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Jaapa-Journal of the American Academy of Physician Assistants最新文献

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Midday Moments: Pilot intervention of peer-led sessions to enhance hospitalist well-being. 午间时刻：试点干预同伴主导的会议，以提高医院医生的福祉。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-05-08 DOI: 10.1097/01.JAA.0000000000000365
Jennifer Kleinman Sween, Meghan Flanigan, Laura Boldenow, Jyoti Murray
{"title":"Midday Moments: Pilot intervention of peer-led sessions to enhance hospitalist well-being.","authors":"Jennifer Kleinman Sween, Meghan Flanigan, Laura Boldenow, Jyoti Murray","doi":"10.1097/01.JAA.0000000000000365","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000365","url":null,"abstract":"<p><strong>Objective: </strong>Peer-led discussion groups incorporating mindfulness-based tools have proven effective in improving clinician well-being in predominantly outpatient and nonclinical settings. In this study, peer-led discussion sessions were piloted in the inpatient setting with hospitalist advanced practice providers (APPs) and physicians, with the primary aim of increasing mindfulness, fostering connection, and testing intervention feasibility.</p><p><strong>Methods: </strong>We piloted 27 peer-led discussion sessions from March 2022 through December 2023. Aims were assessed through voluntary anonymous surveys following 20 of the sessions (5 virtual, 15 in-person).</p><p><strong>Results: </strong>A total of 86 survey responses were collected from attendees after 20 sessions. Survey responses showed participants felt the sessions created a space for mindfulness (86/86 responses, 100.0%), increased connection with colleagues (85/86, 98.8%), and were feasible to fit in the workday (81/86, 94.2%).</p><p><strong>Conclusion: </strong>The results of this exploratory pilot suggest that peer-led discussion sessions may be an effective and feasible way to increase mindfulness and foster connection among colleagues in inpatient hospitalist practice.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Beyond the clinic: Nonclinical PAs and factors associated with leaving clinical practice. 临床之外：非临床PAs和与离开临床实践相关的因素。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-05-08 DOI: 10.1097/01.JAA.0000000000000341
Teresa G Palumbo, Michelle Lim
{"title":"Beyond the clinic: Nonclinical PAs and factors associated with leaving clinical practice.","authors":"Teresa G Palumbo, Michelle Lim","doi":"10.1097/01.JAA.0000000000000341","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000341","url":null,"abstract":"<p><strong>Objective: </strong>Most physician associates (PAs) who leave their clinical jobs will pursue another clinical position, though a smaller subset leave clinical practice entirely. Job change research tends to focus on PAs who leave their clinical roles for another clinical position; PA departure from clinical practice altogether is understudied. The purpose of this study was to explore the reasons behind why PAs leave clinical medicine to pursue nonclinical career options.</p><p><strong>Methods: </strong>Interviews were conducted with nonclinical PAs to assess their reasons for leaving clinical practice.</p><p><strong>Results: </strong>Although the reasons the study participants left clinical practice were multifactorial, burnout was widely expressed as a top contributor. Other reasons included but were not limited to lack of professional advancement opportunities, financial considerations, lack of flexibility, and poor work-life balance.</p><p><strong>Conclusions: </strong>Burnout was a key factor for leaving clinical practice, though other important reasons were also discovered. Understanding these factors could influence future PA retention plans and elucidate career trends in the profession.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The National PA Research Agenda: Research priorities identified by American Academy of Physician Associates leaders. 美国医师协会研究议程：由美国医师协会领导确定的研究重点。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-05-01 Epub Date: 2026-04-23 DOI: 10.1097/01.JAA.0000000000000340
David J Bunnell, James Kilgore, Theresa A Johnson, Robert E McKenna, Noël Smith
