Competencies: Knowledge of advanced medical practice including medical terminology, anatomy and physiology, pathophysiology, pharmacology and therapeutics, basic nutrition, behavioral factors, psychosocial/family systems, diagnostic testing, interpretation of results and clinical decision making and alternative treatment modalities. Assess patient status by obtaining health history through patient and family interviews and chart reviews, assessing the presenting illness, risk factors, family history, psychosocial situation and cultural factors and performing appropriate physical examination.