NBCOT book - National Board for Certification of Occupational Therapists - 2023 Updated: 2024
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NBCOT National Board for Certification of Occupational Therapists - 2023
DOMAIN
EVALUATION AND ASSESSMENT 25%
Acquire information regarding factors that influence
occupational performance on an ongoing basis throughout
the occupational therapy process.
- Impact of typical development and aging on occupational performance, health, and wellness across the life span
- Expected patterns, progressions, and prognoses associated with conditions that limit occupational performance
- Impact of body functions, body structures, and values, beliefs, and spirituality on occupational performance
- Resources for acquiring information about the clients current condition and occupational performance
- Administration, purpose, indications, advantages, and limitations of standardized and non-standardized screening and assessment tools
- Internal and external factors influencing a clients meaningful engagement in occupation related to typical habits, roles, routines, and rituals, and the level and type of assistance required
- Therapeutic application of theoretical approaches, models of practice, and frames of reference that guide intervention in a variety of practice contexts and environments
- Task analysis in relation to a clients performance skills, the occupational profile, practice setting, stage of occupational therapy process, areas of occupation, and activity demands
DOMAIN
ANALYSIS AND INTERPRETATION 23%
Formulate conclusions regarding client needs and priorities to develop and monitor an intervention plan throughout the occupational therapy process.
- Interpretation and analysis of quantitative assessments designed to measure specific client factors and performance skills
- Integration of qualitative data collected from interviews, observation, and assessment of the social and physical
environments, valued activities, necessary occupations, and priorities
- Integration of screening and assessment results with the client occupational profile, client condition, expected outcomes, and level of service delivery to guide critical decision-making for determining eligibility for services, prioritizing needs, and identifying a targeted intervention plan
- Characteristics and functions of interprofessional teams for coordinating client care and providing efficient and effective programs and services consistent with specific core competencies, expertise, unique contributions, team roles, and context of the organization
- Management of collaborative client-centered intervention plans, Individualized Education Program plans, and transition plans based on client skills, abilities, and expected outcomes in relation to available resources, level of service delivery, and frequency and duration of intervention
- Prioritization of intervention goals and activities based on client needs, wants, developmental skills, abilities, progress, and expected outcomes in relation to level of service delivery as well as frequency and duration of intervention
- Strategies used for assessing and addressing health literacy to enhance non-verbal and verbal interactions with a client and relevant others in order to promote positive health behaviors, enable informed decisions, maximize safety of care delivery, and promote carry-over of the intervention to support positive intervention outcomes
- Factors used for determining and managing the context and type of individual and group activities for effectively supporting intervention goals and objectives
Methods for monitoring the effectiveness of individual and group intervention in order to make decisions about continuation of the intervention or modifications to the intervention approach, context, or goals
- Clinical decision-making for adapting or modifying the intervention plan and prioritizing goals in response to physiological changes, behavioral reaction, emotion regulation, and developmental needs of the client
DOMAIN
INTERVENTION MANAGEMENT 37%
Select interventions for managing a client-centered
plan throughout the occupational therapy process.
