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Advancing the APRN and PA professions through medical staff membership: An organizational case study. 通过医务人员成员资格推进APRN和PA专业：一个组织案例研究。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-06-01 Epub Date: 2025-05-27 DOI: 10.1097/01.JAA.0000000000000098
Paula Brooks, Ebrahim Barkoudah
{"title":"Advancing the APRN and PA professions through medical staff membership: An organizational case study.","authors":"Paula Brooks, Ebrahim Barkoudah","doi":"10.1097/01.JAA.0000000000000098","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000098","url":null,"abstract":"<p><strong>Abstract: </strong>Granting medical staff membership to advanced practice registered nurses (APRNs) and physician associates (PAs) is a national trend endorsed by The Joint Commission in 1983 and by the Centers for Medicare & Medicaid Services in 2012. APRNs and PAs must participate in the system in which medical care policies are made and communicated. Medical staff privileges enable these clinicians to help develop and implement hospital and medical staff policies that improve the quality and appropriateness of patient care. Medical staff membership also encourages a culture that promotes interprofessional and collaborative practice, enhancing and strengthening clinician relationships. Through education and by updating bylaws, rules, and regulations, APRNs and PAs at our facility can now admit patients, and they have a voice and vote in medical staff governance committees that affect their practice.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 6","pages":"39-44"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152627","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
In the line of duty. 在工作中。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-06-01 Epub Date: 2025-05-27 DOI: 10.1097/01.JAA.0000000000000216
Brian T Maurer
{"title":"In the line of duty.","authors":"Brian T Maurer","doi":"10.1097/01.JAA.0000000000000216","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000216","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 6","pages":"50"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151793","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
Year in review. 年度回顾。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-06-01 Epub Date: 2025-05-27 DOI: 10.1097/01.JAA.0000000000000217
Jason Prevelige
{"title":"Year in review.","authors":"Jason Prevelige","doi":"10.1097/01.JAA.0000000000000217","DOIUrl":"10.1097/01.JAA.0000000000000217","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"8"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003933","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
Multisystem immune-related adverse reactions with immune checkpoint inhibitors. 免疫检查点抑制剂的多系统免疫相关不良反应。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-06-01 Epub Date: 2025-05-27 DOI: 10.1097/01.JAA.0000000000000211
Amy Jayson, Maria Tsambarlis, Hardik Thakkar, Steven P Ludlow, Misbahuddin Syed
{"title":"Multisystem immune-related adverse reactions with immune checkpoint inhibitors.","authors":"Amy Jayson, Maria Tsambarlis, Hardik Thakkar, Steven P Ludlow, Misbahuddin Syed","doi":"10.1097/01.JAA.0000000000000211","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000211","url":null,"abstract":"<p><strong>Abstract: </strong>Immune checkpoint inhibitors have transformed oncologic practice, producing durable responses in many patients with advanced malignancies. However, these treatments can cause immune-related adverse reactions. This article describes a patient with metastatic non-small cell lung cancer who developed toxicities involving multiple organ systems shortly after receiving combined ipilimumab and nivolumab. Although toxicity is more common in just one organ system, multisystem adverse reactions are possible, and clinicians who recognize and manage these reactions promptly can improve patient outcomes.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 6","pages":"29-31"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151805","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
Opill (norgestrel): Where does the OTC birth control pill fit in among existing contraception? 奥匹尔（诺孕酮）：OTC避孕药在现有的避孕方法中处于什么位置？
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-06-01 Epub Date: 2025-05-27 DOI: 10.1097/01.JAA.0000000000000209
Nicole Daher, Jolene Bohensky
{"title":"Opill (norgestrel): Where does the OTC birth control pill fit in among existing contraception?","authors":"Nicole Daher, Jolene Bohensky","doi":"10.1097/01.JAA.0000000000000209","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000209","url":null,"abstract":"<p><strong>Abstract: </strong>Oral contraceptive pills have been a cornerstone of contraception for more than 6 decades. Oral contraceptives are highly effective in preventing unintended pregnancy, making them the most utilized reversible contraceptive method. Daily oral contraceptive pills have traditionally required a prescription from a healthcare provider due to potential risks and adverse reactions associated with use. The need for prescription creates significant barriers to accessibility and convenience for patients who may resort to less effective but more readily available nonprescription methods. Opill® (norgestrel) is the first and only FDA-approved daily oral contraceptive for over-the-counter use. This article examines Opill's place in the current US contraceptive market.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 6","pages":"11-13"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152236","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
Pharmacologic interventions for alcohol use disorder. 酒精使用障碍的药物干预。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-06-01 Epub Date: 2025-05-27 DOI: 10.1097/01.JAA.0000000000000106
Jordan Menge, Bernadette Evitt
