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 Medical Assisting Program
Application Packet
Information and Instructions:
Application/Enrollment Process
Medical Assisting Career/Program Information
Medical Assisting Program Grid
Medical Assisting Program General Syllabus
CPT Testing Information
Items for Submission:
Application for Admission to the DXATC Medical Assisting Program
Background Screening Student Information
Drug Testing, Fingerprinting and Background Check Information
Immunization Requirements
Statement of Physical Health
Medical Assistant Interview
Minor Consent Form
APPLICATION/ENROLLMENT PROCESS FOR THE DIXIE APPLIED TECHNOLOGY COLLEGE MEDICAL ASSISTING PROGRAM The DXATC Medical Assisting (MA) Program is COE certified for 1049 hours, of which 180 are an externship. Applicants are admitted into the DXATC Medical Assisting Program by satisfactorily completing the following steps. Open enrollment periods are continuous throughout the year for the two cohorts, one beginning in January and the other beginning in June. Complete the following •
•
•
DXATC Application form (DXATC Student Services) Pay $40.00 Application fee (DXATC Cashier) Obtain Application Packet (DXATC Student Services) Academic Evaluation Applicants must show entry level competencies in English, Reading and Math through Accuplacer CPT or ACT scores. To take the Accuplacer CPT test, call DXATC Student Services at 674-­‐8400.If a test has been taken within the past two years, and the equivalent scores are met as indicated below, there is no need to retake the test. Please provide a dated copy of the assessment score with your program application Assessment scores: • ENGLISH: Accuplacer CPT score of 75 or higher/ACT-­‐16 • READING: Accuplacer CPT score of 60 or higher/ACT-­‐16 • MATH: Accuplacer CPT score of 50 or higher/ACT-­‐16 Once the applicant has successfully completed the student placement testing with the required scores, he/she should obtain a program application from Student Services and attach the score sheet to the program application. In the event that the applicant does not receive the required scores, he/she will be given the option to apply to DXATC CATAPULT for refresher courses. Upon successful completion of CATAPULT, the applicant may reapply for admittance into the Medical Assisting Program. 1/14/2014 1 | P a g e Complete the following items found in the application packet: Medical Assisting Application Ensure the application is filled out completely and signed. Make an appointment with Student Services for an application review to ensure completion. Medical Assistant Interview Form. Interview a medical assistant currently working in a medical office. Statement of Physical Health. This form is to be completed by a licensed healthcare provider who has examined the applicant within the past year. Urine Drug Screen. Instructions for the urine drug screen are in the application packet. The drug screening test results must be returned in the sealed envelope and must show a negative result. Attach the sealed envelope to the application. Background Check (BCI) and Fingerprinting. (Additional information is located in the application packet.) • Pay $40 to DXATC Cashier for background check and receive a receipt and an authorization form. • Make an appointment with Arvilla McInnes or Shanna Alger at Dixie State University (see Background Check/Fingerprinting Instructions in application packet) • Following the fingerprinting, attach all receipts (or copies) to the application packet. Note concerning fingerprinting, background check and drug testing. – High school students under the age of 18 are not required to complete fingerprinting, background checks or drug screens. However, after turning 18 and before being placed in an externship, the student must complete these items. Background Screening Student Information. • Read, sign and return. Proof of Immunizations. • Provide immunization documentation. Applicant may need to contact the county health department, school personnel or a childhood doctor to obtain the necessary information if it is not available in personal or family records. • Tetanus/Diptheria (TD every 10 years) • MMR (Measles, Mumps, Rubella) 2 immunizations required and/or titer • Hepatitis A Series** 2 immunizations required and/or titer • Hepatitis B Series** 3 immunizations required and/or titer o If Hepatitis A & B are given in a combination dose, only 3 total injections are required. • Influenza Vaccine (annually) • Negative Tuberculosis Skin Test (TB Skin Test/PPD) within the last 12 months. o In the event the applicant has a positive skin test, a negative chest x-­‐ray is required. • Varicella (Chicken Pox) immunization. (This can be accomplished by having the actual 2 series immunization, laboratory titer test or a written letter from a physician stating that the applicant had chicken pox.) *If immunizations are not current, applicants may be accepted into the program on a provisional basis while immunization series are completed. However, applicants must complete all vaccine series during the Basic Medical Course portion of the program or receive approval 1/14/2014 2 | P a g e from the department head after showing proof of appointments necessary to complete the immunization requirements. If immunization requirements are not met according to the agreed upon schedule, the applicant will be dropped from the program. The Southwest Utah Public Health Department, which services Washington County, can provide your immunizations for you. You can contact them at (435) 673-­‐3528 for dates, times, and costs of immunizations. Minor Student Consent Form. Parent or legal guardian must read, sign and return if applicant is a minor. Transfer of Competency: Entry level competency in certain courses may be shown after an applicant has presented high school or college transcripts (excluding UCAT campuses) showing equivalent courses taken within the past two years which have been passed with a ‘B’ average. • Additionally, a competency test may be required to demonstrate mastery of the course information at an 85% proficiency. Entry level courses transferred from another UCAT campus require current (within 2 years) official transcripts and records for evaluation. Transfer of competencies is accepted after the transcript has been reviewed and approved by the program instructors. Transfer of competencies from another DXATC program will be handled on an individual basis. Students must formally apply to the program and meet all of the application requirements. Instructors and Student Services will work together to assess and give credit for applicable DXATC classes. Student must be formally withdrawn from the former program and be officially accepted into the Medical Assisting Program. Application Submission and Placement Score Evaluation: The applicant will submit the completed application to DXATC Student Services. The application packet will be reviewed for completion and submitted to the DXATC Medical Assisting Program Advisory Committee for consideration. Notification: Once the required items have been completed, submitted and reviewed, the student will be contacted for an interview. After interviewing, applicant will be notified by email regarding the status of the application. If there are any deficiencies in the application packet, the application will not be processed. 1/14/2014 3 | P a g e Course Work: The MA Program outline below details the courses required for completion. MEDICAL ASSISTING BASIC MEDICAL COURSES: Medical Math Computer Literacy American Heart Association – Basic Life Saving Skills Medical Terminology Anatomy & Physiology MEDICAL ASSISTING CORE CLASSES: Career Development Medical Law & Ethics Medical Office Procedures Pharmacology Clinical Applications MEDICAL ASSISTING EXTERNSHIP: 180 hour, non-­‐paid clinical experience After acceptance into the MA Program, complete the following: Financial Authorization: • A financially sponsored student must present to the Dixie Applied Technology College (DXATC) office an authorization referral form from the sponsor indicating financial assistance in the MA Program. • A self-­‐pay student can make payments or set up a payment plan with the Ed Rogers at 674-­‐
8415 • A student wishing to apply for financial aid must contact Ed Rogers at 674-­‐8415. For other questions, please contact DXATC Student Services at 435-­‐674-­‐8400. 1/14/2014 4 | P a g e DXATC Policies DISABILITY NOTICE: Applicants with a documented physical or mental impairment that will substantially limit a major life activity should contact DXATC Student Services for necessary documentation. The DXATC Student Services staff will assist you in analyzing your eligibility for services. As part of the partnership agreement with Dixie State College, if additional testing is needed, DSC will provide the appropriate testing. If you are deemed eligible, reasonable accommodations that are appropriate for your disability will be assigned. If you have any questions concerning this process, please contact the office at 674-­‐8400. Proper documentation of a disability is required in order to receive services or accommodations. Any applicants eligible for and requesting reasonable academic accommodations due to a disability must provide a letter of accommodation to their instructor from the Disability Resource Center within the first two weeks of the beginning of classes. Please contact the Center on the main campus to follow through with the documentation process. We are located in the Student Services Center, or applicants may call for an appointment and further information regarding the Americans with Disabilities Act (ADA) at 674-­‐8400. Non-­‐Discrimination Policy Dixie Applied Technology College does not discriminate on the basis of race, color, national origin, sex, age, or handicap in admission or access to, or treatment or employment in its education programs or activities. Inquiries concerning Title VI, Title IX may be referred to the DXATC Student Services Office or to the Office for Civil Rights, US Department of Education, 1961 Stout Street, Denver, CO, 80294. Other: *Written information provided about the DXATC Medical Assisting Program is, to the best of the College’s knowledge, correct at publication. This publication is not a contractual agreement. The DXATC reserves the right to cancel and change programs and course offerings at any time with regard to the improvement and betterment of the program. *The DXATC is a member institution of the Utah College of Applied Technology and operates under the direction of the DXATC Board of Directors, The Utah College of Applied Technology Board of Trustees and the Utah State Board of Regents. 