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

PAs and medical podcasts: Utilization, perceptions, and impact on practice. PAs和医学播客：利用、认知和对实践的影响。

IF 0.9 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-10-06 DOI: 10.1097/01.JAA.0000000000000434

Corrine Miller, Sean Kolhoff, Brenda Quincy

{"title":"PAs and medical podcasts: Utilization, perceptions, and impact on practice.","authors":"Corrine Miller, Sean Kolhoff, Brenda Quincy","doi":"10.1097/01.JAA.0000000000000434","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000434","url":null,"abstract":"Objective: This study aimed to examine medical podcast utilization among physician associates (PAs), including factors associated with use such as perceived barriers, motivations for engagement, and demographics.Methods: An anonymous survey assessing medical podcast use was included as an optional module in the 2025 American Academy of Physician Associates PA Practice Survey during its May and June fielding periods.Results: Of the 596 PAs who completed the survey, 359 (60.2%) reported listening to medical podcasts. Male PAs were more likely to listen than female PAs (68.8% vs 58.9%; p < .05). Greater years of clinical experience were associated with decreased likelihood to listen (OR, 0.93; 95% CI, 0.88-0.97). Cost-related concerns were associated with lower use (OR 0.57; 95% CI, 0.36-0.92), though some barriers correlated with increased likelihood to report listening. Respondents identified staying current with medical advances, professional development, and support for clinical decision-making as key benefits of podcast use.Conclusion: These findings are the first to describe medical podcast engagement within the PA profession, demonstrating that PAs, especially those who are earlier in their careers, commonly use this medium as a tool for professional development. Future research should examine the effects of podcast use on knowledge retention, certification performance, and clinical outcomes.","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128744","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

CME POST-TESTS. 芝加哥商品交易所测试后。

IF 0.9 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-10-01 Epub Date: 2026-09-24 DOI: 10.1097/01.JAA.0000000000000424

引用次数: 0

Trust: The key ingredient to patient engagement. 信任：患者参与的关键因素。

IF 0.9 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-10-01 Epub Date: 2026-09-24 DOI: 10.1097/01.JAA.0000000000000412

Aaron Henry

引用次数: 0

Exploring the impact of PA-specific doctoral degrees on professional identity: A phenomenological study. 心理学博士学位对职业认同的影响：一项现象学研究。

IF 0.9 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-10-01 Epub Date: 2026-09-24 DOI: 10.1097/01.JAA.0000000000000413

Cody A Sasek, Jacqueline Sivahop, Natalie Smith, Chris Gillette

{"title":"Exploring the impact of PA-specific doctoral degrees on professional identity: A phenomenological study.","authors":"Cody A Sasek, Jacqueline Sivahop, Natalie Smith, Chris Gillette","doi":"10.1097/01.JAA.0000000000000413","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000413","url":null,"abstract":"Objective: To explore how completing a physician associate (PA)-specific doctoral degree influences PAs' professional identity and lived experience.Methods: A qualitative phenomenological study involving 15 semi-structured interviews with PAs who earned a PA-specific doctoral degree between 2021 and 2023 was conducted. Transcripts were coded and analyzed thematically. Trustworthiness was supported through dual coding, member checking, and reflexivity.Results: Participants reported minimal change to their core identity as clinicians and expressed uncertainty about what it means to be doctorally prepared, including hesitancy in using the title doctor. Although clinical duties were largely unaffected, participants described greater career clarity and a perception of expanded opportunities in leadership, education, and administration.Conclusion: Having a PA-specific doctoral degree demonstrated limited impact on professional identity with greater perceived benefit for career potential. Findings highlight the need for clearer degree socialization and intentional curricular design aligned with evolving individual and professional expectations.","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 10","pages":"e9-e16"},"PeriodicalIF":0.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031826","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 athlete's back pain? 是什么导致了这个运动员的背痛？

IF 0.9 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-10-01 Epub Date: 2026-09-24 DOI: 10.1097/01.JAA.0000000000000415

Micaela Lavoie

引用次数: 0

Diagnosis and management of ankyloglossia in infants and children. 婴幼儿和儿童强直性咬合的诊断和治疗。

IF 0.9 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-10-01 Epub Date: 2026-09-24 DOI: 10.1097/01.JAA.0000000000000420