{"title":"The National PA Research Agenda: Research priorities identified by American Academy of Physician Associates leaders.","authors":"David J Bunnell, James Kilgore, Theresa A Johnson, Robert E McKenna, Noël Smith","doi":"10.1097/01.JAA.0000000000000340","DOIUrl":"10.1097/01.JAA.0000000000000340","url":null,"abstract":"<p><strong>Objective: </strong>To update the National Physician Associate Research Agenda by identifying research priorities aligned with current health care delivery, policy, and education needs.</p><p><strong>Methods: </strong>A cross-sectional survey of 127 American Academy of Physician Associates (AAPA) leaders assessed the importance of 20 predefined research topics using Likert-scale ratings. Open-ended responses related to the top five priorities underwent thematic analysis.</p><p><strong>Results: </strong>Patient outcomes, cost-effectiveness, and access to care associated with physician associate (PA) utilization were rated as the top research priorities, followed by PA role expansion and readiness to practice. Qualitative themes highlighted the need for empirical evidence to drive legislative reform, strengthen public trust, and affirm the profession's legitimacy. Structural barriers such as billing constraints and scope-of-practice laws were also noted.</p><p><strong>Conclusions: </strong>These findings offer a leadership-informed roadmap to guide research that advances the PA profession's contributions to cost-effective care, health equity, and workforce resilience. By centering priorities on patient outcomes, access, role expansion, and readiness to practice, the agenda supports future research that drives innovation, informs policy, and sustains PA relevance in a dynamic health care system.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"32-37"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Barriers to hearing aid adoption in hearing loss. 听力损失患者采用助听器的障碍。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-05-01 Epub Date: 2026-04-23 DOI: 10.1097/01.JAA.0000000000000349
Jessica Canavan, Shea A Dempsey
{"title":"Barriers to hearing aid adoption in hearing loss.","authors":"Jessica Canavan, Shea A Dempsey","doi":"10.1097/01.JAA.0000000000000349","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000349","url":null,"abstract":"<p><strong>Abstract: </strong>More than one-fifth of the US population has hearing loss, a condition associated with higher risk of falls, depression, isolation, cognitive decline, dementia, and all-cause mortality. Treatment of hearing loss has been shown to correlate with decreased risk of cognitive decline, dementia, and mortality, as well as an improved quality of life. Surprisingly, however, fewer than 1 in 10 Americans with hearing loss use hearing aids. As the prevalence and burden of hearing loss grow, clinicians must understand factors influencing hearing aid use to increase treatment rates. This article reviews key barriers to hearing aid adoption-including low hearing health knowledge, inadequate screening, stigma, cost, and difficulty of use-and discusses recent changes that may influence these barriers.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 5","pages":"25-30"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Compassionate care: The most efficient tool you're not using. 同情关怀：你没有使用的最有效的工具。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-05-01 Epub Date: 2026-04-23 DOI: 10.1097/01.JAA.0000000000000339
Elizabeth Martinelli
{"title":"Compassionate care: The most efficient tool you're not using.","authors":"Elizabeth Martinelli","doi":"10.1097/01.JAA.0000000000000339","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000339","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 5","pages":"e1-e2"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What is the potential role of the nonopioid suzetrigine in pain management? 非阿片类药物苏三嗪在疼痛治疗中的潜在作用是什么？
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-05-01 Epub Date: 2026-04-23 DOI: 10.1097/01.JAA.0000000000000353
Emily Weidman-Evans, Roland Paquette
{"title":"What is the potential role of the nonopioid suzetrigine in pain management?","authors":"Emily Weidman-Evans, Roland Paquette","doi":"10.1097/01.JAA.0000000000000353","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000353","url":null,"abstract":"<p><strong>Abstract: </strong>Effective pain management without the risk of addiction, abuse, or dependence associated with opioids remains a key clinical challenge in patient care. Suzetrigine, a newly approved drug for acute pain management, is a nonopioid with a novel mechanism of action: it selectively targets voltage-gated sodium channels present only on peripheral, pain-sensing nerves. In phase 2 and 3 clinical trials, suzetrigine was found to be more effective for post-abdominoplasty and -bunionectomy pain than placebo and was noninferior to an opioid-acetaminophen combination for pain following abdominoplasty. The drug, which is taken twice daily for up to 14 days postoperatively, has shown no addiction or physical dependence risk to date in either animal or human studies. Suzetrigine expands options for acute pain management, and additional studies that further expanding on the drug's current indication are underway.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 5","pages":"14-17"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nutrition risk considerations in uninsured adult patients in a free primary care clinic. 在免费初级保健诊所无保险成年患者的营养风险考虑。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-05-01 Epub Date: 2026-04-23 DOI: 10.1097/01.JAA.0000000000000325
