2018 ~ 2019

MEDICAL ASSISTANT
STUDENT HANDBOOK

0
 Welcome to the Medical Assistant Program
CERTIFICATE

The Clackamas Community College Medical Assistant Program is accredited by the Commission on Accreditation for
Allied Health Programs (www.caahep.org) upon the recommendation of the Medical Assistant Educational Review
Board (MAERB).

Commission on Accreditation for Allied Health Programs

25400 US Highway 19 N., Suite 158
Clearwater, Florida 33763
727-210-2350
http://www.caahep.org

The program is designed to prepare competent entry-level medical assistants in cognitive (knowledge), psychomotor
(hands-on skills), and affective (behavior) learning domains; and to attain entry-level employment in the ambulatory
care setting and to prepare successful candidates for the national certification exam.

Certified Medical Assistant (CMA) national certification examination administered by the American
Association of Medical Assistants (AAMA) located at 20 N. Wacker Drive, Chicago, Illinois, 60606
800.228.2262
www.aama-ntl.org

Occupational Description
Medical assisting is a multi-skilled allied health profession; practitioners work primarily in ambulatory settings such as
medical offices and clinics. Medical assistants function as members of the health care delivery team and perform
administrative and clinical procedures http://www.caahep.org/Content.aspx?ID=43

MEDICAL ASSISTANT SCOPE OF PRACTICE

Certified medical assistants perform delegated clinical and administrative duties within the supervising physician’s
scope of practice consistent with the education, training, and experience. Such duties shall not constitute the
practice of medicine. Trained in both clinical and administrative skills, the medical assistant assists licensed health
care providers in meeting the needs of patients, including the administration of medication, perform specimen
collection, and CLIA Waived point of care tests. They may also operate specialized equipment such as spirometers,
nebulizers and EKG machines. Office administration duties may include but are not limited to patient scheduling,
client/insurance billing, preparing prior authorizations and data entry. To meet the rapidly evolving outpatient-care
landscape, health systems and providers have created a variety of challenging staff positions within both the patient-
centered medical home (PCMH) and other delivery models; some examples are: Patient navigator advocate,
wellness coach, and community health worker.
Please be advised:
Medical assisting education and the career is both fast paced, as well as,
physical and mentally demanding.

1
At CCC, we are dedicated to establishing and maintaining a safe and inclusive campus where all have
equal access to the educational and employment opportunities that CCC offers. Title IX, a law passed in
1972, protects all people from discrimination based on sex in education programs or activities that receive
federal financial assistance. Title IX helps the college host an environment of sexual respect, safety and
well-being, free from discrimination, sexual misconduct or assault, and harassment based on gender or
sex.
For more information, visit https://www.clackamas.edu/sexualrespect, or email your Title IX Coordinator:
[email protected]

APPLICATIONS AND ADMISSION TO THE MEDICAL ASSISTANT PROGRAM

Applications containing admission procedures and requirements are available from CCC’s Help Center, Advising &
Counseling Center, or on the web at: http://depts.clackamas.edu/healthsciences/da.asp or you can contact the
Health Science Department at the Clackamas Community College, Harmony campus. Telephone: 503.594.0650 or
email: [email protected].

The Medical Assistant program is a limited entry, special admittance program. There are a limited number of seats
available and a special application process is required to be admitted into the MA program.

Minimum placement levels are required for entry into the MA program; include obtaining placement scores for
MTH 65 and RD 115, or coursework equivalents

Prerequisite courses, MA110, Medical Terminology and WR-121 must be completed successfully with a grade of C
or better prior to applying for the Medical Assistant Program.

Current Health & Physical form signed by the licensed health care provider (LHCP). Examples of LHCP’s
are: MD, DO, ANP/FNP, C- PA, and ND.

History & Physical Exam Form: To assure that the health and safety of the public is protected and that the
student is able to perform his/her duties, applicants are required to have passed a health examination at the
applicant's expense prior to entering the MA program.

Applicants are advised that manual dexterity, good visual and auditory skills, physical mobility and both physical and
mental stamina are involved for successful completion of the program and career preparation. Students must be able
to communicate efficiently and accurately in English within the healthcare setting.

If, at any time, either before or after acceptance into the program a students' physical, mental or emotional
health is such that it is a potential threat to the well-being and/or safety of a patient, student peers, or
themselves; the student may be denied access to certain classes and clinical agencies and/or experience.

All CCC Health Science students are required to meet the Oregon Health Authority requirements for students
in health occupations. These include:

1. Drug/Alcohol Testing/Criminal Background Checks

As part of the application process, candidates are required to create an account with Castle Branch
(formerly known as, Certified Background) and begin the process of uploading the information required for
processing background checks and urine drug screen testing. Students are responsible for all costs
associated with criminal background check and drug screening.
o ALL Medical Assistant students will be required to repeat and pass the background check
and UDS at their own expense within 30 days of practicum (Spring term).
o Students must agree that all results are available to the program and the clinical sites

2
 associated with the program.
o Anyone with a criminal record or a positive UDS will not be allowed in the Medical Assistant
Program or in clinical practicum sites.
o Marijuana, although legal for sale and use in the State, is considered an illicit drug when
used by healthcare students or healthcare personnel. (Chapter 409 OHA, Administrative
requirements for health profession student clinical training)
o Be advised clinical agencies have the right to refuse student placement based on the
outcome of the background check and/or the results of a drug screen. The program has no
responsibility for arranging clinical placements for students with a criminal history or
positive UDS.

Additionally: Disclosure of any criminal history offences is required on application to the AAMA and
the AMT certification exams. Falsification of the application will result in denial of application for
certification by the credentialing agency. Certifying organizations have the right to deny permission to
sit for the certification exam offered.

2. Students accepted for admission to the CCC MA program must successfully complete the American Heart
Association BLS CPR & the HeartSaver First Aid certification as part of the application process.
Two (2) copies (front & back) are to be submitted as part of the clinical requirements of Phase 4. These
may be downloaded from the AHA web site do not ask program director for copies.

o The Basic Life Support (BLS) CPR course, American Heart Association, Basic Life Support
training reinforces healthcare professionals' understanding of the importance of early CPR and
defibrillation, basic steps of performing CPR, relieving choking, and using an AED; and the role of
each link in the Chain of Survival.
http://cpr.heart.org/AHAECC/CPRAndECC/Training/HealthcareProfessional/UCM_473185_Healthc
are-Professional.jsp
o Heartsaver® First Aid is a classroom, video-based, instructor-led course that teaches students
critical skills to respond to and manage an emergency in the first few minutes until emergency
medical services (EMS) arrives. Students learn skills such as how to treat bleeding, sprains,
broken bones, shock and other first aid emergencies
http://www.heart.org/HEARTORG/CPRAndECC/CorporateTraining/HeartsaverCourses/Heartsaver-
First-Aid---Classroom_UCM_303589_Article.jsp
o Proper First Aid and CPR certification must be current while students participate in the MA
program. Students will not be allowed to begin the program or attend externship without
the appropriate, American Heart Association, BLS CPR and Heartsaver First Aid certification
documents.

3. Up-to-date Immunization record or proof of immunity.

Specifics of the OHA clinical requirements are thoroughly discussed at the Mandatory Orientation and
handout information is supplied to all MA candidates.

Students must stay current throughout the academic program with all of their vaccinations. Immunization
documentation for tetanus/diphtheria/pertussis (Tdap), measles/mumps/rubella (MMR), varicella
(chickenpox), polio, annual flu and hepatitis B (series of 3 injections) must be current in order for
students to participate in any clinical activity.

A documented shortage of vaccine per the Oregon Department of Health Services (ODHS) will not be cause
to exclude a student from clinical activities; however, clinical facility policy might prevent student
participation until immunization is current.

3
 Copies of up-to-date immunizations must be presented to Cindi Woodard, here on the Harmony Campus at
the specified date & time. Cindi Woodard may be contacted at: 503.594.0691 or [email protected]

Immunization records are required to meet OHA and Oregon Public Health standards. Copies will be kept
in the students’ secure program file and should be kept in the student’s own personal portfolio.
Please make copies of all records for program use. Originals should be kept by the student.

4. Up-to-date Proof of negative TB screen.

Tuberculosis Screen: Screening for Tuberculosis (TB) is required annually within the healthcare field.
Students will accomplish this clinical requirement by this method:
• Quantiferon TB Gold In-Tube test
Students having a “positive” test result must follow O-DHS guidelines with either a chest X-Ray or treatment.
Students will not be allowed to participate in the MA program without healthcare provider documentation of
a negative test results.

We no longer accept the 2-Step TB Skin Test in our health science programs due to the prevalence of false-
positive test results.

Please note: Miscellaneous other forms as required by the Health Science Division, Allied Health Department,
and/or the Medical Assisting Program, for or during the academic year.

The goal of the CCC MA program is to educate students who are well prepared technically, have demonstrated positive work
ethics, professional values, exhibited critical thinking skills and have demonstrated the ability to communicate effectively. These
include but are not limited to:
• Students who meet or exceed entry level competencies
• Students who present in a professional manner is all aspects
• Students who promote a positive attitude
• Students who contribute as team players
• Students who are responsible professionals that function with a high degree of integrity
• Students who achieve lifelong learning
• Students who demonstrate attention to detail
• Students who demonstrate the ability to follow sequential instructions
• Students who have demonstrated the ability to think critically
• Students who demonstrate care and compassion equally to persons of all races, genders, income levels, and
religious preferences.

