97 results on '"Physician Assistants"'
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2. 진료지원인력의 확대된 업무 수행을 위한 합법적이고 합리적인 해결 방안.
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최수정 and 김민영
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NURSES ,EMPLOYEE rights ,OCCUPATIONAL roles ,OCCUPATIONAL achievement ,PATIENT safety ,NURSING ,CERTIFICATION ,NURSING practice ,ADVANCED practice registered nurses - Abstract
Purpose: Medical support staff nurses have traditionally performed various supportive tasks for physicians, often extending beyond standard nursing roles. Despite these long-standing practices, there is a notable lack of official recognition and legal protection for these expanded responsibilities, leading to increasing legal concerns. Therefore, there is a need for proposing a rational solution to address these issues. Methods: The number of medical support staff nurses is rising, particularly as they fill gaps left by the 2024 resident physician strike. The study focuses on identifying potential challenges arising from this shift and developing strategic improvements to address these challenges effectively. Results: This study proposed legally expanding the scope of nursing duties and creating a robust system for training and certifying nurses to handle these responsibilities effectively, by integrating these roles within the advanced practice nurse (APN) framework. Conclusion: Integrating these roles within the framework of APN can offer a sustainable and legally sound solution to the ongoing healthcare crisis, ensuring patient safety and safeguarding healthcare workers' legal rights. [ABSTRACT FROM AUTHOR]
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- 2024
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3. Providing care in underresourced areas: contribution of the physician assistant/associate workforce.
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Bruza-Augatis, Mirela, Coplan, Bettie, Puckett, Kasey, and Kozikowski, Andrzej
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PHYSICIANS' assistants , *MEDICALLY underserved areas , *LABOR supply , *DEMOGRAPHIC databases , *DEMOGRAPHIC characteristics , *LOGISTIC regression analysis - Abstract
Background: Prior studies suggest that physician assistants/associates (PAs) are more likely than physicians to work in underresourced areas. However, data characterizing the current PA workforce in health professional shortage areas (HPSAs) and medically underserved areas (MUAs) are lacking. Methods: We analyzed the 2022 cross-sectional dataset from a comprehensive national database to examine the demographic and practice characteristics of PAs working in HPSAs/MUAs compared to those in other settings. Analyses included descriptive and bivariate statistics, along with multivariate logistic regression. Results: Nearly 23% of PAs reported practicing in HPSAs/MUAs. Among PAs in HPSAs/MUAs, over a third (34.6%) work in primary care settings, 33.3% identify as men, 15.6% reside in rural/isolated areas, and 14.0% are from an underrepresented in medicine (URiM) background. Factors associated with higher odds of practicing in a HPSA/MUA included residing in rural/isolated settings, URiM background, and speaking a language other than English with patients. Conclusions: As the PA profession grows, knowledge of these attributes may help inform efforts to expand PA workforce contributions to address provider shortages. [ABSTRACT FROM AUTHOR]
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- 2024
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4. Unmet Needs for Ancillary Services by Provider Type Among People With Diagnosed Human Immunodeficiency Virus.
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Thomas, Celina, Yuan, Xin, Taussig, Jennifer A, Tie, Yunfeng, Dasgupta, Sharoda, Riedel, David J, and Weiser, John
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HIV , *PATIENT monitoring , *NURSE-patient relationships , *PHYSICIANS , *NURSES as patients , *PHYSICIANS' assistants - Abstract
Background Unmet needs for ancillary services are substantial among people with human immunodeficiency virus (PWH), and provider type could influence the prevalence of unmet needs for these services. Methods Data from a national probability sample of PWH were analyzed from the Centers for Disease Control and Prevention's Medical Monitoring Project. We analyzed 2019 data on people who had ≥1 encounter with a human immunodeficiency virus (HIV) care provider (N = 3413) and their care facilities. We assessed the proportion of needs that were unmet for individual ancillary services, overall and by HIV care provider type, including infectious disease (ID) physicians, non-ID physicians, nurse practitioners, and physician assistants. We calculated prevalence differences (PDs) with predicted marginal means to assess differences between groups. Results An estimated 98.2% of patients reported ≥1 need for an ancillary service, and of those 46% had ≥1 unmet need. Compared with patients of ID physicians, needs for many ancillary services were higher among patients of other provider types. However, even after adjustment, patients of non-ID physicians had lower unmet needs for dental care (adjusted PD, −5.6 [95% confidence interval {CI}, −9.9 to −1.3]), and patients of nurse practitioners had lower unmet needs for HIV case management services (adjusted PD, −5.4 [95% CI, −9.4 to −1.4]), compared with patients of ID physicians. Conclusions Although needs were greater among patients of providers other than ID physicians, many of these needs may be met by existing support systems at HIV care facilities. However, additional resources may be needed to address unmet needs for dental care and HIV case management among patients of ID physicians. [ABSTRACT FROM AUTHOR]
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- 2024
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5. A Modified Delphi Consensus Approach to Define Entrustable Professional Activities for Neurocritical Care Advanced Practice Providers.
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Harrison, Daniel S., Sigman, Erika J., Ch'ang, Judy H., Sarwal, Aarti, Celotto, Abigale, Malone, Alexandra, Nowicki, Ariel, Martin, Ashley, Boling, Bryan, Nobleza, Christa O'Hana S., Reeves, Christopher, Greer, David M., McLaughlin, Diane, Woods, Elizabeth O'B., Fields, Emmaculate, Perets, Erica, Jannotta, Gemi E., Mears, Jennifer, Twomey, Kaitlyn, and Rath, Kelly A.
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DELPHI method , *ACADEMIC medical centers , *ELECTRONICS in surveying , *SCORING rubrics , *CRITICAL care medicine - Abstract
OBJECTIVES: To define consensus entrustable professional activities (EPAs) for neurocritical care (NCC) advanced practice providers (APPs), establish validity evidence for the EPAs, and evaluate factors that inform entrustment expectations of NCC APP supervisors. DESIGN: A three-round modified Delphi consensus process followed by application of the EQual rubric and assessment of generalizability by clinicians not affiliated with academic medical centers. SETTING: Electronic surveys. SUBJECTS: NCC APPs (n = 18) and physicians (n = 12) in the United States with experience in education scholarship or APP program leadership. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: The steering committee generated an initial list of 61 possible EPAs. The panel proposed 30 additional EPAs. A total of 47 unique nested EPAs were retained by consensus opinion. The steering committee defined six core EPAs addressing medical knowledge, procedural competencies, and communication proficiency which encompassed the nested EPAs. All core EPAs were retained and subsequently met the previously described cut score for quality and structure using the EQual rubric. Most clinicians who were not affiliated with academic medical centers rated each of the six core EPAs as very important or mandatory. Entrustment expectations did not vary by prespecified groups. CONCLUSIONS: Expert consensus was used to create EPAs for NCC APPs that reached a predefined quality standard and were important to most clinicians in different practice settings. We did not identify variables that significantly predicted entrustment expectations. These EPAs may aid in curricular design for an EPA-based assessment of new NCC APPs and may inform the development of EPAs for APPs in other critical care subspecialties. [ABSTRACT FROM AUTHOR]
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- 2024
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6. Interprofessional Substance Use Education for Primary Health Professionals: An Exploratory Study of Knowledge-Related Differences.
