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Found 12 results

  1. I am a member of AAPA and maybe I am unfamiliar with the website, but I want to make the most learning from the site and using it. How do PA-S or PA-C use it? As a Pre-PA how can I use the site and its resources to help? I appreciate it!
  2. To my veteran PAs: I recently received an email about the Student to Service HRSA scholarship that states NPs and Certified Midwives are now eligible disciplines for the upcoming scholarship cycle. The reason for the addition is the bolster primary care and obgyn providers in underserved and rural areas. Makes sense to me... however to my surprise PAs are not included in this scholarship opportunity. Is this an issue that the AAPA would take up? If not, who can I write about this issue other than the HRSA?
  3. I wish we had Telemed as a specialty topic I have been looking for work in Temed for years. The AAPA is now pushing to get us into the role and a new website "TelehealthMany PAs have asked about opportunities in virtual medicine and telehealth. The Medicare program reimburses PAs for providing all covered telehealth services in the same manner as physicians. In response to the COVID-19 pandemic, the Centers for Medicare and Medicaid Services temporarily expanded telehealth and telemedicine services to enable beneficiaries to receive a wider range of healthcare services without having to travel to an office, clinic, or health care facility. PAs are fully included in the telehealth and telemedicine expansion program. PAs can find out more information about telehealth, telemedicine, and reimbursement at AAPA’s Reimbursement website. They may also be interested in joining AAPA’s special interest group, PAs in Virtual Medicine and Telemedicine (PAVMT)." https://www.pavmt.org/ for PA interested in Telemed
  4. PAFT would like to congratulate the following newly elected officers of the AAPA Board of Directors and House of Delegates who were endorsed by PAFT. President-elect: Beth R. Smolko, DMSc, MMS, PA-C Director-at-Large: Jennifer Orozco, MMS, PA-C, DFAAPA House of Delegates Director/Second Vice Speaker of the House: Leslie Clayton Milteer, PA-C, MPAS, DFAAPA PAFT, for the third year in a row, has had 100% of its endorsed candidate successfully elected. Overall greater than 94% of PAFT’s endorsed candidates have been elected. It seems PAFTs ideals and values are in keeping with the majority of voting members of AAPA. Why not come see if we agree with yours. Join PAFT.
  5. One of the nice things about gender disparity in recent PA students and graduates is that there's no line for the men's room. Post your own AAPA 2019 observations below! First one to spot me and introduce yourself gets a to-be-determined prize. Void for people whom I have already met in person.
  6. PAs for Tomorrow provided the 2019 AAPA candidates questions regarding their beliefs about the future of the profession. Please go to www.pasfortomorrow.org for more information about our endorsed candidates. After a lengthy review and robust discussion, the BOD of PAFT is pleased to endorse the following candidates: President: Beth R. Smolko, DMSc, MMS, PA-C Director-at-Large: Jennifer Orozco, MMS, PA-C, DFAAPA House of Delegates Director/Second Vice Speaker of the House: Leslie Clayton Milteer, PA-C, MPAS, DFAAPA #PAFT #AAPA19 As of right now the more involved explanation of our process and reasons hasn't been posted but will be up soon. If you are an AAPA member we encourage you to vote!
  7. I am a member of Michigan Academy of Physician Assistant's (MAPA) as a "prospective student". I would like to add this to my CASPA application as a professional membership, but I am not sure what to put for my role in the organization. I read their news letters and keep up to date on what they are doing as an organization, but I am not physically involved with them. I have emailed them before asking if I could volunteer for them in any way, since the PA profession is my chosen path, but I did not receive a reply. Any suggestions on what I can put under this section of CASPA?
