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    Today's medical assistant : clinical & administrative procedures / Kathy Bonewit-West, Sue A. Hunt, Edith Applegate.

    • Title:Today's medical assistant : clinical & administrative procedures / Kathy Bonewit-West, Sue A. Hunt, Edith Applegate.
    •    
    • Author/Creator:Bonewit-West, Kathy, author.
    • Other Contributors/Collections:Hunt, Sue A., author.
      Applegate, Edith J., author.
    • Published/Created:St. Louis, Missouri : Elsevier, [2016]
    • Holdings

       
    • Library of Congress Subjects:Medical assistants.
      Clinical medicine.
    • Medical Subjects: Physician Assistants.
      Clinical Medicine--methods.
      Office Management--organization & administration.
      Patient Care--methods.
      Professional Competence.
    • Edition:Third edition.
    • Description:xx, 1, 314 pages : illustrations, portraits ; 29 cm
    • Summary:Launch your career in medical assisting with Today's Medical Assistant, Clinical & Administrative Procedures, 3rd Edition! Bringing together the clinical know-how of Kathy Bonewit-West, the administrative expertise of Sue Hunt, and the anatomy and physiology knowledge of Edith Applegate, this hands-on guide uses easy-to-follow language and detailed visuals to walk readers through all of the medical knowledge, procedures, and skills needed for success in today's fast-paced medical office. Not only does this new edition incorporate the latest standards and competencies throughout all of its content and resources, but it also includes an incredibly wide assortment of engaging learning tools and activities that help readers fully understand and demonstrate those competencies.
    • Notes:Includes index.
      Includes bibliographical references and index.
    • ISBN:9780323311274 hardcover
      032331127X hardcover
      9780323311281 paperback
      0323311288 paperback
    • Contents:Machine generated contents note: SECTION 1 Introduction to Medical Assisting
      1. Health Care System
      Introduction to Health and the Health Care System
      Modern Trends in Health Care
      Health Insurance and Patient Care: Competing Forces Facing the Medical Office in the Twenty-First Century
      Ambulatory Care
      Parts of the Medical Office
      Medical Specialties
      Practice Types
      Complementary and Alternative Medicine
      2. Professional Medical Assistant
      Introduction to Professional Medical Assisting
      Educational Programs for Medical Assistants
      Characteristics of Medical Assistants
      Procedure 2-1 Locating and Defining a State's Legal Scope of Practice
      Professionalism
      Certification for Medical Assistants
      Professional Organizations
      Role of the Medical Assistant
      Employment Opportunities
      3. Ethics and Law for the Medical Office
      Introduction to Medical Ethics
      Reasons to Study Ethics
      Ethics and Health Care
      Procedure 3-1 Separating Personal and Professional Ethics
      Introduction to Law
      Law and Professional Liability
      Procedure 3-2 Incorporating the Patient's BUI of Rights
      Federal and State Laws Affecting the Medical Office
      Procedure 3-3 Reporting Illegal Activities and Complying with Public Health Statutes
      4. Interacting with Patients
      Introduction to Communication
      Communicating with Patients
      Understanding and Meeting the Needs of Patients
      Procedure 4-1 Demonstrating Effective and Respectful Verbal and Nonverbal Communication
      Procedure 4-2 Maintaining Boundaries and Demonstrating Respect for Boundaries in Communications
      SECTION 2 Anatomy and Physiology
      5. Introduction to Anatomy and Physiology
      Brief Summary of Medical History
      Human Body
      Cell Structure and Function
      Tissues and Membranes
      6. Integumentary System
      Introduction to the Integumentary System
      Structure of the Skin
      Skin Color
      Epidermal Derivatives
      Functions of the Skin
      Aging of the Integumentary System
      7. Skeletal System
      Introduction to the Skeletal System
      Overview of the Skeletal System
      Bones of the Axial Skeleton
      Bones of the Appendicular Skeleton
      Articulations
      Aging of the Skeletal System
      8. Muscular System
      Introduction to the Muscular System
