1. The Culture of Healthcare Health Professionals – The People in Healthcare Lecture a This material (Comp2_Unit2a) was developed by Oregon Health and Science University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number IU24OC000015.

2. Health Professionals – The People in Healthcare Learning Objectives Define terms used in healthcare including clinician, patient, disease, and syndrome and in health professionals’ education and training. (Lecture a) Describe the education, training, certification, licensure and roles of physicians including those in primary care and other specialties. (Lecture a) Describe the education, training, certification, licensure and roles of nurses, advanced practice nurses, LPNs, MAs and Medication Aids. (Lecture b) Describe the education, training, certification, licensure and roles of physician assistants, pharmacists, therapists, allied health professionals. (Lecture c) Describe the education, training, certification, licensure and roles of paramedics, EMTs, dental professionals, mental health professionals, and social workers. (Lecture c) 2 Health IT Workforce Curriculum Version 3.0/Spring 2012 The Culture of Healthcare Health Professionals – The People in Healthcare Lecture a

3. Terminology (Merriam-Webster Medical Dictionary - Medline Plus, 2010) Health Professional: Many professions provide care to the sick and injured, this includes pre- hospital, hospital, outpatient, home and extended care. Patient: Anyone who seeks medical services 3 Health IT Workforce Curriculum Version 3.0/Spring 2012 The Culture of Healthcare Health Professionals – The People in Healthcare Lecture a

4. Terminology (continued) Clinician: “an individual qualified in the clinical practice of medicine, psychiatry, or psychology as distinguished from one specializing in laboratory or research techniques or in theory” 4 Health IT Workforce Curriculum Version 3.0/Spring 2012 The Culture of Healthcare Health Professionals – The People in Healthcare Lecture a

5. Terminology (continued) Disease: an impairment of a specific structure or function of the body which produces symptoms and physical findings. Usually attributable to a specific cause such as bacterial causing pneumonia. Syndrome: A combination of symptoms and physical findings not easily attributable to a specific cause. An example is Carpal Tunnel Syndrome which is pain, burning and numbness in the hand. 5 Health IT Workforce Curriculum Version 3.0/Spring 2012 The Culture of Healthcare Health Professionals – The People in Healthcare Lecture a

6. Terminology (continued) Education –Formal lecture and learning activities including simulation and patient contact –Depending on the health profession may be on the job training, a certificate, associate degree, bachelor’s degree, Master’s Degree, or Doctoral Degree Training –Supervised clinical practice. Often has increasing level of responsibility with time 6 Health IT Workforce Curriculum Version 3.0/Spring 2012 The Culture of Healthcare Health Professionals – The People in Healthcare Lecture a

7. Terminology (continued) Certification has several meanings –Education/Training Certificate program usually one year, e.g.. Medical Assistant –Certification by a national health profession organization usually requires completion of an accredited program and an exam, e.g. Radiologic Technologist. Physicians are considered Board Certified in a specialty or subspecialty by completion of an approved residency/fellowship and a board exam. – Same states use certification as mechanism regulated clinical practice 7 Health IT Workforce Curriculum Version 3.0/Spring 2012 The Culture of Healthcare Health Professionals – The People in Healthcare Lecture a

8. Physician Figure 2.1 (Hickman, 2010) Used with Permission. 8 Health IT Workforce Curriculum Version 3.0/Spring 2012 The Culture of Healthcare Health Professionals – The People in Healthcare Lecture a

9. Physician Certification –Completion of an approved residency or fellowship program –Must have a valid licenses to practice –Must complete a written and/or practical exam in that specialty or subspecialty –Maintenance of Certification Licensure –State –Reciprocity 9 Health IT Workforce Curriculum Version 3.0/Spring 2012 The Culture of Healthcare Health Professionals – The People in Healthcare Lecture a

10. Primary Care Specialties Family Medicine Internal Medicine Pediatrics Obstetrics Primary Care Delivered by Default –Emergency Medicine –Specialties 10 Health IT Workforce Curriculum Version 3.0/Spring 2012 The Culture of Healthcare Health Professionals – The People in Healthcare Lecture a

11. Common Internal Medicine Specialties and Subspecialties Cardiovascular Disease Endocrinology, Diabetes and Metabolism Gastroenterology Geriatric Medicine Hematology and Oncology Infectious Disease Nephrology Pulmonary Disease and Critical Care Medicine Rheumatology 11 Health IT Workforce Curriculum Version 3.0/Spring 2012 The Culture of Healthcare Health Professionals – The People in Healthcare Lecture a

12. Surgical Subspecialties Cardiovascular Surgery Colon and Rectal Surgery Neurosurgery Orthopedic Surgery Otolaryngology Pediatric Surgery Plastic Surgery Urology 12 Health IT Workforce Curriculum Version 3.0/Spring 2012 The Culture of Healthcare Health Professionals – The People in Healthcare Lecture a

13. Other Specialties Radiology –Diagnostic –Neuroradiology –Interventional –Pediatric –Radiation Oncology –Nuclear Radiology 13 Health IT Workforce Curriculum Version 3.0/Spring 2012 The Culture of Healthcare Health Professionals – The People in Healthcare Lecture a

14. Pathology Blood Banking/Transfusion Medicine Cytopathology Forensic Pathology Laboratory Medicine Pediatric Pathology 14 Health IT Workforce Curriculum Version 3.0/Spring 2012 The Culture of Healthcare Health Professionals – The People in Healthcare Lecture a

