Page 15 - Master Blueprint 2018 - 2019
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COMPETENCY            2        OSTEOPATHIC PATIENT CARE AND
          DOMAIN
                                         PROCEDURAL SKILLS




        REQUIRED ELEMENT 2.1                               • apply an appropriate knowledge base to medical-history  REQUIRED ELEMENT 2.3
        DATA GATHERING                                      taking and physical examination, regarding the   ESSENTIAL CLINICAL PROCEDURES
                                                            psychosocial and cultural issues that contribute to health,
        DEFINITION                                          disease, and behavior.                           DEFINITION
        The osteopathic physician must effectively gather accurate,                                          The osteopathic physician must perform basic clinical
                                                           • determine the patient’s living circumstances and the depth
        essential data from all sources, including the patient,                                              procedures essential for the generalist practice of
                                                            and scope of the patient’s support network.
        secondary sources, medical records, and physical                                                     osteopathic medicine.
        examination (including osteopathic structural examination),  • explore the patient’s beliefs, concerns, expectations, and
        regardless of patient age or clinical setting.      literacy about health and disease while considering  MEASURED OUTCOMES
                                                            contextual factors such as the patient’s age, gender,  The osteopathic physician must:
        MEASURED OUTCOMES                                   culture, literacy, sexual orientation, spirituality, and
                                                                                                             • perform a clinically appropriate physical examination
        The osteopathic physician must:                     economic background.
                                                                                                              including evaluation of each of the body areas (head,
        • elicit the patient’s view of the concern, complaint, or issue.  • interpret the results of relevant laboratory, imaging, and  neck, chest, abdomen, genitalia/groin/buttocks,
                                                            other diagnostic studies in the context of patient care.  back/spine, and upper and lower extremities) and organ
        • elicit the essential information regarding medication and                                           and body systems (constitutional; cardiovascular; ears,
         allergy histories, social history, family history, sexual
                                                                                                              nose, mouth, and throat; eyes; genitourinary–female and
         history, developmental milestones, and psychosocial
                                                                                                              male; hematologic/lymphatic/immunologic; musculoskeletal;
         issues that contribute to the patient’s behaviors or
                                                           REQUIRED ELEMENT 2.2                               neurologic; psychiatric; respiratory; and skin).
         condition.
                                                           DIFFERENTIAL DIAGNOSIS
                                                                                                             • perform an osteopathic structural examination and OMT.
        • elicit a comprehensive patient-focused history, including
         symptoms, psychological factors, cultural considerations,  DEFINITION                               • employ hand hygiene practices, universal precautions, and
         need for interpretive or adaptive services, and   The osteopathic physician must formulate a differential  medical aseptic technique to minimize nosocomial
         community/social factors, from the patient and other  diagnosis based on the patient evaluation and epidemiologic  infections.
         sources as appropriate and in a timely manner.    data, prioritize diagnoses appropriately, and determine the
                                                           nature of the concern or complaint in the context of the
        • elicit the essential information regarding past medical  patient’s life cycle and in a variety of health care settings.
         history of diseases, disorders, and surgical procedures.
                                                                                                             REQUIRED ELEMENT 2.4
        • elicit the essential information regarding mechanism of  MEASURED OUTCOMES                         PATIENT CARE MANAGEMENT
         injury and disease presentations and/or biomechanical  The osteopathic physician must:
         influences that contribute to the patient’s condition.                                              DEFINITION
                                                           • generate, assess, and test appropriate hypotheses during
                                                                                                             The osteopathic physician must provide diagnostic
        • adapt the gathering of information effectively to the  the medical interview and physical examination.  information; develop a safe, evidence-based, cost-effective,
         situation and interview patients, families, and caregivers in
                                                           • generate and prioritize an appropriate list of potential  equitable, patient-centered care plan; and use all ethical
         various clinical settings.
                                                            diagnoses given the medical history, physical examination  and appropriate options for the goal of relieving the patient’s
        • gather information regarding health promotion and disease  findings, and other available data, recognizing the effect of  physical and psychological distress. Within the context of
         prevention through medical-history taking and physical  biomedical, biomechanical, psychosocial, and cultural  evidence-based and cost-effective care, the osteopathic
         examination regarding the biomedical, biomechanical, and  factors.                                  physician must assess the patient’s motivation, willingness,
         biopsychosocial issues that contribute to health and                                                and ability to cooperate with the diagnostic and therapeutic
         disease.                                                                                            plan.                                    

        COMLEX-USA MASTER BLUEPRINT                                                                 DIMENSION 1     COMPETENCY DOMAIN 2        page 14
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