      Characteristics and Functions of the Muscular System
      Structure of Skeletal Muscle
      Contraction of Skeletal Muscle
      Skeletal Muscle Groups
      Aging of the Muscular System
      9. Nervous System
      Introduction to the Nervous System
      Functions of the Nervous System
      Organization of the Nervous System
      Nerve Tissue
      Nerve Impulses
      Central Nervous System
      Peripheral Nervous System
      Aging of the Nervous System
      10. Senses
      Introduction to the Senses
      Receptors and Sensations
      General Senses
      Gustatory Sense
      Olfactory Sense
      Visual Sense
      Auditory Sense
      Sense of Equilibrium
      Aging of the Senses
      11. Endocrine System
      Introduction to the Endocrine System
      Comparison of the Endocrine and Nervous Systems
      Comparison of Exocrine and Endocrine Glands
      Characteristics of Hormones
      Endocrine Glands and their Hormones
      Aging of the Endocrine System
      12. Circulatory System
      Introduction to the Circulatory System
      Heart
      Blood
      Blood Vessels
      Lymphatic System
      Resistance to Disease
      Aging of the Circulatory System
      13. Respiratory System
      Introduction to the Respiratory System
      Functions and Overview of Respiration
      Ventilation
      Respiration
      Regulation of Respiration
      Aging of the Respiratory System
      14. Digestive System
      Introduction to the Digestive System
      Functions of the Digestive System
      General Structure of the Digestive Tract
      Components of the Digestive Tract
      Accessory Organs of Digestion
      Chemical Digestion
      Absorption
      Aging of the Digestive System
      15. Urinary System
      Introduction to the Urinary System
      Components of the Urinary System
      Urine Formation
      Aging of the Urinary System
      16. Reproductive System
      Introduction to the Reproductive System
      Male Reproductive System
      Female Reproductive System
      Development
      Aging of the Reproductive System
      SECTION 3 Clinical Component
      17. Medical Asepsis and the OSHA Standard
      Introduction to Medical Asepsis and the OSHA Standard
      Microorganisms and Medical Asepsis
      Procedure 17.1 Handwashing
      Procedure 17.2 Applying an Alcohol-Based Hand Rub
      Procedure 17.3 Application and Removal of Clean Disposable Gloves
      OSHA Bloodborne Pathogens Standard
      Regulated Medical Waste
      Bloodborne Diseases
      18. Sterilization and Disinfection
      Introduction to Sterilization and Disinfection
      Definitions of Terms
      Hazard Communication Standard
      Sanitization
      Procedure 18.1 Sanitization of Instruments
      Disinfection
      Sterilization
      Procedure 18.2 Wrapping Instruments Using Paper or Muslin
      Procedure 18.3 Wrapping Instruments Using a Pouch
      Procedure 18.4 Sterilizing Articles in the Autoclave
      19. Vital Signs
      Introduction to Vital Signs
      Temperature
      Procedure 19.1 Measuring Oral Body Temperature
      -Electronic Thermometer
      Procedure 19.2 Measuring Axillary Body Temperature
      -Electronic Thermometer
      Procedure 19.3 Measuring Rectal Body Temperature
      -Electronic Thermometer
      Procedure 19.4 Measuring Aural Body Temperature
      -Tympanic Membrane Thermometer
      Procedure 19.5 Measuring Temporal Artery Body Temperature
      Pulse
      Respiration
      Pulse Oximetry
      Procedure 19.6 Measuring Pulse and Respiration
      Procedure 19.7 Measuring Apical Pulse
      Procedure 19.8 Performing Pulse Oximetry
      Blood Pressure
      Procedure 19.9 Measuring Blood Pressure
      Procedure 19.10 Determining Systolic Pressure by Palpation
      20. Physical Examination
      Introduction to the Physical Examination
      Definition of Terms
      Preparation of the Examining Room
      Preparation of the Patient
      Measuring Weight and Height
      Procedure 20.1 Measuring Weight and Height
      Body Mechanics
      Positioning and Draping
      Procedure 20.2 Sitting Position
      Procedure 20.3 Supine Position
      Procedure 20.4 Prone Position
      Procedure 20.5 Dorsal Recumbent Position
      Procedure 20.6 Lithotomy Position
      Procedure 20.7 Sims Position
      Procedure 20.8 Knee-Chest Position