The objectives of the CCC MA program as a whole are

• To offer a medical assisting program that is regularly assessed and updated in order to maintain accreditation and
technical standards and to meet the needs of students and the communities we serve.
• To teach using traditional and innovative instructional methods, materials, and equipment.
• To provide students with accessible library collections and learning resources.
• To provide students with opportunities to broaden their awareness and understanding of our culturally diverse
society and health care needs.
• To develop and maintain educational partnerships with business, labor, and public sector agencies within the
community.
• To promote a student-centered learning environment where students know that faculty and staff are accessible
and supportive of their individual needs.
• To promote public health & service to our community

By the end of the CCC MA program the student will:

• Demonstrate achievement in entry level competencies as developed by the MAERB/CAAHEP
• Display and promote a positive professional attitude.
• Demonstrate good interpersonal relations and contribute as team players.

4
 • Demonstrate the ability to problem solve and think critically.
• Effectively communicate with colleagues, instructors and the healthcare team.
• Demonstrate and articulate the concepts of professionalism and work ethic, including patient safety.
• Articulate the need for lifelong learning.
• Understand and demonstrate the need /importance for attention to detail and following sequential instructions.
• Understand HIPAA / patient confidentiality with regards to health-care and its greater issues.
• Understand and demonstrate personal and patient safety issues and techniques.
• Demonstrate positive time management skills

TECHNICAL STANDARDS

Certain functional abilities are essential for the delivery of safe, effective medical assisting skills. These
abilities are essential in the sense that they constitute core components of medical assisting best practice;
and, in the knowledge that there is a high probability that negative consequences will result for patients
under the care of medical assistants who fail to demonstrate these abilities. A program preparing students
for the practice of medical assisting must attend to these essential functional abilities in the education and
evaluation of its students. This statement of the Technical Standards of the medical assisting program at
CCC identifies the functional abilities deemed by the MA faculty and community healthcare partners to be
essential to the practice of MA.

Students with disabilities who think they may require accommodation in meeting the Technical Standards of the MA
program should contact the Disability Resource Center at 503-594-3189. Applicants seeking admission into the MA
program who may have questions about the technical standards and appropriate reasonable accommodations
should speak with Disability Resource Center as soon as possible. Reasonable accommodation will be directed
toward providing an equal educational opportunity for students with disabilities while adhering to the standards of
Medical Assisting education for all students.
Standards: The practice of medical assisting requires the following functional abilities with or without reasonable
accommodations:

Visual acuity sufficient to assess patients and their environments.

Examples of relevant activities:
o Detect changes in skin color or condition: infection, rashes, petechiae, moles, and small body landmarks
o Collect data from recording equipment and measurement devices used in patient care or diagnostics
o Accurately read medication labels (including single dose vials/ampules), syringes, medication information
inserts, procedure instructions and equipment specifics
o Draw up the correct quantity of medication/vaccine into a syringe
o Ability to perform procedures involving fine detail: venipuncture or assisting in minor surgery
o Ability to note contamination on medical equipment (not including microscopic)

Hearing ability sufficient to assess patients and their environments.

Examples of relevant activities:
o Detect sounds related to bodily functions with and without a stethoscope
o Detect audible alarms within the frequency and volume ranges generated by mechanical systems that
monitor bodily functions or medical equipment function
o Communicate clearly in person or telephone conversations
o Communicate effectively with patients and with other members of the healthcare team

Olfactory ability sufficient to assess patients.

Examples of relevant activities:
o Detect odors emitted from the body or bodily fluids: breath, wounds, urine

5
 o Detect smoke from burning materials or electrical equipment

Tactile ability sufficient to assess patient.

Examples of relevant activities:
o Detect changes in patient assessments: patient skin temperature, rashes, infection
o Detect unsafe temperature levels in heat-producing devices used in patient care
o Detect anatomical landmarks
o Ability to detect pulse points for vitals sign, and veins for venipuncture

Strength and mobility sufficient to perform patient care activities and emergency procedures.
Examples of relevant activities:
o Safely transfer patients
o Ability to lift 50 lbs.
o Prolonged time moving about on your feet (8 to ≥12hr) with minimal sit time
o Repetitive bending, squatting and twisting

Fine motor skills sufficient to perform psychomotor skills integral to patient care.
Examples of relevant activities:
o Activate safety devices, safely dispose of needles in sharps containers
o Manipulate small equipment, and small surgical instruments: B/P cuff and bulb, specimen containers, and
instruments to administer medications, draw blood, and assist in minor surgical procedures

Physical and mental endurance sufficient to complete assigned periods of clinical practice as in 8-12 hour
shifts.
Examples of relevant activities:
o Ability to multi-task for short and long period of time
o Ability to think critically over short and long periods of time
o Ability to respond to the needs of patient and provider(s) for short and long periods of time

Ability to read, write, speak and comprehend in English at a level that meets the need for acutely accurate,
clear and effective communication without patient safety concerns.

Emotional stability to function effectively under stress both during your education and in your clinical experience;
quickly and accurately prioritizing assignments and duties under a tight/limited time schedule; to adapt to frequently
changing situations; the ability to multitask and to quickly respond while remaining calm in urgent or emergent
situations; and to follow through on multiple course assignments and assigned patient care responsibilities.

Cognitive ability to collect, analyze, prioritize and integrate information and knowledge effectively and accurately; to
make safe, sound clinical judgments and care management decisions that promote positive patient outcome.

Current prescribed medications that can be safely taken while administering medical assisting care without
compromising or limiting the care and safety of the student, peers or patients.

Skin: Students with exudative lesions or weeping dermatitis would be excluded from direct patient care and from
handling patient-care equipment and devices used in performing normal and invasive procedures until the condition
resolves.

6
 CAREERS in Medical Assisting
The rapidly growing health care industry offers medical assistants excellent career opportunities in the
ambulatory care setting, the insurance industry, outpatient clinics and surgical centers, including specialty and
immediate care facilities, and a variety of other settings.
Employment of medical assistants is projected to grow 29 percent from 2016 to 2026, much faster than the average
for all occupations. The growth of the aging baby-boom population will continue to increase demand for preventive
medical services, which are often provided by physicians. https://www.bls.gov/ooh/healthcare/medical-assistants.htm
April 2018 Please note the average entry level pay for MA’s in the Portland area is approx $20/hr with full benefits
after probationary period. This differs from the information on the BOLI web site listed above.

CLACKAMAS COMMUNITY COLLEGE ADVISORY COMMITTEE

The CCC Medical Assistant Advisory Committee membership consists of CAAHEP required Communities of
Interest: Medical advisor, current students, grads, community partners, healthcare consumer, CCC representatives
from other college departments and CCC college services, medical assistant faculty, and representatives from CCC
administration. The purpose of the committee is to advise the MA program on current healthcare trends, to update
the healthcare needs of the community we serve, and to maintain active communication with the healthcare
community.

MEDICAL ASSISTANT PROGRAM CERTIFICATE of COMPLETION

2019-2019 Course Requirements
Prerequisites_________________________________________________________________________
o MA110 Medical Terminology……………………………………..…………………………………........3
o WR-121 English Composition..…………………………………..……………………………………….4
Fall Term_____________________________________________________________________________
BIO120 Intro to Human Anatomy & Physiology …………….………………………………………………….….4
• Or BIO101 & BIO-102 General Biology …………. 4/4
• Or BIO231/232/233 …………………………….…4/4/4
MA-112 Medical Office Practice......................................................................................................................4
MA-145 Understanding Insurance & Health Information Mgt..........................................................................4
PSY-101 Human Relations.....(may be taken prior to application)..................................................................3

Winter Term__16 credits________________________________________________________________

MA-116 Introduction to Medications...............................................................................................................4
MA-117 Clinical Laboratory Procedures I.......................................................................................................1
MA117LAB ……………………………………………………………………………………………………..…1
MA-118 Examination Room Techniques........................................................................................................4
MA118LAB ……………………………………………………………………………………………………… .1
MTH-054 Math for Healthcare Professionals................................................................................................ 4

Spring Term__________________________________________________________________________
(Weeks 1-5)
PSY-215 Introduction to Developmental Psychology............(may be taken prior to application)...................4
MA-115 Phlebotomy.......................................................................................................................................1
MA115LAB …………………………………………………………………………………………………….….1
MA-121 Clinical Laboratory Procedures II......................................................................................................1
MA121LAB ………………………………………………………………………………………………………..1
(Weeks 6-11)
MA119 Medical Assistant Practicum ……………………….……………………………………………..………9

Minimum credits required for certificate...........................................................................................54

7
 MEDICAL ASSISTANT CORE CURRICULUM
Core Curriculum* courses are restricted to MA students.
All core curriculum courses are available by “Instructors Consent Only”
Core curriculum* courses may not be challenged.

Core Curriculum Prerequisite - MA 110 Medical Terminology

3 class hours/week, 3 credits
This course creates an understanding and using the terminology of paramedical and nursing personnel. Included in
the curriculum: pronunciation, spelling, and meaning of words commonly used in health care professions. This
course must be taken prior to admission to the program. Please note: The general education requirement course
WR-121 is also required.

