PNCB CPNP-PC Certification Exam Syllabus

• Indications and contraindications
• Adverse effects
• Vaccine hesitancy
• Risks of non-adherence

- Advise about age-appropriate injury prevention and safety (e.g., environmental exposure, violence, sports and recreation, vehicle safety, disaster preparedness)
- Educate about illness prevention and early warning signs of pediatric illness and emergencies
- Educate about age-appropriate social, behavioral, and mental health topics (e.g., social media use, substance use, grief, trauma, sexual health)

• Evaluate and interpret growth parameters
• Perform developmental surveillance

- History and Physical Examination

• Obtain history of present illness and perform review of systems
• Obtain appropriate health and social histories (e.g., comprehensive, interval) based on type of visit
• Perform appropriate physical examination (e.g., complete, focused)

- Diagnostic Testing

• Order and interpret point of care testing
• Order and interpret diagnostic laboratory tests
• Order and interpret diagnostic imaging tests

- Screening and Assessment

• Select, utilize, and interpret developmental, behavioral, and mental health screening and assessmenttools
• Select, utilize, and interpret social determinants of health screening and assessment tools
• Select, utilize, and interpret disease-specific screening and assessment tools

- Clinical Decision Making and Diagnosis

• Integrate health history, physical examination findings, and results of applicable screening and diagnostic testing
• Incorporate information obtained from other sources (e.g., consultants, other health care professionals)
• Develop and prioritize differential diagnoses
• Establish a diagnosis based on evaluation of patient data

• Provide condition-specific counseling and education, including treatment options
• Educate about benefits and potential adverse reactions of pharmacological interventions
• Discuss non-pharmacological interventions
• Counsel regarding the threshold for seeking follow-up care
• Review the risks of non-adherence to recommended treatment

- Therapeutic Interventions

• Prescribe pharmacologic agents
• Recommend the use of over-the-counter pharmacologic agents
• Order or recommend non-pharmacologic treatments
• Discuss complementary and integrative treatment modalities as appropriate
• Develop realistic health care goals using shared decision-making
• Facilitate improved health outcomes using brief cognitive interventions and therapeutic communication techniques

- Procedures

• Perform procedures as indicated
• Initiate interventions in response to life-threatening situations

- Collaboration and Referral

• Advocate on behalf of patients and families to improve health outcomes
• Collaborate with other health professionals to meet patient care needs
• Refer to specialists as indicated for evaluation, counseling, and/or treatment
• Refer children, adolescents or caregivers to community resources as indicated
• Contact child protective services to report suspected maltreatment or neglect

- Coordination of Care

• Facilitate patient and family-centered care for children of all ages with acute and chronic conditions
• Coordinate care for pediatric patients and families with special healthcare needs
• Provide guidance about and/or coordinate transition to adult care

- Evaluation and Follow-up

• Evaluate the plan of care and modify based on patient response oroutcomes
• Establish a plan for follow-up care

• Serve as a clinical resource for other health care professionals
• Critically evaluate and synthesize research and apply findings to clinical practice
• Identify the need for and participate in research and/or quality monitoring to improve clinical outcomes
• Develop, implement, and/or modify clinical practice guidelines
• Advocate at the local, state, and federal levels in support of professional practice and/or issues that impact patient care

- Legal and Ethical Issues

• Practice in accordance with regulatory guidelines (e.g., HIPAA, scope of practice, informed consent)
• Integrate cultural awareness and inclusiveness into all aspects of professional practice
• Exemplify ethical practices and encourage similar conduct in peers
• Prepare and maintain materials for licensure, credentialing, and privileging
• Identify and respond to adverse and sentinel events to promote a culture of patientsafety

- Practice Management

• Document patient encounters in a manner which supports applicable diagnostic and procedure codes
• Utilize appropriate billing and coding to facilitate reimbursement
• Increase access to care (e.g., provide access to interpreters, improve access for clients with various disabilities, facilitate transportation, extend appointment hours, telehealth)