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Calleja, Nancy G. and Kondili, Elvita
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SUBSTANCE abuse , *INTERDISCIPLINARY education , *INTERPROFESSIONAL relations , *T-test (Statistics) , *RESEARCH funding , *PRIMARY health care , *EDUCATIONAL outcomes , *HOSPITAL nursing staff , *SEX distribution , *CLINICAL trials , *DESCRIPTIVE statistics , *PROFESSIONS , *PRE-tests & post-tests , *RESEARCH , *CURRICULUM planning - Abstract
To investigate knowledge-related outcomes and the impact of an inter-professionally delivered substance use curriculum on primary health professionals, 286 nursing and physician assistant trainees were assessed before and following the completion of a specialized substance use curriculum. The results of paired sample t-tests indicated that participants demonstrated significantly increased knowledge of substance use. There were no significant differences in learning outcomes related to gender, ethnicity, or discipline. The study provides initial support for the effectiveness of the interprofessional substance use curriculum in significantly increasing knowledge of substance use among both nursing and physician assistant trainees. [ABSTRACT FROM AUTHOR]
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- 2024
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7. Providing care in underresourced areas: contribution of the physician assistant/associate workforce
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Mirela Bruza-Augatis, Bettie Coplan, Kasey Puckett, and Andrzej Kozikowski
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Underresourced areas ,Medically underserved areas ,Health professional shortage areas ,Healthcare workforce ,Physician assistants ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background Prior studies suggest that physician assistants/associates (PAs) are more likely than physicians to work in underresourced areas. However, data characterizing the current PA workforce in health professional shortage areas (HPSAs) and medically underserved areas (MUAs) are lacking. Methods We analyzed the 2022 cross-sectional dataset from a comprehensive national database to examine the demographic and practice characteristics of PAs working in HPSAs/MUAs compared to those in other settings. Analyses included descriptive and bivariate statistics, along with multivariate logistic regression. Results Nearly 23% of PAs reported practicing in HPSAs/MUAs. Among PAs in HPSAs/MUAs, over a third (34.6%) work in primary care settings, 33.3% identify as men, 15.6% reside in rural/isolated areas, and 14.0% are from an underrepresented in medicine (URiM) background. Factors associated with higher odds of practicing in a HPSA/MUA included residing in rural/isolated settings, URiM background, and speaking a language other than English with patients. Conclusions As the PA profession grows, knowledge of these attributes may help inform efforts to expand PA workforce contributions to address provider shortages.
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- 2024
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8. Physician assistants/associates in psychiatry: a workforce analysis
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Mirela Bruza-Augatis, Andrzej Kozikowski, Roderick S. Hooker, and Kasey Puckett
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Psychiatry ,Behavioral health ,Physician associates ,Physician assistants ,Workforce ,Employment ,Medicine (General) ,R5-920 ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background Physician assistants/associates (PAs) provide services in diverse medical specialties globally, including psychiatry. While health professionals in psychiatry have been described for many years, little is known about PAs practicing in this discipline. Methods We describe US PAs practicing in psychiatry using robust national data from the National Commission on Certification of Physician Assistants (NCCPA). Analyses included descriptive and inferential statistics comparing PAs in psychiatry to PAs in all other medical and surgical specialties. Results The percentage of PAs practicing in psychiatry has increased from 1.1% (n = 630) in 2013 to 2.0% (n = 2 262) in 2021. PAs in psychiatry differed from PAs practicing in all other specialties in the following: they identified predominately as female (71.4% vs. 69.1%; p = 0.016), were more racially diverse (Asian [6.6% vs. 6.0%], Black/African American [5.5% vs. 3.4%], multi-race [2.8% vs. 2.1%], and other races [Native Hawaiian/Pacific Islander, American Indian/Alaska Native, or other; 3.7% vs. 3.6%]; p
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- 2024
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9. Physician assistants/associates in psychiatry: a workforce analysis.
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Bruza-Augatis, Mirela, Kozikowski, Andrzej, Hooker, Roderick S., and Puckett, Kasey
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PHYSICIANS' assistants , *MEDICAL personnel , *PSYCHIATRY , *LABOR supply , *LABOR demand , *ALASKA Natives , *JOB satisfaction - Abstract
Background: Physician assistants/associates (PAs) provide services in diverse medical specialties globally, including psychiatry. While health professionals in psychiatry have been described for many years, little is known about PAs practicing in this discipline. Methods: We describe US PAs practicing in psychiatry using robust national data from the National Commission on Certification of Physician Assistants (NCCPA). Analyses included descriptive and inferential statistics comparing PAs in psychiatry to PAs in all other medical and surgical specialties. Results: The percentage of PAs practicing in psychiatry has increased from 1.1% (n = 630) in 2013 to 2.0% (n = 2 262) in 2021. PAs in psychiatry differed from PAs practicing in all other specialties in the following: they identified predominately as female (71.4% vs. 69.1%; p = 0.016), were more racially diverse (Asian [6.6% vs. 6.0%], Black/African American [5.5% vs. 3.4%], multi-race [2.8% vs. 2.1%], and other races [Native Hawaiian/Pacific Islander, American Indian/Alaska Native, or other; 3.7% vs. 3.6%]; p < 0.001), and resided in the South (43.8% vs. 34.1%; p < 0.001). PAs in psychiatry vs. all other specialties were more likely to work in office-based private practice settings (41.6% vs. 37.3%; p < 0.001) and nearly twice as likely to provide telemedicine services for their patients (62.7% vs. 32.9%; p < 0.001). While one-third (31.9%) of PAs in psychiatry experienced one or more burnout symptoms, and 8.1% considered changing their current position, the vast majority of PAs in psychiatry (86.0%) were satisfied with their position. Conclusions: Understanding the attributes of PAs in psychiatry is essential in medical labor supply and demand research. Our findings suggest that the number of PAs working in psychiatry is steadily increasing. These PAs were predominantly female, exhibited greater racial diversity, and were primarily located in the South and Midwest regions of the US. A striking difference was that PAs in psychiatry were almost twice as likely to provide telemedicine services for their patients. Although nearly a third of PAs in psychiatry acknowledged having one or more symptoms of burnout, few were considering changing their employment, and the vast majority reported high job satisfaction. [ABSTRACT FROM AUTHOR]
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- 2024
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10. Point-of-care Ultrasound (POCUS) Program for Critical Care Nurse Practitioners and Physician Assistants in an Oncological Intensive Care Unit and Rapid Response Team.