FALL TERM: Prerequisites: MA-110, WR-121

Co-requisites: BI-120 (or BI-101/102), MA-145, MA-112, PSY101
• BI120 Introduction to Human Anatomy and Physiology*
6 Class hours/week, 4 credits
This laboratory course is designed to serve the students in the Medical Assistant and Clinical Laboratory Assistant
certificate programs as part of their core curriculum. Material covered includes the structure and function of the
human body. Basic chemistry and cell structures are covered, as well as the organization of tissues, organs, and
organ systems. Correlations can then be made between this material and disease states commonly encountered in
the practice of these fields. Substitution: BI-101/102 or BI-231-232-233
• MA-112 Medical Office Practice*
4 class hours/week, 4 credits
Fundamental knowledge pertaining to the medical office setting and function. Also examines medical law and ethics;
includes familiarity with Oregon Medical Practice Act, legal relationships of physician and patient, and professional
liabilities and coordinated care.
• MA-145 Medical Coding & Health Information Management*
4 class hours/week, 4 credits
Introduction to medical office billing, insurance claim processing and HIPAA regulations.

WINTER TERM: Prerequisite: Successful completion of all previous requirements.

Co-requisite: MTH-054, MA116, MA117, MA117L, MA118, MA118L
• MA-116, Introduction to Medications*
4 class hours/week, 4 credits
Medications commonly administered in the ambulatory care setting. Legal aspects of medication administration,
along with demonstrating knowledge of the indications, adverse effects/side effects, dose range and
contraindications for each medication administered; as well as nutrition and specialty diets.
• MA-117 Clinical Lab Procedures I*
1 class hours/week, 1 credit
Introduces common laboratory procedures and terminology used in the ambulatory care setting.
• MA-117 LAB Clinical Lab Procedures I*
3 lab hour/week, 1 credits
Practice common laboratory procedures and terminology used in the ambulatory care setting.
• MA-118 Examination Room Techniques*
4 class hours/week, 4 credits
Introduction to physician office procedures including medical asepsis, vital signs, basic wound care, physical exams,
special exams and procedures, documentation, plus other clinical and general skills. Cohort will be divided into two
separately scheduled groups for lab skills
• MA-118 LAB Examination Room Techniques*
3 lab hours/week, 1 credit
Practice physician office procedures including medical asepsis, vital signs, basic wound care, physical exams,

8
special exams and procedures, documentation, plus other clinical and general skills. Cohort will be divided into two
separately scheduled groups for lab skills.
• MTH-54 Medication Calculation for Medical Assistants*
Hybrid 2 class hours/week, 4 credits
Topics include problem solving, ratios and proportions, percent’s, accuracy and precision of metric, apothecary and
household systems of measurements and calculating medication doses.

SPRING TERM:
Weeks 1-5: Prerequisite: Successful completion of all previous requirements.
Co-requisites: MA115, MA115L, MA121, MA121L, PSY215.
Must pass MA115, MA115L, MA121, MA121L, to proceed into Externship.
MA-115 Phlebotomy* (condensed format)
2 class hours/ week, 1 credit
Course develops basic understanding and application of blood specimen collection and handling techniques used in
a general medical office and hospital laboratory.
• MA-115 LAB Phlebotomy* (condensed format)
6lab hours/ week, 1 credit
Practice blood specimen collection and handling techniques used in a general medical office and hospital laboratory.
• MA-121 Clinical Lab Procedures II* (condensed format)
2 class hours/week, 1 credit
Continuation of common laboratory procedures (MA117) used in the ambulatory care setting.
• MA-121 LAB Clinical Lab Procedures II* (condensed format)
6 lab hours/week, 1 credit
Continuation of common laboratory procedures (MA117L) used in the ambulatory care setting.

Weeks 6-11: Medical Assistant Practicum

This course is restricted to Medical Assisting students that have successfully completed and passed all previous
requirements. Students must repeat and pass a second criminal history background check and urine drug screen
prior to clinical placement.
• MA-119 Medical Assistant Practicum* (see additional requirements below)
22 seminar hours, 200 lab hours/week, 9 credits
Lab consists of a total of 200 hours minimum: 40 hours of administrative competencies, 160 hours of clinical
competencies, without exception. This division of hours is standardized and may not be changed. Externship is a
supervised, unpaid assignment in the ambulatory care setting to gain practical administrative and clinical back office
experience.
*Additional MA119 requirements:
1. 20 hours of community service with a public health focus;
2. Pass professionalism assessment;
3. Weekly journals (10);
4. Submit registration for CMA (AAMA) national certification exam (Due: April 2019);
5. Submit additional competencies as requested on syllabus.

Course evaluations
Medical Assistant courses grant letter grades. Note: many courses have separate competency requirements for the cognitive,
psychomotor and affective learning domains. All required competencies must be passed at or above the minimum standard as
declared on the individual competency. Example:
• Cognitive - the knowledge or intellectual component ≥75% minimum*
• Psychomotor - the physical actions to complete a skill ≥85%
• Affective - the behaviors or ‘soft skills’ in dealing with a patient and the task ≥85%> Professionalism
falls primarily under this learning domain.

9
 o Per CAAHEP/MAERB requirements: 100% of the psychomotour and affective competencies must
be passed successfully in order to pass core curriculum and move forward within the program.

Grading scale will be as follows throughout the medical assistant core curriculum:
• 92 - 100% = A
• 84 - 91% = B
• 75 - 83% = C
• 66 - 74% = D
• 66% and below = F

Please Note:
• Successful completion of the Medical Assistant Program does not guarantee the student will pass the
CMA or RMA exam or secure employment by a desired employer.
• Cognitive scores must remain at 75% or higher
• Psychomotor and Affective (behavior based) scores must remain at 85% or higher, depending on the
specifics of the competency.
• If a student’s average score drops below the required competency level, the student will be placed on a
learning contract. This contract assures the student and program faculty that active, consistent
communication is taking place concerning the students learning and performance needs and
requirements.

PRACTICUM EXPERIENCE FOR MEDICAL ASSISTANT

We are pleased to provide you with a variety of learning activities based in a professional health care
setting, which will give you a basic understanding of the services provided in the ambulatory care setting. To
accomplish this, a specific schedule has been developed for you that will allow administrative and clinical
experiences. Selected staff members will serve as mentors to assist you. Mentors (those knowledgeable in medical
assisting skills) will be available to explain procedures and policies and to give constructive feedback about your
performance. The Practicum Coordinator will make regular visits to the clinical sites. A written evaluation will be
completed at the end of the program using the program performance standards.
• Student must be able to provide him/herself reliable transportation to and from clinical site, within
the requested work hours. The MA program cannot guarantee clinical placement located on a
convenient public transit line. Transportation to and from the clinical site is the student’s
responsibility, as is the expectation that the student will arrive and depart as scheduled by the
clinical site.
• Each student will receive one, and only one, clinical placement.

MA 119 – Medical Assisting Externship (200-220 consecutive hours)

Spring term/ Weeks 6-11 - Students will be assigned to a clinical setting under supervision to gain administrative and
clinical experience.
• 200 hours over the 5.5week period (40hr administrative / 160 hours clinical)
o Shifts vary in length per facility, but average 10-12hr
o Work days are generally, Monday through Saturday. Sunday / holidays by program directors
permission only.
• Up to 20 hours of orientation and Electronic Medical Record training as provided by the healthcare system.
The average time is 8-12hrs. The hours included in orientation and EMR training is in addition to the 200
hours of administrative and clinical experience; and often occurs prior to week6 of Spring Term.
• The externship is non-remunerated. Student may not be employed by practicum site until externship has
been completed and the student has graduated the program.
• 22 hours of seminar and externship reports

10
 • 20 hours of public health focused community service, documentation and report. Community service hours
are best completed prior to externship.
• Successful completion of CAAHEP required competencies (achieving ≥85%) per CAAHEP Externship
Evaluation of Student and course Time Sheet
• Professionalism assessment (achieving ≥85%)
• Weekly journal submissions (10)
• Submit additionally required competencies related to externship
• Provide proof of application to CMA (AAMA) certification exam (contact info on pg. 1)

For the clinical rotation, the student will take with him/her a list of CAAHEP Medical Assistant competencies
evaluation form and time sheet to be completed by the clinical evaluator. Certain paperwork must be completed prior
to beginning clinical placement.

At the end of the clinical rotation, the student must return the CAAHEP evaluation form and the signed timesheet
documentation to the course instructor prior to the course completion date.

Supervision
During each clinical rotation, the mentor assigned to the student will provide supervision. The externship coordinator
will periodically make rounds at the clinical facility.
Students may administer medications only when directly supervised by a mentor. In addition, Medical Assistant
externs are responsible for knowing the indications, effects/side effects, dose range and contraindications for each
medication administered.
A student extern is not expected asked to perform a skill unknown to him/her within the practicum setting until
sufficient training has occurred and has been approved by the licensed healthcare provider at the site and the MA
Program Director & Practicum Coordinator, Karen Maynard.

Evaluation
Throughout clinical training experience, all students will be evaluated both formally and informally by the instructor
and by the clinical mentor(s). Areas of deficiencies will be brought to the student's attention as soon as they are
identified. In the event of any problem related to externship performance, the mentor shall notify the externship
coordinator immediately. The Program Director / Practicum Coordinator acts as the liaison between the student and
the practicum site when problems occur. CAAHEP Externship Evaluation of Student and Time sheet accurately
documenting time worked (not including lunch/dinner) must be submitted as a requirement for MA119 course
completion.

• No student will be placed in a practicum site unless all competencies and requirements of the program have
been met to the instructor’s satisfaction; as well, the student must have demonstrated continuous, exemplary
professionalism throughout previous courses and when representing the medical assistant program or
Clackamas Community College.

