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CHAPTER
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
1The Profession of Medical Assisting
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
Learning Outcomes
1.1 Describe the job responsibilities of a medical assistant.
1.2 Discuss the professional training of a medical assistant.
1.3 Identify the personal characteristics a medical assistant needs.
1.4 Define multiskilled health professional.
1-2
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
Learning Outcomes (cont.)
1.5 Explain the importance of continuing education for a medical assistant.
1.6 Describe the process and benefits of certification and registration.
1.7 List the benefits of becoming a member of a professional association.
1-3
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
Introduction
• Fast-growing occupation
• Generalist– Someone trained in
all departments of the facility
• Medical assistant – Graduate of accredited
institution– Multitasking skills
1-4
A multitasking professional is someone who is able to work in the administrative area, the clinical areas, and the financial areas.
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
A Successful Student – Key Factors
• Organizational skills – prepare in advance
• Study habits– Quiet area– Study “buddy”
• Set goals
1-5
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
Growth of the MA Profession
• According to U.S. Department of Labor - Bureau of Statistics, medical assistants will hold 565,000 jobs by 2016; an increase of 35% from 2006– 60% in physicians’ offices– 14 % in hospitals– Almost 10% in nursing homes and offices of other
health-care practitioners– Remainder in outpatient care centers, laboratories,
and other health-care-related services
1-6
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
Knowledge Base Needed1-7
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Knowledge Base Needed (cont.)
• Provide exceptional customer service
• Practice management
• Current patient treatments and education
1-8
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
Apply Your Knowledge1-9
What are the key factors to your success as a student?
ANSWER: Developing good organizational skills and good study habits, and setting goals.
Good Job
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
American Association of Medical Assistants (AAMA)
• Established: 1956
• Purpose of the organization is to raise the standard of medical assisting to a more professional level
• The Code of Ethics of AAMA – Sets forth principles of ethical and moral conduct as
they relate to the medical profession and the particular practice of Medical Assisting
1-10
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
Importance of Medical Assistant Credentialing
• Malpractice– Having credentialed personnel or staff will
lessen the likelihood of legal challenges of the quality of care
• Managed Care Organizations (MCO)– Place great importance on professional
credentials for employees
• Meet components of state and federal regulations
1-11
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
Certified Medical Assistant (CMA)
• CMA(AAMA) credential is awarded by the Certifying Board of the AAMA
• Certification examination evaluates mastery of medical assisting competencies
• Recertify every 5 years– 60 contact hours
• 10 each in clinical, administration, general areas
• 30 additional hours in any area
1-12
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
American Medical Technologists (AMT) Organization
• Credentials medical assistants as Registered Medical Assistants (RMA)
• Education and experience requirements– High school diploma or equivalent– Graduation from an accredited program– Pass the AMT examination
1-13
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
American Medical Technologists (AMT) Organization (cont.)
1-14
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
RMA(AMT)/CMA(AAMA) Examinations
• General medical knowledge
• Administrative knowledge
• Clinical knowledge
1-15
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
Medical Assistant Associations
• Set standards for quality and performance
• Define tasks and functions for an occupation
• Provide opportunities for networking
• Further the profession
• Assist members to achieve career goals
1-16
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
CMA(AAMA) Member Benefits
• Professional publications
• Educational opportunities
• Group insurance
• Legal information
• Networking
• Legislative monitoring
• Website: http://www.aama-ntl.org
1-17
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
RMA(AMT) Member Benefits
• Professional publications
• AMT Institute for Education
• Group insurance programs
• Legislature legal representation
• Annual meetings and educational seminars
• Student membership
• Website: http://www.amt1.com
1-18
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
Apply Your Knowledge
• What are two reasons why credentialingis important?
1-19
ANSWER: The likelihood of a legal challenge to quality of care decreases when employees are certified, and Managed Care Organizations place importance on credentials for employees.
BRAVO!
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Apply Your Knowledge
• List three things professional medical assistant associations do or provide.
1-20
ANSWER: Medical Assistant Associations
• Set standards for quality and performance for the profession• Define tasks and functions for an occupation• Provide opportunities for member networking• Assist members to achieve career goals
Correct
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
Formal Training and Educational Programs
• Vocational-technical high schools
• Postsecondary vocational schools
• Community and junior colleges
• Four-year colleges and universities
1-21
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
Accreditation
• The process by which programs are officially authorized
• Two recognized entities for accrediting MA programs– The Commission for Accreditation of Allied
Health Education Programs (CAAHEP )– Accrediting Bureau of Health Education
Schools (ABHES)
• Must meet minimum standards
1-22
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
Graduating from an Accredited Program
• Greater career options– Completion of a
program that meets national standards
– Provides recognition of your education by professional peers
– Makes you eligible for registration
1-23
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
Externships
• Obtain practical work experience
• Required by accredited programs
• Duties will be planned to meet your program’s requirements
1-24
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National Healthcare Association (NHA)
• Established in 1989 as an information resource and network
• Offers certification exams and continuing education
• Services:– Continuing education– Program development– Education, career advancement, and
networking– Registry of certified professionals
1-25
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
National Center for Competency Testing (NCCT)
• Certifies the validity of competency and knowledge of the medical profession through examination
• Designations:– National Certified Medical Assistant (NCMA) – National Certified Medical Office Assistant
(NCMOA)
1-26
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
Volunteer Programs
• Experience in a variety of settings
– Practical experience
– Help you make career decisions
– Include on résumé
1-27
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
Multiskill Training
• Reduces health care costs– Personnel are cross-trained for
more than one position
• Expands your career opportunities– Office manager– Certified Office Laboratory
Technician– Medical lab technician– ECG technician– Medical biller– Hospital admission coordinator
1-28
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
Apply Your Knowledge
What is the purpose of accreditation for medical assistant programs?