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Chen, Leon L., Tayban, Kate, Tomicich, Joanna, Buchholz, Tara, Barzola, Melissa, Mead, Elena, and Halpern, Neil A.
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CANCER treatment , *CURRICULUM , *JOB qualifications , *INTERPROFESSIONAL relations , *HUMAN services programs , *ENDOWMENTS , *LABOR turnover , *ULTRASONIC imaging , *ONCOLOGY , *RAPID response teams , *MENTORING , *NURSING , *CERTIFICATION , *COLLEGE teachers , *INFORMATION technology , *WORKFLOW , *INTENSIVE care units , *PROFESSIONAL employee training , *CURRICULUM planning , *ABILITY , *POINT-of-care testing , *CRITICAL care medicine , *HOSPITAL wards , *SPECIALTY hospitals , *TRAINING - Abstract
Implementation of a comprehensive point-of-care ultrasound (POCUS) program for nurse practitioners (NPs) and physician assistants (PAs) in an intensive care unit (ICU) setting improves their diagnostic and therapeutic skills and enhances patient care. Overcoming staffing, IT infrastructure, and administrative challenges has allowed our critical care medicine service to develop a successful program that empowers NPs and PAs and boosts their professional growth. Our POCUS program underscores the necessity of institutional support, dedicated mentorship, collaboration with qualified faculty, and creation and maintenance of a curriculum that adheres to accepted national guidelines. Insights gained from our experiences can serve as a valuable resource for institutions aiming to develop their own POCUS programs. [ABSTRACT FROM AUTHOR]
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- 2024
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11. Trends in dermatologic procedures performed by dermatologists and advanced practice clinicians among Medicare beneficiaries from 2012 to 2020.
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Shiau, Carina, Kim, Daniel Y., Young, Peter A., Baker, Andrew, and Bae, Gordon H.
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- 2024
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12. 국내 전담간호사의 역할갈등 개념분석.
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김 병관 and 정 원희
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PHYSICIANS' assistants ,FEAR ,PROFESSIONAL autonomy ,PSYCHOLOGICAL distress ,CINAHL database ,PROFESSIONAL identity ,ANXIETY ,JOB satisfaction ,SYSTEMATIC reviews ,MEDLINE ,NURSING licensure ,CONCEPTUAL structures ,COGNITION disorders ,ROLE conflict ,CONCEPTS ,ONLINE information services ,PSYCHOSOCIAL factors ,JOB performance ,SELF-perception - Abstract
Purpose: This conceptual analysis aimed to reveal the "role conflict of physician assistants with nursing licenses in Korea" by defining and organizing its concept. Methods: This study used the conceptual analysis process of Walker and Avant. Results: The role conflict of Korean physician assistant nurses can be defined by the following attributes: "Confusion of identity," "Psychological burden of work," "Anxiety and fear of legal responsibility," "Anxiety about an uncertain future," "Relative deprivation," "Sense of neglect," and a "Lack of sense of belonging." The antecedents identified were: "unclear work boundaries," "absence of work guidelines," "excessive work and poor environment," "Absence of regulations and administrative regulation," "Exclusion from unfair treatment and promotion," "Difficulty measuring job performance," "Absence of job autonomy," and "Physician group interest pursuit." The consequences were: "Decreased job satisfaction," "Decreased sense of achievement," "Decreased self-esteem," "Limited growth," "Increased turnover intentions," "Exhaustion of mind and body," "Career identity crisis," and "Frustrations." Conclusion: This study provides basic data for constructing a theory concerning role conflict among Korean dedicated nurses and promotes the development of measurement tools. Furthermore, it meaningfully presents both theoretical grounds for reducing the role conflict of dedicated nurses and evidence for legalization. [ABSTRACT FROM AUTHOR]
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- 2024
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13. Utilizing Nurse Practitioners and Physician Assistants in Academic Emergency Departments Does Not Reduce Residents' Exposure to More Complex Patients.
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Mehta, Meghal, Scott, Sara, and Brown, Lawrence H.
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PHYSICIANS' assistants , *NURSE practitioners , *ACADEMIC departments , *OUTPATIENT services in hospitals , *HOSPITAL emergency services , *TRAINING of medical residents - Abstract
Whether integration of nurse practitioners (NPs) and physician assistants (PAs) into academic emergency departments (EDs) affects emergency medicine (EM) resident clinical learning opportunities is unclear. We sought to compare EM resident exposure to more-complex patients, as well as patients undergoing Accreditation Council for Graduate Medical Education (ACGME)–required procedures, at nonpediatric academic EDs with lower, moderate, and higher levels of NP/PA utilization. In this cross-sectional study of National Hospital Ambulatory Medical Care Survey (NHAMCS) data for 2016–2020, nonpediatric academic EDs were classified into the following three groups based on the percentage of patients seen by an NP or PA: lower (≤ 10%), moderate (10.1–30%), and higher (> 30%) NP/PA utilization. The proportion of EM resident–seen patients meeting previously established complex patient criteria was then determined for EDs at each level of NP/PA utilization. The proportion of EM resident–seen patients receiving certain ACGME-required procedures was also determined. Survey analytic procedures and weighting as recommended by NHAMCS were used to calculate and compare proportions using 95% CIs. The weighted 2016–2020 NHAMCS data sets represent 44,130,996 adult resident-seen patients presenting to nonpediatric academic EDs. The proportion of resident-seen patients meeting complex patient criteria did not significantly differ for lower (43.2%; 95% CI 30.6–56.8%), moderate (41.7%; 95% CI 33.0–50.9%), or higher (38.9%; 95% CI 29.3–49.4%) NP/PA utilization EDs. The proportion of patients undergoing an ACGME-required procedure also did not significantly differ across level of NP/PA utilization. Higher levels of NP/PA utilization in nonpediatric academic EDs do not appear to reduce EM resident exposure to more-complex patients or ACGME-required procedures. [ABSTRACT FROM AUTHOR]
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- 2024
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14. A Pilot Study of Physician Assistant Student and Alumni Attitudes, Awareness, and Perceptions of Medical and Recreational Marijuana.