  8. Many years ago an infamous general gathered his commanders in a war room and with a quivering finger he pointed to a map and said these words; "There is a sleeping giant, let her sleep for when she awakens, she will shake the world." The giant that Napolean spoke of was China, she has awakened and the world trembles at her footsteps. Today, the PA profession is the sleeping giant. We have awakened, we have become recognized, we have furthered our education, our experience, and our reputation and we are forced to both contend with and to meet the needs of healthcare in our generation. The future is now, the time is ready and we desperately need unity and leadership and vision to make greater changes in the next 50 years. Unity in an organization is no different than unity in a family or military group. There is no room for caring about ourselves in particular but about those with whom we work from day to day and our profession which has been so good to all of us.Unity can be defined as having the same voice as we begin to attack new problems and start new ventures. We can have different opinions but in the boardroom, once an opinion has been voted upon and has passed, it becomes one opinion and we all stand behind it. This is the manner in which an organization is sustained. When cooking outdoors one needs fuel, the natural environment, and flame.When the coals are placed together they produce the necessary heat to cook and thus sustain life whereas when they are separated, they rapidly cool and diminish.We need to stand together and not separate ourselves because of our egos.There is no room for Lone Rangers in a professional organization. Another ingredient that we need is excellence. We have proven our excellence for the past fifty years. We have fought in the trenches, we have formed alliances, we have become a respected, educated group of professionals who know what it takes to succeed and then do what it takes to succeed. We strive for excellence. I can remember as a new PA asking the chief of Otolaryngology at Greater Baltimore Medical Center when he last performed a perfect surgery. This was sort of a stupid question but this man trained me at his home and we performed dissections at 0500. He said;" bob, I have not yet performed a perfect case and when I do, it is time for me to retire because there would be something wrong with my standard." His humility and his response have remained unforgotten for more than forty years.We must all strive to be better than we were the day before. The Election: In a week we will be voting for new leadership in our professional organization. We can vote for old favorites, we can vote based on years of service to the Academy but we can also vote on platforms that indicate the direction in which the new leadership would take us. Like Columbus, we need to seek the new world, we need new goals and we need to fire new enthusiasm in the ranks of this new generation of PAs. We need to vote, we need to pass our customary 5% and we need to become excited again just as we were fifty years ago. It can be done and you can do it.
  9. The Dangers of Rafting Down River...Without a Map Robert M. Blumm, MA, PA-C Emeritus, DFAAPA Last July, my wife and I took our most beautiful trip together to explore one of the last natural habitats, Alaska. Here it was: natural wilderness, the Inner Passage, whales, eagles, lynx, brown bears and grizzly bears, huge salmon, king crab, moose, antelope, even a wolverine. Our minds took photographs as we were too caught up in the moment to try to capture everything on film and miss the adventure. On our wilderness journey to Denali, we saw young hikers and the rivers demonstrated a yield of rafters who wanted a real adventure. Some of those rafters had only a generic map; they were not aware of where these small rivers enlarged and became waterfalls. It takes more than skill and good fortune to survive that danger, which would occur simply because they lacked the proper map. When I encounter life's experiences, I try to segue into how this can be an illustration of medical practice and the risks that we take. Our programs warn of us certain types of patients who, like a sudden waterfall, can destroy us or our practice. But by nature, we feel that everyone we treat will be gracious and thankful. Unfortunately, by talking to some of our colleagues, we learn that there are patients that retain malpractice attorneys when they feel that you have injured them by your treatment or lack of treatment or, even, lack of diagnostic skill to appreciate their symptoms. A family who has lost a child or a mother or father are not the forgiving type, even though we have told them the truth. PA schools and NP schools speak very little about insurance programs and how we can prepare for these eventualities; we need to map out our practices and be prepared. It is not what happens to us, but what we do in preparation that makes the difference. Preparing our liability contingencies is far more than being innovative; it is more than an event in time or a tool to be used: it is an overall environment of preparedness and safety. There are many factors that need to be considered when selecting an insurance company, such as the age of the company, their Best Rating, their types of coverage, claims made or occurrence, as well as their ability to protect you as you gravitate from job to job or desire to moonlight. They are cheaper the first year and the best manner in which to choose a policy is to contact your national organization. The AAPA has chosen CM&F because they have a seventy-year history of protecting