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	In the News The Truth as We Know It: Cancer Breakthroughs and NPs and PAs. 06/29/09 The New England Journal of Medicine is a great publication, but after reading some recent articles, I wonder how often it gets things “wrong”. A Clinician's View: When There's More to the Story 06/17/09 We can never let ourselves get so caught up in the rush that we miss seemingly small details. The AMA, the DNP and so much misunderstanding between the lines 06/16/09 All this misunderstanding is really just one big ego war. Fads and Fashion in Orthopedic Surgery 06/08/09 Let’s keep fads and fashion on the runways of Paris, Rome, and New York and continue our intellectual pursuit of the best evidence to care for our patients. REVEAL Registry Highlights Trends in PAH Epidemiology 06/08/09 Changes in demographic characteristics of pulmonary arterial hypertension patients enrolled in the original NIH registry, such as older age at presentation and female preponderance, were identified using the REVEAL registry. Plasticity in the Developing Brain Limits and Magnifies Clinical Disorders 06/08/09 The high degree of plasticity in the developing brain is critical to its ability to organize and develop structure for learning and memory. However, the exaggerated plasticity during gestation and infancy can increase vulnerability to some forms of injury. Persistent Genital Arousal Disorder: An Update of Theory and Practice 06/08/09 Persistent Genital Arousal Disorder (PGAD) is a perplexing condition characterized by high levels of genital arousal occurring in the absence of subjective sexual interest or desire. TRENDS: On the Road to Health 06/03/09 A few months ago, a homeless woman stepped onto the mobile health clinic parked near a beach on Cape Cod. As she climbed aboard, the woman was holding her back, in pain. Teen Prescription Drug Abuse: A National Epidemic 05/22/09 Illicit drug use may be declining among US teenagers, but prescription drug abuse has risen sharply, with prescription pain relievers leading the list of misused, misappropriated, or diverted substances. ADHD in Young Adults 05/15/09 Attention-deficit/hyperactivity disorder (ADHD)... Its not just for children any more. The Medical Home: Are We Renters or Do We Get To Stay? 05/11/09 Clearly every patient in America deserves to have a "Medical Home." It would be wonderful, if not for a few sticking points. What Are Patients Looking For in a Good NP/PA? 05/11/09 About one year ago, I received an article about expectations of physicians. I thought about our own professions and how our role differs somewhat in terms of the patients' expectations. A Clinician's View: Showing Respect 05/02/09 My initial consultation with Dr. X was delightful. We discussed my having a first-ever screening colonoscopy. That was where my satisfaction ended... Remarkable Missions 04/22/09 As I started to write this editorial about the 40th anniversary of emergency medicine, I was alerted to the crash landing of a fully-fueled commercial jet carrying 155 people in the Hudson River... Changing the Face of Health Care for Women Veterans 04/21/09 While the number of male veterans is steadily declining, the number of women veterans is on an upward course. It is projected that, within the next 15 years, one in every seven VHA enrollees will be... Let’s Banish the Dreaded “Midlevel”. 04/20/09 Please my colleagues, let’s cut the word “mid-level” from our vocabularies as soon as we can. “ER” The Untold Story: How Hollywood Placed a PA on the Hit Show 04/13/09 I was going to write my blog on the dreaded “M” word, midlevel, but I decided to instead write about a television show that made history. Physician Assistants and Nurse Practitioners------Unmasked. 04/13/09 I think that I am being reflective tonight and feel like encouraging my peers to travel down a road with me. MRSA Is Implicated in Nonnosocomial Pneumonia 04/11/09 Physicians should consider methicillin-resistant Staphylococcus aureus when assessing patients with nonnosocomial pneumonia. Hypertension in Cognitively Healthy Older Adults Is Associated With Gray Matter Volume Loss 04/07/09 CHICAGO—Cognitively healthy older adults with hypertension have gray matter volume loss much like that seen in patients with Alzheimer’s disease, according to data presented at the 94th Scientific Assembly... Some Positives In The Air 04/07/09 I am one of the co-founders of the American College of Clinicans- http://www.amcollege.org. Many of my colleagues who are involved in the ACC believe that both the NP and PA professions are closer than... Orthopedic Surgery and Integrative Medicine-Strange Bedfellows 04/06/09 “Clearly, integrative medicine is no longer ‘alternative’...” Pass the Fish, Get a Bird, Hold the Bacteria 04/06/09 In the depth of winter, dermatologists are now seeing the greatest number of patients with atopic dermatitis. Given the challenge of treating this condition, I thought it would be interesting to note 2 recently published... TRENDS: Changing the Message of DTC Ads 03/28/09 Ever since direct-to-consumer (DTC) drug ads started airing on television, advanced practice nurses and physician assistants... To doctorate or not to doctorate, is that the question? 03/17/09 As a PA or NP there are many situations we do not like, but choose to accept. Over the last five or six years one of those events is that many of the other health professionals that we work with... Is Cognitive Function Linked to A1C Levels? 