Methods and techniques for selecting and preparing the environment
to support optimal engagement in the intervention and promote goal
achievement
- Indications, contraindications, and precautions associated with wound
management, considering the characteristics of a wound, the stage
of wound healing, and the influence of the wound on engagement
in occupation as guided by evidence, best practice standards, scope
of practice, and state licensure practice acts in order to support
functional outcomes
- Indications, contraindications, precautions, and appropriate clinical
application of superficial thermal agents as guided by evidence, best
practice standards, scope of practice, and state licensure practice acts
- Indications, contraindications, precautions, and appropriate clinical
application of deep thermal, mechanical, and electrotherapeutic physical
agent modalities as guided by evidence, best practice standards, scope
of practice, and state licensure practice acts
- Interventions for supporting leisure and play-based exploration and
participation consistent with client interests, needs, goals, and context
- Methods for grading an activity, task, or technique based on level of
development, client status, response to intervention, and client needs
- Methods for facilitating individual and group participation in shared
tasks or activities consistent with the type, function, format, context,
goals, and stage of the group
- Interventions to support optimal sensory arousal, and visual motor,
cognitive, or perceptual processing for supporting engagement
in meaningful occupations consistent with developmental level,
neuromotor status, mental health, cognitive level, psychosocial skills
and abilities, task characteristics, context, and environmental demands
030205 Compensatory and remedial strategies for managing cognitive
and perceptual deficits or intellectual disabilities
- Adaptive and preventive strategies for optimal engagement in
occupation consistent with developmental level, neuromotor status,
and condition
- Intervention strategies and techniques used to facilitate oral motor
skills for drinking, eating, and swallowing consistent with developmental
level, client condition, caregiver interaction, and mealtime environment
and context
- Prevocational, vocational, and transitional services, options,
and resources for supporting strengths, interests, employment, and
lifestyle goals of the adolescent, middle-aged, and older adult client
- Methods for grading various types of therapeutic exercise and
conditioning programs consistent with indications and precautions
for strengthening muscles, increasing endurance, improving range
of motion and coordination, and increasing joint flexibility in relation
to task demands
- Methods and strategies used to develop, implement, and manage
sensory and motor reeducation, pain management, desensitization,
edema reduction, and scar management programs
- Techniques and activities for promoting or improving postural stability,
facilitating dynamic balance, and teaching proper body mechanics
and efficient breathing patterns during functional tasks to support
engagement in occupation
- Types and functions of immobilization, mobilization, restriction,
and non-articular orthoses for managing specific conditions
- Influence of anatomical, physiological, biomechanical, and healing
principles on orthotic selection, design, fabrication, and modification
- Methods and techniques for training in the safe and effective use
of orthotic and prosthetic devices consistent with prioritized needs,
goals, and task demands in order to optimize or enhance function
- Factors related to measuring, selecting, monitoring fit of, and
recommending modifications to seating systems, positioning devices,
and mobility aids
- Characteristics and features of high- and low-tech assistive technology
for supporting engagement in meaningful occupation
- Mobility options, vehicle adaptations, and alternative devices
for supporting participation in community mobility
- Training methods and other factors influencing successful use and
maintenance of commonly used assistive technology options, adaptive
devices, and durable medical equipment
- Principles of ergonomics and universal design for identifying,
recommending, and implementing reasonable accommodations and
features in the workplace, home, and public spaces in order to optimize
accessibility and usability
- Processes and procedures for identifying, recommending, and
implementing modifications in the workplace, home, and public spaces,
considering the interaction among client factors, contexts, roles, task
demands, and resources
DOMAIN COMPETENCY AND PRACTICE MANAGEMENT 15%
Manage professional activities of self and relevant others
as guided by evidence, regulatory compliance, and standards
of practice to promote quality care.
- Methods for defining a clinical question and performing a critical
appraisal to support evidence-based practice
- Methods for applying continuous quality improvement processes
and procedures to occupational therapy service delivery
- Methods for evaluating, monitoring, and documenting service
competency and professional development needs of self and assigned
personnel based on scope of practice and certification standards for
occupational therapy
- Methods for developing, analyzing, and applying evidence that supports
occupation-based programming to advance positive health outcomes
for individuals, groups, and specific populations
- Application of ethical decision-making and professional behaviors
guided by the NBCOT standards of practice and Code of Conduct
- Precautions or contraindications associated with a client condition
or stage of recovery
- Infection control procedures and universal precautions for reducing
transmission of contaminants
- Basic first aid in response to minor injuries and adverse reactions
- Safety procedures to implement during interventions
- Preventive measures for minimizing risk in the intervention environment
- Methods for identifying, locating, and integrating federal regulations,
facility policies, and accreditation guidelines related to service delivery
across occupational therapy practice settings
- Influence of reimbursement policies and guidelines on occupational
therapy service delivery
- Accountability processes and procedures using relevant practice
terminology, abbreviations, information technology, and reporting
mechanisms for justifying, tracking, and monitoring sentinel events
and outcomes related to occupational therapy service delivery
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NBCOT
National Board for Certification of Occupational Therapists
https://killexams.com/pass4sure/exam-detail/NBCOT
B. Increased return of blood to the heart
C. Increased intrathoracic pressure
D. Exhaling with the glottis and nose closed
Answer: B
Question: 8
A patient exhibits signs of cerebellar dysfunction. Which of the following is not a priority with
the assessment?
A. Assessment of gait
B. Assessment of balance
C. Assessment of muscle function
D. Assessment of cardiac condition
Answer: D
Question: 9
A patient presents with an aneurysm of the middle cerebral artery (MCA). Which of the
following are not aneurysm precautions?
