Western Medicine

Select appropriate candidates for statin therapy; List the effects of RhoA activation; Counsel patients about the benefits of statins for stroke prevention; Identify statins most likely to be associated with adverse cognitive effects; Explain the development and use of the objective structured clinical examination.

Apply the appropriate scalars for adjusting doses of medication for obese patients; Summarize the importance of volume of distribution in the adjustment of drug doses; Estimate patients' ideal body weight and lean body weight; Identify drugs as lipophilic or hydrophilic and use the appropriate scalars for each; Assess obesity and calculate ideal body weight in children.

QUALIFIES FOR CLINICAL PHARMACOLOGY

Propose ways that patients can apply nutritional principles for weight management to food preparation and repurposing; Address common challenges with implementing principles of the Mediterranean-style diet into real-life food preparation; Advise patients on ways to incorporate healthy eating habits into diets from different cultures, when living in a food desert, and while eating in restaurants; Address common barriers to health care for patients from culturally diverse and medically underserved populations.

List the possible causes of CAP; Plan the diagnostic workup of a patient with suspected CAP; Select the appropriate patients to undergo the Legionella urinary antigen test; Choose the appropriate antibiotic treatment for a patient with CAP; Determine the most likely cause of febrile illness in a returning traveler.

State current recommendations for adult vaccination; Apply effective techniques to counter opposition to vaccination; Treat uncomplicated UTIs; Recognize situations in which asymptomatic bacteriuria should be treated; Consider options for preventing and treating recurrent UTIs.

QUALIFIES FOR INFECTIOUS DISEASE

Assess evidence on the effects of increased physical activity on cardiometabolic risk; Recommend lifestyle modifications that reduce risk for diabetes and cardiovascular disease; Outline best practice guidelines for screening for and diagnosis of Cushing syndrome; Diagnose and manage Cushing syndrome; Recognize features of primary adrenal insufficiency.

Define problematic patterns of alcohol use; Choose appropriate screening methods for detecting patterns of at-risk alcohol use in the primary care setting; Provide brief intervention and referral to treatment for patients with alcohol use disorder; List clinical implications of vitamin D deficiency; Prevent and treat vitamin D deficiency.

Implement screening guidelines for cervical cancer for average-risk women recommended by the American Cancer Society, the American Society for Colposcopy and Cervical Pathology, and the American Society for Clinical Pathology; Discuss the current model of HPV-induced cervical carcinogenesis; Recommend HPV vaccination for all boys and girls 11 or 12 yr of age; Evaluate the reasons that outcomes of heart disease for women are worse than those for men; Recommend lifestyle choices to minimize risk factors for heart disease in women.

Choose appropriate imaging tests as adjuncts in the diagnosis of DSTI; Recommend adequate fluid resuscitation, appropriate antibiotics, and emergent surgical consultation for the management of DSTIs; Cite recent changes to the Third International Consensus Definitions for Sepsis and Septic Shock; Adopt a head-to-toe approach to identify the source of infection in sepsis; Predict prognosis and outcomes in patients with sepsis using the Sepsis-related Organ Failure Assessment (SOFA) and quickSOFA (qSOFA).

QUALIFIES FOR INFECTIOUS DISEASE

Recommend appropriate treatment regimens for infective endocarditis based on bacterial etiology; Identify antibiotic combinations that are synergistic and those that contribute to emergence of resistance or side effects; Explain the pathophysiology of Listeria infection; List risk factors for listeriosis; Diagnose infection with Listeria.

QUALIFIES FOR INFECTIOUS DISEASE

Recognize the early signs and symptoms of dementia; Interpret findings of analyses of cerebrospinal fluid in patients with dementia; Recognize indications for genetic testing of patients with dementia; Differentiate among different types of dementia on the basis of brain imaging findings; Distinguish between Parkinson dementia and Lewy body disease on the basis of the patient's clinical course.

