Jaapa-Journal of the American Academy of Physician Assistants最新文献_第2页

Bridging the BRCA1/2 variant previvor gap in health care. 弥合BRCA1/2变异体在医疗保健中的差距

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.0000000000000423

Stacie Gopal

引用次数: 0

Factors associated with PAs' choice of the traditional PANRE over the PANRE-LA. 与PAs选择传统PANRE而非PANRE- la相关的因素。

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.0000000000000411

Andrzej Kozikowski, Mirela Bruza-Augatis, Tamara Ritsema, Cody Sasek, Yanlin Jiang, Andrew Dallas, Joshua Goodman

{"title":"Factors associated with PAs' choice of the traditional PANRE over the PANRE-LA.","authors":"Andrzej Kozikowski, Mirela Bruza-Augatis, Tamara Ritsema, Cody Sasek, Yanlin Jiang, Andrew Dallas, Joshua Goodman","doi":"10.1097/01.JAA.0000000000000411","DOIUrl":"10.1097/01.JAA.0000000000000411","url":null,"abstract":"Objective: To identify the factors associated with physician associates' (PAs') selection of the Physician Assistant National Recertifying Examination (PANRE) versus the Physician Assistant National Recertifying Examination-Longitudinal Assessment (PANRE-LA) for maintenance of board certification.Methods: We utilized data from 80,553 PAs due for recertification between 2024 and 2027 to examine associations between selecting the traditional PANRE versus the PANRE-LA and PA demographics, practice characteristics, prior traditional PANRE experience, most recent examination performance, and first-attempt Physician Assistant National Certifying Examination (PANCE) scores.Results: Overall, 77.6% of PAs chose the PANRE-LA. Selection of the traditional PANRE was most strongly associated with older age, previous experience with the traditional PANRE, male gender, and African American/Black race. Performance on the PANCE and the most recent traditional PANRE had a negligible association with PAs' choice of assessment type.Conclusion: Understanding the factors associated with examination choice is crucial for addressing PAs' current and future credentialing needs.","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 10","pages":"e17-e27"},"PeriodicalIF":0.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13574346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clotting factor disorders: Hypocoagulable states. 凝血因子紊乱：低凝状态。

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.0000000000000416

Leslie C Veit

引用次数: 0

Analysis of factors related to PA salaries in Pennsylvania. 宾夕法尼亚州私人助理工资相关因素分析。

IF 0.9 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-09-01 Epub Date: 2026-08-25 DOI: 10.1097/01.JAA.0000000000000399

Adrian S Banning, Patrick Heagey, Mirela Bruza-Augatis, Kasey Puckett, Frances Arabia, Andrzej Kozikowski

{"title":"Analysis of factors related to PA salaries in Pennsylvania.","authors":"Adrian S Banning, Patrick Heagey, Mirela Bruza-Augatis, Kasey Puckett, Frances Arabia, Andrzej Kozikowski","doi":"10.1097/01.JAA.0000000000000399","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000399","url":null,"abstract":"Objective: This study examined factors contributing to the income disparity among physician associates (PAs) in Pennsylvania.Methods: Utilizing a 2022 national data set, we compared the annual income of PAs in Pennsylvania with PAs in all other US states, as well as with PAs practicing within a 25-mile radius of Pittsburgh and Philadelphia. We also examined the relationship between the number of PA programs in each state and the corresponding average PA income.Results: Compared with PAs in other states, PAs in Pennsylvania reported lower mean earnings ($109,549 vs $121,586; P < .001). PAs in other zip codes of Pennsylvania earn a slightly higher mean income ($109,826) than PAs within 25 miles of Pittsburgh ($101,066), but less than those within 25 miles of Philadelphia ($116,848). We found no correlation between mean state income and the number of PA programs.Conclusion: The significant salary disparities within Pennsylvania and between Pennsylvania and other states warrant a closer examination of underlying factors such as market norms, cost of living, demand for health care services, and other possible contributing factors.","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 9","pages":"e1-e9"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833665","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

Metabolic dysfunction-associated steatotic liver disease (MASLD). 代谢功能障碍相关脂肪变性肝病（MASLD）。

IF 0.9 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-09-01 Epub Date: 2026-08-25 DOI: 10.1097/01.JAA.0000000000000410

Laura Solano

引用次数: 0

Hair loss: A systematic approach to evaluation, diagnosis, and management. 脱发：评估、诊断和管理的系统方法。