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Lawler, Kathryn, Strauss, Abigail, Kaczmarek, Allison, and Martinasek, Mary P.
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PHYSICIAN assistant students , *STUDENT attitudes , *MARIJUANA legalization , *ALUMNAE & alumni , *MEDICAL marijuana , *MEDICAL personnel , *DRUGGED driving , *MEDICAL school graduates - Abstract
Objectives: In this study, we aimed to explore current physician assistant (PA) student and alumni attitudes, knowledge, and perceptions towards recreational and medical marijuana. Methods: We conducted a cross-sectional study with PA students and alumni (N = 62) from a mid-sized university in the southeastern United States. We used an online QualtricsTM survey of 40 questions pertaining to both medical and recreational marijuana. Results: When asked about counseling patients on medical marijuana only 50.8% felt comfortable. Even fewer were comfortable with discussing drug interactions (39%). Participants felt that edibles were the safest route of administration (46.8%). The majority felt patient counseling should be incorporated into health sciences courses (79.7%). There was a statistically significant association between their knowledge and their comfort in answering questions about marijuana (p < .001) and between their knowledge and their comfort in addressing drug interactions (p = .005). Conclusion: Our results align with previous research concluding that a greater amount of marijuana education should be incorporated into healthcare professionals' curricula. [ABSTRACT FROM AUTHOR]
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- 2024
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15. The role of clinical associates in South Africa as a health workforce: A scoping review
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Sanele Ngcobo, Lynn Bust, Ian Couper, and Kathryn Chu
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clinical associates ,human resources for health ,bachelor of clinical medical practice ,district hospitals ,clinical officers ,physician assistants ,physician associates ,mid-level health workers ,mid-level medical workers. ,Medicine ,Public aspects of medicine ,RA1-1270 - Abstract
Background: South Africa’s health care system grapples with persistent challenges, including health care provider shortages and disparities in distribution. In response, the government introduced clinical associates (Clin-As) as a novel category of health care providers. Aim: This study mapped Clin-As’ history and practice in South Africa, assessing their roles in the health workforce and offering recommendations. Methods: Following the framework outlined by Arksey and O’Malley, we conducted a comprehensive literature search from January 2001 to November 2021, utilising PubMed, Scopus and EBSCOhost databases. One thousand six hundred and seventy-two articles were identified and then refined to 36 through title, abstract and full-text screening. Results: Strengths of the Clin-A cadre included addressing rural workforce shortages and offering cost-effective health care in rural areas. Challenges to the success of the cadre included stakeholder resistance, rapid implementation, scope of practice ambiguity, inadequate supervision, unclear roles, limited Department of Health (NDoH) support, funding deficits, Clin-As’ perceived underpayment and overwork, degree recognition issues, inadequate medical student training on Clin-A roles, vague career paths and uneven provincial participation. Conclusion: As a health care provider cadre, Clin-As have been welcomed by multiple stakeholders and could potentially be a valuable resource for South Africa’s health care system, but they face substantial challenges. Realising their full potential necessitates enhanced engagement, improved implementation strategies and precise scope definition. Contribution: This study acknowledges Clin-As in SA as a promising solution to health care workforce shortages but highlights challenges such as stakeholder resistance, insufficient NDoH support and unclear policies, emphasising the need for comprehensive efforts to maximise their potential.
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- 2024
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16. MENTAL HEALTH DISORDERS IN PHYSICIAN ASSISTANTS AND OTHER HEALTHCARE WORKERS DURING A PANDEMIC
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Pavlina Parusheva, Desislava Baltadzhieva, Darko Simonov, Kosara Kopraleva, Gergana Sandeva, and Pavlina Gidikova
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mental health ,covid-19 ,healthcare workers ,physician assistants ,Biology (General) ,QH301-705.5 - Abstract
The purpose of the study was to determine the manifestations of depression, stress and anxiety in physician assistants using a self-report scale and to compare with other healthcare workers. The validated self-report scale DASS 21 was used, which contains three subscales with 7 questions to measure depression, anxiety and stress, evaluated on a four-point scale. The study was performed in October 2022 among 68 physician assistants and 597 other healthcare workers from ambulatory, hospital and emergency medical care. Comparing the frequency of mental health disorders showed that the relative proportions of physician assistants with varying degrees of depression (34%), anxiety (46%) and stress (28%) were higher than for other occupational groups. For anxiety this frequency was significantly higher (p < 0.001). Comparing group mean levels of mental health disorders across occupational groups showed significantly higher levels of anxiety among physician assistants compared to physicians (p < 0.001). This indicates that physician assistants are a particularly vulnerable group in terms of anxiety symptoms. It is a positive fact that mild and moderate degrees of mental health disorders prevail. More than half (51%) of physician assistants were found to have some type of mental health disorder. The most common were the cases where depression, anxiety and stress were simultaneously present (19%). Significant correlations were found between the severity of depression, anxiety and stress (p < 0.0001). These results provide a clear signal for the need of professional assistance for mental health prevention in healthcare workers, especially in physician assistants during the pandemic.
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- 2024
17. PSYCHOSOCIAL RISK FACTORS AT WORK IN PHYSICIAN ASSISTANTS DURING A WAVE OF THE COVID-19 PANDEMIC
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Kosara Kopraleva, Darko Simonov, Pavlina Parusheva, Desislava Baltadzhieva, Gergana Sandeva, and Pavlina Gidikova
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psychosocial risks at work ,physician assistants ,covid-19 ,mental health ,Biology (General) ,QH301-705.5 - Abstract
The aim of the study was to determine the most important occupational psychosocial risk factors for mental health in physician assistants and paramedics during the pandemic of COVID-19. The survey was conducted using 29 questions on psychosocial risks related to the organization of work and anti-epidemic measures, interpersonal relations at work, professional and personal characteristics. For assessment of mental health disorders the self-report scale DASS-21 was used, with 21 items on symptoms of depression, anxiety and stress. The survey was conducted in October 2022 with a total of 68 physician assistants and paramedics from inpatient, outpatient and emergency medical care. Psychosocial factors with the greatest risk frequency were “absence of adequate additional training in epidemic conditions”, “uncertainty in the anti-epidemic measures applied”, and “change of workplace, work tasks and organization of work without asking the opinion of workers”. At a significant frequency of risk were also worries about patients’ life and health, personal, and family members’ life and health. The last two factors correlated with the severity of depression, anxiety and stress. Looking at the interpersonal relations at work, the most problematic were “absence of recognition and encouragement for a job well done” and “inability to freely discuss problems and make decisions in the work team”. Professional psychosocial risk factors with the highest frequency were “insufficient professional experience with infectious patients”, “very high workload during the wave of COVID-19” and “lack of job satisfaction”. These three factors correlated significantly with levels of depression, anxiety and stress.
