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https://www.readbyqxmd.com/read/29240586/insights-into-the-pathophysiology-of-hypertrophic-scars-and-keloids-how-do-they-differ
#1
Feras M Ghazawi, Ramin Zargham, Mirko S Gilardino, Denis Sasseville, Fatemeh Jafarian
GENERAL PURPOSE: To provide information about the clinical presentation of hypertrophic scars and keloids based on their varied structural components. TARGET AUDIENCE: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES: After completing this continuing education activity, you should be able to: ABSTRACT: Hypertrophic scars and keloids are firm, raised, erythematous plaques or nodules that manifest when the cicatrix fails to properly heal...
January 2018: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/29230618/visits-for-depression-to-physician-assistants-and-nurse-practitioners-in-the-usa
#2
Abiola O Keller, Roderick S Hooker, Elizabeth A Jacobs
No abstract text is available yet for this article.
December 11, 2017: Journal of Behavioral Health Services & Research
https://www.readbyqxmd.com/read/29226755/vaccination-rates-in-patients-with-medical-indications-for-the-pneumococcal-polysaccharide-vaccine-in-a-family-medicine-clinic
#3
Anthony Trovato, Karen Gunning, Karly Pippitt
BACKGROUND: Pneumococcal vaccination rates among high-risk patients (eg, diabetes, asthma, smoking) seen in 2 family medicine clinics are unknown. OBJECTIVES: To assess differences in pneumococcal polysaccharide vaccination rates and reasons for nonvaccination among patients with diabetes and asthma and patients who smoke. METHODS: A chart review at 2 family medicine residency training clinics showed 425 patients with a medical indication for PPSV23 were seen between April 1, 2015, and April 30, 2015...
January 1, 2017: Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/29212638/reversal-strategies-for-newer-oral-anticoagulants
#4
Adam J Singer, Susan Wilson
Nonvitamin K antagonist oral anticoagulants have advantages compared with warfarin, but both types of anticoagulants come with uncertainty about how best to manage life-threatening bleeding events, urgent surgeries, and invasive procedures. Nurse practitioners and physician assistants may need to manage such emergency situations in the critical care setting. Achieving hemostasis quickly is key, and efforts to do so have relied mainly on blood products. Targeted reversal agents are in clinical development and one, idarucizumab, which reverses dabigatran anticoagulation, has been approved...
2017: AACN Advanced Critical Care
https://www.readbyqxmd.com/read/29210910/five-easy-to-master-uses-for-point-of-care-ultrasound
#5
Fritz Fuller, Francisco Norman
Clinicians are increasingly becoming familiar with the value of limited, focused point-of-care ultrasonography (POCUS) to help answer discrete clinical questions. Ultrasound education is being taught in medical schools and physician assistant (PA) and PA postgraduate programs nationwide. This article introduces five basic POC ultrasound scans that can easily be mastered by practicing PAs.
December 2017: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/29210908/does-using-pas-in-the-closed-treatment-of-pediatric-forearm-fractures-increase-malunion-risk
#6
Stephanie Garrison, Emily A Eismann, Roger Cornwall
PURPOSE: This study assessed whether using physician assistants (PAs) for fracture follow-up during nonoperative management of pediatric forearm fractures was associated with an increased risk of malunion. METHODS: The study was a retrospective review of charts of 141 children under age 18 years who were treated nonoperatively in the division of orthopedics over 12 months for forearm fractures. The effect of type and number of follow-up providers on risk of malunion was determined and controlled for fracture type, location, and initial angulation...
December 2017: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/29202167/introduction-of-virtual-patient-software-to-enhance-physician-assistant-student-knowledge-in-palliative-medicine
#7
Kristine A Prazak
PURPOSE: The purpose of this project was to infuse palliative medicine and end-of-life care creatively into physician assistant (PA) education. METHODS: Nine second-year PA students volunteered to participate in this quasi-experimental, pretest-posttest pilot study. Students initially completed an anonymous survey evaluating seven domains of knowledge in palliative medicine coupled with a self-assessment in competence. Virtual patient software was then used to simulate clinical encounters that addressed major palliative care domains...