1/14/2014 5 | P a g e Medical Assisting Program Information Packet: After reading through this information packet, students may call the DXATC Medical Assisting Department by emailing [email protected]. Medical Assisting occupational training is offered through the DXATC for adult students who are interested in upgrading their current skills. Early college high school students may also participate in Medical Assisting training if they can provide documentation of completion of all credits and requirements necessary for high school graduation. Medical Assisting Career Information Nature of Work Medical assistants perform routine administrative and clinical duties to keep the office and clinic of a physician running smoothly. They should not be confused with physician’s assistants (PA’s) who examine, diagnose and treat patients under the direct supervision of a physician. The duties of a medical assistant will vary from office to office, depending on the office location, size, and specialty. In small practices, medical assistants are usually “generalists”, handling both administrative and clinical duties and reporting directly to an office manager, physician, or other health practitioner. Those in large practices tend to specialize in a particular area under the supervision of department administrators. Medical assistants perform many administrative duties. They answer telephones, greet patients, update and file patient medical records, fill out insurance forms, handle correspondence, schedule appointments, arrange for hospital admission and laboratory services, and handle billing and patient accounts. Clinical duties vary according to state law and include taking medical histories, recording vital signs, explaining treatment procedures to patients, preparing patients for examination, and assisting the physician during the examination. Medical assistants collect and prepare laboratory specimens or perform basic laboratory tests on the premises, dispose of contaminated supplies, and sterilize medical instruments. They instruct patients about medications and special diets, prepare and administer medications as directed by a physician, authorize drug refills as directed, phone in prescriptions to a pharmacy, draw blood, prepare patients for x-­‐rays, take EKS’s, remove sutures, and change dressings. Medical assistants may also arrange exam room instruments and equipment, purchase and maintain supplies, and keep waiting and exam rooms neat and clean. 1/14/14 Those who specialize have additional duties. Podiatric Medical Assistants make castings of feet, expose and develop x-­‐rays, and assist podiatrist in surgery. Ophthalmic MA’s help ophthalmologists provide eye care. They administer diagnostic tests, measure and record vision, and test eye muscle function. They also show patients how to insert, remove, and care for contact lenses, and apply eye dressings. Under the direction of the physician, they may administer eye medications. They also maintain optical and surgical instruments and may assist the ophthalmologist in surgery. Working Conditions Medical assistants work in well – lit, clean environments. They may constantly interact with other individuals and have to handle several responsibilities at once. Most full-­‐time assistants work a regular 40+ hour week. Some also work part-­‐time, evenings or weekends. Medical assistants are often required to work under the following conditions and meet the following physical, social, mental/emotional requirements: 1. Necessary visual acuity to perform clinical and administrative skills including reading instrument scales, charts and graphs, preparing and maintaining medical records, reading medication orders, assessing patient’s physical condition, and reading and documenting significant findings. 2. Sufficient gross and fine motor coordination to carry out clinical and administrative procedures such that patient safety can be reasonably assured. Manual dexterity is essential in handling instrumentation i.e. manipulation of equipment, positioning and assisting patients, responding to emergency situations, and carrying out diagnostic procedures. Students must be able to manipulate switches, keypads, dials, buttons, slides on various pieces of administrative equipment and instruments. The following examples are representative of necessary physical skills: tactile sensation, hand-­‐eye coordination, pinching, finger dexterity, and grasping, simultaneous use of hand, wrist and fingers. 3. Ability to understand, read, speak and write the English spoken and written word. This includes providing accurate, reliable, readable laboratory and clinical results as well as creating professional correspondence in the form of IOC, memos, notes and letters, etc. The student must have sufficient communication skills (speech, reading, writing) to interact with individuals and to communicate their needs promptly and effectively. 4. Auditory perception necessary to receive verbal communication from patients and members of the health care team in order to assess health needs of patients through monitoring devices such as stethoscopes, fire alarms, various equipment alarms, etc. The student must be able to communicate effectively, both verbally and nonverbally in order to elicit information. The student must also be able to obtain vital signs, including blood pressure. Students must be able to professionally interact with patients and members of the health care team, specifically interview patients, obtain patient histories, instruct patients with special needs, and use proper telephone technique. 5. Ability to perform basic mathematical calculations. 6. Ability to perform repetitive tasks. 7. Ability to handle stresses of an intense nature in the classroom, administrative setting and medical office setting. 1/14/14 8. Ability to maintain a grade of “85%” or better in all classes. 9. Sufficient physical stamina for standing or sitting for prolonged duration of 2 or more hours at a time as required to meet the health needs of the patients as related to Medical Assisting. 10. Physical strength to easily lift 25 pounds using ergonomically correct lifting techniques. 11. Physical endurance for bending, stooping and reaching activities throughout the work day. 12. Ability to demonstrate professional emotional and social skills in interacting with co-­‐
workers/fellow students and patients. Students must be able to receive criticism and make appropriate corrections. Students must have sufficient intellectual and emotional functions to plan and implement care for individuals and the health care team during stressful situations, including the ability to recognize emergency situations and intervene appropriately. 13. Ability to act professionally regardless of personal/private issues and contribute to a positive work environment. Training and Advancement Most employers prefer to hire graduates of formal programs in medical assisting. Courses cover anatomy & physiology, medical terminology, medical law and ethic, and medical front office. Students will also learn laboratory techniques, clinical and diagnostic procedures, pharmaceutical principles, medication administration, and first aid. They also study office and patient relation. Many programs include an externship that provides practical experience in physician’s offices, hospitals, or other health care facilities. Medical assistants deal with the public; therefore they must be neat and well groomed and have a courteous, pleasant manner. Medical assistants must be able to put patients at ease and explain the physician’s instructions. They must respect the confidential nature of medical information. Clinical duties require a reasonable level of manual dexterity and visual acuity. Medical assistants may be able to advance to office manager. They may qualify for a variety of administrative support occupations or may teach medical assisting. Some medical assistants with additional education can enter other health occupations such a nursing and medical technology. Employment In a 2011 report, state wide there are about 340 job openings for medical assistants. Projected job growth between now and 2018 is projected to increase from 5,310 to 8,140. In view of the preference of many health care employers for trained personnel, job prospects should be best for medical assistant who have received formal training and experience and attained certification. Earnings The earnings of a medical assistant vary depending on the experience, skill level, location, and training. Median annual earnings of medical assistants were $27,200 in 2011. The estimated median starting wage is $13.10 / hour. The estimated pay for experienced medical assistants is $12.50-­‐$16.00 / hours. 1/14/14 Occupation Profile
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Medical Assistants
Utah
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Wages | Employment Trends
MEDICAL ASSISTANTS: UTAH
Occupation Description
Perform administrative and certain clinical duties under the direction of a physician. Administrative duties may include
scheduling appointments, maintaining medical records, billing, and coding information for insurance purposes.
Clinical duties may include taking and recording vital signs and medical histories, preparing patients for examination,
drawing blood, and administering medications as directed by physician. Excludes "Physician Assistants".
