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

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Straddling an ill-defined divide. 跨越一个不明确的分界线。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-12-01 Epub Date: 2025-11-20 DOI: 10.1097/01.JAA.0000000000000277
Brian T Maurer
{"title":"Straddling an ill-defined divide.","authors":"Brian T Maurer","doi":"10.1097/01.JAA.0000000000000277","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000277","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 12","pages":"50"},"PeriodicalIF":0.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565909","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
Who decompresses the decompressor? Lessons from a day in the ICU. 谁对减压器进行解压？重症监护室一天的经验教训。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-12-01 Epub Date: 2025-11-20 DOI: 10.1097/01.JAA.0000000000000276
Katie Beaudoin
{"title":"Who decompresses the decompressor? Lessons from a day in the ICU.","authors":"Katie Beaudoin","doi":"10.1097/01.JAA.0000000000000276","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000276","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 12","pages":"e1-e2"},"PeriodicalIF":0.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565902","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
Diverse by design: Reframing the narrative around accreditation for PA doctorate programs. 设计多样化：重新构建PA博士课程认证的叙述。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-12-01 Epub Date: 2025-11-20 DOI: 10.1097/01.JAA.0000000000000279
Kari S Bernard, Aisha N Hussein
{"title":"Diverse by design: Reframing the narrative around accreditation for PA doctorate programs.","authors":"Kari S Bernard, Aisha N Hussein","doi":"10.1097/01.JAA.0000000000000279","DOIUrl":"10.1097/01.JAA.0000000000000279","url":null,"abstract":"<p><strong>Abstract: </strong>Postprofessional doctoral programs for physician associates (PAs) have expanded rapidly, offering diverse and specialized tracks that reflect the evolving roles of PAs in health care, education, and leadership. Institutional accreditation provides rigorous oversight of these programs and ensures academic quality across them without necessitating uniformity. In early 2025, the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) proposed a centralized accreditation model for these programs that would impose prescriptive requirements pertaining to their curricula, faculty qualifications, and student outcomes. A centralized accreditation model, however, would serve to hamper these programs' innovation and diversity by enforcing uniform standards that conflict with the flexible, career-focused nature of postprofessional education. This article advocates for the current decentralized approach-continued use of which is being championed by the Consortium of DMS/DMSc Programs-as essential to supporting the continued growth and specialization of the PA profession.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"40-42"},"PeriodicalIF":0.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145379396","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
Beyond childhood: Understanding ADHD in adults. 超越童年：理解成人多动症。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-12-01 Epub Date: 2025-11-20 DOI: 10.1097/01.JAA.0000000000000286
Brittney Hulsey, Clay Walker
{"title":"Beyond childhood: Understanding ADHD in adults.","authors":"Brittney Hulsey, Clay Walker","doi":"10.1097/01.JAA.0000000000000286","DOIUrl":"10.1097/01.JAA.0000000000000286","url":null,"abstract":"<p><strong>Abstract: </strong>Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder that often persists into adulthood. Adults may first receive a diagnosis in primary care, sometimes after previously unrecognized childhood symptoms. Reports of de novo \"adult-onset ADHD\" remain controversial and, when scrutinized, are most often explained by previously subthreshold childhood symptoms, alternative psychiatric or medical causes, or measurement error. If an adult presents with symptoms of ADHD but onset cannot be substantiated before age 12 years, providers should systematically rule out mimics-which include mood and anxiety disorders, substance use disorder, sleep disorders, traumatic brain injury, thyroid disorders, and medication side effects-before labeling the presentation as adult-onset ADHD. This article outlines the epidemiology, pathophysiology, clinical features, diagnostic strategies, and evidence-based treatments for ADHD presentations in adults. Primary care clinicians play a key role in recognizing symptoms, initiating evaluation, and implementing multimodal treatment plans to improve patient outcomes.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"22-29"},"PeriodicalIF":0.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490155","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
Managing opioid withdrawal in the ED: Best practices for buprenorphine induction. 管理阿片类药物戒断在急症：丁丙诺啡诱导的最佳做法。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-12-01 Epub Date: 2025-11-20 DOI: 10.1097/01.JAA.0000000000000283
Adrienne Hearrell, Brenda Quincy