      Procedure 20.9 Fowler Position
      Wheelchair Transfer
      Procedure 20.10 Wheelchair Transfer
      Assessment of the Patient
      Assisting the Physician
      Procedure 20.11 Assisting with the Physical Examination
      21. Eye and Ear Assessment and Procedures
      Introduction to the Eye
      Visual Acuity
      Assessment of Color Vision
      Procedure 21.1 Assessing Distance Visual Acuity
      -Snellen Chart
      Procedure 21.2 Assessing Color Vision
      -Ishihara Test
      Eye Irrigation
      Eye Instillation
      Procedure 21.3 Performing an Eye Irrigation
      Procedure 21.4 Performing an Eye Instillation
      Introduction to the Ear
      Assessment of Hearing Acuity
      Ear Irrigation
      Ear Instillation
      Procedure 21.5 Performing an Ear Irrigation
      Procedure 21.6 Performing an Ear Instillation
      22. Physical Agents to Promote Tissue Healing
      Introduction to Tissue Healing
      Local Application of Heat and Cold
      Procedure 22.1 Applying a Heating Pad
      Procedure 22.2 Applying a Hot Soak
      Procedure 22.3 Applying a Hot Compress
      Procedure 22.4 Applying an Ice Bag
      Procedure 22.5 Applying a Cold Compress
      Procedure 22.6 Applying a Chemical Pack
      Ambulatory Aids
      Procedure 22.7 Measuring for Axillary Crutches
      Procedure 22.8 Instructing a Patient in Crutch Gaits
      Procedure 22.9 Instructing a Patient in Use of a Cane
      Procedure 22.10 Instructing a Patient in Use of a Walker
      23. Gynecologic Examination and Prenatal Care
      Introduction to the Gynecologic Examination and Prenatal Care
      Gynecologic Examination
      Gynecology
      Breast Examination
      Pelvic Examination
      Procedure 23.1 Breast Self-Examination Instructions
      Procedure 23.2 Assisting with a Gynecologic Examination
      Vaginal Infections
      Prenatal Care
      Obstetrics
      Prenatal Visits
      Procedure 23.3 Assisting with a Return Prenatal Examination
      24. Pediatric Examination
      Introduction to the Pediatric Examination
      Pediatric Office Visits
      Developing a Rapport
      Carrying the Infant
      Growth Measurements
      Procedure 24.1 Measuring the Weight and Length of an Infant
      Procedure 24.2 Measuring Head and Chest Circumference of an Infant
      Procedure 24.3 Calculating Growth Percentiles
      Pediatric Blood Pressure Measurement
      Collection of a Urine Specimen
      Procedure 24.4 Applying a Pediatric Urine Collector
      Pediatric Injections
      Immunizations
      Newborn Screening Test
      25. Minor Office Surgery
      Introduction to Minor Office Surgery
      Surgical Asepsis
      Instruments Used in Minor Office Surgery
      Commercially Prepared Sterile Packages
      Procedure 25.1 Applying and Removing Sterile Gloves
      Procedure 25.2 Opening a Sterile Package
      Procedure 25.3 Pouring a Sterile Solution
      Wounds
      Sterile Dressing Change
      Procedure 25.4 Changing a Sterile Dressing
      Sutures
      Procedure 25.5 Removing Sutures and Staples
      Procedure 25.6 Applying and Removing Adhesive Skin Closures
      Assisting with Minor Office Surgery
      Procedure 25.7 Assisting with Minor Office Surgery
      Medical Office Surgical Procedures
      Contents note continued: Bandaging
      26. Administration of Medication and Intravenous Therapy
      Introduction to the Administration of Medication
      Administering, Prescribing, and Dispensing Medication
      Legal Aspects
      Routes of Administration
      Drug References
      Food and Drug Administration
      Drug Nomenclature
      Classification of Drugs Based on Preparation
      Classification of Drugs Based on Action
      Systems of Measurement for Medication
      Converting Units of Measurement
      Controlled Drugs
      Prescription
      Medication Record
      Factors Affecting Drug Action
      Guidelines for Preparation and Administration of Medication
      Oral Administration
      Procedure 26.1 Administering Oral Medication
      Parenteral Administration
      Procedure 26.2 Preparing an Injection
      Procedure 26.3 Reconstituting Powdered Drugs
      Procedure 26.4 Administering a Subcutaneous Injection
      Procedure 26.5 Administering an Intramuscular Injection
      Procedure 26.6 Z-Track Intramuscular Injection Technique
