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Diagnosing and treating Mycobacterium kansasii
This article describes an 18-year-old immunocompetent patient who developed Mycobacterium kansasii, manifested with shortness of breath and a cavitary lung lesion seen on radiograph. Initial sputum smears were negative; however, after 2 weeks, the cultures grew M. kansasii and the patient was started on an antimycobacterial regimen. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 1, 2022 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 - July 1, 2022 Category: Primary Care Tags: Post-Test Source Type: research

Managing a patient with acute colonic diverticulitis
Acute diverticulitis is a common condition in Western society with the potential for substantial patient morbidity. Depending on the severity, the patient's clinical presentation and treatment options vary considerably, leaving uncertainty about optimal management. Traditionally, surgery was recommended to prevent complications, persistent symptoms, and recurrent episodes. Improvements in the understanding of the disease's natural history, diagnostic imaging, and long-term outcomes have prompted changes to diagnosis and treatment guidelines. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 1, 2022 Category: Primary Care Tags: CME: Gastroenterology Source Type: research

Diagnosis and management of type 2 diabetes in children
The incidence of type 2 diabetes in children has risen 4.8% over the past decade, correlating with steadily rising obesity rates in children. Updated guidelines from the American Academy of Pediatrics and the American Diabetes Association encourage early identification and pharmacologic intervention for children with type 2 diabetes. Because of the aggressive disease course in children, comprehensive treatment must include prevention of complications such as diabetic nephropathy and neuropathy as well as management of comorbidities such as cardiovascular disease and dyslipidemia. Because the highest incidence of type 2 dia...
Source: Journal of the American Academy of Physician Assistants - July 1, 2022 Category: Primary Care Tags: CME: Pediatrics Source Type: research

Updates in the treatment of gonococcal infections
This article highlights important changes in treatment of gonococcal infections secondary to rising infection rates, as well as increased drug-resistance to previous therapy recommendations. The article is intended to assist clinicians in both the ambulatory as well as inpatient setting when treating patients with sexually transmitted infections. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 1, 2022 Category: Primary Care Tags: Pharmacology Consult Source Type: research

Are we a profession? Yes, but a deeper look brings questions
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - July 1, 2022 Category: Primary Care Tags: Commentary Source Type: research

Treating patients with acute COPD in the ED: Are 5 days of azithromycin enough?
This article discusses various studies that evaluated chronic azithromycin therapy to prevent exacerbations in patients with COPD. Although ED clinicians typically do not prescribe chronic medications, they can provide patient-centered care and determine a patient's follow-up to see if chronic azithromycin is needed. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - May 29, 2022 Category: Primary Care Tags: Special Article Source Type: research

Copy/paste: A reflection on hospital medicine
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - May 29, 2022 Category: Primary Care Tags: Becoming a PA Source Type: research

You never know when the plague will strike
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - May 29, 2022 Category: Primary Care Tags: The Art of Medicine Source Type: research

What is causing this patient's hoarseness and gait issues?
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - May 29, 2022 Category: Primary Care Tags: A Difficult Diagnosis Source Type: research

Providing advanced hospital care at home
Interest is growing in hospital-at-home as a model of patient care. Given the pandemic, various entities are exploring methods to deliver hospital-level care in nontraditional settings to clinically stable patients with adequate home support. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - May 29, 2022 Category: Primary Care Tags: The Science of Healthcare Delivery Source Type: research

Scoliosis
No abstract available (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - May 29, 2022 Category: Primary Care Tags: Quick Recertification Series Source Type: research

A brief introduction to PAs in Germany
The first German physician assistant (PA) program began in 2005 at Steinbeis University in Berlin. Since 2005, there has been a rapid expansion of PA education, and 22 German universities have opened or are planning to develop PA programs. In fall 2021, about 1,100 PAs worked in Germany, mostly in the inpatient setting, with a scope of practice focused on delegation and the performance of medical and administrative activities. After completing a PA program, students are awarded a bachelor of science; programs also offer options for specialization. With no formal PA program-specific accreditation processes, the universities...
Source: Journal of the American Academy of Physician Assistants - May 29, 2022 Category: Primary Care Tags: Global Insights Source Type: research

Structural racism, health disparities, and opportunities for PA practice
Social determinants of health are rooted in structural racism. The healthcare community has long recognized the existence of significant race- and ethnicity-related health disparities. Yet pervasive disparities persist despite ongoing calls for institutions and healthcare professionals to promote health equity by addressing bias, discrimination, and social determinants of health. All PAs must take responsibility for the various ways in which we may unwittingly reinforce racism in our profession, and must shift our focus from treating the effects of racism to preventing them. (Source: Journal of the American Academy of Physician Assistants)
Source: Journal of the American Academy of Physician Assistants - May 29, 2022 Category: Primary Care Tags: Special Article Source Type: research

The PA profession in the 1990s
History is rarely linear, and nowhere is this more evident than the US physician assistant/associate (PA) movement (1965-2021). The 1990s stand out as pivotal years for the PA profession, marked by advances that shaped the profession, experiments in primary care delivery, sex equity, the Balanced Budget Act, and national policy errors in predicting a physician surplus. Rapid growth followed program expansion, doubling from 57 in 1993 to 120 by 1999. By the end of the decade, all states had advanced PA-enabling legislation with broad-based prescribing. During this era, PA-focused research moved from descriptive to predictiv...
Source: Journal of the American Academy of Physician Assistants - May 29, 2022 Category: Primary Care Tags: Original Research Source Type: research