• No student will be assigned/released to a practicum site unless all the required documents, including
vaccinations & titers, are officially documented and contained within the students personal program file, thus
meeting OHA requirements.

• All students must pass their criminal history background check and drug/alcohol screen to be admitted to the
program and to be placed in the externship setting thus meeting OHA requirements.

• Students will be provided one, and only one, practicum site. Period.

• Students that are not successful in the externship experience will be exited from the program.

• Display of unprofessional behaviors, violation of patient confidentiality and / or compromising the safety of

11
 the patient, the student his/her-self or others, are some, but not all, potential causes for immediate dismissal
from the externship site and the MA program.

PROFESSIONALISM
Professionalism is a large component of a medical assistant’s career. Aspects of professionalism are listed
below, but not limited to these aspects alone. Please keep in mind that the healthcare field is one in which
we are in service to others.
Being a health science student [and future healthcare professional] requires maturity; being aware of ones’
self and respecting ones’ surroundings and those in it; demonstrating initiative by thinking and acting
responsibly and proactively; developing appropriate social relationships with peers & professional
relationships with those in authority (IE: instructors, preceptors) and eventually with our patients; and
adherence to the compliance based and value based ethical codes of being a student, a peer and a future
healthcare worker.
Professionalism is to be displayed within the classroom and at all times when representing the CCC MA
program either on or off campus, including the practicum/externship experience.
Professionalism: Includes but is not limited to:
 Appropriate behavior: Responsible, mature actions and communications both in and out of the classroom
when representing CCC and/or the MA program. This includes, respecting the individual’s protected health
information, their personal perspective, beliefs, values and the cultures of others.
 Attire: Clean, neat, pressed, free of tatters, odors and appropriate to the program and/or the setting. Hair of
natural colour, is to be pulled/pinned away from the face. Make up is to be modest. Facial hair is to be
trimmed short. (Jewelry, tattoos, etc … as addressed in this Handbook)
 Attitude: Demonstrate polite, courteous, honest and respect to instructors, peers, patients and clinic staff
at all times.
 Attendance: Timely, dependable, consistent, notifies appropriate personal when anticipating late arrival or
an absence.
 Communication: Is to be respectful, thoughtful, timely, thorough and honest
 Participation: Assignments remitted in a timely manner, contribution / involvement in classroom discussion
and projects, demonstrating initiative in the clinical setting.
 Critical thinking and problem solving skills: Utilize knowledge attained from proper source[s] and
implement the appropriate processing skills and insight to the situation or decision making process.

Repeated failure to present oneself in a professional manner will result in the student being placed on a ‘student
learning contract’; should unprofessional behavior continue, dismissal from the MA program may occur.
The professionalism standards displayed by the extern will be evaluated confidentially by clinical site. Overall
professional assessment by the clinic team must meet or exceed 85%.

ISSUES OF PROFESSIONAL INTEGRITY

Students are expected to demonstrate a high level of integrity and conduct themselves professionally at all
times, both on and off campus when representing the MA program. This includes all program related activities such
as externship, community service projects or field trips. Behaviors that call into question a student’s professional
integrity are neither appropriate nor allowed for students that wish to remain enrolled in the medical assistant
program.

Guidelines for Acceptable Student Conduct

A student enrolling at CCC assumes a responsibility to conduct him/herself in a manner compatible with the
college’s function as an educational institution. Although Clackamas Community College is dedicated to an open,
free society, there are some actions incompatible with an institution of higher education. Violations of the student
conduct policy (see Section B Grounds for Disciplinary Action in the 2018 CCC Student Handbook) which disrupt the
educational environment, 1.) Could result in immediate removal from class and/or activity, or 2.) Could result in a
Summary Suspension (see Article VI) from campus.

12
 Please consult the class syllabus for classroom expectations.
• Grounds for Disciplinary Action shall include, but not be limited to, the following:

1. Dishonesty, including but not limited to cheating, plagiarism, or knowingly furnishing false
information to the college.

2. Forgery, alteration or misuse of college documents or identification.

3. Obstruction or disruption of teaching, instructional or instructional research, administration of the

college, disciplinary procedures or other college activities including, but not limited to, meetings of
the Board of Education, community service functions, or authorized activities on college premises.

4. Physical abuse of any person on college-owned or controlled property or a college sponsored

functions, or conduct which threatens or endangers the health or safety of any such person.

5. Theft of, vandalism or damage to, property of the college or of a member of the college community
or of a visitor to the campus.

6. Unauthorized entry or occupancy of college facilities; blocking access to or egress from such
areas.

7. Unauthorized use of college supplies, equipment and funds.

8. Violation of college policies or of campus regulations including, but not limited to,
campus regulations concerning student organizations, the use of college facilities,
use of tobacco products in buildings, use of student records, or the time, place and
manner of public expression.

9. Illegal use, possession or distribution of drugs on college-owned or controlled property or at college

sponsored or supervised functions where the student is a representative of the college.

10. Use, possession or distribution of alcoholic beverages on college-owned or controlled property or

at a college sponsored or supervised functions or at any function where the student is a
representative of the college.

11. Driving of college vehicles with any percentage of alcohol in the blood or while impaired.

12. Disorderly conduct; lewd, indecent, or obscene conduct or expression; breach of peace; aiding,
abetting or recruiting another to breach the peace on college owned or controlled property or at
college sponsored or supervised functions.

13. Failure to comply with directions of college officials acting in the performance of their
duties.

14. Possession or use of firearms, explosives, dangerous chemicals, substances or instruments or

other weapons which can be used to inflict bodily harm on any individual or damage upon a
building or grounds of the college-owned property or at a college-sponsored or supervised sanction
without written authorization.

15. Hazing, whether it is physical or verbal interferes with the personal liberty of a fellow student,

13
 faculty member, or employee.

16. Failure to conduct oneself in a safe manner in all college programs where there is ability for an
individual to cause harm to self or others. This may include but is not limited to unsafe handling of
equipment or materials.

17. Harassment of any faculty, staff or student, including specifically racial, sexual, or disability related
harassment

Cheating:
Cheating in any form, on tests, quizzes or any assignment will not be tolerated. If an instructor has reason to believe
that a student has cheated, the incident will be reported to the Program Director of the Medical Assistant Program.
After a review of the report, the Program Director along with the Health Science Director, will then determine if further
disciplinary action will occur. Final action may result in the student being terminated from the program. Cheating is
discussed in the CCC 2018-2019 Student Handbook.

Plagiarism: Plagiarism is a form of cheating and, will not be tolerated. Should faculty have a reason to believe that
a student has plagiarized / cheated, the same actions described in “cheating” will also be followed.
Definition: To "plagiarize" means:
1. To steal and pass off (the ideas or words of another) as one's own
2. To use (another's production) without crediting the source
3. To commit literary theft
4. To present as new and original an idea or product derived from an existing source
In other words, plagiarism is an act of fraud. It involves both stealing someone else's work and lying about it afterward
(http://www.plagiarism.org/plagiarism-101/what-is-plagiarism :2015)

Harassment, Disruptive, Unprofessional Behavior

Harassment of Medical Assistant Program Faculty, Medical Assistant Students or Other CCC Faculty, Staff or
Enrolled Students, Clinical Agency Staff, or Patients: Any form of harassment is unacceptable for a student in the
medical assistant program. It is not only intimidating to those whom the behavior is directed, but creates tension, fear
and disruption among those exposed to the behavior(s). In the event of documented harassment behavior, the
student may be immediately suspended from all medical assistant program courses leading ultimately to termination
from the MA program.
Sexual Harassment
Sexual harassment is the introduction of unwelcome sexual activities or comments into the learning
situation. Often sexual harassment involves relationships of unequal power and contains elements of coercion as
when compliance with requests for sexual favors becomes a criterion for granting benefits. However, sexual
harassment may also involve relationships among equals, as when repeated sexual advances or demeaning verbal
behavior has harmful effects on a person’s ability to study (CCC 2017-2018 Student Handbook).

For general policy purposes, sexual harassment may be described as sexual advances, requests for sexual favors
and other physical conduct and expressive sexual behaviors where:

1. Submission to such conduct is made either explicitly or implicitly a term or condition of an individual’s
education; or
2. Submission to rejection of such conduct by an individual is used as the basis for academic decisions
affecting that individual; or
3. Such conduct has the purpose or effect of interfering with an individual’s academic performance or creating
an intimidating, hostile, or demeaning educational environment (CCC 2017-2018 Student Handbook).

14
Sexual Harassment/Assault Report Procedure
All complaints of sexual or other harassment will be investigated. Once the college has a notice or complaint
of sexual harassment, the college has a legal duty to investigate such a complaint. When a student reports an
alleged incident of sexual or other harassment to a staff person, the student will immediately be referred to the Dean
of Student Services, who will investigate the incident (CCC 2018-2019 Student Handbook).

Disruptive behavior
• Tardiness is considered to be disruptive to the learning environment, as well as being disrespectful
to peers and the instructor, thus displaying unprofessional behavior. Arriving 5min or more late will
result in receiving and absence for that class.
• Any behavior that is unprofessional or disruptive to the learning environment will not be tolerated.
The student will be asked to leave the class and the student will forfeit grade points earned that
day. Depending on the severity of the offense, the student may be exited from the MA program.
• Repeated incidence of unprofessional and/or disruptive behavior may result in dismissal from the
course, thus an inability to complete the MA program as the student may be exited from the
program.