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- 2024
18. Cons of noncompete clauses.
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Zhou, Albert E., Chen, Maggie, and Grant-Kels, Jane M.
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- 2024
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19. Pros of noncompete clauses.
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Gronbeck, Christian and Aiudi, Donna
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- 2024
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20. Integrating Infectious Disease Advanced Practice Providers in the Workforce: An Educational Step Forward.
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Yoke, Leah H, Boeckh, Michael, and Beieler, Alison M
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COMMUNICABLE diseases , *PHYSICIANS' assistants , *NURSE practitioners , *INTERPROFESSIONAL education , *LABOR supply , *CAREER development , *PHYSICIAN supply & demand - Abstract
The article discusses the potential role of advanced practice providers (APPs) in the field of infectious diseases (ID). It highlights the need for more APPs in ID due to physician shortages and uneven distribution of ID physicians across the United States. The article presents a blueprint and methodology for training and onboarding APPs in ID, including milestones of achievement and core competencies. It also emphasizes the importance of developing educational resources and interprofessional collaboration to optimize the use of APPs in ID. The Infectious Diseases Society of America (IDSA) has recognized the need for educational and training resources for APPs and supports the integration of APPs into the ID team. However, more work and resources are needed to successfully implement the proposed curriculum and achieve the inclusion of APPs in the ID workforce. The article concludes by emphasizing the importance of recognizing APPs as a valuable clinician workforce that can extend ID care and the need for strategic steps to provide high-quality education and training for APPs in partnership with ID physicians. [Extracted from the article]
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- 2024
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21. Caution ahead: the risks with regulating physician associates in Aotearoa.
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D'Souza N, Powell D, and Dalton S
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- Humans, New Zealand, Physician Assistants
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Competing Interests: Nil.
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- 2024
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22. Independence.
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Sweeney CY
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- Humans, Physician Assistants
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- 2024
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23. Defining competencies for PAs in healthcare administration.
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Vanderlinden S and Zimmerman R
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- Humans, Delivery of Health Care standards, Professional Competence, Clinical Competence, Professional Role, Physician Assistants
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- 2024
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24. The importance, benefits, and contributions of PAs in healthcare leadership.
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Simon T, Walczyk E, DePalma SM, and Walker CS
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- Humans, Professional Role, Delivery of Health Care organization & administration, Leadership, Physician Assistants
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Abstract: Physician associate/assistant (PA) leaders are essential to healthcare and are critical to a healthcare organization's success. This article, the first of a two-part series on PA leadership, summarizes the importance of PA leaders and the benefits of PAs serving in administrative and leadership roles., (Copyright © 2024 American Academy of Physician Associates.)
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- 2024
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25. Building bridges with physicians.
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Prevelige J
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- Humans, Physicians psychology, Physician Assistants
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- 2024
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26. In praise of physician associates.
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Sims P
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- Humans, United Kingdom, Physician Assistants
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Competing Interests: Competing interests: None declared.
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- 2024
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27. Physician associates working in primary care could worsen health inequalities.
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Razai MS and Majeed A
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- Humans, United Kingdom, Physician Assistants, Health Status Disparities, Healthcare Disparities, Primary Health Care
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Competing Interests: Competing interests: None declared.
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- 2024
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28. Physician associates must be supervised by a GP straight after seeing each patient, says BMA.
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Kmietowicz Z
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- Humans, United Kingdom, General Practice, General Practitioners, Physician Assistants
- Published
- 2024
- Full Text
- View/download PDF
29. [Legal and Practical Solutions for the Expanding the Roles of Medical Support Staff Nurses].
- Author
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Choi SJ and Kim MY
- Subjects
- Humans, Patient Safety, Certification, Nurse's Role
- Abstract
Purpose: Medical support staff nurses have traditionally performed various supportive tasks for physicians, often extending beyond standard nursing roles. Despite these long-standing practices, there is a notable lack of official recognition and legal protection for these expanded responsibilities, leading to increasing legal concerns. Therefore, there is a need for proposing a rational solution to address these issues., Methods: The number of medical support staff nurses is rising, particularly as they fill gaps left by the 2024 resident physician strike. The study focuses on identifying potential challenges arising from this shift and developing strategic improvements to address these challenges effectively., Results: This study proposed legally expanding the scope of nursing duties and creating a robust system for training and certifying nurses to handle these responsibilities effectively, by integrating these roles within the advanced practice nurse (APN) framework., Conclusion: Integrating these roles within the framework of APN can offer a sustainable and legally sound solution to the ongoing healthcare crisis, ensuring patient safety and safeguarding healthcare workers' legal rights., Competing Interests: The authors declared no conflict of interest., (© 2024 Korean Society of Nursing Science.)
- Published
- 2024
- Full Text
- View/download PDF
30. Take the time.
- Author
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Provenza D
- Subjects
- Humans, Physician Assistants
- Published
- 2024
- Full Text
- View/download PDF
31. Digital and Computational Pathology Are Pathologists' Physician Extenders.
- Author
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Schukow CP and Allen TC
- Subjects
- Humans, Pathology, Clinical methods, Pathology, Clinical trends, Physician Assistants, Pathology, Pathologists
- Published
- 2024
- Full Text
- View/download PDF
32. Efficacy of intrauterine device procedural analgesics.
- Author
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Grossman K, McKown E, and Cushing R
- Subjects
- Humans, Female, Analgesics administration & dosage, Pain, Procedural prevention & control, Pain, Procedural etiology, Pregnancy, Anesthetics, Local administration & dosage, Anesthesia, Local methods, Menorrhagia therapy, Physician Assistants, Intrauterine Devices adverse effects
- Abstract
Abstract: Nearly half of all pregnancies worldwide are unintended. Intrauterine devices are an effective, long-acting form of pregnancy prevention that require minimal maintenance, and also can be used in patients with menorrhagia. However, they are underused because of pain associated with their insertion. Topical and local anesthesia are good options for reducing procedural pain in select patients. IUD placement falls within the scope of practice for physician associates/assistants (PAs) practicing in family medicine, internal medicine, and women's health. PAs should be aware of these additional analgesia options available to patients in order to increase use of effective contraception., (Copyright © 2024 American Academy of Physician Associates.)
