{"title":"Orthopedic management of a patient with synovial chondromatosis.","authors":"Shawn C Smith, Garrett M Snyder","doi":"10.1097/01.JAA.0000000000000185","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000185","url":null,"abstract":"<p><strong>Abstract: </strong>This article reviews practice guidelines, diagnosis, and treatment for synovial chondromatosis, a rare, benign condition that involves the synovium of the joints, most commonly the knee. The condition also can affect the hip, ankle, shoulder, elbow, and temporomandibular joint.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 2","pages":"34-37"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025458","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}
Elizabeth Brownlee, Melissa Turley, Heather Nations
{"title":"Chimeric antigen receptor therapy in hematologic malignancies.","authors":"Elizabeth Brownlee, Melissa Turley, Heather Nations","doi":"10.1097/01.JAA.0000000000000176","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000176","url":null,"abstract":"<p><strong>Abstract: </strong>Chimeric antigen receptor (CAR) T-cell therapy has led to significant advances in the treatment of blood cancers such as leukemia, lymphoma, and multiple myeloma, and now shows promise for solid tumors. This type of immunotherapy can achieve high response rates in patients with hematologic malignancies, but carries serious adverse reactions, including cytokine release syndrome and immune-effector cell-associated neurotoxicity syndrome. This article describes CAR T-cell therapy, guidance for primary care providers caring for patients undergoing therapy, and the ongoing need for research to enhance CAR T-cell therapy's safety and effectiveness.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 2","pages":"17-24"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025425","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}
Noah Gadd, Whitney Wright, Jena Dooley, Hannah Stumbo, Emily Marshall, Will Ewers, Virginia L Valentin
{"title":"A qualitative analysis of PA leaders in Kentucky.","authors":"Noah Gadd, Whitney Wright, Jena Dooley, Hannah Stumbo, Emily Marshall, Will Ewers, Virginia L Valentin","doi":"10.1097/01.JAA.0000000000000085","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000085","url":null,"abstract":"<p><strong>Objective: </strong>To describe Kentucky's physician associate/assistant (PA) leadership pathway and provide advice for individual leadership trajectories.</p><p><strong>Methods: </strong>A qualitative study using semistructured interviews and inductive coding methodology to identify themes of PA leaders.</p><p><strong>Results: </strong>Participants were primarily female (76.2%), ages 35 to 44 years (52.4%), and White (90.5%). They were primarily nonclinical (38.1%), described achieving their current leadership role by pursuing opportunities (42.9%), showed emotional intelligence (61.9%), had grit (61.9%), and did not feel that academic success correlates to leadership (42.9%). Leaders also gave advice consisting of form connections, prioritize personal growth, develop an entrepreneurial mindset, and play to your strengths .</p><p><strong>Conclusions: </strong>Leadership is needed in healthcare and PAs are primed to serve in this role. Previous leadership experience is not a requirement, but organization, emotional intelligence, and grit are required. Future PA leaders should follow the playbook laid out by these leaders and begin today with investing in personal leadership development.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 2","pages":"38-42"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025420","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}
{"title":"What's causing this new mother's depressed mood?","authors":"Jessica G Sheehan","doi":"10.1097/01.JAA.0000000000000075","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000075","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 2","pages":"47-49"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025534","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}
{"title":"When addiction presents.","authors":"Brian T Maurer","doi":"10.1097/01.JAA.0000000000000187","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000187","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 2","pages":"50"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025537","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}
{"title":"Myasthenia gravis.","authors":"Allyson Hamacher","doi":"10.1097/01.JAA.0000000000000084","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000084","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 2","pages":"45-46"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025445","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}
{"title":"The prebiopsy photo: A tool to improve patient safety and outcomes.","authors":"Christy Kerr","doi":"10.1097/01.JAA.0000000000000082","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000082","url":null,"abstract":"<p><strong>Abstract: </strong>This article reviews the reasons to take a prebiopsy photograph and the consequences that can ensue when one is not taken. Electronic medical record systems compatible with mobile devices can record clinical photographs that comply with patient privacy regulations, making them the method of choice for dermatologic photo documentation. Correct photographic documentation technique also is critical and is reviewed with examples.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 2","pages":"43-44"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025504","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}
{"title":"Understanding pediatric cervicofacial non-tuberculous mycobacterial infection.","authors":"Eunice Im, Erin Gawel, Alyson Coppola, Michele Carr","doi":"10.1097/01.JAA.0000000000000169","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000169","url":null,"abstract":"<p><strong>Abstract: </strong>Cervicofacial non-tuberculous mycobacterial infection should be a part of the differential diagnosis for immunocompetent children ages 1 to 5 years who present with painless submandibular or preauricular lymphadenopathy. Although a benign and self-limiting disease, patients can develop a chronically draining fistula if not diagnosed and treated promptly. The diagnostic process can be managed with a combination of microbiological studies, cytology, laboratory tests, and imaging studies. Surgical excision is the most definitive curative measure. Incision and curettage, medical management with antibiotic therapy, or observation are other treatment strategies that may be considered. Frontline clinicians play a pivotal role in identifying which children may have this condition and can facilitate prompt diagnosis and treatment of this uncommon disease.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 2","pages":"25-29"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025515","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}
Elizabeth C Pinyan, Elizabeth Tysinger, Rachel Zimmer, Kathleen Wetherell Griffin, Eileen Ronsheim, Andrea McKinnond, Chisom Okoye, Alisha T DeTroye
{"title":"Outcomes of a PA/APRN grand rounds pilot: A novel model for increasing engagement.","authors":"Elizabeth C Pinyan, Elizabeth Tysinger, Rachel Zimmer, Kathleen Wetherell Griffin, Eileen Ronsheim, Andrea McKinnond, Chisom Okoye, Alisha T DeTroye","doi":"10.1097/01.JAA.0000000000000105","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000105","url":null,"abstract":"<p><strong>Abstract: </strong>This article describes a framework for the development, implementation, and effect of advanced practice provider (APP) grand rounds. A team of certified registered nurse anesthetists (CRNAs), NPs, and physician associates/assistants (PAs) developed and operationalized a grand rounds initiative in 2019. Since January 2020, 34 live monthly learning sessions have been held in person and virtually. Surveys using Likert-scale questions were provided postattendance to attendees to assess educational growth and opportunities for improvement in future programming. Attendees also were offered an opportunity to give open-ended feedback. Recordings of each presentation were analyzed to identify content alignment with stated academic medical center system goals. Most attendees reported increased projected medical competence, performance, and perceived projected effect on patient outcomes after attending grand rounds. Grand rounds are a novel model for increasing PA, NP, certified nurse-midwife, and CRNA engagement; enhancing evidence-based medical knowledge; and advancing stated academic medical center system goals.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 2","pages":"e7-e11"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025484","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}
{"title":"Saying yes to opportunity.","authors":"Jason Prevelige","doi":"10.1097/01.JAA.0000000000000186","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000186","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 2","pages":"14"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025500","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}