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45 Cards in this Set

  • Front
  • Back
 Tests the effectiveness of a treatment such as a drug, surgical procedure, or other interven Tests the effectiveness of a treatment such as a drug, surgical procedure, or other interventiontion
o Prognosis
 Determines how the natural course of an illness will be affected by the introduction of an intervention
o Etiology/Harm
 Determines whether an agent is related to the development of an illness (including SEs)
o Diagnosis
 Measures the validity and reliability of a diagnostic test
best level of evidence for therapy
RCT --> cohort --> case control --> case series
best level of evidence for etiology/harm
RCT -->cohort --> case control --> case series
best level of evidence for prognosis
longitudinal cohort --> case control --> case series
best level of evidence for diagnosis
cross sectional survey comparing new test to gold standard
o ACP Journal Club
 Critical appraisal of previously published articles
 Adds conclusions and commentaries
 Limitis: Clinical studies categories
 Retrieve full article: EBM Article Review
o Cochrane Database
 Original high quality systematic reviews
 Adds implications for practice/research
 Limits; systematic reviews
 Retrieve full article: EBM Topic Review
 Critical appraisal of previously published systematic reviews
 Adds results of review and author’s conclusions
 Retrieve full article: EBM Article Review
o PubMed
 Largest
 Basic limits
 Retrieve by Miami online icon
steps to breaking bad news
1-create a conducive environment
2-find out what person knows
3-find out what they want to know
4-share the information
5-respond to patients feelings
6-planning and follow-through
defining geriatrics
age least important, multiple chronic conditions, special needs, patient expresses his symptoms in terms of functional loss
paradoxical care-giver
when an old parent takes care of a disabled child
5 Rs for pt considering quiting smoking
relevance, risks, rewards, roadblocks, repetition
3 components to succesful quiting of smoking
social support, nicotine replacement, skills training
signs of child abuse (bruises)
to the buttocks, not over bony prominences
signs of child abuse (fractures)
at different stages of healing, spiral fractures
most common cause of child abuse
driving wo kid in seatbelt
child sex abuse is
chronic, perp is well known to child, not meant to hurt bc perp wants to repeat
how often is PE indicative of sexual abuse
5%, HX key
what sign is a high risk for an abuser to kill a kid nex ttime
legal standard for child abuse in juvenile crt v. criminal crt
preponderance of evidence v. beyond a reasonable doubt
services on record provided indicated by
CPT code
diagnosis on record indicated by
ICD-9-CM code
CPT is
level of care based on Hx, PE, medical decision making
HCFA 1500
claim submission form
discounted fee for service
hospital or md gets a % of current fees negotiated with plan
provider gets fixed about to provide care to a certain group
basic policy
covers initial expense (not including deductibles, co-pays/insurance) with upper limit
major medical poluicy
picks up where basic policy leaves off - for major events
indemnity policy
pays a fixed $ under certain conditions (not necesarily medical)
medigap insurance
pays most of health insurance charges not covered by Medicare Parts A and B
Medicare Part A
inpatient hospital, nursing facility, mode health agency care, hospice care
financed through mandataroy payroll tax
part B medicare
medical expenses
financed by contributions from premiums and US Tresury
part C medicare
medicare + choice program - HMO where medicare benefits assigned to plan and medicare cannot be used outside plan
part D medicare
durgs (has doughnut hole)
what does it mean if an md "does not "accept assignment" for medicare
may charge up to 15% more than emdicare rates
POS plan
HMO with out of network option at high co-insurance rate
% of clinical decisions made with little evidence or only consensus
CPT has how many levels
value-based purchasing
create direct linkage between what is spent by purchaser of health care and the value
pay mroe to mdswho do better
ABCs of behavioral developemtn
all behavior is about communication
antecedent, behavior, consequence