1. Community Health and Patient Presentations Related to Wellness

Patient presentations span all relevant age categories, special populations, and varied clinical settings.

The guide to clinical presentations in this category may include, but is not limited to, the following ways in which patients present for osteopathic medical care:

age-appropriate physicals for wellness (e.g., newborn), travel, school, sports participation, and employment (e.g., ergonomics) • anticipatory guidance (e.g., toilet training, feeding, dental care, safety) • cancer screening • cardiovascular risk assessment (e.g., lipids, blood pressure, endocarditis prophylaxis) • coordination/transition of care • death-related issues (e.g., right to die, medical futility, advance directives) • diet and nutrition counseling (e.g., diabetes, obesity prevention) • environmental public health risks • environmental screening • genetic screening • heavy-metal poisoning and environmental toxin screening (e.g., lead, secondhand smoke) • medication safety (e.g., polypharmacy) • outbreaks/epidemics/pandemics (e.g., infection control, bioterrorism) • pre- and postoperative/procedure counseling • pre- and post-screening test counseling • preconception and prenatal counseling • safety concerns – prevention, protection, and reporting of child, sexual, or elder abuse; intimate partner violence; sexual assault; gun safety or violation; motor vehicle operation safety or violation; fall prevention; use of protective devices (e.g., helmets, seatbelts, infant/child seats) • sexually transmitted infection prevention • smoking cessation • substance abuse prevention and screening • sudden unexpected death in infancy including sudden infant death syndrome • vaccinations • wellness – mental, physical and spiritual (e.g., stress management, diet and exercise programs, sleep hygiene, counseling)

Laboratory tests and diagnostic imaging studies related to screening for disease or abuse