Adult attention deficit/hyperactivity disorder in the ambulatory care setting: Erratum.
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - October 28, 2020 Category: Primary Care Tags: Erratum Source Type: research

Please hold. There is a pandemic going on.
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - October 28, 2020 Category: Primary Care Tags: Becoming a PA Source Type: research

Out of control
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - October 28, 2020 Category: Primary Care Tags: The Art of Medicine Source Type: research

What is causing this patient's balance and speech problems?
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - October 28, 2020 Category: Primary Care Tags: A Difficult Diagnosis Source Type: research

Imaging choice for adults with abdominal mass
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - October 28, 2020 Category: Primary Care Tags: Diagnostic Imaging Review Source Type: research

Pancreatic adenocarcinoma
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - October 28, 2020 Category: Primary Care Tags: Quick Recertification Series Source Type: research

Poland and physician assistants
Historically, physician assistants (PAs) or their equivalent have been used to offset shortages of healthcare providers in many parts of the world. Poland, having been strongly influenced by Russia and the Soviet Union, revived the feldsher in the post-world war era. With a successful expansion of medical schools, the eventual surplus of physicians meant feldshers were no longer needed. In the early 2000s, Poland found itself in yet another medical provider crisis and turned toward the creation of the Polish PA profession. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - October 28, 2020 Category: Primary Care Tags: Special Article Source Type: research

The history and role of PAs in the US Coast Guard
The US Coast Guard is a military service in the Department of Homeland Security charged with broad domestic and international missions. In 1971, the Coast Guard began recruiting physician assistants (PAs) in an effort to supplement physician staffing support. When first introduced, PAs were in the enlisted ranks. However, consistent with the other armed services, their entry ranks changed from enlisted to commissioned warrant officer and later to a commissioned officer status. As their numbers grew, PAs began augmenting and later replacing general medical officers assigned to treatment facilities and aboard ships. Their ro...
Source: Journal of the American Academy of Physician Assistants - October 28, 2020 Category: Primary Care Tags: Original Research Source Type: research

Reexamining the persisting wage gap between male and female PAs
Conclusions: A wage gap between male and female PAs persists even after including all compensation types and controlling for compensation-related factors that may differ between male and female PAs. Proposed policy implications could begin to mitigate the gap. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - October 28, 2020 Category: Primary Care Tags: Original Research Source Type: research

Recognizing and treating five common dermatologic conditions seen in primary care
This article reviews the five most common skin conditions encountered in primary care so that PCPs can reduce the number of referrals to dermatology for conditions that can easily be managed by PCPs. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - October 28, 2020 Category: Primary Care Tags: Review Article Source Type: research

Chondrosarcoma in the body of the C2 vertebral axis
This article describes a patient whose neck pain and dysphagia were caused by an expansive, destructive lesion with calcification that was located in the body of the axis (C2 vertebra), the first time a chondrosarcoma has been reported in this location. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - October 28, 2020 Category: Primary Care Tags: Case Report Source Type: research

Understanding calcinosis cutis
This article describes a patient with a long history of dermatomyositis who developed multiple calcific lesions in the extremities that did not respond to conservative therapies and eventually required multiple surgical interventions. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - October 28, 2020 Category: Primary Care Tags: Case Report Source Type: research

Early clinical suspicion and treatment in a patient with anti-NMDA receptor encephalitis
Anti-NMDA receptor encephalitis is a complicated disease associated with paraneoplastic syndromes and autoimmune conditions. This case report highlights the importance of early identification and reviews the common clinical manifestations, diagnostic studies, and treatment modalities for this potentially catastrophic disease. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - October 28, 2020 Category: Primary Care Tags: Case Report Source Type: research

Cme post-test
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - October 28, 2020 Category: Primary Care Tags: Post-Test Source Type: research

Recognition of oral potentially malignant disorders and transformation to oral cancer
Oral potentially malignant disorders refer to oral mucosal disorders with increased risk for malignant transformation, primarily to oral squamous cell carcinoma (SCC). Leukoplakia and erythroplakia are the most common of these disorders, but others have been identified. Transformation rates to oral cancer vary based on multiple factors. Healthcare providers should be aware of risk factors and clinical manifestations of these disorders and should intervene early to monitor and/or treat them to reduce the potential for malignant transformation. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - October 28, 2020 Category: Primary Care Tags: CME: Primary Care Source Type: research

Efficacy of prostatic urethral lift compared with transurethral resection of the prostate
This article reviews the prostatic urethral lift (PUL) and its potential benefits and risks compared with transurethral resection of the prostate (TURP). TURP is the traditional procedure for benign prostatic hyperplasia (BPH), and is associated with ejaculatory and erectile dysfunction. PUL is a minimally invasive option, but its efficacy has not been well studied. A literature review indicates that both procedures should be afforded equal consideration, and both have limitations. Further long-term research is needed to establish if PUL is superior to TURP. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - October 28, 2020 Category: Primary Care Tags: CME: Urology Source Type: research

