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General practice (GP) throws up a mix of patients presenting with a whole range of confounding and complex symptoms. Once qualified as a physician associate (PA), if you choose to work in GP, you will be expected to deal with a variety of these patients. The PA curriculum is wide ranging and covers the plethora of medical specialities that GP PAs need to have knowledge of. This book was written with the GP PA in mind. It includes over 120 common symptoms that patients present with and that may also come up in your national exams.For each symptom, a comprehensive consultation framework has been included to guide you through the best approach for dealing with the presented complaint. This book has been specifically written to save you hours of time researching and it will hopefully become your companion to ease you through your exams and into your future as a fully fledged PA in primary care. This book includes guidance such as what questions to ask, eliciting relevant past medical history, social history, etc. The framework then guides you on which examinations would be relevant and what investigations should be requested.Each topic will also advise you about the possible differential diagnoses and evidence-based ways of managing these. We hope that you find this book to be a useful aid to help you excel in your exams and for you to continue to use well into your qualified PA years!
Annotation *The only resource that focuses on key clinical content in PA practice as well as what is likely to be covered in certification and recertification exams *Features contributions by more than 90 outstanding physician assistants *New to this edition: expanded coverage of substance abuse, including tobacco; new chapters on dermatology, pediatrics, OB-GYN, infectious disease, respiratory disease, and more.
Explore the past, present, and future of PA practice. The authors, noted educators, researchers, and practitioners, draw on extensive research to trace the evolution of the PA’s roles and responsibilities in the delivery of health care services. Their presentation of historical content balanced with discussions of the ethical, educational, legislative, and economic forces that are shaping that the profession makes this a contemporary classroom tool for PA’s learning their field and their roles.
Real-life primary care case studies* from more than 50 primary care providers, including physician assistants, nurse practitioners, and physicians! 101 Primary Care Case Studies offers real-life patient scenarios and critical thinking exercises to help you work through a patient’s chief complaint. Through narrative case studies, you will determine how best to diagnose, treat, and manage your patient based on the history of present illness, review of systems, relevant history, and physical examination findings. This workbook will ask probing questions to help you determine differential and most likely diagnoses, diagnostic tests to order, and appropriate patient management strategies using relevant and timely references to support your decisions. The organization of each case study simulates the patient care journey from chief complaint to outcome. Serving as a virtual clinical preceptor, this workbook can be used independently or in a classroom setting. It is accompanied by a robust online student supplement that provides answers to all questions, real outcomes of the cases, and valuable personal insights from the authors on how the patient was successfully managed. Not only will this workbook help you work through patient cases clinically, it will also share important, but often overlooked, bedside manner skills needed to successfully communicate with and care for your patients. Covering conditions across all organ systems and across the lifespan, this workbook is organized by chief complaint, providing an authentic perspective on what to expect in the patient care environment. It even includes information on pathophysiology and how to use ICD-10 and CPT (E/M) codes in your documentation. The book uniquely weaves together both the science and art of medicine by including personal insights into quality and compassionate care. Key Features Provides real-life patient cases from an interprofessional author team of physician assistants, nurse practitioners, and physicians Uses a templated case study design and critical thinking exercises to help you methodically work through various patient scenarios Teaches clinical and bedside manner skills imperative for delivering quality patient care Covers patients across the lifespan, including pediatric, adolescent, adult, and geriatric populations Offers additional insight on patient education, medical and legal concerns, and interprofessional collaboration Includes a robust online student supplement with valuable insights from the authors on how they successfully managed the cases Provides instructors with a table of contents that is filterable by chief complaint, diagnosis, patient population, and organ system *Details changed to protect patient information.
Looking for an OSCE resource directly tailored to Physician Associates? Then the 'The Ultimate Guide to Physician Associate OSCEs' is the book for you. OSCEs are one of the key examinations in the medical world and there are limited resources available. As a PA, you are expected to carry out history, examination and procedural skills, this book will allow students to practice against checklists so they can become sleek and brilliant clinicians. Often it is difficult for students to gauge how OSCEs are marked and how much to cover, therefore this book is intended to fill these gaps by going through practical and essential tips, along with clear and step-by-step checklists for commonly encountered OSCE stations.
High-quality primary care is the foundation of the health care system. It provides continuous, person-centered, relationship-based care that considers the needs and preferences of individuals, families, and communities. Without access to high-quality primary care, minor health problems can spiral into chronic disease, chronic disease management becomes difficult and uncoordinated, visits to emergency departments increase, preventive care lags, and health care spending soars to unsustainable levels. Unequal access to primary care remains a concern, and the COVID-19 pandemic amplified pervasive economic, mental health, and social health disparities that ubiquitous, high-quality primary care might have reduced. Primary care is the only health care component where an increased supply is associated with better population health and more equitable outcomes. For this reason, primary care is a common good, which makes the strength and quality of the country's primary care services a public concern. Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care puts forth an evidence-based plan with actionable objectives and recommendations for implementing high-quality primary care in the United States. The implementation plan of this report balances national needs for scalable solutions while allowing for adaptations to meet local needs.