- Published
- 2024
- Full Text
- View/download PDF
33. PA experiences in clinical trials.
- Author
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Eggleston A, Sarkodie E, and Rokser R
- Subjects
- Humans, Surveys and Questionnaires, Male, Female, Salaries and Fringe Benefits, United States, Biomedical Research, Clinical Trials as Topic, Physician Assistants
- Abstract
Objective: Physician associate/assistant (PA) experience in clinical trials is poorly documented in medical literature. This survey aimed to describe the characteristics and experiences of PAs in clinical trial research., Methods: We performed descriptive analyses of data gathered in 2022 by the American Academy of Physician Associates and published in the organization's annual Salary Report, specifically of respondents who indicated experience in traditional and/or decentralized clinical trials., Results: About 73% of PAs eligible for the clinical trials survey indicated they were either involved in clinical trials or had been involved in the past and were interested in working in clinical trials in the future. PAs often serve in subinvestigator roles and perform various clinical trial tasks regardless of previous research experience., Conclusions: PAs working in clinical trials demonstrated broad responsibilities and skills in the research setting. They leveraged benefits to working in clinical trials despite institutional barriers. Clinical research may fit into numerous PAs' practices and let them contribute to medical advancements., (Copyright © 2024 American Academy of Physician Associates.)
- Published
- 2024
- Full Text
- View/download PDF
34. Interprofessional Staffing Pattern Clusters in U.S. ICUs.
- Author
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Gershengorn HB, Costa DK, Garland A, Lizano D, and Wunsch H
- Subjects
- Humans, United States, Surveys and Questionnaires, Interprofessional Relations, Patient Care Team organization & administration, Workforce, Latent Class Analysis, Intensive Care Units organization & administration, Personnel Staffing and Scheduling organization & administration, Personnel Staffing and Scheduling statistics & numerical data
- Abstract
Objectives: To identify interprofessional staffing pattern clusters used in U.S. ICUs., Design: Latent class analysis., Setting and Participants: Adult U.S. ICUs., Patients: None., Interventions: None., Analysis: We used data from a staffing survey that queried respondents ( n = 596 ICUs) on provider (intensivist and nonintensivist), nursing, respiratory therapist, and clinical pharmacist availability and roles. We used latent class analysis to identify clusters describing interprofessional staffing patterns and then compared ICU and hospital characteristics across clusters., Measurements and Main Results: We identified three clusters as optimal. Most ICUs (54.2%) were in cluster 1 ("higher overall staffing") characterized by a higher likelihood of good provider coverage (both intensivist [onsite 24 hr/d] and nonintensivist [orders placed by ICU team exclusively, presence of advanced practice providers, and physicians-in-training]), nursing leadership (presence of charge nurse, nurse educators, and managers), and bedside nursing support (nurses with registered nursing degrees, fewer patients per nurse, and nursing aide availability). One-third (33.7%) were in cluster 2 ("lower intensivist coverage & nursing leadership, higher bedside nursing support") and 12.1% were in cluster 3 ("higher provider coverage & nursing leadership, lower bedside nursing support"). Clinical pharmacists were more common in cluster 1 (99.4%), but present in greater than 85% of all ICUs; respiratory therapists were nearly universal. Cluster 1 ICUs were larger (median 20 beds vs. 15 and 17 in clusters 2 and 3, respectively; p < 0.001), and in larger (> 250 beds: 80.6% vs. 66.1% and 48.5%; p < 0.001), not-for-profit (75.9% vs. 69.4% and 60.3%; p < 0.001) hospitals. Telemedicine use 24 hr/d was more common in cluster 3 units (71.8% vs. 11.7% and 14.1%; p < 0.001)., Conclusions: More than half of U.S. ICUs had higher staffing overall. Others tended to have either higher provider presence and nursing leadership or higher bedside nursing support, but not both., Competing Interests: Dr. Gershengorn received funding from the National Institutes of Health (NIH)/National Heart, Lung, and Blood Institute (NHLBI; R01-HL156880-01) and the University of Miami Hospital and Clinics Data Analytics Research Team. Dr. Garland received funding from the Canadian Institute for Health Research, Manitoba Medical Services Foundation, Children’s Hospital Research Institute of Manitoba, and NIH/NHLBI (R01-HL156880-01). Dr. Costa received funding from the NIH/NHLBI (R01-HL156880-01). Dr. Wunsch received funding from the Canada Research Chair (tier 2) in Critical Care Organization and Outcomes and the NIH/NHLBI (R01-HL156880-01). Mr. Lizano has disclosed that he does not have any potential conflicts of interest., (Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the Society of Critical Care Medicine.)
- Published
- 2024
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- View/download PDF
35. Anticipating the Effects of Accreditation Council for Graduate Medical Education-Mandated Residency Curriculum Changes on Neonatal Intensive Care Unit Staffing Models and Costs.
- Author
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Lakshminrusimha S, Li ST, DeLemos CD, Moss CR, Hoffman J, Johnstone L, Devaskar SU, and Lubarsky DA
- Abstract
Competing Interests: Declaration of Competing Interest The authors declare no conflicts of interest.
- Published
- 2024
- Full Text
- View/download PDF
36. Ethics of dermatologists having to manage cosmetic complications by other clinicians.
- Author
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Zhou AE, Jain NP, Sloan B, Grant-Kels JM, and Feng H
- Abstract
Competing Interests: Conflicts of interest None disclosed.
- Published
- 2024
- Full Text
- View/download PDF
37. Exploring barriers and enabling factors for surgical task sharing with physician assistants in Liberia: a qualitative pre-implementation study.
- Author
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Werz MJ, van Duinen AJ, Hampaye TC, van den Broek A, and Bolkan HA
- Subjects
- Humans, Liberia, Attitude of Health Personnel, Female, Male, Interviews as Topic, General Surgery education, Physician Assistants, Qualitative Research
- Abstract
Objectives: This study explores potential barriers and enabling factors that may influence the acceptance of implementation of a surgical task-sharing initiative targeting physician assistants (PAs) in Liberia., Design: A qualitative, pre-implementation study using semistructured interviews. Data was analysed in NVivo V.12 using deductive coding and the consolidated framework for implementation research as a guide., Setting: Liberia has few surgical providers and a poor surgical infrastructure resulting in a very low surgical volume. The research was conducted in the context of an already running surgical task-sharing programme for midwives., Participants: In 2019, a total of 30 key stakeholders in the field of surgery and the PAs training programme were interviewed., Results: The majority of the stakeholders supported the idea of training PAs in surgery. The high unemployment rate among PAs and the need for career advancement of this cadre were important enabling factors. Resistance against surgical task sharing for mid-level clinicians is multifaceted. The Ministry of Health (MOH) did not share a common vision. Opponents within the MOH believed budgetary constraints within the MOH and the lack of surgical infrastructure is a more pressing problem compared with the surgically trained human resources. Another important group of opponents are medical officers (MOs) and their professional bodies. Many of their negative beliefs around surgical task sharing reflect lessons to be drawn from the current surgical training programme for midwives., Conclusion: Prior to deciding on implementation of a surgical training programme for PAs, wider support is needed. If surgical task sharing with PAs is to be considered, the intervention should focus on adapting the 'adaptable' periphery of the intervention to broaden the support of the MOH, MOs and their professional bodies. Failing to obtain such support should make the implementors consider alternative strategies to strengthen surgical human resources in rural Liberia., Competing Interests: Competing interests: AJvD and HAB are unpaid board members of CapaCare, a non-governmental organisation that has implemented a surgical task-sharing programme in the neighbouring country Sierra Leone in collaboration with the Ministry of Health and Sanitation., (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