2017: Journal of Allied Health
https://www.readbyqxmd.com/read/29201360/are-physician-assistant-and-patient-airway-assessments-reliable-compared-to-anesthesiologist-assessments-in-detecting-difficult-airways-in-general-surgical-patients
#8
Erin Payne, Jacqueline Ragheb, Elizabeth S Jewell, Betsy P Huang, Angela M Bailey, Laura M Fritsch, Milo Engoren
Background: Airway management remains one of the most important responsibilities of anesthesiologists. Prediction of difficult airway allows time for proper selection of equipment, technique, and personnel experienced in managing patients with difficult airway. Face to face preoperative anesthesia interviews are difficult to conduct as they necessitate patients traveling to the clinics, and, in practice, are usually conducted in the morning of the procedure by the anesthesiologist, when identification of predictors of difficult intubation may lead to schedule delays or case cancelations...
2017: Perioperative Medicine
https://www.readbyqxmd.com/read/29190209/national-study-of-burnout-and-career-satisfaction-among-physician-assistants-in-oncology-implications-for-team-based-care
#9
Eric Daniel Tetzlaff, Heather Marie Hylton, Lyudmila DeMora, Karen Ruth, Yu-Ning Wong
PURPOSE: A high rate of burnout has been reported in oncology physicians. Physician assistants (PAs) may also face similar risks of burnout. We sought to measure the personal and professional characteristics associated with burnout and career satisfaction and the potential impact on the oncology PA workforce. PARTICIPANTS AND METHODS: A national survey of PAs in oncology was completed by using the Maslach Burnout Inventory from September 2015 to January 2016. RESULTS: In all, 855 PAs were contacted and 250 submitted complete surveys (response rate, 29...
November 30, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/29189655/integrating-second-year-medical-students-and-first-year-physician-assistant-students-into-a-12-week-ethics-course
#10
Rebecca L Volpe, Christine Bruce, Michael J Green
No abstract text is available yet for this article.
December 2017: Journal of Physician Assistant Education
https://www.readbyqxmd.com/read/29189654/the-sacred-seven-elective-integrating-the-health-humanities-into-physician-assistant-education
#11
Jill P Grant, Tanya Gregory
No abstract text is available yet for this article.
December 2017: Journal of Physician Assistant Education
https://www.readbyqxmd.com/read/29189653/preceptors-perceptions-of-interprofessional-practice-student-interactions-and-strategies-for-interprofessional-education-in-clinical-settings
#12
Nicholas M Hudak, Betsy Melcher, Justine Strand de Oliveira
PURPOSE: This study describes clinical preceptors' perceptions of interprofessional practice, the nature and variety of physician assistant (PA) students' interprofessional interactions during clinical training, and factors that facilitate or hinder interprofessional education (IPE) in clinical settings. METHODS: This qualitative study involved interviews with preceptors that were audio-recorded, transcribed, and then analyzed through an iterative process to identify key conceptual themes...
December 2017: Journal of Physician Assistant Education
https://www.readbyqxmd.com/read/29189652/physician-assistant-student-perceptions-of-an-interprofessional-peer-to-peer-oral-health-curriculum-led-by-dental-students
#13
Lisa E Simon, Elizabeth J Eve, Maria C Dolce, Veerasathpurush Allareddy, Romesh P Nalliah
PURPOSE: Physician assistants (PA) are health care team members who often work in primary care. Providing oral health education to PAs during training could improve oral health for vulnerable patients who seek treatment in the primary care setting and who are less able to access dental care. The purpose of this study was to assess the effectiveness of a peer-to-peer oral health curriculum taught by dental students to their PA student colleagues. METHODS: Dental students presented an interactive, case-based curriculum, followed by a hands-on oral examination training session...
December 2017: Journal of Physician Assistant Education
https://www.readbyqxmd.com/read/29189650/application-of-adult-learning-theory-to-physician-assistant-education
#14
Sarah K Lewis, Patricia Thompson
Just as we depend on medical science and research to treat patients, we should connect our teaching methods to educational theory and research. In particular, the foundations of adult education philosophy and adult learning theories can be deliberately applied to further strengthen the clinical learning experience of physician assistants (PAs). We propose that PA educators should be aware of how their personal philosophy of education affects their teaching practice. In addition, educators should apply learning theories to both classroom process and content...