Built around introductory courses that orient new PA students to the profession, this comprehensive, up-to-date book traces the origins of physician assisting in the United States and other countries, examining education, career opportunities, and future trends. The 2nd Edition reflects the many changes that have taken place recently in health care and physician assistant programs, curriculum, and the profession. It draws on over 750 published papers related to PAs and other health providers, offering an in-depth exploration of the PA role in primary care, inpatient services, and specialized care, as well as the legal basis of PA deployment and the economics of their utilization. Extensive documented research refers to hundreds of published papers, books, and other media sources on PA education and on the profession, listed in the comprehensive reference section at the end of the book. The authors are well-known, respected experts who are highly regarded in the field. All essential info for the required introductory PA course is covered in one text, which is helpful to both students and instructors. Material has been expanded to cover 14 chapters, with new chapters devoted to Physician Assistant Organizations and Federal Employees, and expanded coverage of important topics in other chapters. All material in tables, figures, and the text itself has been revised and updated based on the most recent research to reflect the many changes in the health care and physician assistant fields since the first edition was published. New issues are addressed that have come out of major changes in the American health care system, incorporating discussions of the latest information and the most current data on the PA profession and PA education. Approximately 25 new illustrations have been added to this edition, covering new material or illustrating concepts that were previously presented only in text discussions.
Patients at Risk: The Rise of the Nurse Practitioner and Physician Assistant in Healthcare exposes a vast conspiracy of political maneuvering and corporate greed that has led to the replacement of qualified medical professionals by lesser trained practitioners. As corporations seek to save money and government agencies aim to increase constituent access, minimum qualifications for the guardians of our nation’s healthcare continue to decline—with deadly consequences. This is a story that has not yet been told, and one that has dangerous repercussions for all Americans. With the rate of nurse practitioner and physician assistant graduates exceeding that of physician graduates, if you are not already being treated by a non-physician, chances are, you soon will be. While advocates for these professions insist that research shows that they can provide the same care as physicians, patients do not know the whole truth: that there are no credible scientific studies to support the safety and efficacy of non-physicians practicing without physician supervision. Written by two physicians who have witnessed the decline of medical expertise over the last twenty years, this data-driven book interweaves heart-rending true patient stories with hard data, showing how patients have been sacrificed for profit by the substitution of non-physician practitioners. Adding a dimension neglected by modern healthcare critiques such as An American Sickness, this book provides a roadmap for patients to protect themselves from medical harm. WORDS OF PRAISE and REVIEWS Al-Agba and Bernard tell a frightening story that insiders know all too well. As mega corporations push for efficiency and tout consumer focused retail services, American healthcare is being dumbed down to the point of no return. It's a story that many media outlets are missing and one that puts you and your family's health at real risk. --John Irvine, Deductible Media Laced with actual patient cases, the book’s data and patterns of large corporations replacing physicians with non-physician practitioners, despite the vast difference in training is enlightening and astounding. The authors' extensively researched book methodically lays out the problems of our changing medical care landscape and solutions to ensure quality care. --Marilyn M. Singleton, MD, JD A masterful job of bringing to light a rapidly growing issue of what should be great concern to all of us: the proliferation of non-physician practitioners that work predominantly inside algorithms rather than applying years of training, clinical knowledge, and experience. Instead of a patient-first mentality, we are increasingly met with the sad statement of Profits Over Patients, echoed by hospitals and health insurance companies. --John M. Chamberlain, MHA, LFACHE, Board Chairman, Citizen Health A must read for patients attempting to navigate today’s healthcare marketplace. --Brian Wilhelmi MD, JD, FASA
Avedis Donabedian's name is synonymous with quality of medical care. He unraveled the mystery behind the concept by defining it in clear operational terms and provided detailed blueprints for both its measurement(known as quality assessment) and its improvement(known as quality assurance). Many before him claimed that quality couldn't be defined in concrete objective terms. He demonstrated that quality is an attribte of a system which he called structure, a set of organized activities whihc he called process, and an outcome which results from both. In this book Donabedian tells the full story of quality assessment and assurance in simple, clear terms. He defines the meaning of quality, explicates its components, and provides clear and systematic guides to its assessment and enhancement. His style is lucid, succinct, systematic and yet personal, almost conversational.
The general practitioner was once America's doctor. The GP delivered babies, removed gallbladders, and sat by the bedsides of the dying. But as the twentieth century progressed, the pattern of medical care in the United States changed dramatically. By the 1960s, the GP was almost extinct. The later part of the twentieth century, however, saw a rebirth of the idea of the GP in the form of primary care practitioners. In this engrossing collection of oral histories and provocative essays about the past and future of generalism in health care, Fitzhugh Mullan—a pediatrician, writer, and historian—argues that primary care is a fascinating, important, and still endangered calling. In conveying the personal voices of primary care practitioners, Mullan sheds light on the political and economic contradictions that confront American medicine. Mullan interviewed dozens of primary care practitioners—family physicians, internists, pediatricians, nurse practitioners, and physician assistants—asking them about their lives and their work. He explains how, during the last forty years, the primary care movement has emerged built on the principles of "big doctoring"--coordinated, comprehensive care over time. This book is essential reading for understanding core issues of the current health care dilemma. As our country struggles with managed care, market reforms, and cost containment strategies in medicine, Big Doctoring in America provides an engrossing and illuminating look at those in the trenches of the profession.