State and National Wages
Location
United States
Utah
2011
Pay
Period
10%
25%
Median
75%
90%
Hourly
$10.04
$11.86
$13.99
$16.87
$19.62
Yearly
$20,900
$24,700
$29,100
$35,100
$40,800
Hourly
$10.21
$11.58
$13.10
$14.61
$17.18
Yearly
$21,200
$24,100
$27,200
$30,400
$35,700
Occupation Wages FAQs
Median Wage by Occupation Across States
Compare Wages by Occupation and Local Area
Compare Wages by Metropolitan Areas
National Data Source: Bureau of Labor Statistics, Occupational Employment Statistics Survey
State Data Source: Utah Wage Information
State and National Trends
United States
Medical Assistants
Utah
Medical Assistants
1
Employment
2010
2020
Percent
Change
527,600
690,400
+31%
Employment
2008
2018
Percent
Change
5,310
8,140
+53%
Job Openings
1
24,380
Job Openings
1
340
Job Openings refers to the average annual job openings due to growth and net replacement.
Note: The data for the State Employment Trends and the National Employment Trends are not directly comparable. The
projections period for state data is 2008-2018, while the projections period for national data is 2010-2020.
Occupation Trends FAQs
Employment Trends by Occupation Across States
Compare Employment Trends by Occupation
Employment Trends by Industry and Occupation
National Data Source: Bureau of Labor Statistics, Office of Occupational Statistics and Employment Projections
State Data Source: Utah Department of Workforce Services
1/14/14 1506 S. Silicon Way
St. George, Utah 84770
435-674-8400 (Phone)
435-674-8450 (Fax)
www.dxatc.edu
INSTRUCTORS
Derek Hadlock
Celia Beard
medicalassisting @dxatc.edu
medicalassisting @dxatc.edu
CLASSROOM HOURS
DXATC Medical Assisting Certificate (approximately 10-12 months at 24 hours per week)
CLASS
HOURS
BOOKS FEES
Medical Assisting Courses
$450.00*
MATH 1000
Math I for Medical Assisting
30
Bundled
$ 400.00
X
BTEC 1110
Computer Literacy
30
$ 90.00
X
MEDA 1100
Medical Terminology
78
Bundled
X
MEDA 1400
Anatomy & Physiology for the Medical Professional
130
Bundled
X
AMHA 1001
BLS Heathcare Provider (CPR)
4
X
WKSK 1452
Career Development for the Medical Workplace
90
$ 20.00
X
MEDA 1200
Medical Law & Ethics
60
$ 40.00
X
MEDA 2100
Pharmacology
60
Bundled
X
MEDA 2110
Clinical Applications
207
Bundled
$600.00
X
MEDO 1500
Medical Office Administrative Procedures I
60
Bundled
X
MEDO 1510
Medical Office Administrative Procedures II
60
Bundled
X
MEDO 1520
Medical Office Administrative Procedures III
60
Bundled
X
MEDA 2300
Medical Assisting Externship I
180
$ 150.00
X
TOTAL PROGRAM HOURS
1049
1049
Tuition ($2.00 per scheduled hour)
$ 2,098.00
Program Fees
$ 1,150.00
Estimate of Text Books, Application Fee and Additional Expenses (prices are approximate and are subject to change)
1000
APPROXIMATE COST
$ 4,248.00
● FINANCIAL FEDERAL AID AVAILABLE
● START DATES - January & June
*Estimate of discounted textbook bundle pricing. Additional testbooks required as listed.
**All listed costs are estimates and are subject to change without notice.
Monday -- Thursday, 9:00 am -- 3:00 pm
TUITION
$
2.00 Per Class Hour
$ 2,098.00 Total Tuition (1049 Hours X $2.00 Per Hour)
FEES
$
40.00 DXATC Application Fee (One Time)
$ 1,150.00 DXATC Program Fees
ADDITIONAL EXPENSES
$
60.00 Scrubs
$
55.00 Stethoscope and Blood Pressure Cuff
$
25.00 Fingerprinting
$
40.00 BCI Federal Background Check
$
30.00 Urine Drug Screen
Immunizations (variable cost)
MMR (2 Shot Series)
Tdap (every 7-10 years)
TB Test (annually) or Vaccination
Hepatitis A Series (2 Shot Series)
Hepatitis B Series (3 Shot Series)
Chicken Pox (2 Shot Series, Titer or
physician documentation)
Flu (Annually)
Earphones and USB drive (Provided by Student)
1/14/14
General Syllabus Medical Assisting Program 2013 Instructor Information Instructors: Office Location: Telephone: E-­‐mail: Office Hours: Derek Hadlock and Celia Beard Medical Programs Building B 435-­‐674-­‐8634 [email protected] 9:00 am – 3:00 pm Program Identification Program Name: Medical Assisting Program Hours: 1049 (869 classroom and 180 externship) Program Length: 12 months Program Start Dates: January and June Program Location: Building B Class Times: 9:00 am – 3:00 pm Prerequisites: See Program Entrance Requirements (page 2) Program Supplies Pencils/Pens/Highlighters USB Drive Textbooks Notebook(s)/Binder/Paper/3X5Cards Calculator Program Description/Overview Medical Assistants perform routine administrative (front office) and clinical (back office) tasks in many medical offices and clinics including physicians, podiatrists, chiropractors, and optometrists. The Medical Assisting Program at DXATC is a hands-­‐on program designed to 1/14/2014 1 | P a g e provide students with the skills necessary to be an integral part of a medical office. Training and instruction are provided in the areas of taking medical histories and recording vital signs, explaining treatment procedures to patients, preparing patients for examinations and instructing patients about medications and special diets. Students will be trained in administering injections, performing EKGs and performing patient assessments as well as drawing blood, assisting with routine and specialty examinations and minor surgical procedures. Medical front office administrative skills will also be taught including basic scheduling, coding, accounting, insurance, banking, and telephone techniques. Instructors will use a variety of print and electronic media including textbooks, workbooks, Smart Board, Elmo overhead, videos, dvd’s, internet resources, etc. Course Work: The MA Program outline below details the courses required for completion. MEDICAL ASSISTING COURSES: Medical Math Computer Literacy Career Development American Heart Association – Basic Life Saving Skills Medical Terminology Anatomy & Physiology Medical Law & Ethics Medical Office Procedures Pharmacology Clinical Applications MEDICAL ASSISTING EXTERNSHIP: 180 hour, non-­‐paid clinical experience Program Objectives The objectives of the DXATC Medical Assisting Program are to prepare students with the knowledge, skills and competence necessary to be a valuable asset to the medical office, to provide students with the ability to increase their income in a competitive market and to provide highly-­‐trained and certified medical assistants to fill ever-­‐increasing needs in the medical community. 1/14/2014 2 | P a g e Program Entrance Requirements Student must: •
•
•
•
•
•
•
•
•
•
•
•
Have a high school diploma or equivalent. If student is a minor, he/she must be at least 17 years of age (senior in high school) to begin the program and obtain high school diploma or equivalent prior to program completion. Failure to obtain diploma or equivalent will result in removal from the program. Pass the CPT Test (or ACT equivalent) in English (CPT-­‐75/ACT-­‐16), Reading (CPT-­‐60/ACT-­‐
16) and Math (CPT-­‐50/ACT-­‐16). If unable to pass, student will be referred to CATAPULT for assistance before reapplying for the program. Complete and pass a urine drug screen.* Complete and pass a federal background check.* Any felony conviction on record may negatively impact the chances of completing the program, being placed in an externship, applying for national certification and obtaining employment in a healthcare setting. Sign and submit a “Background Screening Student Information” form. Provide documentation of all required immunizations. Complete and submit an “Application for Admission” with a current picture attached. Submit two letters of recommendation Submit one letter answering the question, “Why I Want to be a Medical Assistant.” Complete and submit a “Medical Assistant Interview” form. Complete and submit a “Statement of Physical Health” form. Provide transcripts for review if desiring to receive recognition for coursework completed at another UCAT campus. Transfer of acquired competencies is accepted after review and approval by the program instructors. If transfer of coursework is from an institution of higher education other than a UCAT campus, transcripts must be provided that show equivalent courses passed with an average ‘B’ grade. Students must also pass a proficiency test to demonstrate mastery of the material to be waived. Students wishing to transfer entry level competencies for basic courses taken from another DXATC program will be handled on an individual basis. Students must formally apply to the program and meet all of the application requirements. Instructors and Student Services will work together to assess and give credit for applicable DXATC classes. Student must be formally withdrawn from the former program and be officially accepted into the Medical Assisting Program. • Submit a ‘Minor Consent Form’ signed by a parent/guardian if under age 18. *High school students will be required to complete this requirement upon turning 18 years of age. 1/14/2014 3 | P a g e Program Physical, Environmental and Cognitive/Mental Program Requirements Essential functions represent physical, environmental, and cognitive/mental program requirements that student must be able to perform in order to successfully participate in the program and become employable. Students must understand that the following examples/requirements are representative of the activities which may be required when working in a healthcare setting and certify that they meet the following requirement: •
•
•
•
•
•
•
•