December 2017: Journal of Physician Assistant Education
https://www.readbyqxmd.com/read/29189649/physician-assistant-student-training-for-the-inpatient-setting-a-needs-assessment
#15
Poonam Sharma, Megan Brooks, Pahresah Roomiany, Lalit Verma, Lisa Criscione-Schreiber
PURPOSE: The number of physician assistants (PAs) practicing hospital medicine is rapidly expanding. Little research has been done to determine which inpatient medicine rotation experiences are most helpful to prepare PA students for a career in inpatient medicine. We aimed to determine those skills that practicing hospitalists believe are most critical for PA students to master and to describe hospitalists' current understanding of PA training. We also sought to evaluate the current performance of our own inpatient medicine rotation for PA students...
December 2017: Journal of Physician Assistant Education
https://www.readbyqxmd.com/read/29189648/quantifying-cadaver-use-in-physician-assistant-anatomy-education
#16
Mackenzie C Precht, Cynthia C Bennett, Janet M Cope
PURPOSE: To quantify the number of cadavers used in physician assistant (PA) anatomy education and to ascertain the origins of those cadavers. METHODS: An electronic survey was generated and distributed to all schools that had been accredited by the Accreditation Review Commission on Education for the Physician Assistant. Responses were reported using descriptive statistics. RESULTS: The survey had a 49% response rate. Among the responding programs, 79% reported working with 655 cadavers, with an average of one cadaver per 5...
December 2017: Journal of Physician Assistant Education
https://www.readbyqxmd.com/read/29189647/the-use-of-simulation-in-physician-assistant-programs-a-national-survey
#17
Donald Coerver, Nina Multak, Ashley Marquardt, Eric H Larson
PURPOSE: The purpose of this study was to develop a national-level description of the current use of simulation activities in physician assistant (PA) education and to assess the degree to which the use of simulation varies by PA program size and institutional type. METHODS: An electronic survey on medical simulation was sent to 177 PA program directors or to a designated simulation activities coordinator, using the directory on the Physician Assistant Education Association website...
December 2017: Journal of Physician Assistant Education
https://www.readbyqxmd.com/read/29177439/attitudes-beliefs-practices-and-concerns-among-clinicians-prescribing-opioids-in-a-large-academic-institution
#18
Jon O Ebbert, Lindsey M Philpot, Casey M Clements, Jenna K Lovely, Wayne T Nicholson, Sarah M Jenkins, Tim J Lamer, Halena M Gazelka
Objectives: Opioid treatment of chronic noncancer pain (CNCP) adds complexity and uncertainty to patient interactions. We sought to assess clinician attitudes, beliefs, practice styles, and concerns around opioid prescribing following the release of the US Centers for Disease Control and Prevention (CDC) guideline for prescribing opioids for chronic pain. Methods: E-mailed electronic survey to clinicians at a large academic medical institution. Results: A total of 961 clinicians responded to the survey (response rate = 40%), 720 of whom prescribed opioids and were not in training...
June 15, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29175248/a-data-extraction-algorithm-for-assessment-of-contraceptive-counseling-and-provision
#19
Brittany J Roser, Susan E Rubin, Nisha Nagarajan, Daryl L Wieland, Nerys C Benfield
BACKGROUND: Contraception counseling and provision is an essential preventative service. Real-time assessment of these services is critical for quality improvement and comparative study. Direct observation is not feasible on a large scale so indirect measures, such as chart review, have been determined to be acceptable tools for this assessment. Computer-aided chart review has significant benefits over manual chart review as far as greater efficiency and ease of repeated measurements...
November 23, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29173079/what-influences-intentions-to-request-physician-assisted-euthanasia-or-continuous-deep-sedation
#20
Anne-Lore Scherrens, Marc Roelands, L Van den Block, B Deforche, Luc Deliens, J Cohen
The increasing prevalence of euthanasia in Belgium has been linked to changing attitudes. Using National health survey data (Nā€‰=ā€‰9651), we investigated Belgian adults' intention to ask a physician for euthanasia or continuous deep sedation in the hypothetical scenario of a terminal illness, and examined its connection to sociodemographic and health characteristics. Respectively, 38.3% and 25.8% could envisage asking for euthanasia and continuous deep sedation. Those with very bad to fair subjective health and with depression more likely had an intention to ask for euthanasia, which suggests need for attention in the evaluation of requests from specific patient groups...
November 27, 2017: Death Studies
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