An exciting future
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - October 28, 2020 Category: Primary Care Tags: Editorial Source Type: research

Building the evidence base—10 years of PA research in England
This article describes the 10-year journey of a research group helping to build the research evidence base for physician assistants (PAs), known as physician associates in the United Kingdom, in the National Health Service in England. It draws out some key issues that may be of interest to those developing PA research programs in different specialties and different countries. PA research also can help healthcare policy makers address growing demand, issues of quality, and cost. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - September 25, 2020 Category: Primary Care Tags: Special Article Source Type: research

Learning to mourn my patients
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - September 25, 2020 Category: Primary Care Tags: Mindful Practice Source Type: research

Doughnuts for breakfast
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - September 25, 2020 Category: Primary Care Tags: The Art of Medicine Source Type: research

What is causing this postpartum patient's ketoacidosis?
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - September 25, 2020 Category: Primary Care Tags: A Difficult Diagnosis Source Type: research

Appropriate prescribing of dental prophylaxis in patients with orthopedic implants
This article reviews the AAOS appropriate use criteria and discusses the ongoing controversy about the use of dental prophylaxis in patients with orthopedic implants. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - September 25, 2020 Category: Primary Care Tags: Special Topics in Infectious Disease Source Type: research

Hyponatremia
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - September 25, 2020 Category: Primary Care Tags: Quick Recertification Series Source Type: research

Evaluating the effectiveness of the PA Foundation's Mental Health Outreach fellowship
Conclusions: The PAs selected for the Mental Health Outreach Fellowship were effective MHFA instructors. Benefits to having a PA serve as the instructor include positively affecting communities by increasing the public's mental health literacy, reducing the stigma associated with mental illness, increasing visibility and promotion of the PA profession, and enhancement of a PA's individual career through education and service. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - September 25, 2020 Category: Primary Care Tags: Special Article Source Type: research

Experience and outcomes for PAs in a neonatal circumcision clinic
Conclusion: Neonatal circumcisions are commonly performed by nonsurgeons with variable formal circumcision training. These data support that well-trained PAs can perform neonatal circumcisions with low complication rates. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - September 25, 2020 Category: Primary Care Tags: Original Research Source Type: research

Adenotonsillectomy as a treatment for sleep-disordered breathing in children with ADHD
This article explores the connection between the two disorders and the importance of identifying and screening for SDB in children presenting with similar symptoms related to ADHD. The article also examines symptom improvement in patients with ADHD symptoms after an adenotonsillectomy, one of the first-line treatments for children diagnosed with SDB; this procedure may reduce the need for long-term stimulant use in some children with ADHD. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - September 25, 2020 Category: Primary Care Tags: Review Article Source Type: research

Managing Meckel diverticulum: To resect or not resect?
This article describes a patient who presented to the ED with abdominal pain, nausea, and vomiting. A CT scan revealed dilated loops of bowel with an adjacent air-filled structure, possibly related to an internal hernia. Meckel diverticulum was discovered on diagnostic laparoscopy and a mesodiverticular band was lysed; the diverticulum was left in situ. The patient did well without further invention needed. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - September 25, 2020 Category: Primary Care Tags: Case Report Source Type: research

Cme post-test
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - September 25, 2020 Category: Primary Care Tags: Post-Test Source Type: research

Managing patients with sickle cell disease in primary care
This article reviews the current practice guidelines for SCD, with attention to health maintenance and hydroxyurea. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - September 25, 2020 Category: Primary Care Tags: CME: Primary Care Source Type: research

Understanding and recognizing cardiac amyloidosis
This article reviews the pathophysiology, presentation, diagnosis, and management of cardiac amyloidosis. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - September 25, 2020 Category: Primary Care Tags: CME: Cardiology Source Type: research

Racial justice and HIV prevention
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - August 26, 2020 Category: Primary Care Tags: Letter to the Editor Source Type: research

Planting season
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - August 26, 2020 Category: Primary Care Tags: The Art of Medicine Source Type: research

What is causing this patient's chest pain?
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - August 26, 2020 Category: Primary Care Tags: A Difficult Diagnosis Source Type: research

Necrotizing fasciitis
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - August 26, 2020 Category: Primary Care Tags: Diagnostic Imaging Review Source Type: research

Pyelonephritis
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - August 26, 2020 Category: Primary Care Tags: Quick Recertification Series Source Type: research