Mark A Fridman

{"title":"Diagnosis and management of ankyloglossia in infants and children.","authors":"Mark A Fridman","doi":"10.1097/01.JAA.0000000000000420","DOIUrl":"10.1097/01.JAA.0000000000000420","url":null,"abstract":"Abstract: The diagnosis and management of ankyloglossia, commonly referred to as tongue-tie, has become a controversial topic spanning multiple subspecialties within pediatrics, dentistry, and rehabilitation medicine. Changing perspectives on clinical significance, increased awareness of breastfeeding challenges, and a stronger emphasis on a multidisciplinary approach have contributed to a dramatic rise in both diagnosis and intervention in this condition. Between 1997 and 2012, inpatient diagnoses of ankyloglossia in the United States increased nearly 10-fold, from 3,934 to 32,837 cases, with a similar increase in lingual frenotomy procedures, from 1,279 to 12,406. Providers may encounter tongue-tie in diverse settings, ranging from the newborn nursery to outpatient pediatric primary care to otolaryngology clinics. In the absence of a validated standalone threshold for surgical intervention, clinical decision-making can be challenging. This article provides clinically relevant, evidence-based recommendations to guide the diagnosis and management of ankyloglossia. Current guidance emphasizes direct assessment of the breastfeeding dyad, skilled lactation support, close monitoring of milk transfer and growth, and treatment of competing causes before frenotomy is considered.","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 10","pages":"32-36"},"PeriodicalIF":0.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031831","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

Summer-pattern seasonal affective disorder: A case study and implications for primary care. 夏季型季节性情感障碍：一个案例研究及其对初级保健的影响。

IF 0.9 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-10-01 Epub Date: 2026-09-24 DOI: 10.1097/01.JAA.0000000000000419

Jessica Spissinger, Reamer L Bushardt

{"title":"Summer-pattern seasonal affective disorder: A case study and implications for primary care.","authors":"Jessica Spissinger, Reamer L Bushardt","doi":"10.1097/01.JAA.0000000000000419","DOIUrl":"10.1097/01.JAA.0000000000000419","url":null,"abstract":"Abstract: Seasonal affective disorder (SAD) is most often recognized as a fall-winter subtype characterized by hypersomnia, hyperphagia, and anergia. Less commonly, patients experience a reverse presentation with spring-summer onset marked by irritability, insomnia, appetite loss, and psychomotor agitation. Pathophysiologic contributors to reverse SAD include circadian misalignment, neuroendocrine dysregulation, environmental stressors, and genetic susceptibility. Management requires a multimodal approach incorporating psychoeducation, psychotherapy (notably cognitive behavioral therapy [CBT]-SAD), pharmacotherapy tailored to symptom profile, vitamin D assessment, sleep hygiene, and lifestyle adjustments. Recognition of summer-onset depression is critical in primary care, as underdiagnosis may delay effective intervention. Rising global temperatures and prolonged light exposure underscore the importance of clinician awareness and proactive screening for reverse SAD to optimize patient outcomes. In this article, a fictional, illustrative case report describes a 35-year-old woman with a 3-year pattern of summer depression meeting DSM-5-TR criteria for major depressive disorder with seasonal pattern, summer onset. In this case, treatment with desvenlafaxine, sleep/environmental modification, and CBT leads to significant improvement.","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 10","pages":"27-31"},"PeriodicalIF":0.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031778","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

Renal colic in the ED: Consider POCUS first. 急诊科的肾绞痛：首先考虑POCUS。

IF 0.9 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-10-01 Epub Date: 2026-09-24 DOI: 10.1097/01.JAA.0000000000000400

Loni Kearney

引用次数: 0

The perceived intersection of parenting, family planning, and career decisions among practicing PAs. 在执业私人助理中，对养育子女、计划生育和职业决策的交叉认知。

IF 0.9 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-10-01 Epub Date: 2026-09-24 DOI: 10.1097/01.JAA.0000000000000422

Mary Ruggeri, Sean Kolhoff, Stephanie Neary

{"title":"The perceived intersection of parenting, family planning, and career decisions among practicing PAs.","authors":"Mary Ruggeri, Sean Kolhoff, Stephanie Neary","doi":"10.1097/01.JAA.0000000000000422","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000422","url":null,"abstract":"Objective: To explore the relationship between parenting status, profession choice, and career advancement among practicing physician associates (PAs).Methods: An anonymous survey asking PAs about their perceptions of the relationship between family planning and their professional experiences was included as an optional module in the 2023 American Academy of PAs Salary Survey.Results: Among the 626 PAs who completed the survey, 62.0% of respondents (388/626) indicated that family planning influenced their decision to become a PA. Statistically significant differences by gender emerged. Compared with male PAs, female PAs reported a higher distribution of household duties (58.8% [±21.9] vs 41.6% [±24.1]; P < .001), childrearing responsibilities (56.6% [±18.3] vs 36.8% [±18.2]; P < .001), and decisions to decline leadership opportunities due to parenting- or pregnancy-related responsibilities (29.9% [149/499] vs 20.0% [20/100]; P < .05).Conclusion: Parenting is a factor in many PAs' decisions to pursue the profession; however, there is a gender disparity in how parenting status impacts home responsibilities and career advancement.","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 10","pages":"e1-e8"},"PeriodicalIF":0.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031784","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

Jack of all trades. 万事通。

IF 0.9 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-10-01 Epub Date: 2026-09-24 DOI: 10.1097/01.JAA.0000000000000397

Brian T Maurer

引用次数: 0