Necessary visual acuity to perform clinical and administrative skills including reading instrument scales, charts and graphs, preparing and maintaining medical records, reading medication orders, assessing patient’s physical condition, and reading and documenting significant findings. Sufficient gross and fine motor coordination to carry out clinical and administrative procedures such that patient safety can be reasonably assured. Manual dexterity is essential in handling instrumentation i.e. manipulation of equipment, positioning and assistant patients, responding to emergency situations, and carrying out diagnostic procedures. Students must be able to manipulate switches, keypads, dials, buttons, slides on various pieces of administrative equipment and instruments. The following examples are representative of necessary physical skills: tactile sensation, hand-­‐eye coordination, pinching, finger dexterity, and grasping, simultaneous use of hand, wrist and fingers. Ability to understand, read, speak and write the English spoken and written word. This includes providing accurate, reliable, readable laboratory and clinical results as well as creating professional correspondence in the form of IOC, memos, notes and letters, etc. The student must have sufficient communication skills (speech, reading, writing) to interact with individuals and to communicate their needs promptly and effectively. Auditory perception necessary to receive verbal communication from patients and members of the health care team in order to assess health needs of patients through monitoring devices such as stethoscopes, fire alarms, various equipment alarms, etc. The student must be able to communicate effectively, both verbally and nonverbally in order to elicit information. The student must also be able to obtain vital signs, including blood pressure. Students must be able to professionally interact with patients and members of the health care team, specifically interview patients, obtain patient histories, instruct patients with special needs, and use proper telephone technique. Ability to perform basic mathematical calculations. Ability to perform repetitive tasks. Ability to handle stresses of an intense nature in the classroom, administrative setting and medical office setting. Ability to maintain a grade of “85%” or better in all classes. 1/14/2014 4 | P a g e •
•
•
•
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Sufficient physical stamina for standing and/or sitting for prolonged duration of 2 or more hours at a time as required to meet the healthcare needs of the patients as related to medical assisting. Physical strength to easily lift 25 pounds using ergonomically correct lifting techniques. Physical endurance for bending, stooping and reaching activities throughout the work day. Ability to demonstrate professional emotional and social skills in interacting with co-­‐
workers/fellow students and patients. Students must be able to receive criticism and make appropriate corrections. Students must have sufficient intellectual and emotional functions to plan and implement care for individuals and the health care team during stressful situations, including the ability to recognize emergency situations and intervene appropriately. Ability to act professionally regardless of personal/private issues and contribute to a positive work environment. Program Policies Attendance Policy Attendance is required in the DXATC Medical Assistant Program. Absences are not excused and are counted against student progress. Daily training is given on which students will be tested and graded. It is imperative that students be in class each day in order to understand the concepts taught. The requirement of 85% attendance has been set by the DXATC Medical Assistant Advisory Committee. The Advisory Committee has also recommended a maximum of two consecutive days of absence. If a student falls below this attendance percentage or is absent for more than two days in a row, they may be dropped from the program. It is the personal responsibility of the student to make up all work assigned during an absence from any class or laboratory. Students are expected to contact the instructor to find out what work has been missed or obtain homework assignments. Cheating Policies The Medical Assistant Program at DXATC believes that personal honor is the foundation for student behavior while obtaining an education as well as in the medical field as a graduate. The honor system is based on the belief that DXATC students are mature and self-­‐respecting, and can be relied upon to act as responsible and ethical members of society. As instructors, our hope is that our students will behave in responsible and ethical ways at all times. However, situations will arise in which it is clear, beyond a reasonable doubt, that a student has cheated. "Cheating" is defined as unauthorized help on any assignment, quiz, or exam as follows: 1/14/2014 5 | P a g e 1) a student may not receive from another student or give to another student any information, answers, or help during an exam; 2) a student may not use unauthorized sources for answers during an exam, must not take notes or books to the exam unless authorized by the instructor ahead of time, and must not refer to any electronic device, book or notes while taking any exam unless the instructor declares the exam an "open book" exam 3) a student must not obtain exam questions illegally before an exam or tamper with an exam after it has been corrected. If it is determined that cheating has occurred, beyond a reasonable doubt, the student will receive one warning, and the exam will be given a grade of ‘F’. If the situation occurs again, the student will be referred to Student Services to determine the level of discipline deemed appropriate. Dishonesty in any situation is inexcusable and is especially intolerable in the practice of medicine and the healing arts as people’s lives and health are at stake. Dress Policy Students enrolled in the Medical Assistant Program will be required to dress in scrubs at all times when in class. The scrub colors for the DXATC Medical Assistant Program are black or red. Scrubs are expected to be neat, clean and wrinkle free. They must not have holes or stains and must be hemmed to the student’s height. Scrub bottoms are not allowed to drag on the ground or have frayed hems. If a student tends to get cold in class, they can wear a long sleeved shirt under their scrub top or a red or black scrub jacket. Tattoos need to be covered up. Closed-­‐toed and closed-­‐heeled shoes with socks are required by OSHA. They should be neat and clean and appropriate for a medical office. Students are also required to wear a watch and name tag each day as part of their uniform. One name tag is provided upon enrollment. Subsequent name tags must be purchased by the student for $12.00. Students that arrive at school without one or all of the required dress items will be asked to sign out and return home for the missing items. Food and Drink Policy Students are allowed to have drinks in the classroom if they are in a closed container. Students will be allowed to have snacks in class, but not “buffet style” and nothing that will be distracting to other student (strong odors or loud). Grading/Testing Policy Courses are based on pass/fail. In order to pass a course, an average of 85% on exams is required (except for Medical Math and Computer Literacy which require an average score of 80%). Students are also required to complete 100% of all assignments, projects and pass-­‐offs. Test scores will be posted, it is the responsibility of the student to check their scores and retake 1/14/2014 6 | P a g e the test if necessary. If a student scores below 75% on a single exam, he/she has the option to retake the exam one time for a maximum grade of 85%. All retakes must be completed within one week of the original test date. If, at the completion of the course, the student’s average exam scores are lower than 85% or the student has not completed 100% of assignments, projects and pass-­‐offs, the student will be dropped from the program and will have to reapply for the program and retake the course. Exams are required to be taken the day they are scheduled. Under approved circumstances, a student may be allowed to take a missed exam, but only if contact is made and approval is given by the department head prior to the exam and with proper documentation. Exams are required to be taken the day they are scheduled. Under approved circumstances, a student may be allowed to take a missed exam, but only if contact is made and approval is given by the department head prior to the exam and with proper documentation. Hair Policy Students are required to keep their hair pulled back, including bangs, as if they were involved in patient care. No extreme hairstyles or colors. Late Assignments Students are expected to turn in all assignments on the day that they are due. With approval of the instructor, late assignments may be accepted on a case by case basis. If you are having a hard time understanding a concept, see the instructor for additional practice exercises or instruction on the topic. Many resources can be found for any subject online, and students are expected to show initiative by seeking out additional help on their own as well. Professionalism One of the goals of the DXATC Medical Assisting Program is to train students to act professionally in the work place. As such, students will be expected to be professional in their appearance, behavior, dress, language and interactions with students, staff and externship sites. Safety Policy The goals of the DXATC Medical Assisting Program are to educate and train students to follow health and safety policies and procedures essential to the establishment of a safe working environment that supports the health and well-­‐being