A resolution supporting medical assistants and CMAs (AAMA) was adopted by the House of Delegates of the Indiana State Medical Association (ISMA) in September 2018. The resolution was introduced by William W. Pond, MD. Tammy Daily, CMA (AAMA), liaison to the ISMA from the Indiana Society of Medical Assistants, and I helped craft the final language of the resolution. To read the adopted resolution, access the January/February 2019 Public Affairs article, “ISMA urges Indiana physicians to hire competent medical assistants,” on the AAMA website.
Inconsistency in the usage of similar-sounding terms related to medical assisting is bound to cause confusion. The following question demonstrates one such instance:
Is there a difference between a medical assistant and a medical office assistant? Health systems in our region seem to use these terms to describe the same category of allied health professional.
Medical office assistant and medical assistant were used interchangeably to describe allied health professionals who are knowledgeable and competent in both clinical and administrative tasks and responsibilities in outpatient delivery settings. This meaning of medical office assistant has become less frequent in recent years, and the vast majority of federal and state statutes and regulations employ the phrase medical assistant.
In certain contexts, medical office assistant describes an individual who performs only administrative tasks in an ambulatory-care setting. Even this usage has become less frequent. Individuals who perform only administrative tasks in an outpatient environment are now more commonly referred to as administrative medical assistants or administrative assistants.
Schools continue to offer educational programs that address only the administrative aspects of medical assisting. Keep in mind that graduates of these programs are not eligible for the CMA (AAMA) Certification Examination. Only graduates of medical assisting programs accredited by either the Commission on Accreditation of Allied Health Education Programs (CAAHEP) or the Accrediting Bureau of Health Education Schools (ABHES) that teach both clinical and administrative knowledge, skills, and professional attributes and behaviors—and thus meet the CAAHEP- and ABHES-accreditation standards for medical assisting programs—are eligible for the CMA (AAMA) Certification Examination.
Here is an interesting question about “levels” of medical assisting:
I work for a very large cardiology practice in North Carolina. Is it permissible to establish tiers of medical assistants based on their skill sets? For example, are we permitted under North Carolina law to have categories such as Medical Assistant I, Medical Assistant II, Medical Assistant III based on the medical assistant’s education, credentialing, and skill sets?
North Carolina law does not forbid employers from establishing tiers or levels of medical assistants. An employer is allowed to determine what elements of knowledge and skill are required for each category of medical assistants and what tasks should be assigned to medical assistants in the respective categories.
However, these levels should not have “CMA” in their titles. The American Association of Medical Assistants (AAMA) has intellectual property rights to the phrase “certified medical assistant” and the initialisms “CMA (AAMA)” and “CMA.”
Titling these classifications as Medical Assistant I, II, III is permitted under North Carolina law and does not infringe on the trademark and intellectual property rights of the AAMA. See the State Scope of Practice Laws webpage on the AAMA website to access key state legislative materials pertaining to medical assisting.
I field many questions from health professionals with a variety of educational and professional backgrounds about the eligibility requirements for the CMA (AAMA) Certification Examination. Many wonder, If I have this knowledge and experience, am I eligible to take the CMA (AAMA) Exam? If you are one such person, consider this question and response:
I am a licensed practical nurse (LPN). Would it be possible for me to take the CMA (AAMA) Certification Examination? Some employers in my area prefer to hire CMAs (AAMA) rather than LPNs.
This is my response:
Only graduates of CAAHEP- or ABHES-accredited medical assisting programs are eligible for the CMA (AAMA) Certification Examination. I suggest that you contact CAAHEP- and ABHES-accredited medical assisting programs in your areas and see whether they would accept some of the courses you took in your LPN program in lieu of similar courses in the medical assisting program.
Often the questions I receive from CMAs (AAMA) are as versatile as the health professionals asking them. Although some questions focus on an individual’s specific circumstance, they present a situation all CMAs (AAMA) with certification questions can learn something from. The following question is one such case:
I would like to know if a CMA (AAMA) is permitted to work at the office of an ophthalmologist as an ophthalmic technician and be able to continue to hold and recertify the CMA (AAMA) credential.
The answer to your question is yes. One of the many advantages of the CMA (AAMA) is the variety of professional opportunities that are available. CMAs (AAMA) work in the offices of ophthalmologists in various capacities.
The Certifying Board of the AAMA places no restrictions on the types of positions CMAs (AAMA) must hold in order to be eligible to recertify. You are permitted to work as an ophthalmic technician and recertify your CMA (AAMA) by continuing education or retesting.