A. Avoid rectal temperatures
B. Limit visitors
C. Avoid Valsalva's maneuver
D. Limit suctioning
Answer: D
Question: 10
A patient presents with stroke involving the hypothalamus. Which of the following are not
indicative of hypothalamus function?
A. Maintains body homeostasis
B. Thirst center
C. Sensation of pain
D. Control of hormone secretion
3
Answer: C
4
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Carolina Academic Press has recently published “Questions and Answers: Health Law” by Melissa Alexander and Deborah Farringer.
Alexander is the Carl M. Williams Professor of Law and Ethics at the University of Wyoming College of Law. Farringer is the associate dean for academic affairs, an associate professor of law and director of health law studies at Belmont University College of Law.
According to the publisher, “Questions and Answers: Health Law” is the perfect supplement to help people better understand what they are learning in health law and bioethics. Part of the well-known “Questions and Answers” series, this study guide will aid in the mastery of a wide range of topics, from fraud and abuse to public health, hospital governance to human subject research, antitrust to medical aid in dying, and beyond. It offers questions regarding the Affordable Care Act, the Employee Retirement Income Security Act and latest Supreme Court cases.
In total, this study aid features over 250 multiple-choice and short-answer questions, arranged by Topic for easy use. The text includes detailed answers to each question, highlighting not only the correct answer but also the reasoning as to why the other responses are not correct. Students buying this book will be able to test their health law knowledge in a multiple-choice format.
For more information, go here.
Chiropractors are not medical doctors, but undergo a lot of training and need a graduate degree to practice. Their treatments are usually safe but may not be right for every person.
Chiropractors attend graduate-level health colleges to treat bones, nerves, muscles, and ligament disorders. While chiropractors are widely known for treating back and neck pain, they also treat bone and soft tissue conditions.
In this article, we explore the myths and truths of chiropractic care. We also describe chiropractors’ training, the safety of these treatments, and the research behind the practice.
A common myth is that chiropractors do not undergo a significant amount of training. In fact, they typically complete about 8 years of higher education before they are licensed.
Chiropractors tend to have 4 years of undergraduate education. They usually complete college with a degree in biology or kinesiology after having taken courses in sciences, such as biology, chemistry, psychology, and physics.
They then attend a chiropractic graduate program. On average, these involve 4 years of education with a total of 4,200 instructional hours in course credits.
Chiropractic program specifics
Divided by year, a chiropractic graduate program usually involves:
- First year: Courses in general anatomy, chiropractic principles, biochemistry, and spinal anatomy.
- Second year: Courses in chiropractic procedures, pathology, clinical orthopedics, imaging interpretation, and research methods.
- Third year: Courses in clinical internships, integrated chiropractic care, pediatrics, dermatology, practice management, and ethics and jurisprudence.
- Fourth year: A clinical internship in which a student studies under a chiropractor and completes rotations in a hospital or veterans’ clinic.
Other studies often accompany those mentioned above.
After completing the educational and training requirements, an aspiring chiropractor in the United States will sit for their state licensing board.
Once they have obtained licensure and certification from the board, they will become a doctor of chiropractic.
Chiropractors often receive additional training and certification in a wide variety of specialties, including nutrition, sports medicine, and orthopedic rehabilitation.
Another common myth is that a chiropractor merely cracks a person’s back or bones.
Professionals center chiropractic care around spinal manipulation. However, they also study the spine and how its structures are related to the body’s function.
What do chiropractors attempt to heal?
A majority of a chiropractor’s work involves making adjustments to heal:
They may also provide services such as postural testing and analysis, as well as others designed to promote nutrition and healthful exercise.
Does it work?
Research suggests that chiropractic care can effectively relieve various types of acute and chronic pain — including neck pain, back pain, and certain types of headaches.
Studies have found that chiropractic therapy can benefit people with low back pain similarly to nonsteroidal anti-inflammatory drugs (NSAIDs.)
Patients with back pain who receive chiropractic care may also be less likely to use opioids for pain relief.
In clinical studies, researchers found
chiropractic therapy reduced low back pain intensity and disability compared with a control group.People sometimes use chiropractic care in conjunction with standard medical care, such as physical therapy, pharmacological treatment, and other therapies.
