{"title":"Prescription for change: an interview with FDA Commissioner Dr. David Kessler.","authors":"D Kessler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Dr David A. Kessler took over as Commissioner of the Food and Drug Administration in December 1990. Since then, he has initiated many changes to improve the structure and efficiency of the agency. In this interview, he describes some of the problems and challenges associated with the process of reviewing and approving new drugs.</p>","PeriodicalId":79709,"journal":{"name":"Physician assistant (American Academy of Physician Assistants)","volume":"16 7","pages":"61-2, 65, 68-70"},"PeriodicalIF":0.0,"publicationDate":"1992-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20993505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tissue transplantation. Quality assurance in the banking and utilization of musculoskeletal allografts.","authors":"J Kraft, L A Alexander, D T Rowlands","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Tissue allografts are being used more frequently, and, as a consequence, an increasing number of hospitals and physician assistants must face the difficult and perplexing task of evaluating their effectiveness and safety. Quality assurance programs are designed to enhance patient care during the transplantation process and should outline the responsibilities of both the tissue bank and the hospital using the allograft. Recommendations for the establishment of quality assurance programs at hospitals are made based on guidelines established by national certifying agencies. It is of paramount importance to recognize the areas of responsibility and to delineate acceptable standards of practice when developing and implementing quality assurance programs for tissue transplantation.</p>","PeriodicalId":79709,"journal":{"name":"Physician assistant (American Academy of Physician Assistants)","volume":"16 6","pages":"49-50, 53-6"},"PeriodicalIF":0.0,"publicationDate":"1992-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20991626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Advance directives.","authors":"D M Torchia","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hospitals and health care professionals nationwide have been busy dealing with a new federal law, the \"Patient Self Determination Act.\" Recent court rulings regarding a patient's right to determine his or her wishes for life-sustaining treatment have many health care professionals responding to new legal and ethical questions from patients.</p>","PeriodicalId":79709,"journal":{"name":"Physician assistant (American Academy of Physician Assistants)","volume":"16 5","pages":"79-80, 83-4, 87"},"PeriodicalIF":0.0,"publicationDate":"1992-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21008476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tissue transplantation. The PA's role in donation and recovery.","authors":"J Kraft","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The use of musculoskeletal and soft-tissue allografts for reconstructive procedures has become routine. The demand has doubled over the past several years, and will surely continue to rise. However, the availability of allografts has not kept pace with this demand. Physician assistants, by virtue of their position on specialty teams and their commitment to community service, can play a leading role in increasing the availability of allografts through the identification, evaluation, and referral of appropriate donor candidates to local recovery agencies.</p>","PeriodicalId":79709,"journal":{"name":"Physician assistant (American Academy of Physician Assistants)","volume":"16 2","pages":"78-80, 89-90"},"PeriodicalIF":0.0,"publicationDate":"1992-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21008474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Outcome factors in patient education.","authors":"L Hafstad","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Patient education requires a thorough knowledge of the subject and accurate assessment of patient abilities, readiness, and motivation. The teaching process involves agreement between the PA and the patient on what is to be learned and a clear, hands-on presentation that uses visual and other aids as appropriate. Feedback is essential, both from the PA in the form of correction and rewards and from the patient to draw attention to areas that need further clarification. As it can be extremely difficult to persuade a patient to modify his/her lifestyle over the long term, repetition and a flexible approach are vital.</p>","PeriodicalId":79709,"journal":{"name":"Physician assistant (American Academy of Physician Assistants)","volume":"16 2","pages":"37-8, 40-1"},"PeriodicalIF":0.0,"publicationDate":"1992-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21008702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D Condit, C Pollard, S J Chabon, J A Davidson, G S Marion, D H Rollason, K Walsh
{"title":"Professional challenges in the coming decade.","authors":"D Condit, C Pollard, S J Chabon, J A Davidson, G S Marion, D H Rollason, K Walsh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Last month, as part of our observance of the 15th anniversary of Physician Assistant journal, members of our Editorial Board offered their views on turning points in the history of the PA profession. In this issue, we jump from the past to the future, with perspectives on the main crises or changes facing the profession in the coming decade. You may agree or disagree with these viewpoints. Diversity of opinion keeps the PA profession dynamic and strong--which is exactly why Physician Assistant journal provides an open forum for letters and guest editorials.</p>","PeriodicalId":79709,"journal":{"name":"Physician assistant (American Academy of Physician Assistants)","volume":"16 2","pages":"25-8"},"PeriodicalIF":0.0,"publicationDate":"1992-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21008701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"PA reports on Hastings Center ethics fellowship.","authors":"B J Stuetz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Physicians Assistants are faced with ethical dilemmas every day in the course of their medical practice. The author studied current ethical dilemmas facing PAs at the Hastings Center, a bioethics research institute in New York. A description of this institute and a discussion of the researcher's findings are detailed.</p>","PeriodicalId":79709,"journal":{"name":"Physician assistant (American Academy of Physician Assistants)","volume":"16 1","pages":"39, 43-4"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21008698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M Behar, D Condit, L Gage, L Hadley, R Howell, D Kirk, J S Mott
{"title":"HIV roundtable. Professional perspectives.","authors":"M Behar, D Condit, L Gage, L Hadley, R Howell, D Kirk, J S Mott","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As the HIV epidemic escalates, concern is mounting over the implications of infection among health care workers. Should all medical professionals be tested? Should supervisors and/or patients be notified if the results are positive? Should the infected PA continue to practice? What about performing surgery? Should he or she be considered impaired? And what about the long-term stress of working with HIV patients? Experts discuss the AAPA's latest recommendations, and share suggestions on prevention and patient care with the audience.</p>","PeriodicalId":79709,"journal":{"name":"Physician assistant (American Academy of Physician Assistants)","volume":"15 10","pages":"45-8, 51"},"PeriodicalIF":0.0,"publicationDate":"1991-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21008690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Medical support for athletic events.","authors":"W T Howard, R R Monto, W T Hardaker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>With the continued growth of individual and team sports competition, there has been an increasing demand for qualified medical coverage at athletic events. Clinicians who provide medical coverage at athletic events must be prepared to handle a variety of injuries and other emergencies. This report reviews the clinician's medical responsibilities in athletic coverage, and lists the supplies and equipment that should be included in a field kit for this use.</p>","PeriodicalId":79709,"journal":{"name":"Physician assistant (American Academy of Physician Assistants)","volume":"15 8","pages":"41-4"},"PeriodicalIF":0.0,"publicationDate":"1991-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20984329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Counseling patients with HIV infection.","authors":"J Baker, R D Muma","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>With the human immunodeficiency virus (HIV) still spreading rapidly throughout the nation, all health care professionals must be skilled not only in the technical aspects of management, but also in patient counseling. Patients are concerned about deteriorating health and the prospect of death, but also about treatment options and financial problems related to the disease. Clinicians who provide counseling must be familiar with these concerns as they explain the medical options to patients and help patients work through the stages of adjustment.</p>","PeriodicalId":79709,"journal":{"name":"Physician assistant (American Academy of Physician Assistants)","volume":"15 7","pages":"40-2, 47-8"},"PeriodicalIF":0.0,"publicationDate":"1991-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21007178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}