of patients and healthcare workers. To this end, safety will be taught and practiced in the classroom. Strong Odors Students must agree to come to school showered/bathed with clean hair and free of any strong odor including, but not limited to, tobacco, body odor, perfume, strong lotions, etc. As medical 1/14/2014 7 | P a g e assistants, students must be aware and considerate of patient health as it pertains to allergies and sensitivities to smells. Tobacco Free Campus This is a tobacco free campus. No smoking, chewing or tobacco use of any kind will be allowed on campus. Furthermore, students who smell of tobacco use will not be allowed in the classroom and will be asked to leave until they are odor free. Transfer of Credit/Testing Out Entry level competency in certain courses may be shown after an applicant has presented high school or college transcripts (excluding UCAT campuses) showing equivalent courses taken within the past two years which have been passed with a ‘B’ average. Additionally, a competency test may be required to demonstrate mastery of the course information at an 85% proficiency. Entry level courses transferred from another UCAT campus require current (within 2 years) official transcripts and records for evaluation. Transfer of competencies is accepted after the transcript has been reviewed and approved by the program instructors. Transfer of competencies from another DXATC program will be handled on an individual basis. Students must formally apply to the program and meet all of the application requirements. Instructors and Student Services will work together to assess and give credit for applicable DXATC classes. Student must be formally withdrawn from the former program and be officially accepted into the Medical Assisting Program. DXATC Policies DISABILITY NOTICE: Students with a documented physical or mental impairment that will substantially limit a major life activity should contact DXATC Student Services for necessary documentation. DXATC Student Services staff will assist you in analyzing your eligibility for services. As part of the partnership agreement with Dixie State College, if additional testing is needed, DSC will provide the appropriate testing. If you are deemed eligible, reasonable accommodations that are appropriate for your disability will be assigned. If you have any questions concerning this process, please contact the office at 674-­‐8400. Proper documentation of a disability is required in order to receive services or accommodations. Any students eligible for and requesting reasonable academic accommodations due to a disability must provide a letter of accommodation to their instructor from the Disability Resource Center within the first two weeks of the beginning of classes. Please contact the Center on the main campus to follow through with the documentation process. We are located in the Student Services Center, or students may call for an appointment and further information regarding the Americans with Disabilities Act (ADA) at 674-­‐8400. Non-­‐Discrimination Policy Dixie Applied Technology College does not discriminate on the basis of race, color, national origin, sex, age, or handicap in admission or access to, or treatment or employment in its education programs or activities. 1/14/2014 8 | P a g e Inquiries concerning Title VI, Title IX may be referred to the DXATC Student Services Office or to the Office for Civil Rights, US Department of Education, 1961 Stout Street, Denver, CO, 80294. OTHER: *Written information provided about the DXATC Medical Assistant Program is, to the best of the College’s knowledge, correct at publication. This publication is not a contractual agreement. The DXATC reserves the right to cancel and change programs and course offerings at any time with regard to the improvement and betterment of the program. *The DXATC is a member institution of the Utah College of Applied Technology and operates under the direction of the DXATC Board of Directors, The Utah College of Applied Technology Board of Trustees and the Utah State Board of Regents. 1/14/2014 9 | P a g e Photo required.
Please place here.
Application Deadline: ___________________
Cohort: _______________________________
Date Submitted: ________________________
APPLICATION FOR ADMISSION MEDICAL ASSISTING PROGRAM DIXIE APPLIED TECHNOLOGY COLLEGE Rubric Score: __________________________
Please complete all of the items in this application. Return the completed application along with the other required admission documents to the DXATC office. 1. Print Full Name: __________________________________________________________ 2. Last First Middle Initial Date of Birth: ______________________________ 3. Cell Phone: ____________________ Home Phone: ________________________ 4. Mailing Address: __________________________________________________________ 5. Number and Street City Zip Code Emergency Contact: _______________________________________________________ State Name Relationship ________________________________________________________________________ Number and Street City State Zip Code Telephone # Students will be contacted regarding their application by email. Upon acceptance to the Medical Assisting Program, students will be issued an XMAIL.DXATC.EDU email. This will be the email that will be used to distribute important information. It is the student’s responsibility to check their email on a regular basis. DXATC will not be responsible for students missing important information delivered through email. 6. Alternate Email Address (1) 1/14/2014 1 | P a g e 7. Please provide information concerning high school, college, university, technical school, or other schools attended including health care training. Please also list any school you are currently attending. NAME OF SCHOOL CITY AND STATE DATE OF ENTRANCE DATE OF EXIT DEGREE OR CERTIFICATION RECEIVED 8. If you have any paid health care employment experience, provide the following information. Do NOT include volunteer experience or experience that was part of a health care educational program. Start with your most recent position. NAME OF EMPLOYER CITY AND STATE # MONTHS FULL TIME # MONTHS PART POSITION HELD TIME If you have had NO paid health care employment, but have observed or volunteered in a health care facility, or have been enrolled in a health care educational system, provide the following information. A. Name of facility: _______________________________________________________ B. Location of facility: _____________________________________________________ C. Total hours and dates of observation / volunteering / education: Hours: _________________________ 1/14/2014 Dates: __________________________ 2 | P a g e 9. Please provide information about other non-­‐health related employment you may have had. Start with the most recent. NAME OF EMPLOYER # MONTHS FULL TIME # MONTHS PART POSITION HELD TIME 10. 11. TYPE OF WORK Satisfactory progress during Medical Assisting training requires regular attendance. As with any employer, the expectation is 100% attendance. Students must maintain a minimum of 85% attendance with no more than two consecutive days of absence. In addition, the externship hours may include evenings, nights and weekends. Can you commit to follow the prescribed hours and course study required for medical assistant training? YES NO List below any extracurricular activities, awards, honors, scholarships, student government, etc. ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 12. The ability to communicate clearly both verbally and in writing is an essential skill for all health care professionals. Please provide on an attached piece of paper, a written statement of “Why I Want to be a Medical Assistant.” Include the following information: (1) your reasons for selecting Medical Assisting as a career, (2) things you have accomplished that have given you the greatest satisfaction, (3) any special reasons for desiring to enter this school, and (4) your plans and aspirations for the future. Please attach to the back of the application. 13. Please provide two letters of recommendation from individuals who are familiar with your character, work ethic, etc. 14. Prior to being considered for acceptance into the MA Program at DXATC, every student is fingerprinted and a thorough background check is conducted by the Federal Bureau of Criminal Investigations. Acceptance into the MA Program is conditional upon passing 1/14/2014 3 | P a g e the background check. Conviction of a felony may prevent student from becoming employed as a Medical Assistant If the information in this application conflicts with the results of the background check, applicant/student will automatically be released from the DXATC MA Program. Have you ever been convicted of a felony or pled guilty to a felony? YES NO If yes, please explain: ______________________________________________________ _______________________________________________________________________ _______________________________________________________________________ 15. If at any time while I am in the Medical Assisting Program I am charged/convicted with any of the above, I agree to inform DXATC Medical Assisting instructors. YES NO Essential functions represent physical, environmental, and cognitive/mental program requirements that student must be able to perform in order to successfully participate in the program and become employable. I understand that the following examples/requirements are representative of the activities which may be required when working in a healthcare setting. I hereby certify that I have the: 1.