Like other forms of treatment, chiropractic care will not benefit all injuries. Doctors should tailor sessions to a person’s needs, and a licensed chiropractor should perform the procedure.
Chiropractic treatment may help reduce pain and disability in people with certain acute and chronic conditions, including:
Low back pain
Research on chiropractic therapy suggests it is an effective form of therapy for acute low back pain, which is pain that lasts for a few days or weeks.
Spinal manipulation therapy is associated with modest improvements in pain and function in patients with acute low back pain.
In a 2018 study, patients with low back pain who received usual medical care plus chiropractic care reported moderate improvements in pain intensity and disability compared with patients who received usual medical care without chiropractic care.
Neck pain
Neck pain is the second most prevalent health complaint reported by people seeking chiropractic care.
Research suggests chiropractic care may provide pain relief for people experiencing both chronic and acute neck pain.
Chiropractors use various techniques when treating neck pain — including thoracic manipulation, massage manipulation, and neck mobilization.
Chiropractic techniques for neck pain may be most successful when people use them as a complementary treatment alongside manual therapy, stretching, and exercise.
Headaches
Some evidence suggests chiropractic therapy — specifically spinal manipulation — can Excellerate migraine headaches and cervicogenic headaches.
Osteoarthritis
Chiropractic therapy is safe for people with back and neck pain from osteoarthritis, and people sometimes use it as a complementary treatment alongside traditional therapy.
However, doctors should not carry out chiropractic manipulations on joints that are actively inflamed.
Asthma
Some people with asthma may benefit from using chiropractic treatment as a complementary therapy, but they should not use it as a replacement for traditional treatment.
A 2018 review included 17 years of studies involving spinal manipulation or mobilization.
The studies investigated the effects of these treatments on chronic lower back pain, and the authors concluded that the chiropractic methods were likely to reduce pain and Excellerate function.
A 2017 review examined the effectiveness of spinal manipulation in treating lower back pain. The authors concluded that treatment improved both function and pain
in patients with acute low back pain.The American College of Physicians recommends those with lower back pain use a variety of non-pharmacological treatments, including spinal manipulation.
Researchers generally agree that they need more studies to determine the ideal length and frequency of chiropractic sessions and to identify what injuries may benefit from specific treatments.
One of the most common sources of contention regarding chiropractic treatments concerns safety.
A person may experience side effects of spinal manipulation, including:
There have been occasional reports of long-term danger related to chiropractic care.
The European Spine Journal reports that a rare complication of spinal manipulations is cauda equina syndrome, which involves nerve damage in the lower spinal cord. However, people have only reported a few cases of this.
According to the American Chiropractic Association, most discomfort and soreness subsides within 24 hours of spinal manipulation.
The World Health Organization (WHO) states that it is unsafe for people with certain health conditions to undergo chiropractic manipulation. These conditions include:
An aspiring chiropractor must spend thousands of hours studying before obtaining a license. In 2020, an estimated 51,400 chiropractors were practicing in the U.S., according to the Bureau of Labor Statistics.
Chiropractic care is a drug-free, non-invasive, and affordable form of therapy that may treat some musculoskeletal problems. While this form of alternative medicine may not benefit everyone, professionals generally consider it to be safe for most people.
A number of potential health benefits are associated with taking fish oil supplements, according to research, including the following:
May Lower Triglyceride Levels
Fish oil supplementation may help lower triglyceride levels (a type of fat found in your blood), says Keri Gans, a registered dietitian nutritionist, nutrition consultant and author of The Small Change Diet. High triglyceride levels can raise the risk of heart disease and stroke, as well as signal obesity or metabolic syndrome. However, Gans notes there is little scientific evidence supporting the health benefits of fish oil supplements at lower doses, as studies regularly use “higher doses of fish oil than the average person uses unless it’s prescribed by their doctor,” she says.
May Help Excellerate Depression Symptoms
Preliminary research suggests omega-3s may play a role in the reduction of symptoms for depression, says Gans, citing 2017 research in Critical Reviews in Food Science and Nutrition . The review of studies analyzed a number of epidemiological, laboratory and randomized placebo-controlled trials and found evidence that a deficiency of dietary omega-3s may contribute to development of mood disorders, including depression, and that supplementation with them could be an effective treatment method. However, more research is warranted.