- Published
- 2024
- Full Text
- View/download PDF
38. Physician associates in the UK and the role of the doctor.
- Author
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Bagenal J
- Subjects
- Humans, Physician's Role, United Kingdom, Physician Assistants
- Abstract
Competing Interests: I am Senior Executive Editor at The Lancet.
- Published
- 2024
- Full Text
- View/download PDF
39. Response to the article by Hill and Lipner entitled "Numbers of nail procedures performed by physician assistants and nurse practitioners among Medicare beneficiaries increased 2013-2021".
- Author
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Shiau C, Kim DY, Young PA, Baker A, and Bae GH
- Abstract
Competing Interests: Conflicts of interest Mr Kim is a paid consultant at Verve Therapeutics and SeQure Dx, unrelated to this research. His interests were reviewed and are managed by Mass General Brigham in accordance with their conflict-of-interest policies. The other authors have no conflicts of interest to declare.
- Published
- 2024
- Full Text
- View/download PDF
40. How will expansion of physician associates affect patient safety?
- Author
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Greenley R and McKee M
- Subjects
- Humans, Physician Assistants, United Kingdom, Patient Safety standards
- Abstract
Competing Interests: Competing interests. MM is Past President of the British Medical Association and was one of the signatories to a letter calling for an extraordinary general meeting of the Royal College of Physicians because of concern about the expansion of physician associates. This paper draws on a review conducted within the project Magnet4Europe: Improving Mental Health and Wellbeing in the Health Care Workplace funded by the European Union’s Horizon 2020 research and innovation programme (Grant Agreement Number 848031) and the National Institute of Nursing Research, National Institutes of Health (R01NR014855 and T32NR007104). The investigation presented here is the responsibility of the authors only. The EU Commission takes no responsibility for any use made of the information set out.
- Published
- 2024
- Full Text
- View/download PDF
41. Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures? A retrospective study of electronic health record data.
- Author
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Gleason KT, Tran A, Fawzy A, Yan L, Farley H, Garibaldi B, and Iwashyna TJ
- Subjects
- Humans, Retrospective Studies, Female, Male, Middle Aged, Hypoxia diagnosis, Aged, Communication, Documentation standards, Documentation methods, Documentation statistics & numerical data, Adult, Physician Assistants, Electronic Health Records, Oximetry methods, COVID-19 nursing, COVID-19 diagnosis
- Abstract
Background: Pulse oximetry guides clinical decisions, yet does not uniformly identify hypoxemia. We hypothesized that nursing documentation of notifying providers, facilitated by a standardized flowsheet for documenting communication to providers (physicians, nurse practitioners, and physician assistants), may increase when hypoxemia is present, but undetected by the pulse oximeter, in events termed "occult hypoxemia.", Objective: To compare nurse documentation of provider notification in the 4 h preceding cases of occult hypoxemia, normal oxygenation, and evident hypoxemia confirmed by an arterial blood gas reading., Methods: We conducted a retrospective study using electronic health record data from patients with COVID-19 at five hospitals in a healthcare system with paired SpO
2 and SaO2 readings (measurements within 10 min of oxygen saturation levels in arterial blood, SaO2 , and by pulse oximetry, SpO2 ). We applied multivariate logistic regression to assess if having any nursing documentation of provider notification in the 4 h prior to a paired reading confirming occult hypoxemia was more likely compared to a paired reading confirming normal oxygen status, adjusting for characteristics significantly associated with nursing documentation. We applied conditional logistic regression to assess if having any nursing documentation of provider notification was more likely in the 4-hour window preceding a paired reading compared to the 4-hour window 24 h earlier separately for occult hypoxemia, visible hypoxemia, and normal oxygenation., Results: There were data from 1910 patients hospitalized with COVID-19 who had 44,972 paired readings and an average of 26.5 (34.5) nursing documentation of provider notification events. The mean age was 63.4 (16.2). Almost half (866/1910, 45.3 %) were White, 701 (36.7 %) were Black, and 239 (12.5 %) were Hispanic. Having any nursing documentation of provider notification was 46 % more common in the 4 h before an occult hypoxemia paired reading compared to a normal oxygen status paired reading (OR 1.46, 95 % CI: 1.28-1.67). Comparing the 4 h immediately before the reading to the 4 h one day preceding the paired reading, there was a higher likelihood of having any nursing documentation of provider notification for both evident (OR 1.45, 95 % CI 1.24-1.68) and occult paired readings (OR 1.26, 95 % CI 1.04-1.53)., Conclusion: This study finds that nursing documentation of provider notification significantly increases prior to confirmed occult hypoxemia, which has potential in proactively identifying occult hypoxemia and other clinical issues. There is potential value to encouraging standardized documentation of nurse concern, including communication to providers, to facilitate its inclusion in clinical decision-making., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Ltd. All rights reserved.)- Published
