Comprehensive Medical Assisting, 3rd Ed Part I: Introduction to Medical Assisting Unit One: Understanding the Profession Chapter 1 – Medicine and Medical Assisting

History of Medicine Ancient Medical History From 4000 B.C.E. Egyptians use surgery and splinting Herbal medications still contribute Religious support for sound hygienic practices

History of Medicine Ancient Medical History Greeks Followers of Aesculapius use massage and exercise Hippocrates introduces standards and science Galen documents the pulse and pioneers anatomical dissection on apes and swine Romans Advances in sanitation and public health

History of Medicine Modern Medical History Anatomy … Andreas Vesalius and William Harvey Microscopy … Anton von Leeuwenhoek Surgery … John Hunter Vaccination … Edward Jenner Psychiatry … Benjamin Rush

History of Medicine Modern Medical History Bacteriology and antisepsis … Louis Pasteur, Ignaz Semmelweis, Joseph Lister Antibiotics … Alexander Fleming Women in medicine … Florence Nightingale, Elizabeth Blackwell, Clara Buron, Marie Curie Radiology … Wilhelm Roentgen Vaccines … Jonas Salk, Albert Sabine

Florence Nightingale

You will be there to see medicine evolve! History of Medicine Recent Medical History Advances in public health … clean water, preventive medicine, health education Advances in radiology … CT scan, MRI, PET Advances in genetics … cloning, genome sequencing You will be there to see medicine evolve!

The American Health Care System New Institutions and Relationships Managed care … HMOs, driven by insurors Government funding … Medicare, Medicaid and the CMS Administrative simplification … HIPAA Electronic records and record management

The American Health Care System The Medical Office – Recent Changes Private practice giving way to corporate ownership Outsourced or centralized systems and procedures Technology of the “paperless” office Expanding legal and insurance regulation … all require a more expert, better educated, formally certified staff.

The American Health Care System The Medical Office – Structure Providers Physicians PAs and Nurses Support Staff Clinical Staff Assist with patient care Administrative Staff Handle financial aspects

The American Health Care System Medical Specialties Allergist Hematologist Pathologist Anesthesiologist Immunologist Pediatrician Cardiologist Internist Podiatrist Dermatologist Neonatologist Proctologist Emergency physician Nephrologist Psychiatrist Endocrinologist Neurologist Radiologist Epidemiologist Obstetrician Rheumatologist Family practitioner Oncologist Surgeon Gastroenterologist Ophthalmologist Urologist Gerontologist Orthopedist Gynecologist Otorhinolaryngologist Surgical Specialties Cardiovascular Maxillofacial Thoracic Cosmetic, reconstructive Neurosurgery Trauma General Orthopedic Vascular

The Medical Assisting Profession A medical assistant … is a multiskilled allied health professional who performs both administrative and clinical procedures.

The Medical Assisting Profession Medical Assistant … Administrative Duties To make the office more efficient To sustain business, patient service, and revenue

The Medical Assisting Profession Medical Assistant … Clinical Duties Scope regulated by state Supervised by physician–employer Include low- and moderate-complexity laboratory duties

The Medical Assisting Profession Medical Assistant … Characteristics Professional appearance and image Dependable and punctual Good communication skills Maturity Accuracy Honesty Respect for confidentiality Empathy Courtesy Interpersonal skills Positive self-image Team capability Initiative and responsibility Tact and diplomacy High moral and ethical standards

The Medical Assisting Profession Members of the Health Care Team Physicians Physician assistants Nurse practitioners Nurses RN LPN CNA I, II Allied health professionals, including medical assistants

The Medical Assisting Profession History of Medical Assisting 1934 – Dr. M. Mandl opens first school for formally training office assistants 1955 – AAMA founded in Kansas City; subsequently recognized by the AMA 1963 – Examination for Certified Medical Assistant developed 1978 – AAMA recognized as accrediting agency by US Department of Education 1991 – Current definition adopted Today’s membership: more than 30,000

The Medical Assisting Profession Medical Assisting Education Accredited Programs Provided by postsecondary schools: Business schools, tech colleges, 2-year colleges, community colleges Program length varies from 6 months to 2 years Program must include an externship of 60 to 240 hours of hands-on experience Accredited by the AMA (through the CAAHEP) and by the American Medical Technologists (through ABHES)

The Medical Assisting Profession Medical Assisting Certification CMA (Certified Medical Assistant) Awarded by AAMA Exam prerequisite: Graduation from accredited program (CAAHEP or ABHES) Recertify every 5 years: retake examination or 60 Continuing Education Units RMA (Registered Medical Assistant) Awarded by AMT Exam prerequisite : Graduation from accredited program (ABHES only) or 5 years employment in the profession AMT membership required but recertification is not

The Medical Assisting Profession Medical Assisting Associations Benefits of Membership Educational opportunities Conventions and networking Group insurance plans Organizations American Association of Medical Assistants (AAMA) American Medical Technologists (AMT) American Association of Professional Coders (AAPC) American Health Information Management Association (AHIMA)

The Medical Assisting Profession Employment Opportunities Professional practices Physicians Chiropractors Podiatrists Physical therapy facilities Laboratories Imaging centers Research facilities Walk-in clinics Ambulatory surgery centers

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