legislation and regulations in thepractice setting6

IX.C Cognitive (Knowledge Base)IX. P Psychomotor (Skills)IX. A Affective (Behavior)X.C Cognitive (Knowledge Base)X. Ethical ConsiderationsX. P Psychomotor (Skills)X. Ethical ConsiderationsX. A Affective (Behavior)X. Ethical Considerations1. Differentiate between legal, ethical, and moralissues affecting healthcare2. Compare personal, professional andorganizational ethics3. Discuss the role of cultural, social and ethnicdiversity in ethical performance of medicalassisting practice4. Identify where to report illegal and/orunsafe activities and behaviors that affecthealth,safety and welfare of others.5. Identify the effect personal ethics may have onprofessional performance1. Report illegal and/or unsafe activities andbehaviors that affect health, safety and welfareof others to proper authorities2. Develop a plan for separation of personal andprofessional ethics1. Apply ethical behaviors, includinghonesty/integrity in performance ofmedical assisting practice2. Examine the impact personal ethics and moralsmay have on the individual’s practice3. Demonstrate awareness of diversity inproviding patient careIX. Legal Implications(Continued from previous page)11. Identify how the Americans with Disabilities Act(ADA) applies to the medical assisting profession12. List and discuss legal and illegal interview questions13. Discuss all levels of governmental legislation andregulation as they apply to medical assistingpractice, including FDA and DEA regulations14. Describe the process to follow if an error is made inpatient care7

Safety and Emergency Practices:Medical assistants graduating from Big Bend Community College will demonstrate critical thinking based on knowledge of academic subject matterrequired for competence in the profession. They will incorporate cognitive knowledge in performance of psychomotor and affective domains in theirpractice as medical assistants, applying quality control measures in following health and safety policies and procedures to prevent illness and injury.X.C Cognitive (Knowledge Base)XI. Protective PracticesX. P Psychomotor (Skills)XI. Protective PracticesX. A Affective (Behavior)XI. Protective Practices1. Describe personal protective equipment2. Identify safety techniques that can be used toprevent accidents and maintain a safe workenvironment3. Describe the importance of Materials Safety DataSheets (MSDS) in a healthcare setting4. Identify safety signs, symbols and labels5. State principles and steps ofprofessional/provider CPR6. Describe basic principles of first aid7. Describe fundamental principles for evacuation of ahealthcare setting8. Discuss fire safety issues in a healthcare environment9. Discuss requirements for responding tohazardous material disposal10. Identify principles of body mechanics andergonomics.11. Discuss critical elements of an emergency plan forresponse to a natural disaster or other emergency12. Identify emergency preparedness plans in yourcommunity13. Discuss potential role(s) of the medical assistant inemergency preparedness.1. Comply with safety signs, symbols and labels.2. Evaluate the work environment to identify safe vs.unsafe working conditions.3. Develop a personal (patient and employee)safety plan.4. Develop an environmental safety plan.5. Demonstrate proper use of the following equipment:a. Eyewashb. Fire extinguishersc. Sharps disposal containers6. Participate in a mock environmental exposureevent with documentation of steps taken.7. Explain an evacuation plan for a physician’s office8. Demonstrate methods of fire prevention inthe healthcare setting9. Maintain provider/professional level CPRcertification.10. Perform first aid procedures11. Use proper body mechanics12. Maintain a current list of community resources foremergency preparedness.1. Recognize the effects of stress on all personsinvolved in emergency situations2. Demonstrate self-awareness in responding toEmergency situations.*Outcomes based on American Medical Technologist Core Curriculum.8

Core Curriculum for Medical Assistants . means of transmission, portals of entry, and portals of exit 2. Define asepsis 3. Discuss infection control 4procedu res. 4. Identify personal safety preca utions as established by the

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