QUALIFIES FOR GERIATRICS

Relate the anatomy of the wrist to the signs and symptoms of CTS; Diagnose CTS through history, physical examination, and imaging; Consider and diagnose TTS in patients with foot pain; Use electrodiagnostic studies and imaging to evaluate patients with possible TTS; Recognize the risk factors for, and signs of, cerebral palsy in young children.

Create an algorithm for the surveillance of women at high risk for EC; Perform preoperative evaluation and staging in a patient with EC; Interpret a pathology report in a patient with endometrial hyperplasia; Summarize the findings of major trials assessing radiotherapy for treatment of EC; Manage a patient with uterine sarcoma.

Illustrate the relationships among patient age, hormonal sensitivity of tumor, and progression-free survival in patients with breast cancer; List the major findings of the ATLAS trial in patients with breast cancer; Use exemestane to improve the treatment of patients with breast cancer; Explain the benefits and risks of treatment with an aromatase inhibitor for breast cancer; Summarize the role of CDK4/6 inhibitors in treatment of breast cancer.

QUALIFIES FOR CLINICAL PHARMACOLOGY

Select appropriate immunotherapy for bladder cancer; Explain the benefit of adding entinostat to interleukin-2 in the treatment of renal cell carcinoma; Consider sipuleucel-T for the treatment of prostate cancer; Recognize the significance of mutations of ESR1 in the treatment of breast cancer; Compare immunotherapeutic drugs used to treat breast cancer.

Explain the basic science of bone formation and remodeling; Identify hormones and regulatory molecules involved in the formation and resorption of bone; Compare the mechanisms of action of different therapies for osteoporosis; Assess the risks and benefits of current medications for the treatment of osteoporosis; Cite current literature that discusses medications under development for the treatment of osteoporosis.

Overcome barriers to the treatment of osteoporosis in patients with fractures; Summarize current understanding of the biology of fracture healing; Cite evidence from the literature concerning the effects of medications used to treat osteoporosis on the process of fracture healing; Initiate appropriate treatment of osteoporosis in a patient with a fracture; Implement protocols for the treatment of patients with atypical femur fractures.

CL027

Evaluate traumatic injuries of the lower leg; Weigh the advantages and disadvantages of various surgical options for lower-leg injuries; Manage concomitant injuries of the ankle syndesmosis and posterior malleolus; Define a treatment plan, including timing of various interventions, for open tibia fractures; List potential complications and limitations of tibial plateau repair.

QUALIFIES FOR TRAUMA

List common organisms and hosts involved in infections that cause Lyme disease; Recognize rare as well as common manifestations of Lyme disease; Interpret serologic tests for Lyme disease; Explain contemporary theories about the etiology of chronic rhinosinusitis; Manage a patient with chronic rhinosinusitis.

QUALIFIES FOR INFECTIOUS DISEASE

Define the risk factors for infection with Staphylococcus aureus; Recognize the implications of antibiotic resistance in Staphylococcus aureus; Manage patients with skin and soft tissue infections caused by methicillin-resistant S aureus and other organisms; Identify the organisms that are most likely to cause fever in infants; Describe the testing and treatment regimens for bacteria and viruses that cause fever in infants.

QUALIFIES FOR INFECTIOUS DISEASE

Explain the principles of prescribing psychiatric medications to patients and their families; Prescribe medications for attention-deficit/hyperactivity disorder and depression; Monitor for common and serious side effects of commonly prescribed psychiatric medications; Incorporate screening tools for the identification of behavioral disorders into daily practice; Appropriately refer cases that require the attention of a specialist.

QUALIFIES FOR CLINICAL PHARMACOLOGY

Correctly use terms commonly applied to or used by transgender individuals; Compare the 3 major approaches that have been used to treat children with gender dysphoria; Counsel the parents of a child with gender dysphoria about the etiology and natural history of the condition; Weigh the advantages and disadvantages of retaining the diagnosis of gender dysphoria in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition; Choose optimal tools for screening and diagnosing patients with suspected borderline personality disorder.