- 2024
- Full Text
- View/download PDF
42. The Role of Advanced Practice Providers in Modern Gastroenterology Practice.
- Author
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Enslin S and Kaul V
- Subjects
- Humans, Physician Assistants, Gastroenterology
- Published
- 2024
- Full Text
- View/download PDF
43. Venous ablation procedures by provider type, including advanced practice providers.
- Author
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Wiske C, Chervonski E, Rockman CB, Jacobowitz GR, and Sadek M
- Subjects
- Humans, United States, Surgeons trends, Ablation Techniques, Nurse Practitioners, Physician Assistants, Retrospective Studies, Laser Therapy, Databases, Factual, Certification, Time Factors, Endovascular Procedures, Fee-for-Service Plans, Practice Patterns, Physicians' trends, Medicare
- Abstract
Objective: The necessary training and certification of providers performing venous ablation has become a topic of debate in recent years. As venous interventions have shifted away from the hospital, the diversity of provider backgrounds has increased. We aimed to characterize superficial venous ablation practice patterns associated with different provider types., Methods: We analyzed Medicare Fee-For-Service data from 2010 through 2018. Procedures were identified by their Current Procedural Terminology code and included radiofrequency ablation, endovenous laser ablation, chemical adhesive ablation (ie, VenaSeal; Medtronic, Inc), and mechanochemical ablation. These procedures were correlated with the practitioner type to identify provider-specific trends., Results: Between 2010 and 2018, the number of ablation procedures increased by 107% from 114,197 to 236,558 per year (P < .001). Most procedures were performed by surgeons without vascular board certification (28.7%; 95% confidence interval [CI], 28.7%-28.8%), followed by vascular surgeons (27.1%; 95% CI, 27.0%-27.2%). Traditionally noninterventional specialties, which exclude surgeons, cardiologists, and interventional radiologists, accounted for 14.1% (95% CI, 14.1%-14.2%), and APPs accounted for 3.5% (95% CI, 3.4%-3.5%) of all ablation procedures during the study period. The total number of ablations increased by 9.7% annually (95% CI, 9.7%-9.8%), whereas procedures performed by APPs increased by 62.0% annually (95% CI, 61.6%-62.4%). There were significant differences between specialties in the use of nonthermal ablation modalities: APPs had the highest affinity for nonthermal ablation (odds ratio [OR], 2.60; 95% CI, 2.51-2.69). Cardiologists were also more likely to use nonthermal ablation (OR, 1.62; 95% CI, 1.59-1.66). Similarly, the uptake of new nonthermal technology (ie, chemical adhesives) was greatest among APPs (OR, 3.57; 95% CI, 3.43-3.70) and cardiologists (OR, 1.86; 95% CI, 1.81-1.91). Vascular surgeons were less likely to use nonthermal modalities (OR, 0.95; 95% CI, 0.92-0.97), including new nonthermal technology in the first year of availability (OR, 0.93; 95% CI, 0.90-0.95)., Conclusions: The use of venous procedures has increased rapidly during the past decade, particularly as endovenous ablations have been performed by a wider practitioner base, including APPs and noninterventionalists. Practice patterns differ by provider type, with APPs and cardiologists skewing more toward nonthermal modalities, including more rapid uptake of new nonthermal technology. Provider-specific biases for specific ablation modalities might reflect differences in training, skill set, the need for capital equipment, clinical privileges, or reimbursement. These data could help to inform training paradigms, the allocation of resources, and evaluation of appropriateness in a real-world setting., Competing Interests: Disclosures None., (Copyright © 2024. Published by Elsevier Inc.)
- Published
- 2024
- Full Text
- View/download PDF
44. The role of primary care in improving health outcomes in young foster children.
- Author
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Sitzman C and Quincy B
- Subjects
- Humans, Child, Child, Preschool, United States, Child Welfare, Child Abuse, Female, Infant, Male, Physician Assistants, Primary Health Care, Foster Home Care, Child, Foster
- Abstract
Abstract: Children removed from their biological families because of abuse, neglect, and/or violence have increased healthcare needs and are susceptible to poor health outcomes compared with children who are not in the child welfare system. Developmental delays occur in about 75% of children in foster care. Up to 80% of children entering out-of-home care have at least one physical health problem and more than 40% experience educational challenges. In most US states, newly removed children are required to have a medical evaluation shortly after placement in a foster or kinship family. The initial evaluation is important for identifying urgent concerns and developing a rapport with children who may not have had regular medical care. In addition, the child's complete social, trauma, and medical history may be unknown because of system barriers such as inconsistent medical care by biological parents, privacy laws protecting records, and unavailability of birth histories and biological parents' medical and psychosocial histories. As a result, a series of visits is required to fully evaluate the child's development and healthcare needs. This article provides guidance for physician associates/assistants who provide care to children in foster care., (Copyright © 2024 American Academy of Physician Associates.)
- Published
- 2024
- Full Text
- View/download PDF
45. Helen Salisbury: Physician associates in general practice-time to pause and reflect.
- Author
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Salisbury H
- Subjects
- Humans, Physician Assistants, United Kingdom, General Practice
- Abstract
Competing Interests: Competing interests: See www.bmj.com/about-bmj/freelance-contributors
- Published
- 2024
- Full Text
- View/download PDF
46. RCGP calls for immediate freeze on recruitment of physician associates.
- Author
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O'Dowd A
- Subjects
- Humans, United Kingdom, COVID-19, Societies, Medical, State Medicine, Personnel Selection, Physician Assistants
- Published
- 2024
- Full Text
- View/download PDF
47. RCP president steps down "with immediate effect" after physician associates row.
- Author
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Limb M
- Subjects
- Humans, United Kingdom, State Medicine, Physician Assistants, COVID-19 prevention & control
- Published
- 2024
- Full Text
- View/download PDF
48. RCP president is asked to resign over handling of physician associates row.
- Author
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Mahase E
- Subjects
- Humans, United Kingdom, Societies, Medical, Physician Assistants, COVID-19 prevention & control, COVID-19 epidemiology, State Medicine
- Published
- 2024
- Full Text
- View/download PDF
49. Substitution of regulated health professionals, such as doctors and nurses, with unregulated health care workers, such as physician assistants, gives rise to concerns around patient safety and accountability issues: No.
- Author
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Moffitt AR
- Subjects
- Humans, Social Responsibility, Physicians, Nurses, Patient Safety standards, Physician Assistants
- Published
- 2024
- Full Text
- View/download PDF
50. Benefits of dermoscopy in primary care.
- Author
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Middleton HT, Boswell CL, Strelow BA, Young PA, Sartori-Valinotti JC, and Swanson DL
- Subjects
- Humans, Algorithms, Referral and Consultation, Melanoma diagnostic imaging, Melanoma diagnosis, Melanoma pathology, Physician Assistants, United States, Biopsy methods, Dermoscopy, Primary Health Care, Skin Neoplasms diagnostic imaging, Skin Neoplasms diagnosis, Skin Neoplasms pathology
- Abstract
Abstract: Skin cancer is the most common cancer in the United States, with an estimated 9,500 new diagnoses made each day. Dermoscopy (also called dermatoscopy) is an established clinical approach to improving skin cancer evaluation. However, only 8% to 9% of primary care physicians use it, and no data are available for physician associate/assistant or NP use. This article reports a dermoscopy algorithm that primary care providers can use to increase the detection of skin cancer and reduce unnecessary referrals and biopsies., (Copyright © 2024 American Academy of Physician Associates.)
- Published
- 2024
- Full Text
- View/download PDF
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