      Tuberculin Skin Testing
      Allergy Testing
      Procedure 26.7 Administering an Intradermal Injection
      Intravenous Therapy
      27. Cardiopulmonary Procedures
      Introduction to Electrocardiography
      Cardiac Cycle
      Electrocardiograph Paper
      Standardization of the Electrocardiograph
      Electrocardiograph Leads
      Paper Speed
      Patient Preparation
      Maintenance of the Electrocardiograph
      Electrocardiographic Capabilities
      Artifacts
      Procedure 27.1 Running a 12-Lead, Three-Channel Electrocardiogram
      Holter Monitor Electrocardiography
      Cardiac Dysrhythmias
      Pulmonary Function Tests
      Peak Flow Measurement
      Procedure 27.2 Measuring Peak Flow Rate
      Home Oxygen Therapy
      28. Specialty Examinations and Procedures: Colon Procedures, Male Reproductive Health, and Radiology and Diagnostic Imaging
      Colon Procedures
      Introduction to Colon Procedures
      Blood in the Stool
      Fecal Occult Blood Test
      Procedure 28.1 Fecal Occult Blood Testing: Guaiac Slide Test
      Procedure 28.2 Developing the Hemoccult Slide Test
      Other Types of Stool Tests
      Sigmoidoscopy
      Colonoscopy
      Male Reproductive Health
      Introduction to Male Reproductive Health
      Prostate Cancer
      Prostate Cancer Screening
      Testicular Self-Examination
      Radiology and Diagnostic Imaging
      Introduction to Radiology
      Contrast Media
      Fluoroscopy
      Positioning the Patient
      Specific Radiographic Examinations
      Introduction to Diagnostic Imaging
      Ultrasonography
      Computed Tomography
      Magnetic Resonance Imaging
      Nuclear Medicine
      Digital Radiology
      29. Introduction to the Clinical Laboratory
      Introduction to the Clinical Laboratory
      Laboratory Tests
      Purpose of Laboratory Testing
      Types of Clinical Laboratories
      Laboratory Requests
      Laboratory Reports
      Laboratory Documents and the EMR
      Patient Preparation and Instructions
      Collecting, Handling, and Transporting Specimens
      Clinical Laboratory Improvement Amendments
      CLIA-Waived Laboratory Testing
      Quality Control
      Categories of Test Results
      Recording Test Results
      Laboratory Safety
      30. Urinalysis
      Composition of Urine
      Collection of Urine
      Procedure 30.1 Clean-Catch Midstream Specimen Collection Instructions
      Analysis of Urine
      Procedure 30.2 Chemical Testing of Urine with the Multistix 10 SG Reagent Strip
      Procedure 30.3 Prepare a Urine Specimen for Microscopic Examination: Kova Method
      Procedure 30.4 Performing a Urine Pregnancy Test
      Urine Pregnancy Testing
      Serum Pregnancy Test
      31. Phlebotomy
      Introduction to Phlebotomy
      Venipuncture
      General Guidelines for Venipuncture
      Vacuum Tube Method of Venipuncture
      Procedure 31.1 Venipuncture
      -Vacuum Tube Method
      Butterfly Method of Venipuncture
      Procedure 31.2 Venipuncture
      -Butterfly Method
      Problems Encountered with Venipuncture
      Obtaining a Serum Specimen
      Skin Puncture
      Puncture Sites
      Skin Puncture Devices
      Procedure 31.3 Skin Puncture
      -Disposable Semiautomatic Lancet Device
      Microcollection Devices
      Guidelines for Performing a Finger Puncture
      32. Hematology
      Introduction to Hematology
      Hemoglobin Determination
      Hematocrit
      Procedure 32.1 Hematocrit
      White Blood Cell Count
      Red Blood Cell Count
      Red Blood Cell Indices
      White Blood Cell Differential Count
      Procedure 32.2 Preparation of a Blood Smear for a Differential Cell Count
      PT/INR
      33. Blood Chemistry and Immunology
      Introduction to Blood Chemistry and Immunology
      Blood Chemistry
      Collection of a Blood Chemistry Specimen
      Automated Blood Chemistry Analyzers
      Blood Glucose
      Tests for Management of Diabetes
      Glucose Meters
      Procedure 33.1 Blood Glucose Measurement Using the Accu-Chek Advantage Glucose Meter
      Cholesterol
      Triglycerides
      Blood Urea Nitrogen
      Immunology
      Immunologic Tests
      Rapid Mononucleosis Testing
      34. Medical Microbiology
      Introduction to Microbiology
      Normal Flora
      Infection
      Microorganisms and Disease
