JAAPA JAAPA is the peer-reviewed clinical journal of the American Academy of Physician Assistants (AAPA). www.jaapa.com JAAPA is the peer-reviewed clinical journal of the American Academy of Physician Assistants.

Its mission is to support the ongoing education and advancement of PAs by publishing current information and research on clinical, health policy, and professional issues. Some features of JAAPA include:
-Monthly publication
-Clinical review articles
-Original health services research
-Articles on the PA profession
-Blinded peer review by outside experts
-Category I CME Credit for selected ar

Its mission is to support the ongoing education and advancement of PAs by publishing current information and research on clinical, health policy, and professional issues. Some features of JAAPA include:
-Monthly publication
-Clinical review articles
-Original health services research
-Articles on the PA profession
-Blinded peer review by outside experts
-Category I CME Credit for selected ar

Operating as usual

A 57-year-old postmenopausal woman presented to the clinic with complaints related to an enlarging vulvar mass. Can you ...
09/24/2021

A 57-year-old postmenopausal woman presented to the clinic with complaints related to an enlarging vulvar mass. Can you solve this difficult diagnosis? https://bit.ly/3ER5Dco

A 57-year-old postmenopausal woman presented to the clinic with complaints related to an enlarging vulvar mass. Can you solve this difficult diagnosis? https://bit.ly/3ER5Dco

Femoral neck fractures and intertrochanteric fractures (both pictured here) are by far the most common types of hip frac...
09/23/2021

Femoral neck fractures and intertrochanteric fractures (both pictured here) are by far the most common types of hip fractures. Learn more in this month's review article on acute hip fractures in adults. https://bit.ly/3lu6gQp

Femoral neck fractures and intertrochanteric fractures (both pictured here) are by far the most common types of hip fractures. Learn more in this month's review article on acute hip fractures in adults. https://bit.ly/3lu6gQp

What PAs need to know about ICU survivorship, in this month's primary care CME article: https://bit.ly/2Veirrm
09/20/2021

What PAs need to know about ICU survivorship, in this month's primary care CME article: https://bit.ly/2Veirrm

What PAs need to know about ICU survivorship, in this month's primary care CME article: https://bit.ly/2Veirrm

As PAs and NPs begin their roles in acute medical care, onboarding is critical to ensure patient safety, new-hire job sa...
09/20/2021

As PAs and NPs begin their roles in acute medical care, onboarding is critical to ensure patient safety, new-hire job satisfaction, and to reduce turnover. Read more: https://bit.ly/3CqGPpz

As PAs and NPs begin their roles in acute medical care, onboarding is critical to ensure patient safety, new-hire job satisfaction, and to reduce turnover. Read more: https://bit.ly/3CqGPpz

Globally, an estimated 18% of women and 6% of men will be affected by hip fractures at some time in life. Clinicians can...
09/17/2021

Globally, an estimated 18% of women and 6% of men will be affected by hip fractures at some time in life. Clinicians can prepare to support these patients by reviewing the risk factors, treatment options, and postoperative care for acute hip fractures in adults. https://bit.ly/3lu6gQp

Globally, an estimated 18% of women and 6% of men will be affected by hip fractures at some time in life. Clinicians can prepare to support these patients by reviewing the risk factors, treatment options, and postoperative care for acute hip fractures in adults. https://bit.ly/3lu6gQp

About 60% of family physician practices employ PAs and/or NPs but gaps exist in the knowledge of the clinical effects on...
09/14/2021

About 60% of family physician practices employ PAs and/or NPs but gaps exist in the knowledge of the clinical effects on physician-PA and physician-NP teams. This review summarizes and comments on the significance of a recent report from American Board of Family Medicine. https://bit.ly/3k8nMdj

About 60% of family physician practices employ PAs and/or NPs but gaps exist in the knowledge of the clinical effects on physician-PA and physician-NP teams. This review summarizes and comments on the significance of a recent report from American Board of Family Medicine. https://bit.ly/3k8nMdj

Up to 80% of healthcare professionals, particularly those working in emergency medicine, have experienced workplace viol...
09/07/2021

Up to 80% of healthcare professionals, particularly those working in emergency medicine, have experienced workplace violence. This article describes how to identify and manage aggression and violence in the healthcare setting. https://bit.ly/3tgDndY

Up to 80% of healthcare professionals, particularly those working in emergency medicine, have experienced workplace violence. This article describes how to identify and manage aggression and violence in the healthcare setting. https://bit.ly/3tgDndY

What PAs need to know about ICU survivorship, in this month's primary care CME article: https://bit.ly/2Veirrm
09/04/2021

What PAs need to know about ICU survivorship, in this month's primary care CME article: https://bit.ly/2Veirrm

What PAs need to know about ICU survivorship, in this month's primary care CME article: https://bit.ly/2Veirrm

What are the effects of depression and burnout on PA professional fulfillment and medical errors? https://bit.ly/2WGvdPP
09/03/2021

What are the effects of depression and burnout on PA professional fulfillment and medical errors? https://bit.ly/2WGvdPP