nurses, and from their inception, the PA and NP professions. They have stood the test of time and are your map of protection and readiness, through their personal liability insurance policy with your name on the front sheet. Call CM&F! Postoperative Wound Monitoring App Can Reduce Readmissions and Improve Patient Care Patients gave universally positive feedback about the app’s ease of use and the ability to have wounds monitored CHICAGO (January 19, 2018): A new smartphone app called WoundCare is successfully enabling patients to remotely send images of their surgical wounds for monitoring by nurses. The app was developed by researches from the Wisconsin Institute of Surgical Outcomes Research (WiSOR), Department of Surgery, University of Wisconsin, Madison, with the goal of earlier detection of surgical site infections (SSIs) and prevention of hospital readmissions. The study results appear as an “article in press” on the website of the Journal of the American College of Surgeons ahead of print. WoundCheck is a HIPAA-compliant, user-tested iOS app that enables patients to transmit daily surgical wound images from their home to a clinician. Image courtesy of the Journal of the American College of Surgeons. SSIs are the most common hospital-acquired infection and the leading cause of hospital readmission following an operation.1,2,3 Due to the prevalence off SSIs, the WiSOR research team decided to see if postoperative wound monitoring could be effectively achieved by having patients upload photos through the WoundCare app and answer a few brief questions to gather information not easily captured through images. “Patients cannot identify [infections] and frequently ignore or fail to recognize the early signs of cellulitis or other wound complications,” study authors wrote. “This drawback leads to the common and frustrating scenario where patients present to a routine, scheduled clinic appointment with an advanced wound complication that requires readmission, with or without reoperation. However, the complication may have been amenable to outpatient management if detected earlier.” Forty vascular surgery patients were enrolled in the study. There was an overall data submission rate of 90.2 percent among participants, and submissions were reviewed within an average of 9.7 hours. During the study, seven wound complications were detected and one false negative was found. “We set out to come up with a protocol where patients could become active participants in their care and allow us to be in closer communication and monitor their wounds after they leave the hospital,” said lead study author and general surgery resident Rebecca L. Gunter, MD. . “This approach allows us to intervene at an earlier time rather than waiting for patients to come back in after the problem has already developed past the point of being able to manage it on an outpatient basis.” Patients were enthusiastic about the app’s ease of use and the reassurance they felt having their wounds regularly monitored. The nurse practitioners responsible for reviewing the submitted images attested to the value of the photos and patient satisfaction, although they also noted it was difficult to find time to review the submitted images on top of an already heavy clinical workload. Study authors note that the success and sustainability of a post-discharge wound-monitoring protocol requires a dedicated transitional care program and not simply adding a task to the current staff workload. This protocol also has a cost-savings component, in addition to the patient safety and satisfaction aspects. Study authors note that SSIs are the most expensive hospital-acquired infection, costing an average of nearly $30,000 per wound-related readmission and an estimated $3-10 billion annually. “If you could imagine saving the cost from the number of patients whose readmission you were able to prevent, that result could provide significant savings to the health system,” Dr. Gunter said. Although capturing specific numbers related to cost-savings was not part of this study, Dr. Gunter said it is an important area of focus for future studies. A limitation to telemedicine protocols that call for the use of smartphones is that not every patient has the necessary technology or knowledge to upload images on their own. The WiSOR research team addressed this issue by having participants undergo tailored training to learn to use the WoundCheck app. They provided each patient with an iPhone 5S and an accompanying visual reference guide to further assist in using the phone and app. Dr. Gunter said they were very successful in giving patients knowledge and access to technology so they could participate in the study. She said this is a model easily adaptable to other medical centers, whether through providing participants with a phone, having a rotating supply of phones at the hospitals for patients to borrow, or relying on a patient’s personal device. “We have demonstrated that a population of complex and high-risk patients, many of whom are older adults and novice smartphone users, can complete this protocol with high fidelity and satisfaction,” the researchers concluded. Study coauthors from the University of Wisconsin, Madison, include Sara Fernandes-Taylor, PhD, Shahrose Rahman, BS, Lola Awoyinka, MPH, Kyla M. Bennett, MD, Sharon M. Weber, MD, FACS, Caprice C. Greenberg, MD, MPH, FACS, and K. Craig Kent, MD, FACS. “FACS” designates that a surgeon is a Fellow of the American College of Surgeons. Support for this study came from the Agency for Healthcare Research and Quality: AHRQ R21 HS023395. Dr. Gunter is supported by the National