      Microscope
      Procedure 34.1 Using the Microscope
      Microbiologic Specimen Collection
      Procedure 34.2 Collecting a Throat Specimen
      Streptococcus Testing
      Sensitivity Testing
      Microscopic Examination of Microorganisms
      Prevention and Control of Infectious Diseases
      35. Nutrition
      Introduction to Nutrition
      Nutrients
      Dietary Supplements
      Nutrition Guides
      Food Labels
      Nutrition Therapy
      Weight Management
      Cardiovascular Disease
      Hypertension
      Diabetes
      Lactose Intolerance
      Gluten Intolerance
      Food Allergies
      36. Emergency Preparedness and Protective Practices
      Introduction to Disaster and Emergency Planning
      Categories of Disasters
      Psychological Effects of Emergencies
      Emergency Preparedness in the Medical Office
      Fire Safety in the Medical Office
      Procedure 36.1 Demonstrating Proper Use of a Fire Extinguisher
      Procedure 36.2 Participating in a Mock Exposure Event
      Employee Education and Training
      Emergency Practice Drills
      Medical Assistant's Role
      37. Emergency Medical Procedures and First Aid
      Introduction to Emergency Medical Procedures
      Office Crash Cart
      Emergency Medical Services System
      First Aid Kit
      OSHA Safety Precautions
      Guidelines for Providing Emergency Care
      SECTION 4 Administrative Component
      38. Medical Record
      Introduction to the Medical Record
      Types of Medical Records
      Medical Record Formats
      Administrative Section of the Medical Record
      Procedure 38.1 Completion of a Procedure Consent Form
      Procedure 38.2 Release of Medical Information
      Clinical Section of the Medical Record
      Taking a Health History
      Documentation in the Medical Record
      Procedure 38.3 Obtaining Patient History and Formulating Chief Complaint
      39. Patient Reception
      Introduction to Patient Reception
      Preparing for Patients
      Procedure 39.1 Opening the Medical Office
      Procedure 39.2 Closing the Medical Office
      Patient Check-In
      Procedure 39.3 Obtaining New Patient Information
      Orienting Patients to the Medical Office
      Procedure 39.4 Explaining Office Policies and Procedures
      40. Medical Office Computerization
      Introduction to Medical Office Computerization
      Computer Concepts
      Data Processing Cycle
      Components of the Computer System
      Main Computer Unit
      Computer Monitor
      Input Devices
      Printer
      Storage Devices
      Medical Office Computerization
      Electronic Information Transfer
      Medical Assistant's Use of the Electronic Medical Record
      Physician's Use of the Electronic Medical Record
      Computer Network Security
      Backups
      System Maintenance
      Service Agreements
      41. Telephone Techniques
      Introduction to Telephone Techniques
      Using the Telephone Effectively
      Telephone Technology
      Incoming Calls
      Procedure 41.1 Performing Telephone Screening
      Procedure 41.2 Taking a Telephone Message
      Procedure 41.3 Taking Requests for Medication or Prescription Refills
      Outgoing Calls
      Procedure 41.4 Telephoning a Patient for Follow-Up
      42. Scheduling Appointments
      Introduction to Appointment Scheduling
      Guidelines for Appointment Scheduling
      Scheduling Appointments
      Daily Appointment Schedule
      Types of Scheduling
      Setting Up the Appointment Schedule
      Procedure 42.1 Setting Up the Appointment Schedule
      Guidelines for Scheduling
      Procedure 42.2 Making an Appointment
      Managing the Appointment Schedule
      Procedure 42.3 Managing the Appointment Schedule
      Scheduling Referral Appointments, Diagnostic Tests, Procedures and Admissions
      Procedure 42.4 Scheduling Inpatient or Outpatient Diagnostic Tests or Procedures
      Procedure 42.5 Scheduling Inpatient or Outpatient Admissions
      43. Medical Records Management
      Introduction to Medical Records
      Paper-Based Medical Records
      Equipment and Supplies for Paper-Based Medical Records
      Preparing a Paper-Based Medical Record for a New Patient
      Procedure 43.1 Preparing a Medical Record
      Filing Systems
      Procedure 43.2 Filing Patient Records: Alphabetic