ATTENDANCE
Class attendance is essential to satisfactory achievement of course outcomes. Attendance is expected, tardiness is
unacceptable, and students must be present for the entire class period. Class attendance is critical to student
learning in theory courses, additionally, some lab classes cannot be made up. Absence not only diminishes the
quality of group discussion and learning scenarios, but potentially impacts the entire group’s participation grade as
well. Thus student learning is dependent upon consistent participation in all phases of the program by each and
every student.

Attendance to core curriculum classes IS required.

• More than two (2) absences within a core curriculum course will drop the letter grade by one; ie: a B
would become a C. Continued absences may result in dismissal from the MA Program.
o Exception: MA119: MA Practicum, in which one absence or one student initiated schedule
change is the maximum. If the student is going to miss time (tardy or absence) at their
assigned clinical site, they must contact their Program Director/Practicum Coordinator first,
followed by the designated clinical/externship site supervisor. Limits to tardiness and
absences are clearly defined in course syllabi and by industry standards within the clinical site.
• It is the student’s responsibility to contact the course instructor prior to the beginning of a class to inform
him/her of being tardy or absent. Contact information is present on all CCC course syllabi. The student
is held responsible for material covered during class, even when absent. Homework is due immediately
upon return.
• Attendance is required at the specified date/time for midterms and finals. See course syllabi.

Alcohol and Substance Abuse Policy

In compliance with the Drug-Free Workplace Act of 1988 (Public Law 100-690, Title V, Subtitle D) and the
Drug-Free Schools and Communities Act Amendment of 1989 (Public Law 101-226), it shall be the policy of
Clackamas Community College to maintain a drug-free campus for all employees and students. It is the responsibility
of the College to notify students and staff of College policy. In accordance with this intent, the following policy is in
effect:
Clackamas Community College is a Drug-Free Campus. The unlawful possession, use or distribution of
illicit drugs, alcohol and marijuana is prohibited on the College campus, in all College facilities, or as part of
any College-sponsored activity. Violators of this policy will be prosecuted to the full extent of State and
Federal law and, in addition, there are specific consequences for employees and for students which are
stated in the College Drug and Alcohol Policy.

15
 The Alcohol and Substance Abuse Policy is applicable to all enrolled CCC medical assistant students. The
policy reflects the serious nature of the clinical activities and the professional/ethical responsibility to protect clients in
the clinical setting.

Under the Alcohol and Substance Abuse Policy, a MA student may be required to submit to additional
substance abuse testing. The student will be suspended from further MA program participation for any violation or
suspected violation of the policy. Readmission to the CCC MA program should not be an expectation.

Marijuana
Marijuana will become legal for individuals 21 or older beginning July 1, 2015. Marijuana is prohibited on campus and
will be considered a violation of the student conduct code. CCC will treat all students under the influence of marijuana
just as we would students under the influence of alcohol. Complete information including federal and state laws, where you
can find assistance, health risks associated with the use of illicit drugs and the abuse of alcohol and / or marijuana and warning
signals is available at the Counseling Department and Student Activities Office.

Classroom Etiquette:
 Students should be prepared to remain in class until a scheduled break and/or class is dismissed. Urgent
circumstances are the exception; generally, students should tend to washroom needs before and after
class, or during scheduled breaks.

 Students will not be allowed to leave class to purchase a snack or lunch. Food and drink may be allowed in
the lecture classroom, but neither is allowed in the labs rooms. Space is provided outside lab doors to store
items. Please label your containers.

 Group discussions are by their nature intense, and the noise level in the classroom heightens with group
problem solving. However, when instructors, guest speakers or fellow students are presenting content,
students are to display respectful attentive behaviors. Disruptive and/or rude activities or behaviors are
unprofessional and will not be tolerated in the learning environment. Repeated incidents of any disruptive or
discourteous behavior may lead to termination from the MA program.

 Children are not allowed in the classroom, period. Safety concerns, content presented or discussed during
class is often inappropriate for children; as well as, children can be distracting and disruptive to the overall
learning environment.

 Cell phones and all electronic devices will be “off” and out of sight during all class sessions and clinical
experiences. Violations and violators will be dealt with accordingly by the course instructor.

Any disruption of the class and/or the learning environment will not be tolerated. If such behavior continues
after a student has been warned, he/she may be dismissed from the MA program, period.

Falsification of Records:
Falsification of any records, or false reporting, will not be tolerated. Students determined by faculty to have falsified
either their own records (IE: history & physical, criminal record history, etc.) or any form of patient related records will
be terminated from the program.

Violations of Patient Confidentiality:

http://www.hhs.gov/ocr/privacy/hipaa/understanding/summary/index.html
HIPAA Overview: “The first-ever federal privacy standards to protect patients' medical records and other health
information provided to health plans, doctors, hospitals and other health care providers took effect on April 14, 2003.
Developed by the Department of Health and Human Services (HHS), these new standards provide patients with

16
 access to their medical records and more control over how their personal health information is used and disclosed.
They represent a uniform, federal floor of privacy protections for consumers across the country. State laws providing
additional protections to consumers are not affected by this new rule.” (http://www.hhs.gov/news/facts/privacy.html,
2003).

Patient confidentiality is a professional, ethical, moral and legal responsibility. Patient confidentiality is an expectation
for all healthcare workers and students. Examples of violations include but are not limited to, removal of any patient
records that have possible identifiers, photos taken of patients or those that potentially include patient documents,
sharing information about a patient on social media, and any patient related discussion that may be overheard by
those without the need to know that occurs in any location other than the immediate patient-care or
classroom/learning environment. Students determined by program faculty and/or clinical site to have violated patient
confidentiality will be terminated from the MA program without exception.

Understanding and signing the Confidentiality Form contained in the Handbook is required prior to beginning the
clinical experience. The practicum site may require you to sign a facility specific confidentiality form also. Copies will
be kept in your personal file on campus and at the clinical site.

PERSONAL HEALTH & PROGRAM SAFETY

PHYSICAL & MENTAL REQUIREMENTS

The requirements on admission hold true throughout the entirety of the medical assistant program. Students must
have the physical, intellectual and emotional abilities to provide safe patient care; visual acuity, hearing, speech,
manual dexterity (fine & gross motour skills), physical strength (ability to lift & move a minimum of 50 lbs) plus
physical and mental stamina and endurance (ability to be mobile for 8-12 continuous hours with continued clarity of
mind) must be maintained. Refer to the Technical Standards.

Students are to notify their lead instructor and Program Director/Practicum Coordinator of any condition or change in
preexisting condition that interferes with the “physical, intellectual and emotional abilities to provide safe medical
assisting care”. Instructor(s) and /or the program director are the final authority for determining a student’s ability to
provide safe classroom participation or medical assisting care and therefore remain in the medical assistant program.

Please note: under certain circumstances, a physicians’ permission/release will be requested in order for a student
to take part in certain classroom activities (pregnancy, prescribed immunosuppressant drugs, for example)

STUDENT ATTIRE AND ID

Uniform & Dress Code
Students are required to wear the CCC medical assistant program uniform and lab jacket, including identification
nametags and picture identification, to all clinical activities, as well as MA program courses; NO EXCEPTIONS. On
campus, the classroom instructor will have the final say as to appropriate, professional and safe attire. In externship
Student Medical Assistant will adhere to the dress code below, wearing the program uniform with student name tag,
continuously identifying oneself as a “student medical assistant”.

CCC Student Identification name-tags are worn on the outermost layer of uniform attire, e.g., scrub top and
lab jacket, clearly visible/readable on the upper left torso. Medical assistant program emblem patch,
purchased at the bookstore, must be worn on the left sleeve of both the lab jacket and uniform shirt (sewn 2"
below the shoulder seam).
1. Shoe style is not standardized, but must be black leather athletic or black ‘nursing’ style
shoes with non-slip, non-marking soles. Must meet OSHA criteria.
• No crocs, dress shoes, canvas or mesh athletic shoes; purchase leather shoes with
nonskid/non-marking soles.

17
 • Stockings are to match shoe color (black) and cover the ankle (no athletic sox).
• Shoes are to be kept clean.
2. A ¾ length solid black or white tee shirt may be worn under the uniform shirt if desired. No
other shirt styles or colors are permissible.
• No shirts with prints, visible logos, collars or hoodies
• Skin, shirts, tee shirts or camisoles should not be visible under scrub top
3. Scrub pants must be hemmed to proper length.
• Scrub pants should not be worn over jeans or sweat pants, etc …. Doing so
compromises the professional look of the attire.
• Be size wise! Scrub pants should cover all they are intended to!
4. Permitted jewelry includes watch (with second hand - required), engagement & wedding
rings, and no more than 2 discreet (pierced) post style ear lobe rings per ear.
• Brow bars, ear/neck bars, nose piercings, lip rings or bars, bling, dangling-styled or
hoop earrings, etc … all are a safety concern and thus are not permitted.
• Necklaces and bracelets are not to be worn while in uniform
5. ‘ Clinic hair’ is hair that is pulled up / pinned away from the face, off the shoulders and does
not have the ability to fall forward when bending, stooping or twisting.
• Pony-tails should not be resting on the students back, but pulled up neatly in a
knot. Long hair is pretty but impractical in the medical setting.
• Hair is to be kept neat and clean and of natural colour
6. All visible tattoos and body piercings will be covered while in uniform or representing the
CCC MA Program.
7. Smoking while in uniform is prohibited for the health and safety of peers, staff and patients
that may be sensitive to cigarette smoke.
• Harmony is a smoke free campus - Parking lot included.