May Help Prevent Coronary Heart Disease (CHD)
A 2020 review reveals omega-3 fatty acids may slightly reduce CHD risk, says Gans . The research included data from 162,796 participants and concluded that increasing long-chain omega-3 polyunsaturated fatty acids (LCn3) intake “slightly” reduced the risk of coronary heart disease mortality and events and reduced serum triglycerides.
May Help Decrease Arthritic Pain
Omega 3s may also help with inflammation. “They have been shown to have anti-inflammatory benefits and therefore may help in reducing arthritic pain,” says Gans. She cites a 2006 trial in Surgical Neurology involving 250 patients with neck or back pain who took 1,200 to 2,400 milligrams a day of omega-3 EFAs found in fish oil supplements, with over half discontinuing other pain treatment . Of the patients in the trial, 60% reported an improvement in both overall pain and joint pain.
Can Boost Brain Health
Omega 3s can also provide benefits for your brain. One 2018 study involving data taken from 23,688 people found that compared to older adults who consumed fish only once a week, those consuming four or more servings a week experienced less memory loss, which they likened to a brain that was four years younger .
EPA and DHA are also often found in prenatal vitamins, as they can help with fetal brain development. A study in Reviews in Obstetrics and Gynecology points out that it’s difficult for pregnant people to absorb enough fish oil from their diet (as seafood consumption should be limited), and recommends fish oil or algae-based DHA supplementation .
May Benefit Eye Health
Omega-3 consumption has also been linked to ocular health. One major study involving over 32,400 women found that compared to those who ate little to no seafood, those with diets higher in omega-3s had a lower risk of dry eye .
(MENAFN- EIN Presswire)
L to R: Giles Harrison Managing Director Iqarus, Dr Cat Davison Regional Medical Director Iqarus, Prof. Ahed Al Najjar (Chairmen AREMT EMS Education Board Committee of the MEAA Region), Ged Healy Global Head of Training & Development Iqarus.
Building Global Excellence: Iqarus and AREMT Collaborate to Deliver Accredited Emergency Medical Training Worldwide
HEREFORD, UNITED KINGDOM, January 3, 2024 /EINPresswire / -- Iqarus, a global leader in designing, developing, and delivering internationally accredited medical training and education packages, has signed a Memorandum of Understanding (MOU) with The Australasian Registry of Emergency Medical Technicians (AREMT). This partnership allows Iqarus to provide accredited AREMT courses on a global scale.Iqarus boasts a 20-year history of supporting governments, IGOs, NGOs, militaries, and various organisations by imparting critical skills and knowledge necessary for managing medical emergencies in complex environments. The Immersive Training Centre (ITC) in Hereford serves as a hub for innovation, offering state-of-the-art simulation training environments designed by expert trainers.
With over 20 core courses and tailored training modules, Iqarus adapts to the dynamic needs of clients and learners. With experienced trainers capable of deploying globally, ensuring consistent standards whether training at home or in diverse locations worldwide.
The Australasian Registry, a non-profit organisation established in 2004, serves as the International Emergency Medical Services Certification organisation. The Registry is committed to providing a valid and uniform process for assessing the knowledge and skills of international EMS professionals. Focused on a mission of protecting the public, the Australasian Registry fosters a transparent and innovative environment to advance the International EMS profession.
"We are thrilled to collaborate with The Australian Registry of Emergency Medical Technicians in delivering accredited AREMT courses globally. This partnership represents a powerful synergy between our expertise and their commitment to advancing international EMS. Together, we aim to elevate the standards of training and contribute significantly to the growth of the EMS profession," said Ged Healy, Global Head of Training & Development at Iqarus.
"This collaboration between Iqarus and The Australian Registry of Emergency Medical Technicians marks a significant step in providing accredited AREMT courses globally. We are excited about the positive impact this will have on international EMS professionals, fostering excellence in their training and practice," said Ron Gui, CEO of AREMT.
For more information or to book a course visit
Ends
About Iqarus
Iqarus is the world leader in delivering high standards of medical care and internationally accredited medical training in the world's most challenging operating environments.
We work side by side with governments, IGOs, INGOs, militaries and private companies, to provide the medical support which enables them to accomplish their mission objectives with total focus and confidence. We rapidly develop and deliver innovative and scalable turnkey medical solutions, from individual medics to full-scale multi-disciplinary field hospitals, often in areas of high risk.