Jaime Gnau, Jessica Willis, Stephanie Mitchell Urich, Madison Kurth, Katelyn Maben, Brandi L Bowers
{"title":"Nutrition risk considerations in uninsured adult patients in a free primary care clinic.","authors":"Jaime Gnau, Jessica Willis, Stephanie Mitchell Urich, Madison Kurth, Katelyn Maben, Brandi L Bowers","doi":"10.1097/01.JAA.0000000000000325","DOIUrl":"10.1097/01.JAA.0000000000000325","url":null,"abstract":"<p><strong>Abstract: </strong>This study examines patient and provider perceptions of nutrition risk, compares these perceptions with objective measures, and suggests practices to support improved nutrition-related health outcomes. Using observational methods, surveys were disseminated to uninsured, low-income patients (N = 150) and providers (N = 5) to assess diet quality, malnutrition risk, and food insecurity. Analyses, which used descriptive statistics and Spearman's Rho correlations, included three objective nutrition risk indicator scores based on validated tools, perceptions of nutrition risk, and perceptions of nutrition risk indicator impact on overall nutrition risk. Patient perceptions of nutrition risk correlated with objective measures: diet quality, malnutrition risk, and food insecurity. Provider perception of nutrition risk indicators correlated only with objective malnutrition risk. No correlation was observed between provider- and patient-perceived nutrition risk. Patients identified nutrition risk indicators more effectively than providers. Patient care and PA education may be improved through use of tools to identify and address nutrition risk indicators.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"e13-e19"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cerebellitis and cytotoxic lesions of the corpus callosum after COVID-19 infection. COVID-19感染后胼胝体的小脑炎和细胞毒性病变。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-05-01 Epub Date: 2026-04-23 DOI: 10.1097/01.JAA.0000000000000345
Victoria A Johnson, Vikas Kumar
{"title":"Cerebellitis and cytotoxic lesions of the corpus callosum after COVID-19 infection.","authors":"Victoria A Johnson, Vikas Kumar","doi":"10.1097/01.JAA.0000000000000345","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000345","url":null,"abstract":"<p><strong>Abstract: </strong>Initially identified as a respiratory illness, COVID-19 has increasingly been linked to a range of neurologic complications, including myelitis, acute disseminated encephalomyelitis, and Guillain-Barré syndrome. Potential signals of central nervous system involvement-either during active infection or in the postinfectious period-include ataxia and cognitive changes. Though rarely observed in the setting of COVID-19 infection, these neurologic symptoms can be serious, and therefore, providers should maintain a high index of suspicion for central nervous system involvement in patients with current or recent COVID-19 infection. This article presents a rare case of concurrent cerebellitis and corpus callosum cytotoxicity after SARS-CoV-2 infection.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 5","pages":"e3-e7"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Venomous bites and stings. 有毒的咬和刺。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-05-01 Epub Date: 2026-04-23 DOI: 10.1097/01.JAA.0000000000000347
Patrick McNeal, Meredith Provost
{"title":"Venomous bites and stings.","authors":"Patrick McNeal, Meredith Provost","doi":"10.1097/01.JAA.0000000000000347","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000347","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 5","pages":"45-46"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What is causing this patient's recurrent small bowel obstructions? 是什么原因导致这个病人反复出现小肠阻塞？
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-05-01 Epub Date: 2026-04-23 DOI: 10.1097/01.JAA.0000000000000346
Kimberly A Carter
{"title":"What is causing this patient's recurrent small bowel obstructions?","authors":"Kimberly A Carter","doi":"10.1097/01.JAA.0000000000000346","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000346","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 5","pages":"47-49"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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