{"id":1201,"date":"2013-10-10T19:26:47","date_gmt":"2013-10-10T19:26:47","guid":{"rendered":"http:\/\/jacobimed.org\/NS\/?page_id=1201"},"modified":"2013-10-10T19:26:47","modified_gmt":"2013-10-10T19:26:47","slug":"practice-questions-and-questionnaire","status":"publish","type":"page","link":"https:\/\/jacobimed.org\/old\/ambulatory\/mlove\/curriculumprevention\/implementation-of-preventive-measures\/implementation-menu\/practice-questions-and-questionnaire\/","title":{"rendered":"Practice Questions and Questionnaire"},"content":{"rendered":"

 <\/p>\n

\n

IMPLEMENTING PREVENTIVE
\nSERVICES \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span><\/strong>Perry
\nPong, MD<\/strong><\/p>\n

AMBULATORY CARE BLOCK
\nROTATION \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>SPRING
\n2004<\/span><\/strong><\/strong><\/p>\n

\u00a0<\/h1>\n
\n

\u00a0\u00a0 <\/span>LEARNER\u2019s GOALS
\n<\/em><\/span><\/strong><\/em><\/strong><\/p>\n

\u00a0\u00a0 <\/span>At the end of the session, the learner will
\nbe able to recognize his\/her own attitudes towards preventive services and how they
\nimpact on performance. The learner will begin to recognize barriers to
\npreventive services that exist for the patient, provider and society. The
\nlearner will be able to select a preventive service and draft a plan to improve
\nthe delivery of that service, utilizing either the barriers to care model or
\nthe continuous quality improvement model.<\/em><\/em><\/p>\n

\u00a0<\/span><\/p>\n<\/div>\n

\u00a0<\/span><\/p>\n

ORGANIZATION OF THE
\nSESSION:<\/strong><\/p>\n

1 Questionnaire<\/p>\n

2 Examining Barriers<\/p>\n

3 Continuous Quality Improvement<\/p>\n

4 Interventions<\/p>\n

\u00a0<\/span><\/p>\n

REVIEW QUESTIONS:<\/strong><\/strong><\/p>\n

\u00a0<\/span><\/p>\n

1.\u00a0 <\/span>According to reviews of studies by The
\nCommunity Guide for Vaccine Preventable Diseases:<\/span><\/strong><\/strong><\/p>\n

a.
\nStanding Orders for influenza or pneumococcal vaccine can increase vaccination
\nrates by 28%.<\/span><\/p>\n

b.
\nGiving Assessment and Feedback to Providers can increase vaccination rates by
\n61%.<\/span><\/p>\n

c. Reminding
\nClients alone can increase vaccination rates by 33%.<\/span><\/p>\n

d.
\nAll of the above are true<\/span><\/p>\n

\u00a0<\/span><\/p>\n

2. According to the Put Prevention into Practice Program,
\nthe essential elements for delivering preventive services are:<\/p>\n

a.
\nEstablish preventive care protocols<\/span><\/p>\n

b. Define
\nstaff roles for delivering and monitoring preventive care<\/span><\/p>\n

c.
\nDetermine patient and material flow<\/span><\/p>\n

d.
\nAudit your delivery of preventive care continually<\/span><\/p>\n

e.
\nReadjust and refine your delivery system and standards<\/span><\/p>\n

f.
\nAll of the above<\/span><\/p>\n

\u00a0<\/span><\/p>\n

SUGGESTED READING:<\/span><\/strong><\/strong><\/p>\n

Web Sites<\/h3>\n

US Preventive Services Task Force:
\nhttp:\/\/www.ahrq.gov\/clinic\/uspstfix.htm<\/span><\/p>\n

Put Prevention into Practice: http:\/\/
\nwww.ahrq.gov\/ppip\/manual\/<\/span><\/p>\n

Guide to Community Preventive Services: http:\/\/www.thecommunityguide.org\/<\/strong><\/a><\/span><\/p>\n

\u00a0<\/span><\/strong><\/p>\n

General References<\/span><\/strong><\/p>\n

Agency for Healthcare Research and Quality Pub No
\nAPPIP01-001, May 2002 A step-by-step guide to delivering clinical preventive
\nservices: a systems approach<\/strong>. <\/span><\/p>\n

US Preventive Services Task Force. Guide to clinical preventive services, 2nd
\ned.<\/strong> Baltimore: Williams & Wilkins, 1996.<\/span><\/p>\n

Woolf S, Jonas S, Lawrence R eds. Health Promotion and Disease Prevention in
\nClinical Practice<\/strong>. Baltimore: Williams & Wilkins, 1996.<\/span><\/p>\n

\u00a0<\/span><\/p>\n

\u00a0<\/span><\/h2>\n



\n<\/span><\/em><\/p>\n

IMPLEMENTING PREVENTIVE SERVICES<\/h2>\n

Ambulatory Care Block Rotation Spring 2004 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Perry Pong,
\nMD<\/p>\n

