Jaapa-Journal of the American Academy of Physician Assistants最新文献_第4页

AAPA 2026 Poster Abstracts. AAPA 2026海报摘要。

IF 0.9 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-08-01 Epub Date: 2026-07-28 DOI: 10.1097/01.JAA.0000000000000392

引用次数: 0

AAPA 2026 Poster Abstracts. AAPA 2026海报摘要。

IF 0.9 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-08-01 Epub Date: 2026-07-28 DOI: 10.1097/01.JAA.0000000000000392

引用次数: 0

A national analysis of the older PA workforce: Demographics, clinical dynamics, and retention. 老年PA劳动力的全国分析：人口统计，临床动态和保留。

IF 0.9 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-08-01 Epub Date: 2026-07-28 DOI: 10.1097/01.JAA.0000000000000386

Roderick S Hooker, James F Cawley, Mirela Bruza-Augatis, Kasey Puckett, Andrzej Kozikowski

{"title":"A national analysis of the older PA workforce: Demographics, clinical dynamics, and retention.","authors":"Roderick S Hooker, James F Cawley, Mirela Bruza-Augatis, Kasey Puckett, Andrzej Kozikowski","doi":"10.1097/01.JAA.0000000000000386","DOIUrl":"10.1097/01.JAA.0000000000000386","url":null,"abstract":"Objective: To compare the characteristics and dynamics of physician associates (PAs) aged 65 years and older with PAs younger than 65.Methods: A descriptive, quantitative study compared demographic and practice attributes of PAs aged 65 and older with those younger than 65, utilizing a 2023 national dataset (n = 149,909).Results: In 2023, 4.1% of board-certified PAs were 65 years and older. Among PAs 65 and older, 75.3% reported working clinically. Compared with PAs under age 65, a higher proportion of PAs 65 and older were male (50.2% vs 28.0%; P < .001), resided in rural/isolated areas (12.1% vs 6.9%; P < .001), and provided telemedicine services (44.5% vs 42.7%; P = .014). Older PAs were also less satisfied with their current job and reported lower burnout rates.Conclusions: Amid persistent physician shortages, understanding the practice patterns of PAs 65 and older is crucial for developing targeted policies and practices that support their retention.","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 8","pages":"33-39"},"PeriodicalIF":0.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148664684","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

AAPA 2026 Poster Abstracts. AAPA 2026海报摘要。

IF 0.9 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-08-01 Epub Date: 2026-07-28 DOI: 10.1097/01.JAA.0000000000000392

引用次数: 0

What is causing unexplained hyperglycemia in a patient diagnosed with type 2 diabetes mellitus? 2型糖尿病患者出现不明原因高血糖的原因是什么？

IF 0.9 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-08-01 Epub Date: 2026-07-28 DOI: 10.1097/01.JAA.0000000000000376

Cara Orr

引用次数: 0

Moral distress in the PA profession. 私人助理职业的道德困境。

IF 0.9 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-08-01 Epub Date: 2026-07-28 DOI: 10.1097/01.JAA.0000000000000383

Noël E Smith, Sean Kolhoff, Eric D Tetzlaff

{"title":"Moral distress in the PA profession.","authors":"Noël E Smith, Sean Kolhoff, Eric D Tetzlaff","doi":"10.1097/01.JAA.0000000000000383","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000383","url":null,"abstract":"Objective: To examine the relationship among moral distress, burnout, and organizational climate, and to identify how these factors influence physician associates' (PAs') intent to leave their position.Methods: A total of 327 PAs completed a survey containing measures of organizational climate, moral distress, and burnout. Linear and logistic regressions were calculated to examine the relationship among moral distress, burnout, organizational climate, and intent to leave.Results: Burnout related to emotional exhaustion and depersonalization had a positive, statistically significant association with a PA's level of moral distress. Organizational climate, feelings of moral distress, and emotional exhaustion played a role in a PA's decision to leave a position.Conclusions: Understanding the interaction between moral distress and intent to leave can help improve PA well-being and reduce turnover. Future interventions aimed at addressing moral distress should target PAs who indicate they are experiencing emotional exhaustion, depersonalization, and a lack of agency in their current workplace.","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 8","pages":"e11-e18"},"PeriodicalIF":0.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148664707","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

Clinical approach to pediatric epistaxis. 小儿鼻出血的临床治疗方法。

IF 0.9 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-08-01 Epub Date: 2026-07-28 DOI: 10.1097/01.JAA.0000000000000393