What are the effects of depression and burnout on PA professional fulfillment and medical errors? https://bit.ly/2WGvdPP

The pandemic is only the latest salt poured into the festering wound of our workforce's psyche, says JAAPA's clinical ed...
08/31/2021

The pandemic is only the latest salt poured into the festering wound of our workforce's psyche, says JAAPA's clinical editor Harrison Reed. Read more in his commentary on mental health among healthcare workers. https://bit.ly/3Dymb8w

The pandemic is only the latest salt poured into the festering wound of our workforce's psyche, says JAAPA's clinical editor Harrison Reed. Read more in his commentary on mental health among healthcare workers. https://bit.ly/3Dymb8w

New issue alert! The September issue of JAAPA is now available online - read about an update in cervical cancer screenin...
08/30/2021

New issue alert! The September issue of JAAPA is now available online - read about an update in cervical cancer screening guidelines, defusing aggressive behavior in the healthcare setting, and much more. http://bit.ly/2Vr44Lt

New issue alert! The September issue of JAAPA is now available online - read about an update in cervical cancer screening guidelines, defusing aggressive behavior in the healthcare setting, and much more. http://bit.ly/2Vr44Lt

Earn CME while reviewing the diagnosis and management of Hymenoptera venom allergy: https://bit.ly/3rOeuFN
08/27/2021

Earn CME while reviewing the diagnosis and management of Hymenoptera venom allergy: https://bit.ly/3rOeuFN

Earn CME while reviewing the diagnosis and management of Hymenoptera venom allergy: https://bit.ly/3rOeuFN

Have you listened to the latest JAAPA Podcast episode yet? Co-hosts Lena Ward, PA-C, and Brandon Cherry, PA-C, discuss A...
08/25/2021

Have you listened to the latest JAAPA Podcast episode yet? Co-hosts Lena Ward, PA-C, and Brandon Cherry, PA-C, discuss August articles on managing Hymenoptera venom allergy, navigating the challenges of diagnosing bipolar disorder in youth, and much more. https://apple.co/3jdVTA6

Have you listened to the latest JAAPA Podcast episode yet? Co-hosts Lena Ward, PA-C, and Brandon Cherry, PA-C, discuss August articles on managing Hymenoptera venom allergy, navigating the challenges of diagnosing bipolar disorder in youth, and much more. https://apple.co/3jdVTA6

This study evaluated a PA-led clinic for people with severe mental illness in the United Kingdom. See the results: https...
08/18/2021

This study evaluated a PA-led clinic for people with severe mental illness in the United Kingdom. See the results: https://bit.ly/2XDxhIW

This study evaluated a PA-led clinic for people with severe mental illness in the United Kingdom. See the results: https://bit.ly/2XDxhIW

The COVID-19 pandemic will eventually end, but its effect on healthcare delivery will be long-lasting. Read about the le...
08/18/2021

The COVID-19 pandemic will eventually end, but its effect on healthcare delivery will be long-lasting. Read about the lessons learned during the COVID-19 pandemic and how they can help modernize the PA and NP workforce. https://bit.ly/3ss43bb

The COVID-19 pandemic will eventually end, but its effect on healthcare delivery will be long-lasting. Read about the lessons learned during the COVID-19 pandemic and how they can help modernize the PA and NP workforce. https://bit.ly/3ss43bb

A painful rash in a patient with diffuse large B cell lymphoma - can you solve this difficult diagnosis? https://bit.ly/...
08/15/2021

A painful rash in a patient with diffuse large B cell lymphoma - can you solve this difficult diagnosis? https://bit.ly/3CVP3HA

A painful rash in a patient with diffuse large B cell lymphoma - can you solve this difficult diagnosis? https://bit.ly/3CVP3HA

New data indicate that hyperthermic intraperitoneal chemotherapy (HIPEC) may be suitable as a primary treatment for pati...
08/14/2021

New data indicate that hyperthermic intraperitoneal chemotherapy (HIPEC) may be suitable as a primary treatment for patients with late-stage epithelial ovarian cancer. This article reviews the intraoperative and postoperative management of patients receiving HIPEC. https://bit.ly/37GHYME

New data indicate that hyperthermic intraperitoneal chemotherapy (HIPEC) may be suitable as a primary treatment for patients with late-stage epithelial ovarian cancer. This article reviews the intraoperative and postoperative management of patients receiving HIPEC. https://bit.ly/37GHYME

What are the most common reasons PAs leave their jobs? This month's original research aimed to find out. https://bit.ly/...
08/13/2021

What are the most common reasons PAs leave their jobs? This month's original research aimed to find out. https://bit.ly/3m0VH9l

What are the most common reasons PAs leave their jobs? This month's original research aimed to find out. https://bit.ly/3m0VH9l

This case report discusses small cell neuroendocrine carcinoma disguised as an external hemorrhoid: https://bit.ly/3iEFc...
08/11/2021

This case report discusses small cell neuroendocrine carcinoma disguised as an external hemorrhoid: https://bit.ly/3iEFc0B