Recognizing and responding to sex-trafficked minors in the healthcare setting
Nearly 6,100 reports of sex trafficking were made to the United States Human Trafficking Hotline in 2017; 29% of those reports involved minors. Physician assistants (PAs), especially those working in emergency medicine and primary care, are among the few frequently accessed healthcare providers who have the opportunity for a private conversation with a sex trafficking victim or survivor. PAs must be able to recognize the risk factors and signs of trafficking and respond in a trauma-informed, survivor-centered manner. Connecting trafficking victims, survivors, and at-risk youth with wraparound services is critical to their ...
Source: Journal of the American Academy of Physician Assistants - August 26, 2020 Category: Primary Care Tags: Special Article Source Type: research

Emerging practices in onboarding programs for PAs: Program content
Conclusions: These common content areas may provide a starting point for organizations designing onboarding programs for their unique organizations. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - August 26, 2020 Category: Primary Care Tags: Original Research Source Type: research

Fecal microbiota transplantation in the treatment of Crohn disease
This article explains FMT and how it effectively targets the gut microbiota changes associated with the pathogenesis of Crohn disease. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - August 26, 2020 Category: Primary Care Tags: Review Article Source Type: research

Iliac vein stent migration with extensive cardiac damage in a patient with May-Thurner syndrome
This article describes a patient whose stent embolized completely to the right ventricle, destroying most structures in its path. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - August 26, 2020 Category: Primary Care Tags: Case Report Source Type: research

A patient with shortness of breath after total hip replacement
This article focuses on a minimally symptomatic patient with a history of hip fracture and total hip replacement who was found to have a saddle PE. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - August 26, 2020 Category: Primary Care Tags: Case Report Source Type: research

Cme post-test
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - August 26, 2020 Category: Primary Care Tags: Post-Test Source Type: research

Infectious disease considerations in immunocompromised patients
This article describes the pathophysiology of immunosuppression in five common immunocompromised states—asplenia, HIV infection, solid organ transplant, biologic use, and cancer—as well as specific infectious risks and considerations for affected patients and how to manage them. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - August 26, 2020 Category: Primary Care Tags: CME: Immunology Source Type: research

Identifying and managing bronchiolitis
This article reviews the epidemiology, clinical presentation, and treatment of bronchiolitis. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - August 26, 2020 Category: Primary Care Tags: CME: Pediatrics Source Type: research

Long-acting GLP-1 receptor agonists: Findings and implications of cardiovascular outcomes trials
This article reviews CVOTs completed to date for the class of long-acting glucagon-like peptide-1 receptor agonists (GLP-1RAs; liraglutide, exenatide extended-release, albiglutide, dulaglutide, semaglutide injectable, semaglutide oral) and implications for clinical management of T2DM. All CVOTs have confirmed long-acting GLP-1RAs to be noninferior to (not worse than) placebo with regard to first occurrence of a primary outcome of three-point major adverse cardiovascular events (MACE; composite outcome of cardiovascular death, nonfatal myocardial infarction, nonfatal stroke). Further, a number of the studies demonstrated a ...
Source: Journal of the American Academy of Physician Assistants - July 30, 2020 Category: Primary Care Tags: Long-Acting GLP-1 Receptor Agonists Source Type: research

Long-acting GLP-1RAs: An overview of efficacy, safety, and their role in type 2 diabetes management
Over recent decades, an improved understanding of the pathophysiology of type 2 diabetes mellitus (T2DM) and glucose regulation has led to innovative research and new treatment paradigms. The discovery of the gut peptide glucagon-like peptide-1 (GLP-1) and its role in glucose regulation paved the way for the class of GLP-1 receptor agonist compounds, or GLP-1RAs. The long-acting GLP-1RAs (dulaglutide, exenatide extended-release, liraglutide, semaglutide [injectable and oral]) are classified as such based on a minimum 24-hour duration of clinically relevant effects after administration. In phase 3 clinical trial programs of...
Source: Journal of the American Academy of Physician Assistants - July 30, 2020 Category: Primary Care Tags: Long-Acting GLP-1 Receptor Agonists Source Type: research

Moving forward
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 30, 2020 Category: Primary Care Tags: Becoming a PA Source Type: research

A mother in mourning
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 30, 2020 Category: Primary Care Tags: The Art of Medicine Source Type: research

What is the ulcerated pink nodule on this patient's scalp?
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 30, 2020 Category: Primary Care Tags: A Difficult Diagnosis Source Type: research

Can PAs and NPs manage complex patients?
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 30, 2020 Category: Primary Care Tags: The Science of Healthcare Delivery Source Type: research

New options for managing fecal incontinence in women
This article reviews the limited therapies for managing fecal incontinence, including a minimally invasive vaginal control device that may offer hope for managing fecal incontinence in women. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 30, 2020 Category: Primary Care Tags: Special Topics in Women's Health Source Type: research