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Leveraging telementoring platforms to enhance PA capacity and education. 利用 Telementoring 平台加强 PA 能力和教育。
IF 0.8 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Jaapa-Journal of the American Academy of Physician Assistants
Pub Date : 2024-10-01 Epub Date: 2024-09-24 DOI: 10.1097/01.JAA.0000000000000086
Adrienne R Madhavpeddi, Elisabeth Williams, Kaitlyn N Felix, Gregory K Mayer

Abstract: Telementoring is a valuable workforce development resource that connects subject matter experts with healthcare providers via videoconferencing. This technology can deliver training, education, and ongoing technical support to build workforce capacity. Arizona State University (ASU) has leveraged a widely used telementoring platform, Project ECHO, to disseminate best practices in palliative medicine. The model has increased clinician knowledge and confidence, and the learning network may provide protective factors for clinician wellness. The replicable and inclusive nature of telementoring platforms creates educational opportunities to align learners across the didactic and clinical years of medical training, as well as into early- and midcareer for physician associates/assistants (PAs). Telementoring programs can be used across the PA learning continuum, including in PA training programs.

摘要： Telementoring 是一种宝贵的劳动力发展资源，它通过视频会议将主题专家与医疗服务提供者联系起来。这项技术可以提供培训、教育和持续的技术支持，从而提高劳动力的能力。亚利桑那州立大学（ASU）利用广泛使用的远程指导平台 "ECHO 项目 "传播姑息医学的最佳实践。该模式增加了临床医生的知识和信心，学习网络可为临床医生的健康提供保护因素。辅导平台的可复制性和包容性创造了教育机会，使学习者在医学培训的教学和临床阶段以及助理医师/助理助理医师（PA）的早期和中期职业生涯中保持一致。Telementoring 计划可用于整个 PA 学习过程，包括 PA 培训计划。
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引用次数: 0
The customer is always right. 顾客永远是对的。
IF 0.8 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Jaapa-Journal of the American Academy of Physician Assistants
Pub Date : 2024-10-01 Epub Date: 2024-09-24 DOI: 10.1097/01.JAA.0000000000000134
Brian T Maurer
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引用次数: 0
Patellar dislocation and subluxation. 髌骨脱位和半脱位
IF 0.8 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Jaapa-Journal of the American Academy of Physician Assistants
Pub Date : 2024-10-01 Epub Date: 2024-09-24 DOI: 10.1097/01.JAA.0000000000000129
Joel Phillips
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引用次数: 0
Defining competencies for PAs in healthcare administration. 确定助理医师在医疗保健管理方面的能力。
IF 0.8 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Jaapa-Journal of the American Academy of Physician Assistants
Pub Date : 2024-09-01 Epub Date: 2024-08-27 DOI: 10.1097/01.JAA.0000000000000116
Sarah Vanderlinden, Risa Zimmerman
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引用次数: 0
PA job satisfaction: Why so happy? PA 工作满意度：为何如此开心？
IF 0.8 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Jaapa-Journal of the American Academy of Physician Assistants
Pub Date : 2024-09-01 Epub Date: 2024-08-27 DOI: 10.1097/01.JAA.0000000000000061
James F Cawley

Abstract: A characteristic of physician associates/assistants (PAs) observed consistently is their high degree of career satisfaction. Over 6 decades, national surveys showed that PA job satisfaction levels (either satisfied or very satisfied) consistently were in the mid-80% positive range. This analysis explains this remarkable, consistent, and persistent level of satisfaction among practicing PAs. A review of the literature on PA job satisfaction shows that autonomy in clinical practice appears to be a major correlate with job and career satisfaction.