This case report discusses small cell neuroendocrine carcinoma disguised as an external hemorrhoid: https://bit.ly/3iEFc0B

"Emerging infections are a reality now. We cannot be complacent that this is a one-and-done scenario," says PA M.F. Wine...
08/09/2021

"Emerging infections are a reality now. We cannot be complacent that this is a one-and-done scenario," says PA M.F. Winegardner. Read more in the August commentary. https://bit.ly/3yxKtMN

"Emerging infections are a reality now. We cannot be complacent that this is a one-and-done scenario," says PA M.F. Winegardner. Read more in the August commentary. https://bit.ly/3yxKtMN

This report describes an infant born with an iris cyst who developed complications including secondary glaucoma, catarac...
08/08/2021

This report describes an infant born with an iris cyst who developed complications including secondary glaucoma, cataracts, and visual impairment, requiring management with multiple surgical interventions and medications. https://bit.ly/2WXgyzO

This report describes an infant born with an iris cyst who developed complications including secondary glaucoma, cataracts, and visual impairment, requiring management with multiple surgical interventions and medications. https://bit.ly/2WXgyzO

Bipolar disorder in youth is difficult to diagnose and treat, but early detection is important to mitigate risks and imp...
08/03/2021

Bipolar disorder in youth is difficult to diagnose and treat, but early detection is important to mitigate risks and improve patient outcomes. This CME article evaluates the unique challenges of diagnosing and treating bipolar disorder in children and adolescents. https://bit.ly/3ymyPoc

Bipolar disorder in youth is difficult to diagnose and treat, but early detection is important to mitigate risks and improve patient outcomes. This CME article evaluates the unique challenges of diagnosing and treating bipolar disorder in children and adolescents. https://bit.ly/3ymyPoc

Hymenoptera venom allergy is commonly seen in urgent, emergent, and primary care settings during warmer months. This art...
08/01/2021

Hymenoptera venom allergy is commonly seen in urgent, emergent, and primary care settings during warmer months. This article reviews common features of clinical presentation, diagnosis, and the current mainstays in management of Hymenoptera venom allergy. https://bit.ly/3rOeuFN

Hymenoptera venom allergy is commonly seen in urgent, emergent, and primary care settings during warmer months. This article reviews common features of clinical presentation, diagnosis, and the current mainstays in management of Hymenoptera venom allergy. https://bit.ly/3rOeuFN

The August issue of JAAPA is available online now! Learn more about the diagnosis and management of Hymenoptera venom al...
07/31/2021

The August issue of JAAPA is available online now! Learn more about the diagnosis and management of Hymenoptera venom allergy, navigating the diagnostic challenges of bipolar disorder in youth, and much more. http://bit.ly/2Vr44Lt

The August issue of JAAPA is available online now! Learn more about the diagnosis and management of Hymenoptera venom allergy, navigating the diagnostic challenges of bipolar disorder in youth, and much more. http://bit.ly/2Vr44Lt

The US faces an urgent need to address mental illness by improving access to high-quality and affordable care. One pract...
07/28/2021

The US faces an urgent need to address mental illness by improving access to high-quality and affordable care. One practical strategy to help address the growing demand for mental health services is to increase the involvement of PAs. Learn more: https://bit.ly/38lAwWS

The US faces an urgent need to address mental illness by improving access to high-quality and affordable care. One practical strategy to help address the growing demand for mental health services is to increase the involvement of PAs. Learn more: https://bit.ly/38lAwWS

This study compared ED metrics and patient characteristics between physicians and PAs at a critical access hospital in A...
07/22/2021

This study compared ED metrics and patient characteristics between physicians and PAs at a critical access hospital in Arizona. https://bit.ly/3eIYMpZ

This study compared ED metrics and patient characteristics between physicians and PAs at a critical access hospital in Arizona. https://bit.ly/3eIYMpZ

What is the profile of PAs who serve in the US Armed Forces reserve components in 2020? https://bit.ly/3AkxAY1
07/21/2021

What is the profile of PAs who serve in the US Armed Forces reserve components in 2020? https://bit.ly/3AkxAY1

What is the profile of PAs who serve in the US Armed Forces reserve components in 2020? https://bit.ly/3AkxAY1

PAs: Need help navigating changes to CMS' Open Payments program? This article has you covered: https://bit.ly/3hTLtW1
07/19/2021

PAs: Need help navigating changes to CMS' Open Payments program? This article has you covered: https://bit.ly/3hTLtW1

PAs: Need help navigating changes to CMS' Open Payments program? This article has you covered: https://bit.ly/3hTLtW1

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Journal of the American Academy of PAs (JAAPA)

About JAAPA

JAAPA is the peer-reviewed clinical journal of the American Academy of PAs (AAPA). Its mission is to support the ongoing education and advancement of physician assistants (PAs) by publishing current information and research on clinical, health policy, and professional issues.

About AAPA

Founded in 1968, the American Academy of PAs is the national professional society for PAs. It represents a profession of more than 123,000 PAs across all medical and surgical specialties in all 50 states, the District of Columbia, U.S. territories, and the uniformed services.

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