15. Non-Clinical Roles of Physicians Administration Teaching Research Public Health Health and Biomedical Informatics Publishing 15 Health IT Workforce Curriculum Version 3.0/Spring 2012 The Culture of Healthcare Health Professionals – The People in Healthcare Lecture a

16. Health Professionals – The People in Healthcare Summary – Lecture a Some useful healthcare terminology was explained Education, Training, Certification and Licensure of Physicians was described Primary care roles of Physicians was described We examined some of specialty, subspecialty and non-clinical roles of Physicians 16 Health IT Workforce Curriculum Version 3.0/Spring 2012 The Culture of Healthcare Health Professionals – The People in Healthcare Lecture a

17. Health Professionals – The People in Healthcare References – Lecture a References Accreditation Council for Graduate Medical Education. (2010). Number of accredited programs for the current academic year (2010-2011). Retrieved from http://www.acgme.org/adspublic/reports/accredited_programs.asphttp://www.acgme.org/adspublic/reports/accredited_programs.asp American Board of Medical Specialties. (2010). How a physician becomes board certified. Retrieved from http://www.abms.org/Who_We_Help/Consumers/process.aspx http://www.abms.org/Who_We_Help/Consumers/process.aspx American Medical Association. (2010). Health professions. Retrieved from http://www.ama- assn.org/ama/pub/education-careers/careers-health-care.shtmlhttp://www.ama- assn.org/ama/pub/education-careers/careers-health-care.shtml American Medical Association. (2010).Careers in healthcare Retrieved from http://www.ama- assn.org/ama/pub/education-careers/careers-health-care/directory.shtmlhttp://www.ama- assn.org/ama/pub/education-careers/careers-health-care/directory.shtml American Medical Association. (2010). Health professions associations. Retrieved from http://www.ama- assn.org/ama/pub/education-careers/careers-health-care/health-professions-associations.shtmlhttp://www.ama- assn.org/ama/pub/education-careers/careers-health-care/health-professions-associations.shtml American Medical Association. (2010). Health professions education accrediting agencies. Retrieved from http://www.ama-assn.org/ama/pub/education-careers/careers-health-care/health-professions- education.shtmlhttp://www.ama-assn.org/ama/pub/education-careers/careers-health-care/health-professions- education.shtml American Medical Association. (2010). Health care income ranges. Retrieved from http://www.ama- assn.org/ama/pub/education-careers/careers-health-care/health-care-income.shtmlhttp://www.ama- assn.org/ama/pub/education-careers/careers-health-care/health-care-income.shtml Explore Healthcareers. (2010). Career explorer. Retrieved from http://www.explorehealthcareers.org/en/index.aspxhttp://www.explorehealthcareers.org/en/index.aspx Healthcareers in Michgan. (2010). Health careers videos. Retrieved from http://www.michigan.gov/healthcareers/0,1607,7-221-39742_39457---,00.html http://www.michigan.gov/healthcareers/0,1607,7-221-39742_39457---,00.html 17 Health IT Workforce Curriculum Version 3.0/Spring 2012 The Culture of Healthcare Health Professionals – The People in Healthcare Lecture a

18. Health Professionals – The People in Healthcare References – Lecture a (continued) Reference (continued) HRSA: Bureau of Health Professions. (2010). National center for health workforce analysis: health workforce personnel factbook. Retrieved from http://bhpr.hrsa.gov/healthworkforce/reports/factbook.htmhttp://bhpr.hrsa.gov/healthworkforce/reports/factbook.htm Medline Plus. (2010). Health occupations. Retrieved from http://www.nlm.nih.gov/medlineplus/healthoccupations.htmlhttp://www.nlm.nih.gov/medlineplus/healthoccupations.html Merriam-Webster Medical Dictionary. (2010) (various terminology definitions) Retrieved from http://www.nlm.nih.gov/medlineplus/mplusdictionary.html http://www.nlm.nih.gov/medlineplus/mplusdictionary.html National Institutes of Health. (2010). Office of science education lifeworks®: explore health and medical science careers. Retrieved from http://science.education.nih.gov/LifeWorks.nsf/feature/index.htmhttp://science.education.nih.gov/LifeWorks.nsf/feature/index.htm National Institutes of Health. (2010). Office of science education lifeworks®: explore health and medical science careers.. Alphabetical list. Retrieved from http://science.education.nih.gov/LifeWorks.nsf/alpha.htmhttp://science.education.nih.gov/LifeWorks.nsf/alpha.htm National Institutes of Health. (2010). Office of science education lifeworks®: explore health and medical science careers. Education requirements. Retrieved from http://science.education.nih.gov/LifeWorks.nsf/education.htmhttp://science.education.nih.gov/LifeWorks.nsf/education.htm National Institutes of Health. (2010). Office of science education lifeworks®: explore health and medical science careers. Interest area. Retrieved from http://science.education.nih.gov/LifeWorks.nsf/interestarea.htmhttp://science.education.nih.gov/LifeWorks.nsf/interestarea.htm National Institutes of Health. (2010). Office of science education lifeworks®: explore health and medical science careers. Median salary. Retrieved from http://science.education.nih.gov/LifeWorks.nsf/salary.htmhttp://science.education.nih.gov/LifeWorks.nsf/salary.htm 18 Health IT Workforce Curriculum Version 3.0/Spring 2012 The Culture of Healthcare Health Professionals – The People in Healthcare Lecture a Charts, Tables, Figures 2.1 Figure Hickman, T. (2010) Retrieved from author, Used with Permission.