{"title":"Pharmacologic interventions for alcohol use disorder.","authors":"Jordan Menge, Bernadette Evitt","doi":"10.1097/01.JAA.0000000000000106","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000106","url":null,"abstract":"<p><strong>Abstract: </strong>Alcohol use disorder (AUD) has devastating effects, and its prevalence in the US is growing. It is therefore important to examine multiple avenues for successful cessation and continued abstinence. Disulfiram, oral naltrexone, naltrexone IM, and acamprosate are currently the only four medications approved for the treatment of AUD by the FDA. This review aims to examine the efficacy of the approved medications as well as explore the use of off-label pharmacologic treatments used for AUD treatment (including gabapentin, baclofen, oxytocin, N-acetylcysteine, calcium carbonate, and psilocybin). Through this exploration, the most effective treatment for individuals with AUD can be determined to enable providers in ameliorating the prevalence of this disease.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 6","pages":"e2-e6"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152304","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
Prostate cancer. 前列腺癌。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-06-01 Epub Date: 2025-05-27 DOI: 10.1097/01.JAA.0000000000000101
Laura Solano
{"title":"Prostate cancer.","authors":"Laura Solano","doi":"10.1097/01.JAA.0000000000000101","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000101","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 6","pages":"45-46"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152453","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 PA postprofessional doctorate. PA博士后。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-05-01 Epub Date: 2025-04-24 DOI: 10.1097/01.JAA.0000000000000201
Robert E McKenna, Roderick S Hooker
{"title":"The PA postprofessional doctorate.","authors":"Robert E McKenna, Roderick S Hooker","doi":"10.1097/01.JAA.0000000000000201","DOIUrl":"10.1097/01.JAA.0000000000000201","url":null,"abstract":"<p><strong>Abstract: </strong>The American physician associate (PA) profession is evolving and now includes the potential for postgraduate doctorates that align with other healthcare disciplines. This educational trend is expanding: The number of PA doctoral degree programs doubled between 2022 and 2024. A census assessment of postgraduate doctoral degrees was conducted to document this movement. In 2024, we identified 28 postprofessional PA doctoral degree programs, most conferring a Doctor of Medical Science. Tuition for an online PA doctorate ranges from $15,240 to $47,880, and most programs require at least 12 months to complete. Nearly all are online and designed for working PAs. Within these 28 doctoral programs for PAs, the most common areas of study include PA education, healthcare administration, leadership, management, and several clinical and administrative concentrations. All programs are accredited by one of six federally recognized agencies. The social, professional, economic, and financial factors pertinent to a PA considering a clinical doctorate are of interest to PA graduates, educators, and social scientists.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"35-41"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804596","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-TEST. 芝加哥商品交易所测试后。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-05-01 Epub Date: 2025-04-24 DOI: 10.1097/01.JAA.0000000000000210
{"title":"CME POST-TEST.","authors":"","doi":"10.1097/01.JAA.0000000000000210","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000210","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 5","pages":"31"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057795","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
Reducing barriers to colorectal cancer screening via at-home multitarget stool DNA tests. 通过家庭多靶点粪便DNA检测减少结直肠癌筛查的障碍。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-05-01 Epub Date: 2025-04-24 DOI: 10.1097/01.JAA.0000000000000108
Brittany Strelow, Hanna Dorff, Cole Gunneson, Wade Katula, Jeffrey Pokuta, Kao Vang, Rachel Olson, Danielle O'Laughlin
{"title":"Reducing barriers to colorectal cancer screening via at-home multitarget stool DNA tests.","authors":"Brittany Strelow, Hanna Dorff, Cole Gunneson, Wade Katula, Jeffrey Pokuta, Kao Vang, Rachel Olson, Danielle O'Laughlin","doi":"10.1097/01.JAA.0000000000000108","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000108","url":null,"abstract":"<p><strong>Background: </strong>Colorectal cancer (CRC) is the second leading cause of cancer deaths in the US, with screening rates at 65% to 70%. This quality improvement project in a Southeast Minnesota health system (SMHS) aimed to enhance CRC screening using multitarget stool DNA (mt-sDNA) test kit delivery.</p><p><strong>Methods: </strong>Of 13,561 eligible patients ages 45 to 75 years in the SMHS, 12,032 were offered home delivery of mt-sDNA kits through the electronic patient portal.</p><p><strong>Results: </strong>Within 90 days, 1,953 kits (16.2%) were returned, with 158 (8.1%) showing abnormal results, leading to colonoscopy referrals. Communication channels included the electronic portal, postal mail messages, and phone calls.</p><p><strong>Conclusion: </strong>Implementing mt-sDNA screening resulted in a 4.13% adherence increase, compared with a 0.04% adherence increase without intervention. However, disparities in return rates revealed unexpected challenges in addressing racial and ethnic disparities, as White patients and native English speakers showed higher return rates.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 5","pages":"42-43"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057796","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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