摘要：医生助理/助手（PAs）的一个特点是他们的职业满意度一直很高。60 多年来，全国性调查显示，助理医师的工作满意度（满意或非常满意）始终保持在 80% 的正值范围内。本分析将解释执业助理医师这种显著、一致和持久的满意度。有关 PA 工作满意度的文献综述显示，临床实践中的自主性似乎是工作和职业满意度的主要相关因素。
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引用次数: 0
Lipomatous hypertrophy of the interatrial septum: A benign cardiac mass. 房间隔脂肪瘤性肥厚：一种良性心脏肿块。
IF 0.8 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Jaapa-Journal of the American Academy of Physician Assistants
Pub Date : 2024-09-01 Epub Date: 2024-08-27 DOI: 10.1097/01.JAA.0000000000000037
Christine Rullo

Abstract: Lipomatous hypertrophy of the interatrial septum (LHIS) is a rare but benign cardiac tumor that can be found on cardiac imaging such as echocardiogram, or during surgery or an autopsy. Cardiac MRI is the best imaging modality to determine the borders of the tumor and its extension into the intraventricular septum and ventricular free wall. Patients require close monitoring because LHIS may cause right or left outflow tract obstruction or superior vena cava obstruction, requiring cardiac surgical intervention. This article describes a patient with LHIS who underwent cardiac surgery because of her increasing symptomatology.

摘要：房间隔脂肪瘤性肥厚（LHIS）是一种罕见的良性心脏肿瘤，可在超声心动图等心脏影像学检查、手术或尸检中发现。心脏核磁共振成像是确定肿瘤边界及其向室间隔内和心室游离壁延伸的最佳成像方式。患者需要密切监测，因为LHIS可能会导致左右流出道阻塞或上腔静脉阻塞，需要进行心脏外科干预。本文描述了一名因症状加重而接受心脏手术的 LHIS 患者。
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引用次数: 0
Parenting in healthcare. 医疗保健中的育儿。
IF 0.8 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Jaapa-Journal of the American Academy of Physician Assistants
Pub Date : 2024-09-01 Epub Date: 2024-08-27 DOI: 10.1097/01.JAA.0000000000000115
Alizabeth Van Wieren
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引用次数: 0
Exploring opportunities beyond clinical practice: The need for PA educators. 探索临床实践以外的机会：PA 教育工作者的需求。
IF 0.8 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Jaapa-Journal of the American Academy of Physician Assistants
Pub Date : 2024-09-01 Epub Date: 2024-08-27 DOI: 10.1097/01.JAA.0000000000000053
Sarah Bolander, Amber Herrick

Abstract: Opportunities outside patient care are expanding for physician associates/assistants (PAs). Exploring new roles beyond clinical practice has the potential for improved career fulfillment as clinicians experience increasing levels of burnout and declining satisfaction with patient care. The decision to shift to a nonclinical role may be overwhelming without knowing what positions PAs are qualified to consider. PAs are increasingly found in the fields of healthcare consulting (as medical science liaisons), medical writing, healthcare insurance, research, and academia. With the rapid growth in PA programs, the need for educators is critical and this transition creates an interesting dynamic in which a proficient clinician becomes a novice educator. This article delves into these expectations and provides guidance on making the transition.

摘要：医生助理/助理医师（PA）在病人护理之外的机会不断增多。由于临床医生的职业倦怠程度越来越高，对患者护理的满意度越来越低，因此探索临床实践以外的新角色有可能提高职业成就感。在不知道 PA 有资格考虑哪些职位的情况下，决定转向非临床角色可能会让人不知所措。越来越多的 PA 出现在医疗保健咨询（作为医学科学联络员）、医学写作、医疗保险、研究和学术领域。随着 PA 项目的快速增长，对教育工作者的需求也变得至关重要，这种转变产生了一种有趣的动态，即精通临床的医生变成了教育新手。本文将深入探讨这些期望，并就如何实现过渡提供指导。
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引用次数: 0
Independence. 独立。
IF 0.8 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Jaapa-Journal of the American Academy of Physician Assistants
Pub Date : 2024-09-01 Epub Date: 2024-08-27 DOI: 10.1097/01.JAA.0000000000000117
Cameron Young Sweeney
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引用次数: 0
Building bridges with physicians. 与医生建立联系。
IF 0.8 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Jaapa-Journal of the American Academy of Physician Assistants
Pub Date : 2024-09-01 Epub Date: 2024-08-27 DOI: 10.1097/01.JAA.0000000000000119
Jason Prevelige
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引用次数: 0
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