1. Prevention-related Practices
Topic Areas
 Examples
A. Lifestyle-associated behavior counseling and referral
  • Diet, exercise, smoking cessation​
B. Considerations for successful preventive interventions
  • Effectiveness, benefits and harms, barriers, cost, acceptance by patient
C. Effective clinician‐patient communication

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  • Patient participation in decision‐making, informed consent, motivational interviewing, risk communication, advocacy, health literacy
  • Role for telehealth and other technology
D. Approaches to behavior change incorporating diverse patient perspectives
  • Individual and group counseling, skills training including parenting, motivational interviewing, cognitive-behavioral therapy​
E. Evidence‐based recommendations
  • U.S. Preventive Services Task Force recommendations
  • CDC Advisory Committee on Immunization Practices
  • Guide to Community Preventive Services
F. Identification of vulnerable and at-risk patients and populations, especially those in need of particular clinical preventive services and health promotion   
  • Patient demographics, incarceration status, homelessness, veteran status, pregnancy status
2. Screening
A. Analysis of screening tests 
  • Range of normal, sensitivity, specificity, predictive value, target population
B. Assessment of health risks
  • Psychosocial factors, environmental factors, genetic determinants, health behaviors​
C. Criteria for successful screening 
  • Effectiveness, benefits and harms, barriers, cost, acceptance by patient
D. Clinician‐patient communication
  • Patient participation in decision‐making, informed consent, risk communication, advocacy, health literacy
E. Evidence‐based recommendations
  • Use of evidence-based recommendations such as those of the US Preventive Services Task Force
F. Required screenings
  • Newborn screening, immigrant screening, lead testing​
3. Mental and Behavioral Health
A. Access to mental, behavioral, and addiction health services
  • Role for telehealth
  • Workforce training and distribution
  • Payment for services
B. Risk reduction
  • Gun violence, substance use disorder, suicide, bullying, trauma, post-traumatic stress disorder
C. Screening and detection of mental and behavioral health problems
  • Depression screening
  • Substance use/abuse (tobacco, alcohol, drugs)
  • Adverse Childhood Experiences
D. Clinician wellbeing
  • Causes of clinician burnout
  • Resilience
  • Benefits of interprofessional team practice
4. Immunization
A. Approaches to vaccination
  • Types of vaccines
  • Vaccine indications and contraindications
  • Route, site and technique of administration
  • Target population, population‐based immunity
B. Criteria for successful immunization
  • Proper storage, handling and preparation
  • Patient education, including benefits and risks
  • Acceptance by patient and community (vaccine hesitancy, vaccine refusal)
C. Clinician‐patient communication
  • Patient participation in decision‐making
  • CDC Vaccine Information Statements
  • Understanding vaccine safety
  • Risk communication, health literacy
D. Evidence‐based recommendations
  • Advisory Committee on Immunization Practices
E. Requirements
  • State laws and guidelines
  • School requirements
  • CDC Vaccine Information Statements
  • Implications of vaccine exemptions
  • Documentation, reporting adverse events
5. Preventive Medication
A. Approaches to preventive medication
  • Primary and secondary prophylaxis
  • Pre vs. post exposure prophylaxis
  • Time-limited vs. long-term
B. Considerations for use of preventive medication
  • E​fficacy, benefits and harms
  • Barriers, cost, acceptance by patient, shared decision-making
  • Use of evidence-based recommendations
C. Adverse drug events
  • Allergic reactions, side effects, overmedication, and medication errors