Select pharmacologic therapies for patients at risk for mania; Successfully combine medications from different classes for a patient with bipolar depression; Counsel a patient regarding the risks and benefits of recommended medications for bipolar disorder; Describe the mechanisms of action and common side effects of recently approved drugs for acute bipolar depression; Manage add-on and adjunctive therapies for patients with acute bipolar depression.

QUALIFIES FOR CLINICAL PHARMACOLOGY

Diagnose cognitive impairment in a patient with cancer; Use appropriate criteria for detecting thiamine-related encephalopathy in patients with cancer; Manage a patient with cancer who reports cognitive problems; Summarize legal cases that led to establishment of the rights of patients to have and to refuse treatment; Describe and critique 3 contemporary models of the right to refuse treatment as they relate to patients for whom psychiatric care is recommended.

Explain how genetic risk is evaluated; Describe the implications of overlapping biologic processes in patients with various psychiatric disorders; Diagnose treatment-resistant depression; Discuss the role of atypical antipsychotics for patients with treatment-resistant depression; Manage a patient with treatment-resistant depression.

Incorporate brief behavioral treatment for insomnia into a psychiatric practice; Discuss the risks and benefits of prescribing suvorexant for insomnia; Manage a patient with restless legs syndrome; Create a treatment plan for a patient with a mood disorder who is unresponsive to medications; Describe current experimental treatments for depression.

Diagnose and manage co-occurring disorders; Describe the mechanisms of action of drugs used to manage patients with substance use disorders; Advise a patient being treated for depression who is contemplating a pregnancy; Manage depression and psychotic disorders during pregnancy and breastfeeding; Discuss the risks for malformation associated with psychotropic drugs commonly prescribed to women of reproductive age.

Diagnose paraphilia based on the definition in Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition); Describe the elements of a comprehensive evaluation of an individual with a paraphilic disorder; List the goals of the evaluation and treatment of paraphilias; Evaluate the benefits and risks of medications used to treat paraphilias; Counsel a teenager engaging in "sexting."

QUALIFIES FOR SEXUAL ASSAULT

Diagnose schizophrenia and other psychotic disorders based on definitions in the Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition); Select appropriate medications for a patient with psychosis; Counsel a patient considering ECT; Safely deliver ECT to a patient who is pregnant or in the postpartum period; Manage complications and adverse effects associated with ECT.

QUALIFIES FOR CLINICAL PHARMACOLOGY

Choose the appropriate treatment for patients with PTSD; Explain prolonged exposure therapy; List the 4 areas of focus of interpersonal therapy; Adapt present-centered therapy to a group setting; Select the appropriate patients to receive trauma-informed guilt reduction therapy.

QUALIFIES FOR TRAUMA

Discuss characteristic patterns and organization of borderline personality; Explain the importance of transference and countertransference in split treatment work; Determine when borderline patients should be referred for a medication consult; Recognize the cardinal features of AN; Provide patients with options for behavioral therapies effective in the management of AN.

Define types of sexual harassment; Recognize legal milestones and landmark cases in sexual harassment; Evaluate sexual harassment cases based on objective and subjective factors and psychological outcomes; Quantify the effects of mental illness on risks for violence and suicide; Cite firearm legislation and other measures to
reduce gun violence.

Establish the diagnosis of testosterone deficiency; Select appropriate treatment for men with low levels of testosterone; Determine the safety of testosterone therapy for men with benign prostatic hyperplasia; Implement effective medical therapy for the treatment of erectile dysfunction; Incorporate treatment of sexual dysfunction for women partners of men with erectile dysfunction.

QUALIFIES FOR CLINICAL PHARMACOLOGY

Specify indications for surgery in the treatment of patients with constipation; Determine the role of pelvic organ prolapse in patients with constipation; Identify the major factors that cause pelvic organ prolapse; Implement key techniques for optimizing results when using native tissue in vaginal repairs; Compare native tissue repair to mesh repair for treating women with pelvic organ prolapse.