We have over 20 years experience delivering medical training across the globe and from our Immersive Training Centre in Hereford, UK. We currently offer 23 core courses, as well as a wide range of tailored training modules designed to specifically meet learner requirements. We pride ourselves in being able to prepare both medical and non-medical learners, by providing them with the critical skills and knowledge needed to manage medical emergencies in complex environments.
Visit for more information.
About The Australasian Registry of Emergency Medical Technicians
Established in 2004, The Australasian Registry of Emergency Medical Technicians (AREMT) is a non-profit organisation serving as the International Emergency Medical Services Certification organisation. Dedicated to ensuring the competence of international EMS professionals, the Registry maintains an international registry of certification status and fosters a transparent and innovative environment for the advancement of the International EMS profession. The Registry holds accreditation from AACB and other associations and offers certification/accreditation programmes for various levels of Emergency Medical Technicians.
Visit for more information.
Louise Carne
Iqarus
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Dr Yasmin Rashid. PHOTO: FILE
LAHORE:
The Punjab Anti-Corruption Establishment has registered a case against former provincial health minister Dr Yasmin Rashid on the charge of appointing her daughter while disregarding merit.
An ACE spokesman stated that an inquiry had shown Dr Rashid had misused her powers and appointed her daughter Dr Ayesha Ali as Assistant Professor in King Edward Medical University in violation of merit. The former minister was accused of using her influence for the job. The ACE registered a case against Dr Rashid and her daughter.
The spokesperson alleged that Dr Ali did not meet the required criteria of the job at the time of her appointment and an experience certificate submitted by her had been signed by her mother. It was proved in the inquiry that the applicant had not applied for relaxation of the age limit despite not meeting the relevant requirement, the spokesman asserted.
Read PTI’s Yasmin, Ejaz indicted in rioting case
It was also alleged that she had been preferred over other candidates in the interview because of the minister’s influence.
Soon after getting the job, Dr Ali had gone abroad in violation of the rules, the spokesman claimed.
PTI activist sent on remand
A sessions court sent Pakistan Tehreek-e-Insaf (PTI) activist Sanam Javed to jail on judicial remand on Tuesday in the case of torching a Pakistan Muslim League-Nawaz (PML-N) office in Model Town on May 9 2023.
Police produced the PTI activist before District and Sessions Judge Nazir Ahmad Butt, who heard the matter as a duty judge.
The police moved the court to extend the physical remand of the accused, adding that investigations could not be completed during the physical remand term. with additional input from APP
Published in The Express Tribune, January 3rd, 2024.
The first baby of 2024 arrived on January 2nd at University of Maryland Shore Regional Health’s Birthing Center at UM Shore Medical Center at Easton. UM Shore Regional Health is a member organization of the University of Maryland Medical System.
Knox Krieger was born at 2:24 p.m. to Amanda Pae and Josh Krieger, both of Cambridge. He weighed 6 pounds, 5 ounces, and was 19 inches long, and joins three older siblings at home.
“I had an amazing birth experience,” said Pae. “My nurses, Haley and Courtney, were extremely supportive, helpful and attentive, and I am super grateful for them both. My midwife, Molly (Bernish, CNM), made sure everything went as smoothly as possible, and the anesthesiologist was amazing. They all listened to and addressed my concerns and we are forever grateful for this team.”
”There is truly nothing better than getting to help families bring new life into the world and provide them with the best support throughout their labor and delivery experience,” said Haley Setter, RN, Birthing Center nurse at UM Shore Regional Health. “I’m so grateful for the opportunity to have helped bring the first baby of 2024 into the world.”
Pae and her newborn were gifted a congratulatory basket from UM Shore Regional Health, which included baby clothing, diapering, bathing, feeding and health items, pacifiers, baby toys and baby books. Shore United Bank also donated a $250 savings bond certificate to the newborn.
Nearly 1,000 babies are born at the Birthing Center at UM Shore Medical Center at Easton each year.
University of Maryland Shore Medical Center at Easton recently was recognized for the third time as High Performing in Maternity Care (Uncomplicated Pregnancy) by U.S. News & World Report.
CUTLINE: From left are Josh Krieger, Amanda Pae and First Baby of 2024, Knox Krieger.
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