\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/p>\n

PART I\u00a0\u00a0\u00a0 <\/span>ATTITUDES<\/h2>\n

1.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>I recommend the influenza vaccine to
\npatients.<\/span><\/p>\n

\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Strongly disagree\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span> Neutral\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Strongly agree<\/span><\/p>\n

\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>1\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>2\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>3\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>4\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>5\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>6\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>7<\/span><\/p>\n

\u00a0<\/span><\/p>\n

2.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>I received the influenza vaccine this
\npast winter.<\/span><\/p>\n

\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/span>1\u00a0 <\/span>Yes\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>2\u00a0 <\/span>No<\/span><\/p>\n

\u00a0<\/span><\/p>\n

3.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Studies show that the most effective
\ninfluenza prevention strategy in a nursing home is to:<\/span><\/p>\n

\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>1 Vaccinate all residents\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>2 Vaccinate all staff\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>3. Vaccinate all staff and residents<\/span><\/p>\n

\u00a0<\/span><\/p>\n

\u00a0<\/span><\/h1>\n

PART II\u00a0\u00a0\u00a0 <\/span>THE PATIENT ENCOUNTER<\/span><\/h1>\n

\u00a0<\/span><\/p>\n

1.\u00a0 <\/span>Your first patient today is a 54-year-old
\nnurse\u2019s aide with hypertension, obesity and low back pain. She is your regular
\npatient and says nothing is new, her back pain is the same.\u00a0 <\/span>She takes hydrochlorothiazide, calcium
\ncarbonate and an occasional ibuprofen. You glance at her chart, BP 135\/85 P 72;
\nno Pap smear or mammogram in years, no advance directive, no immunizations
\nsince childhood, no colonoscopy and menopausal since 2002.<\/em><\/p>\n

\u00a0<\/span><\/p>\n

\u00a0<\/span><\/strong><\/p>\n

CHECK THE THINGS YOU
\nCHOOSE TO DISCUSS TODAY:<\/strong><\/strong><\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n
\n

Issue<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n

\n

Issue<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n<\/tr>\n

\n

Advance
\nDirectives<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n

\n

Low
\nBack Pain<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n<\/tr>\n

\n

Cholesterol
\n\u2013 Lipid Panel screen<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n

\n

Mammogram<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n<\/tr>\n

\n

Colonoscopy<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n

\n

Obesity<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n<\/tr>\n

\n

Depression<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n

\n

Osteoporosis
\n\/ Bone Densitometry<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n<\/tr>\n

\n

Diabetes
\n\u2013 Hba1c screen<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n

\n

Pneumococcal
\nVaccination<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n<\/tr>\n

\n

Domestic
\nViolence<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n

\n

PAP
\nSmear<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n<\/tr>\n

\n

Hepatitis
\nB Vaccination<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n

\n

Stool
\nGuaiac Cards<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n<\/tr>\n

\n

Hypertension<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n

\n

Tetanus
\nBooster Vaccination<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n<\/tr>\n

\n

Influenza
\nVaccination<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

\u00a0<\/span><\/p>\n

What is your strategy to accomplish the prevention issues
\nselected?<\/p>\n

\u00a0<\/span><\/p>\n



\n<\/span><\/p>\n

2. Your next
\npatient\u00a0 <\/span>is a new patient: 23 year old
\nfemale needing a physical exam for graduate school.<\/em><\/p>\n

\u00a0<\/span><\/p>\n

CHECK THE PREVENTION
\nAREAS YOU CHOOSE TO DISCUSS TODAY:<\/strong><\/strong><\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n
\n

Issue<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n

\n

Issue<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n<\/tr>\n

\n

AIDS
\n\/ HIV testing<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n

\n

GC\/Chlamydia\/RPR
\nScreen<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n<\/tr>\n

\n

Alcohol<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n

\n

Guns\/Firearms
\nsafety<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n<\/tr>\n

\n

Cholesterol<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n

\n

Immunizations<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n<\/tr>\n

\n

Contraception<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n

\n

Nutrition
\nand Diet<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n<\/tr>\n

\n

Depression<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n

\n

PAP
\nSmear<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n<\/tr>\n

\n

Domestic
\nViolence<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n

\n

PPD<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n<\/tr>\n

\n

Drugs
\n<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n

\n

Seat
\nBelts<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n<\/tr>\n

\n

Exercise<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n

\n

Sexual
\nHistory<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n<\/tr>\n

\n

Folate
\nSupplements<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n

\n

Smoking<\/span><\/p>\n<\/td>\n

\n

\u00a0<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

\u00a0<\/span><\/p>\n

How did you make your choices?<\/p>\n

\u00a0<\/span><\/p>\n

\u00a0<\/span><\/p>\n

\u00a0<\/span><\/p>\n

\u00a0<\/span><\/p>\n

How do you remember to do all that you checked?<\/p>\n

\u00a0<\/span><\/p>\n

\u00a0<\/span><\/p>\n

\u00a0<\/span><\/p>\n

\u00a0<\/span><\/p>\n

PART III: \u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>THE PRACTICE<\/strong><\/strong><\/p>\n