      Procedure 43.3 Filing Patient Records: Numeric
      Retrieving or Filing a Paper-Based Medical Record
      Procedure 43.4 Filing Reports
      Electronic Medical Record
      Storing Medical Records
      44. Written Communications
      Introduction to Written Communication
      Business Letters
      Contents note continued: Procedure 44.1 Composing a Business Letter
      Preparing Memoranda
      Grammar and Punctuation
      Spelling and Proofreading
      Electronic Data Transmission
      Procedure 44.2 Sending a Fax
      Photocopying
      45. Mail
      Introduction to Mail and Shipping
      U.S. Postal System
      Other Package Delivery Services
      Processing Incoming Mail
      Procedure 45.1 Processing Incoming Mail
      Automated Mail Processing
      Postal Addressing Standards
      Procedure 45.2 Looking Up a ZIP Code
      Outgoing Mail
      Procedure 45.3 Preparing Envelopes tor Mailing
      46. Managing Practice Finances
      Introduction to Daily Financial Activities
      Maintaining Patient Accounts
      Components of a Patient Account
      Procedure 46.1 Completing a Patient Charge Slip
      Procedure 46.2 Posting Charges
      Procedure 46.3 Posting Payments and/or Adjustments
      Other Financial Accounts
      Banking Activities
      Procedure 46.4 Writing a Check
      Procedure 46.5 Preparing a Bank Deposit
      Accounts Payable or Record of Cash Disbursements
      Petty Cash
      47. Medical Coding
      Introduction to Coding
      Procedure Coding
      Current Procedural Terminology (CPT) Codes
      Procedure 47.1 Performing CPT Coding
      Healthcare Common Procedure Coding System (HCPCS) Level II Codes
      Procedure 47.2 Performing HCPCS Coding
      Diagnosis Coding
      ICD-9-CM Manual
      ICD-10-CM Manual
      Improving Coding Accuracy
      Procedure 47.3 Performing ICD Coding
      48. Medical Insurance
      Introduction to Health Insurance
      History of Health Insurance
      Obtaining Health Insurance
      Paying for Health Insurance and Health Care
      Factors Affecting Insurance Reimbursement
      Types of Insurance
      Insurance and Managed Care Policies and Procedures
      Procedure 48.1 Interpreting Information on an Insurance Card
      Procedure 48.2 Verifying Insurance Eligibility and Benefits
      Procedure 48.3 Obtaining Insurance Preauthorization (Precertification)
      Insurance Claim Forms
      Completing the Insurance Claim Form
      Procedure 48.4 Completing and Reviewing an Insurance Claim Form
      Submitting Insurance Claims
      Tracking Insurance Reimbursement
      Effective Communication Regarding Managed Care and/or Insurance
      Procedure 48.5 Communicating Effectively Regarding Insurance and/or Managed Care
      49. Billing and Collections
      Introduction to Billing
      Billing Cycle
      Billing Process
      Procedure 49.1 Processing Patient Statements
      Billing Problems
      Procedure 49.2 Posting a Check Returned for Non-Sufficient Funds (NSF)
      Procedure 49.3 Processing a Credit Balance and Refund
      Account Aging
      Procedure 49.4 Creating and Examining an Accounts Receivable Aging Record
      Collection Activities
      Procedure 49.5 Writing a Collection Letter
      50. Medical Assistant as Office Manager
      Introduction to Medical Office Management
      Maintaining the Office
      Routine Maintenance
      Patient and Employee Safety
      Procedure 50.1 Creating an Environmental Checklist and Performing a Safety Inspection
      Procedure 50.2 Complying with Safety Signs, Symbols, and Labels
      Maintaining Equipment
      Procedure 50.3 Performing Routine Maintenance of Equipment
      Supplies
      Procedure 50.4 Taking a Supply or Equipment Inventory
      Creating an Environment for Teamwork
      Preparing Payroll
      Managing Physician and Employee Schedules
      Providing Resources for Staff and Patients
      Procedure 50.5 Locating and Facilitating Referrals to Community Resources
      Risk Management
      Procedure 50.6 Completing an Incident Report
      51. Obtaining Employment
      Introduction to Obtaining Employment
      Successful Job Search
      Tools for a Job Search
      Getting the Job
      Lifelong Learning
      Planning for Job Advancement or Career Change.
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