Regan Alford, Carrlene Donald, Sarah Bolander

{"title":"Clinical approach to pediatric epistaxis.","authors":"Regan Alford, Carrlene Donald, Sarah Bolander","doi":"10.1097/01.JAA.0000000000000393","DOIUrl":"10.1097/01.JAA.0000000000000393","url":null,"abstract":"Abstract: Epistaxis is a common concern in the pediatric population. Although the underlying cause is often benign, epistaxis may also be a symptom of more concerning pathology. Despite the frequency with which epistaxis arises in these patients, a standardized approach to assessment and management has not been established, leading to potential gaps in care. This article outlines a systematic approach to evaluating and managing pediatric epistaxis with the aim of improving prompt recognition and ensuring timely intervention. To inform this approach, the article provides an overview of the broad differential diagnosis of epistaxis, ranging from the benign and often self-limiting to critical red-flag signs and symptoms of possible serious underlying pathology. Namely, recurrent or severe epistaxis may indicate systemic conditions, bleeding dyscrasia, tumors, or structural anomalies that require specialty consultation. Clinicians should be aware of the indications for advanced diagnostic evaluation as well as criteria for timely specialty referral in cases of recurrent, severe, or suspicious epistaxis. By implementing this systematic approach, clinicians can reduce delays in appropriate referrals, ultimately enhancing comprehensive pediatric epistaxis care.","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 8","pages":"24-30"},"PeriodicalIF":0.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148664686","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

COPD: A Comprehensive Overview of a Prevalent Disease. 慢性阻塞性肺病：一种流行疾病的全面概述。

IF 0.9 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-07-01 Epub Date: 2026-06-23 DOI: 10.1097/01.JAA.0000000000000377

Zhi Peng Li

引用次数: 0

The evolution of the PA profession in Switzerland. 瑞士私人助理职业的演变。

IF 0.9 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-07-01 Epub Date: 2026-06-23 DOI: 10.1097/01.JAA.0000000000000373

Cynthia Connard, Claudia Rose Varnedoe, Anita Manser Bonnard, Nancy Hurwitz

引用次数: 0

Use of dermoscopy and its association with skin lesion evaluation confidence among PAs in the United States. 美国PAs中皮肤镜的使用及其与皮肤病变评估信心的关系。

IF 0.9 4区医学

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-07-01 Epub Date: 2026-06-23 DOI: 10.1097/01.JAA.0000000000000371

Hayden T Middleton, Peter A Young, Sean Kolhoff, Amanda L Tapia, Danielle J O'Laughlin, David L Swanson, Julio C Sartori-Valinotti, Renee M Weatherly, Christopher L Boswell

{"title":"Use of dermoscopy and its association with skin lesion evaluation confidence among PAs in the United States.","authors":"Hayden T Middleton, Peter A Young, Sean Kolhoff, Amanda L Tapia, Danielle J O'Laughlin, David L Swanson, Julio C Sartori-Valinotti, Renee M Weatherly, Christopher L Boswell","doi":"10.1097/01.JAA.0000000000000371","DOIUrl":"10.1097/01.JAA.0000000000000371","url":null,"abstract":"Introduction: Limited research explores dermoscopy use among physician associates (PAs), outside of one prior study examining dermoscopy in PA student education. This study sought to investigate dermoscopy use among practicing PAs and its impact on their overall diagnostic confidence, including in darker skin tones, when differentiating between benign and malignant skin lesions.Methods: An anonymous survey was developed in 2023 with input from experts in dermoscopy and survey creation to assess PA confidence in skin lesion evaluation as well as PA dermoscopy knowledge and use, perceptions, barriers to use, and prior education. The dermoscopy survey was included as an optional module in the 2024 American Academy of Physician Associates (AAPA) Salary Survey.Results: Of 3174 invited PAs, 995 (31.4%) responded. Most had never used dermoscopy in practice (81%) but knew or recognized the term (71%). A majority (53%) believed PAs should be trained in dermoscopy during PA school, and 26% reported no interest in future dermoscopy use. Dermatology PAs reported more frequent dermoscopy use and generally greater confidence in evaluating skin lesions, both overall and in darker skin tones, than PAs in other specialties. PAs in surgical (OR = 0.2, 95% CI 0.1-0.6) and medical (OR = 0.3, 95% CI 0.2-0.5) subspecialties were less likely to use dermoscopy at least annually compared with PAs in primary care. PAs in rural areas were more likely to feel confident in differentiating skin lesions than those in urban areas (OR 2.9, 95% CI 1.7-5.0).Conclusion: Dermoscopy use is associated with higher overall skin lesion assessment confidence. Wider adoption, especially outside dermatology, requires training, increased advocacy, and expanded education.","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"39 7","pages":"e13-e19"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303708","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