After graduation, you find a job in a group of 10 physicians
\nand nurse practitioners in Brooklyn. Your patients are diverse: young, old, with
\nmany immigrants from the Caribbean and Latin America, and some older Italian
\nAmerican and African American patients. Most have Medicare or Medicaid, some
\nhave commercial insurance and about 10% are self-pay.<\/p>\n

\u00a0<\/span><\/p>\n

Because you are the newest hire, the medical director
\nassigns you to improve mammogram performance. The current percentage of
\npatients over age 50 having a yearly mammogram is 34%. Your target is 50%. The
\nradiology office is in the same building.<\/p>\n

\u00a0<\/span><\/p>\n

Outline your strategy (include resources needed, personnel
\ninvolved, timeline for implementation, and how you will get the staff and
\ndoctors to \u201ccomply\u201d with your recommendations):<\/p>\n

\u00a0<\/span><\/p>\n

\u00a0<\/span><\/p>\n

\u00a0<\/span><\/p>\n

\u00a0<\/span><\/p>\n

\u00a0<\/span><\/p>\n

\u00a0<\/span><\/p>\n



\n<\/span><\/p>\n

POINTS TO MAKE:<\/strong><\/strong><\/p>\n

\u00a0<\/span><\/p>\n

Major: <\/strong><\/strong><\/p>\n

1.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Physician
\nfactors<\/p>\n

\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Pt factors<\/p>\n

\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Organizational
\nFactors<\/p>\n

\u00a0<\/span><\/p>\n

2.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>What can the
\nphysician do?<\/p>\n

\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>What does
\nthe physician want to do?<\/p>\n

\u00a0<\/span><\/p>\n

3.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Look at
\nprocesses, more than individuals<\/p>\n

\u00a0<\/span><\/p>\n

FACTS TO BRING UP<\/h2>\n

1.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Time not
\nreally the determining factor<\/p>\n

Mayo clinic study- time not related
\nto prevention performance<\/p>\n

\u00a0<\/span><\/p>\n

2.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Patient
\nfactors are complex<\/p>\n

\u00a0<\/span><\/p>\n

3.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Organization
\nis the key<\/p>\n

Make it routine!<\/p>\n

\u00a0<\/span><\/p>\n

4.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>You will be audited by insurance
\ncompanies, outside agencies,<\/p>\n

Boards! on how well you do. Might
\nas well excel at it.<\/p>\n

\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><\/p>\n

WHAT TO DO?<\/h2>\n

Example: Vaccines<\/p>\n

1.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Standing
\norders: example Flu vaccine<\/p>\n

2.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Reminders to
\nProviders<\/p>\n

\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Assessment
\nand Feedback to Providers on Performance<\/p>\n

3. \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Reminder
\nnotices to Patients<\/p>\n

Educational brochure was more
\nuseful than just reminder letter<\/p>\n

4.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Flow Charts<\/p>\n

Critical to have flow chart to keep
\ntrack of patient\u2019s<\/p>\n

5. \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Enhance
\nAccess: Financial incentives, reducing out of pocket costs<\/p>\n

\u00a0<\/span><\/p>\n

Others:<\/p>\n

1.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Community
\nInvolvement:\u00a0 <\/span>Involve the patients in
\nplanning<\/p>\n

2.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Flow Charts<\/p>\n

3.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Get all the
\nstaff involved<\/p>\n

4.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Continuous
\nQuality Improvement<\/p>\n

5.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Audit
\nyourself<\/p>\n

6. \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span>Disease
\nManagement Trend<\/p>\n

\u00a0<\/span><\/p>\n

Community Control: Smoking Cessation<\/p>\n

Ban, Increasing price of tobacco, media campaigns, quitter
\ntelephone support with interventions<\/p>\n

\u00a0<\/span><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

  IMPLEMENTING PREVENTIVE SERVICES \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Perry Pong, MD AMBULATORY CARE BLOCK ROTATION \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 SPRING 2004 \u00a0 \u00a0\u00a0 LEARNER\u2019s GOALS \u00a0\u00a0 At the end of the session, the learner will be able to recognize his\/her own attitudes towards preventive services and how they impact on performance. The learner will begin to recognize barriers to preventive services….<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1198,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"class_list":["post-1201","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/pages\/1201","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/comments?post=1201"}],"version-history":[{"count":1,"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/pages\/1201\/revisions"}],"predecessor-version":[{"id":1207,"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/pages\/1201\/revisions\/1207"}],"up":[{"embeddable":true,"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/pages\/1198"}],"wp:attachment":[{"href":"https:\/\/jacobimed.org\/old\/wp-json\/wp\/v2\/media?parent=1201"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}