2.
3.
Necessary visual acuity to perform clinical and administrative skills including reading instrument scales, charts and graphs, preparing and maintaining medical records, reading medication orders, assessing patient’s physical condition, and reading and documenting significant findings. Sufficient gross and fine motor coordination to carry out clinical and administrative procedures such that patient safety can be reasonably assured. Manual dexterity is essential in handling instrumentation i.e. manipulation of equipment, positioning and assisting patients, responding to emergency situations, and carrying out diagnostic procedures. Students must be able to manipulate switches, keypads, dials, buttons, slides on various pieces of administrative equipment and instruments. The following examples are representative of necessary physical skills: tactile sensation, hand-­‐eye coordination, pinching, finger dexterity, and grasping, simultaneous use of hand, wrist and fingers. Ability to understand, read, speak and write the English spoken and written word. This includes providing accurate, reliable, readable laboratory and clinical results as well as creating professional correspondence in the form of IOC, memos, notes and letters, etc. The student must have sufficient communication skills (speech, reading, and writing) to interact with individuals and to communicate their needs promptly and effectively. 1/14/2014 4 | P a g e 4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
Auditory perception necessary to receive verbal communication from patients and members of the health care team in order to assess health needs of patients through monitoring devices such as stethoscopes, fire alarms, various equipment alarms, etc. The student must be able to communicate effectively, both verbally and nonverbally in order to elicit information. The student must also be able to obtain vital signs, including blood pressure. Students must be able to professionally interact with patients and members of the health care team, specifically interview patients, obtain patient histories, instruct patients with special needs, and use proper telephone technique. Ability to perform basic mathematical calculations. Ability to perform repetitive tasks. Ability to handle stresses of an intense nature in the classroom, administrative setting and medical office setting. Ability to maintain a grade of “85%” or better in all classes. Sufficient physical stamina for standing or sitting for prolonged duration of 2 or more hours at a time as required to meet the health needs of the patients as related to Medical Assisting. Physical strength to easily lift 25 pounds using ergonomically correct lifting techniques. Physical endurance for bending, stooping and reaching activities throughout the work day. Ability to demonstrate professional emotional and social skills in interacting with co-­‐
workers/fellow students and patients. Students must be able to receive criticism and make appropriate corrections. Students must have sufficient intellectual and emotional functions to plan and implement care for individuals and the health care team during stressful situations, including the ability to recognize emergency situations and intervene appropriately. Ability to act professionally regardless of personal/private issues and contribute to a positive work environment. I hereby certify that I am capable of performing the tasks listed above. I do hereby certify that the statements in this application are true and complete to the best of my knowledge. I understand that falsifying information on this application may be grounds for denial of admission or dismissal from the (MA) program and could result in dismissal from DXATC. If I voluntarily drop or are dismissed from the MA program, I understand that admission fees, tuition and other fees paid are non-­‐refundable. Signature: _______________________________________ Date: ___________________________________________ 1/14/2014 5 | P a g e Have you included the following items? If not, your application is incomplete: Completed application – signed where requested Personal letter (Why I Want to Be an MA) 2 letters of recommendation Photo Receipt from fingerprinting/background check Receipt/results from drug test Proof of completed/in-­‐process immunizations CPT/ACT test results with required scores Completed Health Assessment Completed MA Interview form Signed Background Screening Student Information Signed Minor Consent Form (if applicable) For more information call or email: Dixie Applied Technology College 1506 S. Silicon Way Bldg. 1C, Suite 6 St. George, UT 84770 435-­‐674-­‐8634 [email protected] www.dxatc.edu 1/14/2014 6 | P a g e Dixie Applied Technology College
Background Screening Student Information
Students who wish to pursue education in programs or courses with direct patient care and/or controlled
substance interaction are required to submit to federal background screening as established by Dixie Applied
Technology College Policy, Educational Affiliation Agreements, and Utah Codes, §58-31-302-7b, §26-21-9.5,
§58-17b-305, and §26-8a-310.
Upon registration and/or admission to the program(s), students must pay a nonrefundable $40 fee to Student
Services in cash, check, or credit card. Prior to acceptance in the program, electronic fingerprints must be taken
and a background query will be sent to the Federal Bureau of Investigation. Drug testing must also be
completed (See Application/Enrollment Process for directions and authorization form.)
Background check results will not be accepted from any outside entity.
Students frequently ask what findings on their federal background screen will disqualify them from attending a
course or program. If an individual has been convicted of a felony, misdemeanor A, or a non-excluded
misdemeanor B, the individual may not provide direct patient care and/or work with controlled substances,
which will result in the inability to enroll and/or complete the program. Misdemeanor B charges will be
reviewed on a case-by-case basis if the misdemeanor did not involve the following: violence against a child,
family member, animal; or sexual conduct with a child or disabled adult. Traffic violations are excluded from
consideration.
The following factors will be used in deciding under what circumstances, if any, the student will be allowed to
provide direct patient care, work with controlled substances, or for other designated externships:
• Types and number of offenses
• Passage of time since the offense was committed
• Circumstances surrounding the commission of the offense
• Intervening circumstances since the commission of the offense
• Relationship of the facts to the individual’s suitability to work in their chosen career field (e.g.,
working with children, disabled persons, elderly adults, and/or controlled substances)
If you have questions regarding your eligibility to enroll in a course or program, you can discuss your concerns
with the program department head. However, students with criminal backgrounds can only be officially cleared
for registration by the Campus Review Committee. Student Success staff and program department heads cannot,
under any circumstance, make decisions regarding clearance of criminal background check results.
I have read and understand the DXATC Background Screening Student Information. I am aware that,
regardless of findings, the $40 fee is nonrefundable. I understand that criminal convictions may lead to
ineligibility for a course or program. The DXATC Tuition Refund Policy (available in the DXATC Catalog)
will apply to all students who are dismissed or withdraw.
_________________________________
Student Name (please print)
________________________
Date
_________________________________
Student Signature
1/14/14
DRUG SCREENING Cost: $30 -­‐ $50 (plus additional costs if test is positive) Where: Any Lab Test Now ($49) 175 W. 900 S. #5, St. George, UT 84770 1-­‐435-­‐628-­‐2220 D.A.T. Express Test ($30) 368 E. Riverside Dr. #C, St. George, UT 84790 1-­‐435-­‐656-­‐1122 **Return sealed
Detect Lab Several locations – call for info 1-­‐800-­‐371-­‐2838 envelope to
Quest Diagnostics 736 S. 900 E. #103, St. George, UT 84790 1-­‐435-­‐628-­‐3419 Derek
Hadlock
Redrock Drug Testing 511 E. St. George Blvd., St. George, UT 84770 1-­‐435-­‐652-­‐3784 Info: Call individual drug testing locations for hours and pricing Note: After drug screening, **return results in sealed envelope to Derek Hadlock, Director of Medical Programs ___________________________________________________________________________________ FINGERPRINTS/BACKGROUND CHECK Note: Must make an appointment Cost: $40 (pay to DXATC for background check) $25 (Dixie State University Cashier) Where: Russell Taylor Health Sciences Building 1526 E. Medical Center Drive Second Floor, Room #251 Phone: Arvilla McInnes: 435-­‐879-­‐4951 Shanna Alger: 435-­‐879-­‐4950 Instructions: **Take with you:
ü Signed DXATC Authorization form
ü Receipt for $25 from DSU Cashier
ü Picture ID
1. Pay $40.00 to DXATC Student Services and get the DXATC authorization form (REQUEST FOR ELECTRONIC APPLICANT BACKGROUND CHECK). 2. Pay $25.00 for LiveScan fingerprinting to Dixie State University cashier. DSU cashier is located on the bottom floor in the Holland Building. Student MUST get a receipt. 3. Call for a LiveScan fingerprinting appointment: (Arvilla McInnes or Shanna Alger) 4. Go to fingerprinting site on appointed date/time 5. MUST bring the following to fingerprinting appointment: a. The signed DXATC authorization form b. Receipt for $25.00, payable at the Dixie State University cashier c. A picture ID (driver’s license or passport) ___________________________________________________________________________________ IMMUNIZATIONS Note: Cost: Where: When: Phone: Must make an appointment (Primary care physicians can also administer immunizations) Variable Washington County Public Health Department 620 South 400 East #400 St. George, UT 84770 Mondays, Tuesday and Thursday: 9:00 am – 11:30 am and 1:00 pm – 4:00 pm Wednesdays: 1:00 am – 6:00 pm 435-­‐673-­‐3528 1/14/14