A soiled, wrinkled and/or torn uniform will not be tolerated on campus or in the clinical setting as it is considered
offensive and fails to demonstrate professionalism. Improper attire may result in being sent home for the day. An
inability to comply may result in dismissal from the program.
WITHOUT EXCEPTION - Students will present themselves in appropriate professional attire during their
medical assisting academic terms. In such attire, representation of the Clackamas Community College
Medical Assistant program must be demonstrated in a positive, professional manner whether on or off
campus, or in the clinical facility.
Noncompliant students risk being sent home and receiving a zero for the day.

Professional Appearance: you are entering a career in which you provide a service to the public.
Students are expected to present with a professional appearance and demeanor in all program related activities on
the college campus, in the clinical settings and whenever representing the college.
You are entering a helping profession, one of service to others, not a profession of individualization.
 Uniforms are to be clean and pressed; black leather shoes are to be polished/clean.
 Hair is to be clean, worn short or pulled back in a professional style so that it may be contained completely
off the neck and shoulders assuring that it does not fall forward. Long bangs must be pinned away from the
face while in uniform.
 Hair color should be within the natural color range (blonde, natural red, brown, black, gray).
 Sideburns, mustaches and/or beards are to be clean, short and neat.
 Fingernails are to be trimmed short and kept clean. Colored nail polish and artificial nails are prohibited.
 Make-up is to be natural looking. This means excessive eye liner, fake eyelashes, non-neutral eye
shadows, excessive blush and lipstick, rhinestones and glitter are not considered natural looking. ‘Club’
style make-up, night wear make-up, or bling make-up is not professional.

18
  Fragrances and body odors are prohibited on campus and in clinical practicum, because of offensiveness
and/or because they are medically dangerous to others. Fragrance Free is the healthcare standard. Some
examples include:
 Sprays: hair and body mist
 Lotions, make-up and/or powders
 Perfume, colognes and aftershave
 Poor hygiene resulting in body/perspiration odors
 Unkempt clothes and uniform
 Halitosis (ie: poor dental hygiene, coffee/tea/garlic/onion/curry or other food odors, tobacco odors)
The following are considered unprofessional and are not allowed during a medical assisting classroom or externship
activity:
 Jeans, sweatshirts, sweat pants, shorts, t-shirts and caps with inappropriate or unprofessional
graphics.
 Hoodies, sweats or jeans under or on top of scrub uniforms. (Layer with black/white tee and
lab jacket for warmth and professional look)
 Revealing styles and fabrics: Exposed midriffs, cleavage, undergarments or high slit skirts
 Adornment: Visible body piercing, except as noted for earrings. Necklaces, bangle brackets,
broaches and rings other than wedding/engagement.
 Visible tattoos or body piercings
 Gum chewing
 Smoking or use of any tobacco products
 Alcohol use less than 12 hours before class or clinical shift

NOTE: Students not meeting the Uniform/Dress Code and Personal Appearance standards will be directed to
leave the setting until properly attired. Repeated offences will be deemed noncompliance with professional
standards and may result in dismissal from the MA program.

SELF CARE
Students are expected to take care of themselves in such a way that good choices and a healthy lifestyle become
regular activities of daily living, and a positive model to our patients. The stressors of studying, family, varying class
or externship schedules, plus the requirements surrounding course-work and clinical activities can lead to sleep
deprivation and fatigue. This can take a toll on your physical, mental and emotional health; therefore interfering with
your ability to learn. As such, inadequate self-care becomes both an academic and personal issue.
Good and adequate nutrition, time management, prioritization and organizational skills are of great importance to
your success. Once you get behind in your studies, it becomes even more difficult to ‘catch up’. Please note that
CCC provides free of charge counseling services here on Harmony Campus. Counselors are available to assist you
in this time of transition.
ACADEMIC AFFAIRS
Instructor as Final Authority on Academic Decisions:
Instructors retain final, non-negotiable decision making authority for any matter that relates ultimately to academics,
competencies, safety and professionalism. Students unable to meet core curriculum course requirements for any
reason, will be terminated from the program.

Syllabus – Your Guide to Requirements:

The syllabus for each course guides the learning and identifies course requirements. Daily class topics are located in
the syllabus, as are testing dates, evaluation criteria, and specifics regarding classroom participation and written
requirements. If you need further clarification, please contact the instructor. Contact information is provided.

ACADEMIC STANDING
Students need to be aware of their academic standing at all times. Students are encouraged to meet with their
instructors regularly to discern current academic standing in each of their courses. The majority of the program

19
instructors use Moodle; in which the student has access to current academic standings, 24/7.
Students having concerns about an earned grade or academic standing within the MA program should meet with the
appropriate instructor first to seek resolution. If satisfactory resolution does not occur, the student may meet with the
Program Director, and then the Health Sciences Director, who will ultimately facilitate resolution of the matter with the
instructor and student.

Student Learning Contract

A Student Learning Contract may be used to enable an instructor to bring deficiencies to the student’s
attention and enable the student to work on specified weaknesses that will prevent the student from moving forward if
left unaddressed. It must be signed by both parties and the student must adhere to the agreed contract in order to
continue with the MA program.

Dismissal from the Medical Assistant Program:

Dismissal from the CCC MA program is based on issues of professional / academic integrity or the students
inability to meet course and/or MA program requirements (including professionalism). Please note: Anything that
interferes with a student’s ability to deliver safe and effective care for patients or peers, or puts his/her-self in
jeopardy, will be grounds for dismissal from the MA program. Some, but not all, of the reasons for immediate
dismissal are listed below. Refer again to the grading standard.

Clinical Agency’s Refusal of Student for Externship Practicum.

A clinical agency’s refusal of a student for clinical practicum participation or refusal to allow a student to
return to the clinical site to complete practicum requirements will lead to the student’s immediate suspension from all
clinical activities and ultimate dismissal from the program. A student denied or dismissed from participation in a
clinical agency may not be placed in an alternate clinical setting. Examples of potential reasons for dismissal from
clinical site may include, but are not limited to:
Student does not meet Oregon Health Authority (OHA) requirements
Occupational Safety & Health Administration requirements
Violation of Patient Confidentiality- HIPAA Regulations

It is mandatory for healthcare professionals and students to maintain a patient’s individually identifiable
health information, PHI. Compromising PHI is prosecutable by law. In as such, violation of patient confidentiality
issues is grounds for immediate dismissal from the MA program and/or the clinical practicum.
Confidentiality compromised by social media:
 Students and healthcare workers must display professional, ethical behavior at all
times. Unauthorized disclosure of patient information on social media is not only a
HIPAA violation; it is a violation of TRUST between the patient and the healthcare
provider. Students performing practicums/internships for program completion
must demonstrate the high professional standards expected of healthcare workers
by protecting patient privacy and report incidences of privacy breaches found on
social media to their supervisor or clinical coordinator to determine the appropriate
course of action. (AMT EVENTS, HIPAA Violations on Social Media: THINK Before
You Post!; pg. 26, March 2015,) American Medical Technologists

Arrest and/or Conviction

Students arrested for any crime will be immediately suspended from all program courses until the CCC
administration can investigate the incident and may lead to dismissal from the program. The student may request a
hearing per the CCC Student Handbook guidelines. Please note that CCC cannot place student externs in clinical
sites that are currently undergoing criminal investigations, or have recently been convicted of a criminal offense not
yet noted on Criminal Background Check. This includes, but is not limited to: DUI / DUII / DWI or other criminal
mischief.

20
 Violation of Alcohol and Substance Abuse Policy (including marijuana use)
Any violation of the CCC Alcohol and Substance Abuse Policy will lead to immediate suspension from all
classroom and/ or clinical activities, and dismissal from the program.

Demonstrated Inability to Provide Safe Medical Assistant Care.

A student who demonstrates repeated unsatisfactory medical assisting care, a significant unsafe event
jeopardizing patient or student peer safety, repeated lack of or inappropriate preparation for patient care, and/or
inadequate physical or mental abilities to provide safe medical assisting care will be immediately suspended from all
classroom or externship activities.
Based on the instructor and/or the externship preceptors’ determination of the safety violation, the student
may either be placed on learning contract or immediately terminated from the MA program. The course instructor(s),
Program Director, Clinical Coordinator and/or the clinical site supervisor together, have the final authority for
determining safe medical assisting practice.

Demonstrated unprofessional and/or unethical behavior

A student who fails to demonstrate satisfactory professional and/or ethical behaviors, attitudes and/or actions
in the classroom, or while representing Clackamas Community College, Medical Assistant Program either on or off
campus or during the externship experience may either be placed on a learning contract or immediately terminated
from the MA program.

Interruption in Medical Assistant Program Sequence/Readmission Procedure.

Students in the MA program who do not meet the academic and/or competency requirements necessary for
enrollment in the succeeding term; students who elect not to continue in the normal curriculum sequence; or students
that have been exited from an academic course or the medical assistant program for any reason, will forfeit their
position in the medical assistant program. Reapplication to the program will not be considered.