List two advantages of multiskill training.
1-29
ANSWER: Accreditation ensures that the program meets nationally accepted standards.
ANSWER: Multiskill training reduces health care costs and expands your career opportunities.
Great!
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
Daily Duties of a Medical Assistant
• Duties will vary based on – Type and size of practice setting– Whether you are at entry level or advanced
practice• Governed by state law
– Advanced duties generally require additional training and certification.
1-30
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
Daily Duties – Administrative Examples
• Entry level– Greet patients
– Handle correspondence and answer telephone
– Schedule appointments
– Create and maintain patient medical records
• Advanced – Develop and conduct public outreach programs
– Participate in practice analysis
1-31
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
Daily Duties – Clinical Examples
• Entry level– Assist the doctor during examination– Asepsis and infection control– Give medications and explain treatments to
patients
• Advanced – Initiate IVs and administer IV medications– Report diagnostic study results
1-32
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
Daily Duties – Laboratory Examples
• Entry level– Perform Clinical Laboratory Improvement
Amendments (CLIA) – waived tests– Collect, prepare, and transmit laboratory
specimens– Teach patients to collect specimens
• Advanced– Perform as Occupational Health and Safety
(OSHA) compliance officer– Perform moderately complex laboratory tests
1-33
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
Apply Your Knowledge 1-34
True or False:
Your duties will never vary.
Advanced duties never require additional training.
State laws regulate medical assistant practice.
You must have the appropriate training to perform a procedure.
F
F
T
T
Duties vary based on practice setting, state law, level of practice.
Advanced duties require advanced training and certification.
Kudos!
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
Personal Qualifications
• Critical thinking skills
• Attention to detail
• Empathy
• Willingness to learn
• Flexibility
• Self-motivation
• Professionalism
1-35
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
Personal Qualifications (cont.)
• Neat appearance– Uniform clean – Shoes – Hairstyle – Nails
• Avoid acrylic nails
– Jewelry– Tattoos– Piercings– Hygiene– Health
1-36
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
Personal Qualifications (cont.)
• Attitude– Positive and caring– Respond to criticism
as a learning experience
– Take direction from authority without question
– Function as a vital member of a medical team
1-37
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
Improve Your Attitude
• If you can answer “yes” to any of these questions
– Do I have repeated conflicts with people?
– Have I had a conflict at work that has resulted in termination?
– Do I have conflicts with authority figures?
– Do people make comments about my attitude?
1-38
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
Personal Qualifications (cont.)
• Integrity and honesty– Everything you do and every task you
complete should be performed with a goal of excellence
– These characteristics are key to providing superior customer service
– You must be dependable and reliable– Your office staff and physician must be able to
trust you and the decisions you make
1-39
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
Other Attributes
• Diplomacy
• Proper judgment
• Communication skills
• Remaining calm in a crisis
• Willingness to work as a team member
• Ethical behavior
1-40
Continue
Team Dynamics
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
Team Dynamics
• Assist each other with required duties
• Avoid interpersonal conflict with team members
• Perform extra responsibilities without questioning or complaining
• Be considerate of other team members’ duties and responsibilities
1-41
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
AAMA Occupational Analysis
• Areas of competence for entry-level medical assistants
• Provides the basis for medical assisting education and evaluation
• Three areas of competence– Administrative– Clinical– General
1-42
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
Scope of Practice
• No single definition of the Scope of Practice for medical assistants
• Varies by state of employment
• Resources– AAMA– AMT– AMAA Occupational Analysis
1-43
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
Apply Your Knowledge1-44
ANSWER: List any four of these personal qualifications that medical assistants should display:
Critical thinking skills Attention to detailEmpathy Willingness to learnFlexibility Self-motivationProfessionalism
• List any four personal qualifications you should have to be an effective medical assistant.
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
Apply Your Knowledge1-45
ANSWER: When you can answer “yes” to any of the following questions:
Do I have repeated conflicts with people? Have I had a conflict at work that has resulted in termination? Do I have conflicts with authority figures? Do people make comments about my attitude?
Correct!
• When should you take action to change your attitude?
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
In Summary
1.1 Responsibilities will vary from administrative to laboratory duties
1.2 Professional training includes formal training in a variety of educational settings
1.3 Personal characteristics include flexibility and good communication skills
1.4 Cross-training/being multiskilled is important for marketability
1-46
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
In Summary (cont.)
1.5 Continuing education keeps you abreast of changes in health-care and governmental regulations.
1.6 Certification and registration provide peer recognition and career advancement.
1.7 Professional membership affiliations provide networking opportunities.
1-47
© 2011 The McGraw-Hill Companies, Inc. All rights reserved.
End of Chapter 11-48
Participating in any aspect of healing is an
awe-inspiring experience.
— Carol Jackson, The Healer’s Art