DXATC MEDICAL ASSISTANT PROGRAM
IMMUNIZATION REQUIREMENTS
1. Tetanus and Diphtheria (TD). Must be up to date with one every ten years.
2. Two (2) MMR vaccinations or a positive antibody titer to show immunity.
3. Two (2) Hepatitis A vaccinations. Any student who works directly with patients or body fluid
specimens is required to have completed a 2 dose series of Hepatitis A Vaccine. Hepatitis A and
B are often given in a combined dose.
4. Three (3) Hepatitis B vaccinations. Any student who works directly with patients or body fluid
specimens is required to have completed a 3 dose series of Hepatitis B Vaccine.
5. Influenza vaccination. Must be received annually.
6. Verification of TB testing within the past year. This must be done by an intradermal PPD test. If
PPD test is positive, students must show that they have had an adequate work-up for
tuberculosis and are currently NOT communicable. (chest x-ray report, physician or health
department note.)
7. Varicella (Chicken Pox): 2 vaccinations, Written verification of the disease by a Healthcare
Provider or Laboratory blood titer test.
NAME:
PROGRAM:
DATE
PRIMARY
SERIES
GIVEN /
COMPLETED
DATE
BOOSTER
GIVEN
#1
#2
Mumps, Individual Vaccine
#1
#2
Measles, Individual
Vaccine
#1
#2
Rubella, Individual Vaccine
#1
#2
Hepatitis A
#1
#2
Hepatitis B
#1
#2
#3
NEGATIVE
□
POSITIVE
□
POSITIVE
□
#1
#2
IMMUNIZATIONS
RECEIVED
DATE
BOOSTER
GIVEN
PERSON ADMINISTERING
IMMUNIZATION (IF AVAILABLE)
NAME
SIGNATURE
Tetanus and Diphtheria (TD)
Mumps, Measles, and
Rubella (MMR) Combined
Influenza - Annually
Tuberculosis Skin Test
(Annually)
Date:________________
Chicken Pox
CHEST X-RAY Date:____________
Neg. □
Pos. □
Letter:
Titer date:________
1/14/2014
Statement of Physical Health This “Statement of Physical Health” is an affidavit which is provided to Dixie Applied Technology College Health Occupations Programs by a student candidate. It indicates that the student has been evaluated by a licensed medical provider and determines whether or not they are mentally and physically capable of participating in the health occupations training and its required expectations. Based on Licensed provider’s recommendations, concerns and deficiencies will be evaluated on an individual basis for admittance into the program. IDENTIFICATION: Name: ________________________________________________________________________ Date of Birth: ____________ Age: _____ Gender: ______ Height: ________ Weight: ______ GENERAL INFORMATION: Please indicate if any of the following have caused health related problems: YES NO YES Asthma Heart Trouble Convulsions/Seizures Bleeding Disorders Diabetes High blood pressure Kidney Disease Lung Disease Fainting Spells Vision complications NO Hearing complications Explain _______________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ 1/14/2014 1 | P a g e ASSESSMENT DATA: Provide the following information after complete examination. Blood Pressure: / ; Pulse ; Respirations: _________ History / Physical: (Are there diseases or concerns aboutJ YES NO Year Explain Serious illness _________ ___________________ Serious injury _________ ___________________ Deformity _________ ___________________ Surgery _________ ___________________ Skin / Glands _________ ___________________ Ears _________ ___________________ Eyes _________ ___________________ Nose _________ ___________________ Teeth / Mouth _________ ___________________ Chest / Lungs _________ ___________________ Heart _________ ___________________ Stomach / Bowels _________ ___________________ Kidneys / Urine _________ ___________________ Menstrual _________ ___________________ Hernia _________ ___________________ Musculoskeletal / back _________ ___________________ Nervous conditions _________ ___________________ Mental concerns _________ ___________________ Limitations / Restrictions: Explain / Instructions: __________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Medical Provider Performing the Examination: Print Name: ___________________________________ Title: ___________________________ Signature: ____________________________________ Date: __________________________ 1/14/2014 2 | P a g e MEDICAL ASSISTANT INTERVIEW
As a prospective Medical Assistant, it is important for you to understand the role that the
professional Medical Assistant performs within the current health care environment. To
assist you in learning about the Medical Assisting profession, all students who apply for
admission to the Dixie Applied Technology College Medical Assisting Program need to
interview a working medical assistant and complete the following worksheet.
It is your responsibility to identify and set up an interview time with a medical assistant
who is currently employed in a clinic, retail or other medical setting. You should contact
the medical assistant and schedule an appointment prior to your interview to avoid dropin visits which may be inconvenient. Do not limit yourself to the questions listed on the
form. Remember, you may be doing part of your externship at the location you choose
to interview, so respect and professionalism on all counts should be adhered to.
Student: ______________________________
Date: _________________________
Interview a working medical assistant and inquire about the following:
1. How long have you worked as a medical assistant?
2. How did you receive your training?
3. Are you a Certified Medical Assistant?
4. To your knowledge, what is the salary range for medical assistants in this
area?
5. What hours and days do you work?
1/14/2014 1 | P a g e 6. How many patients do you interact with daily?
7. What are the major duties you perform?
8. What entry-level skills do you feel are the most important for a new medical
assistant?
9. What do you like most about your job?
10. What do you dislike about your job?
11. What advice would you give me as I pursue my medical assistant education
and career?