Institutes of Health: NIH T32 HL110853. This study was presented at the 13th Annual Academic Surgical Congress, Las Vegas, Nev., February 2017. Citation: Feasibility of an Image-Based Mobile Health Protocol for Postoperative Wound Monitoring. Journal of the American College of Surgeons. Available at: http://www.journalacs.org/article/S1072-7515(17)32152-X/abstract. __________________ Wiseman JT, Guzman AM, Fernandes-Taylor S, et al. General and vascular surgery readmissions: a systematic review. J Am Coll Surg 2014;219:552-569.e2. Weber DJ, Sickbert-Bennett EE, Brown V, et al. Completeness of surveillance data reported by the National Healthcare Safety Network: an analysis of healthcare-associated infections ascertained in a tertiary care hospital, 2010. Infect Control Hosp Epidemiol 2012;33:94-96. Lewis SS, Moehring RW, Chen LF, et al. Assessing the relative burden of hospital-acquired infections in a network of community hospitals. Infect Control Hosp Epidemiol 2013;34:1229-1230. Chapter Robert M. Blumm, MA, PA, PA-C Emeritus, DFAAPA The year 2017 was an amazing chapter in our lives with many changes in leadership, politics, healthcare, the advancement of both the NP and PA professions, tremendously increased knowledge in medical education, the loss of at least twenty-five international personalities and, for a number of us, a year of unprecedented medical litigations due to medical errors, the traps of an EMR, informed consents and failure to diagnose. We have gained much in the ability to enter new fields of interest and to become pioneers in specialties, but all of this has a cost. We always will pay a price to gain a prize. We are now writing the first few pages of a new chapter with the hopes of improving our personal skills, our professional achievements, our outcomes with our patients and our overall success in life and in the marketplace. “The new year stands before us, like a chapter in a book, waiting to be written. We can help write that story by setting goals.” Melody Beattie In order to set goals, it is essential to know the facts and change the outcomes or the injury created by a faulty outcome. CM&F insures 12,000 NPs and PAs and serves them with diligence, respect, and instant access. With OPA becoming the buzz word for PAs in this new year, it is my hope that PAs with an eye toward future independent practice will become aware of the absolute need to have a personal liability insurance policy as offered by CM&F as the endorsed group for the AAPA. This could have an extremely favorable impact on premiums for PAs. There are so many positive aspects of independent practice for NPs, but payouts for malpractice claims filed against NPs are on the rise, according to a new report. The average payout was $240,471 according to studies from CNA Insurance which covers NP malpractice insurance. The highest area of claims is neonatal, which at only 1% of the claims was $630,411. Obstetrics, another high-risk area, had indemnities that averaged $417,500. The lowest of the three was emergency medicine with indemnities averaging $277,812. Though those three specialties accounted for the costliest claims, the vast majority of closed claims were related to four other specialties: adult primary care, family practice, behavioral health, and gerontology. It is surprising, as well as a hidden trap, that most of these were related to a failure to order a medical test or obtain an address that test result.* As I mentioned earlier, knowledge of the facts can dramatically change the outcome; the meticulous attention of the provider is essential. So my fellow colleagues, how will we write the 2018 chapter of our history? We can all hope for a greater future with less misadventure, fewer litigations, and healthier patients. But we must engage with the conscious reminder that we are caregivers and we are, therefore, vulnerable. Why carry that vulnerability on our own shoulders when the fear, anxiety, and burden can be shouldered by personal liability insurance? How empowering is the knowledge that we are protected from potential errors by specialists who are experienced fighters in this field of litigation? What do you believe? What price are you willing to pay to obtain security and peace? “Beliefs have the power to create and the power to destroy. Human beings have the awesome ability to take any experience of their lives and create a meaning that dis-empowers them or one that can literally save their lives.” Tony Robbins. Let us join hands together and make the latter choice. * Source- CNA and Nurses Services Organization (2017, October). CNA and NSO Nurse Practitioner Claim Report (4th Edition): A Guide to Identifying and Addressing Professional Liability Exposures, page 12. Retrieved from https://www.nso.com/Learning/Artifacts/Claim-Reports/Nurse-Practitioner-Claim-Report-4th-Edition-A-Guide-to-Identifying-and-Addressing-Professional-Liability-Exposures. -- Robert M. Blumm, MA, PA,PA-C Emeritus, DFAAPA Surgical PA, National Conference Speaker, Author, Suture Workshop Director, Former AAPA Liaison to American College of Surgeons, Past President four National Associations, Editorial Board Clinician1.com, Advisory Board POCN., AFPPANP Treasurer Information about my suture video. Information about upcoming live suture workshop
  10. Hi all! I recently became a student member of AAPA and was looking forward to subscribing to JAAPA. I saw somewhere that the subscription is free for student AAPA members, but I am having trouble finding anywhere on the website that actually says that. I also was wondering if it were to be free, is that online or a physical journal?