However, if extenuating circumstances beyond the student’s control occur during the academic year, the student has
the right to bring his/her case before the Allied Health Department Board of Review. The board will be comprised of
Allied Health Department program directors and division administrators. The student may present his/her case,
requesting special consideration for readmission to the Medical Assistant Program. Readmission, if considered as
the appropriate resolution, will be granted on a space available basis; the student must then return to the program
within one year. No further consideration will be made after that time.

PETITION TO GRADUATE
The prospective graduate must submit the Petition to Graduate form to the CCC Registrar’s Office at least
one term before graduation to allow time for a graduation check to be completed. Petition to Graduate forms are
available in the Registrar’s Office and on-line.

CURRENT CONTACT INFORMATION

Students are required to submit address (and immediate notification of change name or address change),
home and cell phone numbers, and email address to department secretary and their program director at the
beginning of each term. Contact information must be kept current at all times throughout the program. Not only do
clinical agencies require current phone numbers of all students participating in clinical activities, but also department
faculty and staff must be able to contact students immediately related to class/externship matters.

APPOINTMENTS WITH INSTRUCTOR

Students should feel free to consult with instructors about academic or clinical concerns at any point in the
educational process. Instructors’ schedules and office hours are posted outside of their offices. Students are
welcome and greatly encouraged to stop by during those times.
Students will not be allowed access to any instructor’s office if that instructor is not available.

21
 PERSONAL MESSAGES
Classes will not be interrupted except for emergencies. Students are not to receive phone calls in the
classroom or clinical facilities unless it is an emergency. In an emergency, calls can be directed to the Health
Science Department Secretary, who will notify the student in the classroom: (503) 594-0650. Disruption of class
(or patient care) to answer a call or text is discourteous, potentially unsafe, and unprofessional. Cell phones
and all electronic equipment are to be turned off during those times.

22
Core Curriculum for Medical Assistants ~ Medical Assisting Education Review Board (MAERB)
Foundations for Clinical Practice: Medical assistants graduating from programs accredited by the Commission on Accreditation
of Allied Health Education Programs (CAAHEP) will demonstrate critical thinking based on knowledge of academic subject
matter required for competence in the profession. They will incorporate the cognitive knowledge in performance of the
psychomotor and affective domains in their practice as medical assistants in providing patient care.

Student Name: ___________________________

Date of Graduation: 14 June 2019

Master Competency Checklist [2015] MAERB Core Curriculum

Psychomotor & Affective Competencies Grade Pass Date Int.
I Anatomy & Physiology
I.P.1. Measure and record:
a. blood pressure
b. temperature
c. pulse
d. respirations
e. height
f. weight
g. length (infant)
h. head circumference (infant)
i. pulse oximetry
I.P.2. Perform:
a. electrocardiography
b. venipuncture
c. capillary puncture
d. pulmonary function testing
I.P.3. Perform patient screening using established protocols
I.P.4. Verify the rules of medication administration:
a. right patient
b. right medication
c. right dose
d. right route
e. right time
f. right documentation
I.P.5. Select proper sites for administering parenteral medication

I.P.6. Administer oral medications

I.P.7. Administer parenteral (excluding IV) medications

I.P.8. Instruct and prepare a patient for a procedure or a treatment

23
I.P.9. Assist provider with a patient exam
I.P.10. Perform a quality control measure
I.P.11. Obtain specimens and perform:
a. CLIA waived hematology test
b. CLIA waived chemistry test
c. CLIA waived urinalysis
d. CLIA waived immunology test
e. CLIA waived microbiology test
I.P.12. Produce up-to-date documentation of provider/professional
level CPR
I.P.13. Perform first aid procedures for:
a. bleeding
b. diabetic coma or insulin shock
c. fractures
d. seizures
e. shock
f. syncope
I.A.1. Incorporate critical thinking skills when performing patient
assessment

I.A.2. Incorporate critical thinking skills when performing patient care

I.A.3. Show awareness of a patient’s concerns related to the

procedure being performed

II Applied Mathematics
II.P.1. Calculate proper dosages of medication for administration
II.P.2. Differentiate between normal and abnormal test results

II.P.3. Maintain lab test results using flow sheets

II.P.4. Document on a growth chart

II.A.1. Reassure a patient of the accuracy of the test results

III Infection Control

III.P.1. Participate in bloodborne pathogen training
III.P.2. Select appropriate barrier/personal protective equipment
(PPE)
III.P.3. Perform handwashing
III.P.4. Prepare items for autoclaving
III.P.5. Perform sterilization procedures
III.P.6. Prepare a sterile field
III.P.7. Perform within a sterile field
III.P.8. Perform wound care
III.P.9. Perform dressing change

24
III.P.10. Demonstrate proper disposal of biohazardous material

a. sharps
b. regulated wastes
III.A.1. Recognize the implications for failure to comply with Center
for Disease Control (CDC) regulations in healthcare settings

IV Nutrition
IV.P.1. Instruct a patient according to patient’s special dietary needs

IV.A.1. Show awareness of patient’s concerns regarding a dietary

change

V Concepts of Effective Communication

V.P.1. Use feedback techniques to obtain patient information
including:
a. reflection
b. restatement
c. clarification
V.P.2. Respond to nonverbal communication
V.P.3. Use medical terminology correctly and pronounced accurately
to communicate information to providers and patients

V.P.4. Coach patients regarding:

a. office policies
b. health maintenance
c. disease prevention
d. treatment plan
V.P.5. Coach patients appropriately considering:
a. cultural diversity
b. developmental life stage
c. communication barriers
V.P.6. Demonstrate professional telephone techniques
V.P.7. Document telephone messages accurately
V.P.8. Compose professional correspondence utilizing electronic
technology
V.P.9. Develop a current list of community resources related to
patients’ healthcare needs
V.P.10. Facilitate referrals to community resources in the role of a
patient navigator
V.P.11. Report relevant information concisely and accurately
V.A.1. Demonstrate:
a. empathy

25
 b. active listening
c. nonverbal communication
V.A.2. Demonstrate the principles of self-boundaries
V.A.3. Demonstrate respect for individual diversity including:
a. gender
b. race
c. religion
d. age
e. economic status
f. appearance
V.A.4. Explain to a patient the rationale for performance of a
procedure

VI Administrative Functions
VI.P.1. Manage appointment schedule using established priorities

VI.P.2. Schedule a patient procedure

VI.P.3. Create a patient’s medical record
VI.P.4. Organize a patient’s medical record
VI.P.5. File patient medical records
VI.P.6. Utilize an EMR
VI.P.7. Input patient data utilizing a practice management system

VI.P.8. Perform routine maintenance of administrative or clinical

equipment
VI.P.9. Perform an inventory with documentation
VI.A.1. Display sensitivity when managing appointments

VII Basic Practice Finances

VII.P.1. Perform accounts receivable procedures to patient accounts
including posting:
a. charges
b. payments
c. adjustments
VII.P.2. Prepare a bank deposit
VII.P.3. Obtain accurate patient billing information
VII.P.4. Inform a patient of financial obligations for services rendered

VII.A.1. Demonstrate professionalism when discussing patient's

billing record
VII.A.2. Display sensitivity when requesting payment for services
rendered

26
VIII Third Party Reimbursement
VIII.P.1. Interpret information on an insurance card
VIII.P.2. Verify eligibility for services including documentation
VIII.P.3. Obtain precertification or preauthorization including
documentation
VIII.P.4. Complete an insurance claim form
VIII.A.1. Interact professionally with third party representatives
VIII.A.2. Display tactful behavior when communicating with medical
providers regarding third party requirements
VIII.A.3. Show sensitivity when communicating with patients
regarding third party requirements

IX Procedural and Diagnostic Coding

IX.P.1. Perform procedural coding
IX.P.2. Perform diagnostic coding
IX.P.3. Utilize medical necessity guidelines
IX.A.1. Utilize tactful communication skills with medical providers to
ensure accurate code selection

X Legal Implications
X.P.1. Locate a state’s legal scope of practice for medical assistants

X.P.2. Apply HIPAA rules in regard to:

a. privacy
b. release of information
X.P.3. Document patient care accurately in the medical record
X.P.4. Apply the Patient’s Bill of Rights as it relates to:
a. choice of treatment
b. consent for treatment
c. refusal of treatment
X.P.5. Perform compliance reporting based on public health
statutes
X.P.6. Report an illegal activity in the healthcare setting following
proper protocol
X.P.7. Complete an incident report related to an error in patient care

X.A.1. Demonstrate sensitivity to patient rights

X.A.2. Protect the integrity of the medical record

XI Ethical Considerations
XI.P.1. Develop a plan for separation of personal and professional
ethics
XI.P.2. Demonstrate appropriate response(s) to ethical issues

27
XI.A.1. Recognize the impact personal ethics and morals have on
the delivery of healthcare

XII Protective Practices

XII.1. Comply with:
a. safety signs
b. symbols
c. labels
XII.2. Demonstrate proper use of:
a. eyewash equipment
b. fire extinguishers
c. sharps disposal containers
XII.3. Use proper body mechanics
XII.4. Participate in a mock exposure event with documentation of
specific steps
XII.5. Evaluate the work environment to identify unsafe working
conditions
XII.A.1. Recognize the physical and emotional effects on persons
involved in an emergency situation
XII.A.2. Demonstrate self-awareness in responding to an
emergency situation

28
 PRACTICUM EVALUATION 0F STUDENT
Medical Assisting Program
Name of Student Being Evaluated:
Name of Practicum Site: ______
INSTRUCTIONS: Consider each item separately and rate each item independently of all others.
Indicate in the appropriate box the student’s level of competency, if applicable, or access to the
specific task.

