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MCN Clinician Guides

MCN and Farmworker Justice offer these guides to assist clinicians in understanding farmworker health and safety regulations. OSHA’s Field Sanitation Standard; EPA's Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA); EPA's  Food Quality Protection Act (FQPA); EPA’s Worker Protection Standard (WPS).

The 1999–2013 United States Cancer Statistics (USCS): Incidence and Mortality Web-based Report includes the official federal statistics on cancer incidence from registries that have high-quality data, and cancer mortality statistics. It is produced by the Centers for Disease Control and Prevention (CDC) and the National Cancer Institute (NCI). This report shows that in 2013, 1,536,119 Americans received a new diagnosis of invasive cancer, and 584,872 Americans died of this disease (these counts do not include in situ cancers or the more than 1 million cases of basal and squamous cell skin cancers diagnosed each year).

This year’s report features information on invasive cancer cases diagnosed during 2013, the most recent year of incidence data available, among residents of 49 states, six metropolitan areas, and the District of Columbia—geographic areas in which about 99% of the U.S. population resides. Incidence data are from CDC’s National Program of Cancer Registries (NPCR) and NCI’s Surveillance, Epidemiology, and End Results (SEER) Program. Data from population-based central cancer registries in these states and metropolitan areas meet the criteria for inclusion in this report.

The report also provides cancer mortality data collected and processed by CDC’s National Center for Health Statistics. Mortality statistics, based on records of deaths that occurred during 2013, are available for all 50 states and the District of Columbia.

The report also includes incidence rates and counts for Puerto Rico for 2009 through 2013 by sex and age, as well brain tumor and childhood cancer data.

USCS data are presented in the following applications—

 

As part of the response to the Zika outbreak, CDC, in collaboration with state, local, tribal, and territorial health departments, established a pregnancy registry for comprehensive monitoring of pregnancy and infant outcomes following possible Zika virus infection. The registry is an active surveillance system of pregnant women with laboratory evidence of possible Zika virus infection in the 50 US states and DC, and in the US territories. On May 20, 2016, CDC released detailed information about the registry and will initiate weekly reporting of the number of pregnant women followed in the registry.

The U.S. Environmental Protection Agency’s (EPA) Worker Protection Standard (WPS) provides basic workplace protections to farmworkers and pesticide handlers to minimize the adverse effects of pesticide exposure. EPA announced major revisions to the WPS in September 2015. MCN and FJ's fact sheet provides a summary of the revised regulation.

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Aedes species mosquitoes transmit chikungunya virus, as well as dengue and Zika viruses, and bite most often during the day.* Infectious mosquito bites frequently occur in and around homes (1,2). Caribbean countries first reported local transmission of chikungunya virus in December 2013, and soon after, chikungunya virus spread throughout the Americas (3). Puerto Rico reported its first laboratory-positive chikungunya case in May 2014 (4), and subsequently identified approximately 29,000 suspected cases throughout the island by the end of 2015 ...

In May 2015, Zika virus was reported to be circulating in Brazil. This was the first identified introduction of the virus in the Region of the Americas. Since that time, Zika virus has rapidly spread throughout the region. As of April 20, 2016, the Florida Department of Health Bureau of Public Health Laboratories (BPHL) has tested specimens from 913 persons who met state criteria for Zika virus testing. Among these 913 persons, 91 met confirmed or probable Zika virus disease case criteria and all cases were travel-associated (1).

Diagnostic testing for Zika virus infection can be accomplished using molecular and serologic methods. Real-time reverse transcription–polymerase chain reaction (rRT-PCR) is the preferred test for Zika virus infection because it can be performed rapidly and is highly specific (1,2) ...

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In 2015, for the first time in over 20 years, the Environmental Protection Agency updated the Worker Protection Standard (WPS). The WPS provides basic workplace protections for agricultural workers to reduce the risk of pesticide exposre. This issue brief overviews the major revisions that are particularly relevant for clinicians caring for agricultural workers. 

All of the links provided below are examples of various job applicaitons/description for Medical Assistants.  The organizations allowed us use of these forms strictly as a resource for Medical Assistants.

1.)  Borinquen Health Care Center, Inc. - Medical Asistant Job Application,

2.)  Primary Health Care Inc., -  Certified Medical Assistant (CMA) Application,

3.)  Northwest Health Services, Inc. -  Medical Assistant RN Annex,

4.)  Shalom Health Care Center - New Employee Medical Assistant Basic Skills Quiz,

5.)  Family Health Center of Battle Creek - f Job Description for Medical Assistant

6.)  Katy Trail Community Health -  Medical Assistant Essential Duties, Job Function, & Qualifications

7.)  Community Health Centers of Greater Dayton - Position Description for Medical Assistant I

8.)  Community Health Centers of Greater Dayton - Position Description for Medical Assistant II

9.)  Medical Assistant Job Description

10.)  Health Partners of Western Ohio - Position Description for Medical Assistant

11.)  Westside Healthcare Association, Inc. - Job Description/Specification for Medical Assistant

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The National LGBT Health Education Center provides educational programs, resources, and consultation to health care organizations with the goal of optimizing quality, cost-effective health care for lesbian, gay, bisexual, and transgender (LGBT) people.