03/16/09 Cognitive decline in persons with diabetes may be linked to elevations in A1C, but not to fasting glucose. This recently reported finding of the ongoing ACCORD-MIND (Action to Control Cardiovascular Risk... Why the assistant part of PA really holds the profession back. 03/04/09 I have been talking about this for over 30 years. I graduated school as a physician associate (PA). Many of the PA programs were physician “associate” programs until the AMA said that “associate” ... The "S" Word 03/02/09 Supervision is a political word which was chosen by organized medicine to describe the relationship between it and the PA profession for many reasons. Healing the Broken Places 03/01/09 Broken. Grossly underfunded. In crisis. That’s how psychiatric and behavioral health specialists describe the current state of mental health... TRENDS: Learning to Live With Electronic Medical Records 03/01/09 Michele Kline, MSN, CNP, has a somewhat familiar story: As a family nurse practitioner at the Cleveland Clinic, she sees a lot of “snowbirds”... Sidebar: The Joys of Elder Care 01/21/09 In a youth-oriented culture obsessed with Botox, plastic surgery, and age-defying cosmetic products... Guidelines Recommend Early Cholesterol Screening 01/20/09 The American Academy of Pediatrics (AAP) has issued a clinical report that recommends cholesterol screening for children as... Fast Tracking PAs and NPs Into Medical School 01/20/09 I have received many positive responses to my comments regarding a pathway for PAs and NPs to become physicians ... Trends: Putting a Stop to “Medical Road Rage” 01/19/09 Joseph Doescher and Daniel Raess worked side by side in the operating room at St. Francis Hospital in Beech Grove, Indiana. Doescher and the other perfusionists often had to put up with... We Can—and Should—Be Partners 01/19/09 I would like to address an issue this month that is perhaps a little sensitive, yet extremely important in today's complex health... On the Brink of Change: NP, PA Leaders’ Hopes for 2009 01/18/09 For the first time in eight years, a new year brings a new administration to the United States. Most Americans, regardless of their political persuasion, seem ready to embrace what they hope... We Are the Architects of Our Future 01/17/09 This month, our country welcomes a new administration to Washington. Among the many challenges President Obama will face is our broken health care system. A View From the Hill 01/17/09 In addition to doing countless other things, American Academy of Nurse Practitioners Director of Health Policy Jan Towers, PhD, NP-C, CRNP, FAANP, works full-time on Capitol Hill. The Elder Boom: Caring for an Aging America 12/20/08 A perfect storm is brewing in the United States and threatening to exacerbate an already overtaxed health care system. The biggest—or at least most visible—factor is the “elder boom” ... Coming Back - and Giving Back 12/19/08 In this inaugural editorial as the NP Editor-in-Chief of Clinician Reviews, I would like to expand on the July message of my colleague... Conference News Update 12/18/08 In patients with breast, lung, colon, or other solid organ cancers, occurrence of venous thromboembolism (VTE) may be significantly reduced by the use of statins. Danai Khemasuwan, MD, of Albert Einstein Medical Center... The Specialty Debate...PAs Have Questions; NPs Have Answers 12/17/08 NPs and PAs may be colleagues, but when it comes to licensure, certification, and regulation, the professions could not be more different. Nonetheless, practice in specialty areas... A Clinician’s View: From Expert to Novice 12/16/08 Many of you are familiar with Patricia Benner’s book From Novice to Expert. It describes Benner’s application to nursing of the Dreyfus model of skill acquisition. The model posits that in the acquisition and development... Risk for Sudden Cardiac Death Drops After 30 Days Post-MI 12/15/08 The risk for sudden cardiac death following a myocardial infarction (MI) appears to be greatest in the first 30 days after hospital discharge, Adabag and colleagues report in JAMA. My Turn: Captain of a Sinking Ship 11/20/08 This past June, the American Medical Association (AMA) proposed a number of resolutions in its House of Delegates that were generally antagonistic toward the NP and PA professions. A Clinician’s View: Only a Thumb 11/20/08 “In the absence of any other proof, the thumb alone would convince me of God’s existence.” -Sir Isaac Newton- He was the gunner in a Humvee on patrol and woke up on the ground. He didn’t even notice... Unstable Angina and NSTEMI: Are You Up to Date? 10/15/08 The latest guidelines for managing unstable angina and non-ST-segment-elevation myocardial infarction underscore the critical role emergency physicians play in prompt recognition and treatment of these ... Intracranial Complications of Cocaine Abuse 10/15/08 Regular intranasal cocaine abuse can create a breeding ground for infection that can lead to chronic sinusitis and other serious complications. The authors present a case in point. A Clinician's View: The Art of Medicine 10/15/08 I walked into the examination room to find a 7-year-old boy presenting with mild to moderate abdominal pain. His name was Chase. After hearing the symptoms his mother had observed... How Critical Is Critical Thinking? 09/15/08 Within the competencies espoused by the PA and NP professions, critical thinking is a paramount issue. In fact, the scope... Meeting the Needs of the Underserved 09/15/08 “If every American alive today had health insurance, millions still wouldn’t be able to access the primary care that ensures better... Redirecting Direct-to-Consumer Advertising 08/15/08 For more than a decade, pharmaceutical companies have been pitching their drugs to the American public via so-called direct-to-consumer... Is Clinical Precepting a Lost Art? 07/15/08 Over the past two decades, our changing health care environment has increased both interest in and the need for NPs and PAs... Supply, Demand, and the Future of Health Care 07/15/08 So, have you heard about the physician shortage—how by 2020, it is estimated that the United States will have approximately 200,000... Article Search    Recommended Articles
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