Medical Assistant’s Signature: _____________________________________________
Name of Employer: ______________________________________________________
Employer Telephone Number (for verification or interview): _______________________
1/14/2014 2 | P a g e Medical Assisting Program MINOR STUDENT Consent Form Due to the sensitive nature of the health care provider’s duties and responsibilities to clients and/or patients, instructors teach many aspects of the reproductive system. Information is discussed regarding sexuality issues including sexual interaction between patients, masturbation, abuse situations, loss of intimacy, sexually transmitted diseases, erectile dysfunction, birth control and genital infections. As we relate drugs to disease states, we will discuss in an open classroom all of the above. Furthermore when students go into their externships, they will work with many/all of the drugs that pertain to sexuality issues. As students come into contact with customers/patients, they will need to have a working knowledge of these drugs and what they do. Any student who is under the age of 18 requires the signature of a parent or legal guardian for permission to enter a Medical Assisting Program offered by DXATC. I give permission for my student to participate in discussions and study regarding the basic anatomy and physiology of the reproductive system, and the duties and responsibilities of a Medical Assistant during class and clinical externships. Student Signature ___________________________________ Date _____________________ Parent/Guardian Signature ____________________________ Date _____________________ Instructor Signature __________________________________ Date _____________________ Please return this signed form in the Application Packet. If you have any questions, please contact Student Services at 435-­‐674-­‐8400. UCAT Policy 619: Clinical Experiences for Minor Students April 2007 1/14/2014 1 | P a g e Medical Assisting Textbook List The following textbooks (#1 – #6) can be purchased in a bundle at the Dixie College Bookstore: The ISBN for the bundle is: 978-­‐1-­‐2854-­‐8229-­‐3, and the latest cost estimate is $379.50. 1) Medical Terminology A Programmed Systems Approach, 10th Edition Jean Tannis Dennerll and Phyllis E. Davis, Delmar Cengage Learning ISBN: 1435438892 2) Medical Assisting: Administrative and Clinical Competencies, 7th Edition Michelle Blesi, Barbara Wise, Connie Krebs, Cathy Kelley-­‐Arney, Delmar Cengage Learning ISBN: 1111135126 3) Workbook to Accompany Medical Assisting: Administrative and Clinical Competencies, 7th Edition Lucille Keir, Barbara Wise, Connie Krebs, Connie Kelley-­‐Arney, Delmar Cengage Learning ISBN: 1111135142 4) Medical Assisting CourseMate with eBook 1-­‐Year Printed Access Card for Blesi/Wise/Kelley-­‐Arney’s Medical Assisting Administrative and Clinical Competencies, 7th 5) The Total Practice Management Workbook Using e-­‐Medsys: Educational Edition Gerry A. Brasin, Cecile R. Favreau, Delmar Cengage Learning ISBN: 1439055858 6) Principles of Pharmacology For Medical Assisting, 5th Edition Jane Rice, Delmar Cengage Learning ISBN: 1111131821 The following textbooks are not included in the bundle and must be purchased separately: 7) GO! With Office 2013: Volume 1 Alicia Vargas and Carolyn McLellan ISBN: 9780133142662 8) Medical Law, Ethics & Bioethics For the Health Professions, 7th Edition Martha A. Lewis, Carol D. Tamparo, Brenda M. Tatro, F.A. Davis Company ISBN: 9780803627062 9) Ownership Spirit: The One Grand Key That Changes Everything Else (Available at DXATC Student Services) Dennis R. Deaton, Quma Learning Systems, Inc. $20.00 Textbook prices and information are approximate and are subject to change at any time. 1/14/2014 OVERVIEW: The Accuplacer CPT Test is a “Computerized Placement Test” designed to provide you with
useful information about your academic skills in math, English grammar and sentence structure, and
reading comprehension.
You cannot "pass" or "fail" the CPT, but it is important to do your best so that you and DXATC will have
an accurate measure of your academic skills. We HIGHLY encourage you to prepare by reviewing
sample questions and brushing up on your skills before the test. Being unprepared may needlessly
increase educational costs and time need to complete your coursework. Preparation is always smart!
If you find that you do not place where you would like to on the CPT, Dixie Applied Technology College
has options—refresher classes, tutoring, and open labs are here to assist you in becoming fully prepared
to succeed in your desired course of study. Your success is our common aim.
COMPUTER ADAPTIVE TESTING
The Accuplacer CPT is an “adaptive” test. This means that the questions are chosen for you on the basis
of your answers to previous questions. This technique selects just the right questions for your ability
level. Because the test works this way, you must answer every question when it is first given. Each test
is untimed so that you can give each question as much thought as you wish. You can change your
answer to a particular question before moving on to the next question, but you cannot leave a question
out or come back to it later to change your answer. If you do not know the answer to a question, try to
eliminate one or more of the choices. Then pick from the remaining choices. For more info on how the
test works, go to www.collegeboard.com/student/testing/accuplacer/
SECTIONS: The Accuplacer CPT has three sections:
1. MATH: Basic math, ratios, percentages, equations, word problems
2. READING: Paragraph structure, critical thinking, comprehension, meaning
3. SENTENCE: Parts of speech, grammar, spelling, sentence structure
TIME: The CPT test is untimed, but you should allow about 2 hours to complete the three sections. You
can retest once every two weeks. You may choose to retest on only one section, if desired.
COST: $15 for all three sections. $10 for single sections (retake only).
CUT OFF SCORES: The cut off scores for acceptance into DXATC are:
 MATH:
34 (DXATC Program enrollment, Diesel Mechanics, Drafting)
50 (Medical Assisting, Pharm Tech, Office Management)
 READING:
55 (DXATC Program enrollment, Diesel Mechanics, Drafting)
60 (Medical Assisting, Pharm Tech, Office Management)
 SENTENCE:
60 (DXATC Program enrollment, Diesel Mechanics, Drafting)
75 (Medical Assisting, Pharm Tech, Office Management)
1
DXATC Dixie Applied Technology College  1506 S. Silicon Way  St. George, UT 84770  www.dxatc.edu
CATAPULT Training  Debi Barmonde, Director  (435) 674-8620  Office #3C-2  [email protected]
TEST PREPARATION: You are HIGHLY encouraged to prepare for the test. While you cannot fail the CPT
Test, it will determine whether you will be admitted to the coursework you desire. For an accurate
indicator of your skill level, take some time to brush up. See the “PREPARATION RESOURCES” that
follow.
TO TAKE THE TEST: *** means “signature required”
1. Complete registration forms at DXATC before taking the test.
2. Meet with our Student Services Advisor to determine the assessment you will need
3. With the help of the Student Services Advisor, fill out the “Assessment Center Form” that shows
you the steps to follow. ***Get sign-off signatures.
4. Schedule an Accuplacer CPT appointment at Student Services. ***Get sign-off signatures.
5. Pay the cashier. ***Get sign-off signatures.
6. Tests are given on Fridays at 11 AM at the DXATC “Office Management” Computer Lab, Building
3C.
7. Please bring “Assessment Center Form” with sign-offs to the Assessment Center in the “Office
Management” Building on the day of the test. Please come on time! You must bring photo ID
to take the test. No exceptions.
NOT HAPPY WITH YOUR RESULTS?
 REFRESHER: Refresher classes are offered through DXATC CATAPULT Training. There is no
cutoff for enrollment in CATAPULT. So those who fall below the DXATC Program enrollment
scores will be considered. However, prospective students may be referred to local literacy
programs if they fail to meet minimum literacy requirements.
 REVIEW: Take some time on your own to review the concepts that gave you trouble (see
“Preparation Resources” that follow.) Then retest.
 RETEST: You can retake the Accuplacer CPT test every 2 weeks.
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DXATC Dixie Applied Technology College  1506 S. Silicon Way  St. George, UT 84770  www.dxatc.edu
CATAPULT Training  Debi Barmonde, Director  (435) 674-8620  Office #3C-2  [email protected]
www.khanacademy.org
A fabulous site with numerous subjects. All video based. ~ See “DEVELOPMENTAL MATH”
With a library of over 2,600 videos covering everything from arithmetic to physics,
finance, and history and 218 practice exercises, we're on a mission to help you learn what
you want, when you want, at your own pace.
www.algebrahelp.com
Algebra software that solves YOUR algebra homework problems with step-by-step help!
Lessons & Worksheets.
www.studyguidezone.com/accuplacertest.htm
Includes help specific to the Accuplacer CPT Test, including flash cards,
study guide, practice questions, reading, sentence and math practice.
www.testprepreview.com/accuplacer_practice.htm
You can purchase the study guide and flash cards, but there is
a lot of free info, including sample questions and strategies.
Kind of a busy site with lots of ads. Just mine it for the free
nuggets of wisdom.
www.mathgoodies.com/students.html
FREE – Features interactive lessons, worksheets, and
homework help. Started in 1999 as a pioneer of
interactive instruction, they now offer hundreds of
unique resources.
www.lavamind.com/study/index.html
Offers Testing Tactics, Tutorials, Resources, Quiz Center,
Vocabulary. Resources for Reading, English and Math.
Real world approach to test-taking. Lots of tricks and tips!
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DXATC Dixie Applied Technology College  1506 S. Silicon Way  St. George, UT 84770  www.dxatc.edu
CATAPULT Training  Debi Barmonde, Director  (435) 674-8620  Office #3C-2  [email protected]