Not
Was Available
Needs able to at this
Psychomotor & Affective Competencies Competent Work observe site
I Anatomy & Physiology
I.P.1. Measure and record:
a. blood pressure
b. temperature
c. pulse
d. respirations
e. height
f. weight
g. length (infant)
h. head circumference (infant)
i. pulse oximetry
I.P.2. Perform:
a. electrocardiography
b. venipuncture
c. capillary puncture
d. pulmonary function testing
I.P.3. Perform patient screening using established protocols
I.P.4. Verify the rules of medication administration:
a. right patient
b. right medication
c. right dose
d. right route
e. right time
f. right documentation
I.P.5. Select proper sites for administering parenteral medication

I.P.6. Administer oral medications

I.P.7. Administer parenteral (excluding IV) medications
I.P.8. Instruct and prepare a patient for a procedure or a treatment

29
I.P.9. Assist provider with a patient exam
I.P.10. Perform a quality control measure
I.P.11. Obtain specimens and perform:
a. CLIA waived hematology test
b. CLIA waived chemistry test
c. CLIA waived urinalysis
d. CLIA waived immunology test
e. CLIA waived microbiology test
I.P.12. Produce up-to-date documentation of provider/professional
level CPR
I.P.13. Perform first aid procedures for:
a. bleeding
b. diabetic coma or insulin shock
c. fractures
d. seizures
e. shock
f. syncope
I.A.1. Incorporate critical thinking skills when performing patient
assessment

I.A.2. Incorporate critical thinking skills when performing patient care

I.A.3. Show awareness of a patient’s concerns related to the

procedure being performed

II Applied Mathematics
II.P.1. Calculate proper dosages of medication for administration
II.P.2. Differentiate between normal and abnormal test results

II.P.3. Maintain lab test results using flow sheets

II.P.4. Document on a growth chart

II.A.1. Reassure a patient of the accuracy of the test results

III Infection Control

III.P.1. Participate in bloodborne pathogen training
III.P.2. Select appropriate barrier/personal protective equipment
(PPE)
III.P.3. Perform handwashing
III.P.4. Prepare items for autoclaving
III.P.5. Perform sterilization procedures
III.P.6. Prepare a sterile field
III.P.7. Perform within a sterile field
III.P.8. Perform wound care
III.P.9. Perform dressing change

30
III.P.10. Demonstrate proper disposal of biohazardous material

a. sharps
b. regulated wastes
III.A.1. Recognize the implications for failure to comply with Center
for Disease Control (CDC) regulations in healthcare settings

IV Nutrition
IV.P.1. Instruct a patient according to patient’s special dietary needs

IV.A.1. Show awareness of patient’s concerns regarding a dietary

change

V Concepts of Effective Communication

V.P.1. Use feedback techniques to obtain patient information
including:
a. reflection
b. restatement
c. clarification
V.P.2. Respond to nonverbal communication
V.P.3. Use medical terminology correctly and pronounced accurately
to communicate information to providers and patients

V.P.4. Coach patients regarding:

a. office policies
b. health maintenance
c. disease prevention
d. treatment plan
V.P.5. Coach patients appropriately considering:
a. cultural diversity
b. developmental life stage
c. communication barriers
V.P.6. Demonstrate professional telephone techniques
V.P.7. Document telephone messages accurately
V.P.8. Compose professional correspondence utilizing electronic
technology
V.P.9. Develop a current list of community resources related to
patients’ healthcare needs
V.P.10. Facilitate referrals to community resources in the role of a
patient navigator
V.P.11. Report relevant information concisely and accurately
V.A.1. Demonstrate:
a. empathy
b. active listening
c. nonverbal communication

31
V.A.2. Demonstrate the principles of self-boundaries
V.A.3. Demonstrate respect for individual diversity including:
a. gender
b. race
c. religion
d. age
e. economic status
f. appearance
V.A.4. Explain to a patient the rationale for performance of a
procedure

VI Administrative Functions
VI.P.1. Manage appointment schedule using established priorities

VI.P.2. Schedule a patient procedure

VI.P.3. Create a patient’s medical record
VI.P.4. Organize a patient’s medical record
VI.P.5. File patient medical records
VI.P.6. Utilize an EMR
VI.P.7. Input patient data utilizing a practice management system

VI.P.8. Perform routine maintenance of administrative or clinical

equipment
VI.P.9. Perform an inventory with documentation
VI.A.1. Display sensitivity when managing appointments

VII Basic Practice Finances

VII.P.1. Perform accounts receivable procedures to patient accounts
including posting:
a. charges
b. payments
c. adjustments
VII.P.2. Prepare a bank deposit
VII.P.3. Obtain accurate patient billing information
VII.P.4. Inform a patient of financial obligations for services rendered
VII.A.1. Demonstrate professionalism when discussing patient's
billing record
VII.A.2. Display sensitivity when requesting payment for services
rendered

VIII Third Party Reimbursement

VIII.P.1. Interpret information on an insurance card
VIII.P.2. Verify eligibility for services including documentation

32
VIII.P.3. Obtain precertification or preauthorization including
documentation
VIII.P.4. Complete an insurance claim form
VIII.A.1. Interact professionally with third party representatives
VIII.A.2. Display tactful behavior when communicating with medical
providers regarding third party requirements
VIII.A.3. Show sensitivity when communicating with patients
regarding third party requirements

IX Procedural and Diagnostic Coding

IX.P.1. Perform procedural coding
IX.P.2. Perform diagnostic coding
IX.P.3. Utilize medical necessity guidelines
IX.A.1. Utilize tactful communication skills with medical providers to
ensure accurate code selection

X Legal Implications
X.P.1. Locate a state’s legal scope of practice for medical assistants

X.P.2. Apply HIPAA rules in regard to:

a. privacy
b. release of information
X.P.3. Document patient care accurately in the medical record
X.P.4. Apply the Patient’s Bill of Rights as it relates to:
a. choice of treatment
b. consent for treatment
c. refusal of treatment
X.P.5. Perform compliance reporting based on public health
statutes
X.P.6. Report an illegal activity in the healthcare setting following
proper protocol
X.P.7. Complete an incident report related to an error in patient care

X.A.1. Demonstrate sensitivity to patient rights

X.A.2. Protect the integrity of the medical record

XI Ethical Considerations
XI.P.1. Develop a plan for separation of personal and professional
ethics
XI.P.2. Demonstrate appropriate response(s) to ethical issues
XI.A.1. Recognize the impact personal ethics and morals have on
the delivery of healthcare

33
XII Protective Practices
XII.1. Comply with:
a. safety signs
b. symbols
c. labels
XII.2. Demonstrate proper use of:
a. eyewash equipment
b. fire extinguishers
c. sharps disposal containers
XII.3. Use proper body mechanics
XII.4. Participate in a mock exposure event with documentation of
specific steps
XII.5. Evaluate the work environment to identify unsafe working
conditions
XII.A.1. Recognize the physical and emotional effects on persons
involved in an emergency situation
XII.A.2. Demonstrate self-awareness in responding to an
emergency situation

Additional Comments

What type of administrative duties did the student perform? What type of administrative duties did the
student observe?

What type of clinical duties did the student perform? What type of clinical duties did the student observe?

Signature of individual completing this evaluation

Printed name & credentials

Title Date

Facility _______________________________________

Date

34
 CONFIDENTIALITY STATEMENT

Confidentiality of patient and employee medical information is a legal and ethical right. Actively
safeguarding every patient’s right is a responsibility that we all share. It is a responsibility that, if met,
protects our own right to privacy. The patient confidentiality policy prohibits any unauthorized or
indiscriminate access to or disclosure of patient information outside those with the ‘need to know’ within the
medical setting.

No student should have access to or has the right to review or disclose personal information, medical,
financial, or otherwise, except when necessary in the regular course of business.

Discussion, transmission, or disclosure in any form, of patient information, except in the regular course of
business as it is conducted within the externship site, is prohibited.

Any violation of this policy will constitute grounds for immediate disciplinary action, including discharge from
the MA externship and thus the MA program, without recourse.

I understand the Health Insurance Portability and Accountability Act (HIPAA) and the implications in the
ambulatory care setting.

I have read and understand the meaning of this statement.

______________________________________________________________________________
Signature of MA Student Date

______________________________________________________________________________
Signature of Clinical Director / Site Preceptor Date

______________________________________________________________________________
Clinical Coordinator

Date
This form must be signed by the student and the clinical site director/manager. The site is encouraged to
keep a copy for their records. It is the student’s responsibility to mail a copy of this agreement to
Karen Maynard, MA Program Director, within the first week of externship, 2019.

35
 ACKNOWLEDGEMENT OF RECEIPT OF
MEDICAL ASSISTANT STUDENT HANDBOOK
2018-2019

&

I HAVE READ THIS DOCUMENT IN ITS ENTIRETY.

I acknowledge receipt of the Medical Assistant Student Handbook for 2018-2019

I agree to abide by the technical standards, program standards, policies, rules and requirements of the
Medical Assistant program as identified in the Handbook and syllabi as provided for each course in the
curriculum.

____________________________________________ ______________________________
Student’s Signature Date

______________________________________________________
Printed name

2018-2019 Medical Assistant Handbook: After reading this document in its entirety, clarify any questions you
may have with Program Director or appropriate faculty. Complete and sign this form. Submit the first day of
classes, fall term, 2018.

36