{"title":"Managing opioid withdrawal in the ED: Best practices for buprenorphine induction.","authors":"Adrienne Hearrell, Brenda Quincy","doi":"10.1097/01.JAA.0000000000000283","DOIUrl":"10.1097/01.JAA.0000000000000283","url":null,"abstract":"<p><strong>Abstract: </strong>Opioid use disorder (OUD) is a pervasive, undertreated condition best managed with medications. Buprenorphine is a partial agonist with high affinity for the mu opioid receptor. It is particularly effective in treating OUD, resulting in reduced opioid use, risk of overdose, and all-cause mortality. Buprenorphine induction in the emergency department (ED) is an evidence-based practice for initiating OUD treatment while managing opioid withdrawal symptoms. Current guidelines from the Substance Abuse and Mental Health Services Administration recommend following a standard-dose induction regimen implemented over 2 days. However, variability exists among ED-initiated protocols in terms of timing, dose, duration, and formulation. ED providers should use their clinical judgment when approaching buprenorphine induction for opioid withdrawal management and OUD treatment. This article reviews current evidence and practical strategies for initiating buprenorphine in the ED, with an emphasis on patient evaluation, buprenorphine dosing, and continuity of care.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"16-21"},"PeriodicalIF":0.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490190","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
Bridging the osteoporosis care divide: A call to action for PAs. 弥合骨质疏松症护理鸿沟：呼吁PAs采取行动。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-11-01 Epub Date: 2025-10-28 DOI: 10.1097/01.JAA.0000000000000275
Reamer L Bushardt
{"title":"Bridging the osteoporosis care divide: A call to action for PAs.","authors":"Reamer L Bushardt","doi":"10.1097/01.JAA.0000000000000275","DOIUrl":"10.1097/01.JAA.0000000000000275","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":" ","pages":"14"},"PeriodicalIF":0.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145293795","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
Acute liver failure. 急性肝衰竭。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-11-01 Epub Date: 2025-10-28 DOI: 10.1097/01.JAA.0000000000000267
Lauren Sloane Lasker
{"title":"Acute liver failure.","authors":"Lauren Sloane Lasker","doi":"10.1097/01.JAA.0000000000000267","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000267","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 11","pages":"43-44"},"PeriodicalIF":0.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145379458","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 ripple effect of teaching. 教学的连锁反应。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-11-01 Epub Date: 2025-10-28 DOI: 10.1097/01.JAA.0000000000000271
Lauren Fogelgren
{"title":"The ripple effect of teaching.","authors":"Lauren Fogelgren","doi":"10.1097/01.JAA.0000000000000271","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000271","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 11","pages":"e1"},"PeriodicalIF":0.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145379385","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
Black and African American patient-provider racial concordance and health equity. 黑人和非裔美国患者-提供者种族一致性和健康公平。
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-11-01 Epub Date: 2025-10-28 DOI: 10.1097/01.JAA.0000000000000239
Aarion Gross, Robin A Barry
{"title":"Black and African American patient-provider racial concordance and health equity.","authors":"Aarion Gross, Robin A Barry","doi":"10.1097/01.JAA.0000000000000239","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000239","url":null,"abstract":"<p><strong>Abstract: </strong>Black and African American individuals continue to face a wide range of healthcare disparities compared with White non-Hispanic individuals. Research suggests that one effective way to improve health equity for Black people is to provide access to racially concordant healthcare providers-that is, Black patients receiving care from Black providers. This article briefly reviews the evidence showing that patient-provider racial concordance is associated with better outcomes for Black patients, indicating its potential in addressing health inequities. Despite this compelling evidence, many studies and population data reveal a persistent shortage of Black healthcare providers in the United States. Given the rapid growth and high demand for physician associates (PAs) in the United States, the PA profession is uniquely positioned to address this need. The article concludes with recommendations to increase diversity in the PA profession and broader healthcare workforce.</p>","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 11","pages":"e8-e11"},"PeriodicalIF":0.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145379417","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
Where's home for you? 你的家在哪里？
IF 0.8 4区 医学
Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-11-01 Epub Date: 2025-10-28 DOI: 10.1097/01.JAA.0000000000000265
Ethan Stonerook
{"title":"Where's home for you?","authors":"Ethan Stonerook","doi":"10.1097/01.JAA.0000000000000265","DOIUrl":"https://doi.org/10.1097/01.JAA.0000000000000265","url":null,"abstract":"","PeriodicalId":48728,"journal":{"name":"Jaapa-Journal of the American Academy of Physician Assistants","volume":"38 11","pages":"50"},"PeriodicalIF":0.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145379448","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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