IF 0.9 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-09-01 Epub Date: 2026-08-25 DOI: 10.1097/01.JAA.0000000000000405

Clay W Walker, Daniel Champigny, Thomas Hartman, Brittney Hulsey, Cambrei Hoffart

{"title":"Hair loss: A systematic approach to evaluation, diagnosis, and management.","authors":"Clay W Walker, Daniel Champigny, Thomas Hartman, Brittney Hulsey, Cambrei Hoffart","doi":"10.1097/01.JAA.0000000000000405","DOIUrl":"10.1097/01.JAA.0000000000000405","url":null,"abstract":"Abstract: Hair loss (alopecia) is a common presentation in both primary care and dermatology. It often signals underlying inflammation or abnormalities in hair cycling or hair shaft structure, requiring a thorough and systematic evaluation. Clinical guidelines emphasize pattern recognition, trigger identification, and targeted interventions. This article equips physician associates (PAs) with an evidence-based approach to assessing patient history, conducting physical examinations, selecting appropriate diagnostics, and implementing treatment strategies for alopecia. History and scalp inspection guide diagnosis, with the differential including such conditions as telogen effluvium (diffuse), alopecia areata (focal), and androgenetic alopecia (patterned). Recommended laboratory tests include thyroid-stimulating hormone, complete blood cell count, and iron studies, while scalp biopsy is used to confirm scarring. Treatments address causes, with avoidance of triggers central to effluvium, intralesional steroids or baricitinib for alopecia areata, minoxidil-based therapy for androgenetic alopecia, and antifungals for tinea capitis. By integrating trichoscopy, selective testing, and etiology-specific care, PAs can enhance diagnostic accuracy and optimize outcomes for patients with hair loss.","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 9","pages":"27-34"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833662","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

A calling. 一个调用。

IF 0.9 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-09-01 Epub Date: 2026-08-25 DOI: 10.1097/01.JAA.0000000000000403

Cameron Young Sweeney

引用次数: 0

Sixty years of learning. 六十年的学习。

IF 0.9 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-09-01 Epub Date: 2026-08-25 DOI: 10.1097/01.JAA.0000000000000407

David J Bunnell

引用次数: 0

Precision oncology in breast cancer: Biomarker-driven treatment strategies and the expanding role of APPs. 乳腺癌的精确肿瘤学：生物标志物驱动的治疗策略和应用程序的扩展作用。

IF 0.9 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-09-01 Epub Date: 2026-08-25 DOI: 10.1097/01.JAA.0000000000000408

Whitney Tobin

{"title":"Precision oncology in breast cancer: Biomarker-driven treatment strategies and the expanding role of APPs.","authors":"Whitney Tobin","doi":"10.1097/01.JAA.0000000000000408","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000408","url":null,"abstract":"Abstract: Recent advances in breast cancer management have transformed treatment across molecular subtypes and expanded the role of precision oncology. Hormone receptor-positive (HR-positive), human epidermal growth factor receptor 2-positive (HER2-positive), HER2-low, and triple-negative breast cancer (TNBC) each demonstrate distinct biologic behavior requiring tailored therapeutic strategies. In HR-positive disease, cyclin-dependent kinase 4/6 (CDK4/6) inhibitors and next-generation selective estrogen receptor degraders have improved survival, while HER2-directed antibody-drug conjugates (ADCs) have expanded treatment options beyond traditional HER2-positive disease. HER2-low disease has recently emerged as a therapeutically actionable HER2-expression category, addressing a previously limited treatment space. In TNBC, immunotherapy and ADCs have broadened therapeutic options for historically difficult-to-treat disease. Advances in genomic profiling, including next-generation sequencing and circulating tumor DNA testing, allow clinicians to identify biomarkers to guide targeted therapy selection. As treatment complexity increases, APPs play an essential role in implementing precision oncology through patient education, toxicity management, genomic counseling, and clinical trial coordination. This review summarizes current treatment strategies across breast cancer subtypes, highlights emerging therapies, and emphasizes the expanding APP role.","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 9","pages":"35-43"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833698","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 dome-shaped papule? 是什么导致了这个病人的圆顶丘疹？

IF 0.9 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-09-01 Epub Date: 2026-08-25 DOI: 10.1097/01.JAA.0000000000000401

Lanah Almatroud, Amor Khachemoune

引用次数: 0