  11. PAs For Tomorrow AAPA Candidate Endorsement Statement The 2017-18 AAPA voting polls have been open for a few days. Historically, membership participation in AAPA elections tends to be low. PAFT encourages all PAs to participate in the selection of our future national leaders. If you haven’t already cast your vote, take the time to review the candidate selections and thoughtfully consider who you believe is best equipped to further the mission of the PA profession. Recently, the PAFT Board of Directors submitted a series of questions to each candidate. After review of those that submitted responses to PAFT, board membership carefully considered which candidates best represent the future of our profession. Specifically, PAFT is interested in leaders who will progressively advocate for our professional future and who will work to remove barriers to PAs practicing to the fullest extent of their license. For the 2017 AAPA Elections, PAFT endorses the following candidates: President-Elect: Alan N. Bybee, MPA, PA-C, DFAAPA, CPAAPA Jonathan E. Sobel, PA-C, MBA, DFAAPA Director At Large: Dave Mittman, PA, DFAPPA Gerard Grega, PA-C, DFAAPA Diane Bruessow, PA-C, DFAAPA Communication to national leadership is best demonstrated by casting your vote. It remains one of the most important tasks you can do to advocate on behalf of the PA profession. The polls remain open until April 10, 2017 5:00PM Eastern Standard Time (US & Canada). Vote now by logging into your AAPA profile and selecting the general election link on the home page. Regards, PAFT Board of Directors
  12. First Rounds (FR) — news written by students, for students — is seeking a motivated PA student to serve as the Assistant Editor for 2017-2018. The Assistant Editor position is a 2-year commitment; the student will then become Editor when his/her predecessor graduates. The duties of the Assistant Editor include, but are not limited to: Collaborate with AAPA editorial director and FR editor to develop quarterly themes. Respond to inquires and revise article submissions. Assemble the final selection of articles, photos, and photo release documentation. Edit and prepare a minimum of one article every two months for publication on AAPA’s PAs Connect news feed. Commit to the role of Assistant Editor March 2016-2017 and the editor position in March 2017. Be flexible with scheduling, be adaptable, and communicate effectively with the entire First Rounds team. Assist with promotion and advertising of First Rounds to PA programs nationwide via social media. Organize and maintain contact databases, articles, and emails. In addition, the Assistant Editor and editor will both receive a $500 stipend to attend AAPA Conference 2017 in Las Vegas to promote and advocate for First Rounds. If you are a proactive, current PA student with a strong interest in writing and editing opportunities, please send a resume or CV with your name, PA program, graduation date, and a short summary of why you would be a great FR Assistant Editor to FirstRoundsSubmission@gmail.com. The deadline for applications is March 30, 2017. Phone interviews will be held the first week of April. Requirements: Must be a current PA student in good standing with an ARC-PA accredited PA program Must be a current member of AAPA The selected candidate must have at least one year remaining in school as of December 2017. (i.e. graduation date of December 2018 or later) Those with prior writing or editing experience will be given preference, but it is not required. For more information, please contact Editor Mia McDonald at FirstRoundsSubmission@gmail.com. https://www.aapa.org/pas-connect/2017/02/wanted-assistant-editor-first-rounds/
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