Highlights of MCN's services and programs in action during 2015!

Available in English and Spanish.

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The first MCN External Advisory Board (EAB) was established with 10 standing members and 10 ad hoc members in June 2015. The EAB is a PEER TECHNICAL AND SCIENTIFIC COMMITTEE established to promote cross-disciplinary collaboration and to give expert advice on community-based participatory research and the development and expansion of MCN programs. The distinguished members offer a breadth of professional expertise to advance MCN’s mission. During the first year of service, our EAB members participated in more than 44 ACTIVITIES AMONG 10 MCN STAFF. This totaled more than 246 direct hours of collaboration by providing their expertise and technical assistance in grant and award preparation, scientific consultation, conference planning, and expanding the vision of MCN among their constituencies.

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A primary goal of the Partnerships for Care (P4C) project is to provide innovative, cost-efficient, and culturally competent training and technical assistance (TTA) to the four health departments and 22 health centers serving high HIV prevalence areas funded under the project.  To that end, the HIV Training, Technical Assistance, and Collaboration Center (HIV TAC) was funded to support the goals of the P4C project through planned collaboration with existing HIV-related TTA programs, across different levels of government and with nongovernment partners. The MayaTech Corporation operates the P4C HIV TAC.

Migrant Clinicians Network promotes medical home transformation designed to include patients who experience barriers to health care due to mobility, poverty, language, and culture.

Health Network assures continuity of care and treatment completion by providing comprehensive case management, medical records transfer and follow up services for mobile patients.

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This is a resource dedicated to researching educational opportunities within public health to help make the decision to get your degree, go back to get your degree, or further your education with a master's or doctoral degree in public health. With over 150 schools and over 2,000 public health degrees in this database, this is a comprehensive resource for you to utilize when figuring out which public health program is best for you.

This is a resource that connects busy primary care professionals with each other—and with practical ways to improve care and financial performance. Each week, you’ll find a story that highlights evidence-based strategies and solutions that have worked in primary care setting like yours. You’ll also discover exciting opportunities to engage with your colleagues and work with researchers to explore new innovations in primary care.

Video interview with COPE Executive Director Mark Sullivan, MD, PhD.

About COPE: The University of Washington’s COPE for Chronic Pain CME Program offers evidence-based clinical knowledge and training on how best to treat patients experiencing chronic pain. COPE CME helps clinicians assess patients and monitor their progress, mitigate risk, and focus on restoring function and quality of life. It provides guidance on when and how to start, stop, or modify opioid therapies. COPE’s online course includes case-based video vignettes that model interactions between providers and patients, helping to improve communications that promote trust. Live and web-based CME is available.

 

Only 25% of physicians feel very confident in managing patients on opioids. 

When many of today's physicians were in medical school, they learned that opioids were safe, and no dose seemed too high. Now, evidence-based practice paints a far more nuanced picture. More than 200 million prescriptions a year have contributed to widespread problems:

  • 33% of young adults say that prescription opioids are "easy to get," with many taking their friends' or parents' pills.
  • Nearly 20% of U.S. veterans with PTSD are receiving higher-dose or multiple opioids, or early refills.
  • Increased prescribing to women of childbearing age has contributed to a 4-fold increase in neonatal abstinence syndrome

COPE offers free CME on safe opioid prescribing:

  • COPE-REMS: an online, self-paced tutorial that awards up to 4 CME credits
  • UW TelePain: Providers can call in to UW Medicine and present their most difficult chronic pain cases to a multidisciplinary panel of pain medicine experts for discussion and advice. Tune in to live, lunchtime, 1-hour sessions most Wednesdays at 12 PM to earn up to 1.5 CME credits per session.

Other resources from COPE include:

http://www.asbestosdiseaseawareness.org/

ADAO is the largest independent nonprofit in the U.S. dedicated to preventing asbestos exposure, eliminating asbestos-related diseases, and protecting asbestos victims' civil rights through education, advocacy, and community initiatives. 

This new guide from the National Center for Medical-Legal Partnership is intended to help civil legal aid practitioners message their work to health care audiences in order to build stronger cross sector medical-legal partnerships and to encourage investment in that work.

The most current information from the CDC, curated by CDC experts specifically for U.S. healthcare workers. This information from the CDC is available to you to answer questions you may have. 

These bilingual posters educate workers on how to work safely with machinery on the farm.  Developed by two Occupational Health Interns (OHIP) during their internship with the National Farm Medicine Center, these posters accompany the Seguridad en las Lecherías curriculum.