The Exchange

Commentary and Observations from
the Medical Front Lines

 

Welcome to PCE's The Exchange—Stay Current on Issues That Matter Most to You and Your NP/PA Colleagues

PCE is excited to announce the launch of The Exchange, a collection of short commentaries from your NP/PA colleagues on a broad range of topics relevant to your practice. The Exchange will bring you reflections on trends in medicine, observations about new treatments and guidelines, and advice related to career decisions and practicing in today's changing healthcare environment.


Millennials and Healthcare

Millennials and Healthcare

Millennials, also known as Generation Y, are those born between 1981 and 1996. They currently comprise one-fourth of all Americans and seem to look at healthcare differently than previous generations. For example, millennials are more likely to research treatment costs online, ask for an estimate upfront, and investigate whether their insurance will cover the treatment/procedure prior to committing to it. In addition, they support telemedicine and would rather video chat, set up appointments,... Continue Reading

Filed under: Health Policy and Trends, Practice Management/Career

Loretta C. Ford Turns 99

Loretta C. Ford Turns 99

On December 28, 2019, Dr Loretta C. Ford, co-founder of the first nurse practitioner program, turned 99. Loretta is known to her friends as "Lee,... Continue Reading

Filed under: Miscellaneous, NPs & PAs

Better Sleep Linked to Reduced Cardiovascular Disease and Stroke Risk

Better Sleep Linked to Reduced Cardiovascular Disease and Stroke Risk

We all know that sleep is crucial for heart health. Research has shown that regardless of a person's age, weight, smoking habits, and exercise l... Continue Reading

Filed under: Cardiometabolic, Preventive Medicine, Pulmonary Medicine

Should We Accommodate Discriminatory Requests from Patients?

Should We Accommodate Discriminatory Requests from Patients?

As medical providers, we took an oath to provide the same quality of care to all our patients regardless of their race, gender, religion, sexual orientation,... Continue Reading

Filed under: Health Policy and Trends, NPs & PAs, Practice Management/Career

Influenza-like Illness Activity Has Been High for Weeks…and Continues to Increase

Influenza-like Illness Activity Has Been High for Weeks…and Continues to Increase

The CDC reports that influenza-like illness activity has been high for weeks, and is continuing to increase. Combined with the fact that influenza B (Victori... Continue Reading

Filed under: Infectious Diseases, Public Health

Mistakes in the Ambulatory Care Setting

Mistakes in the Ambulatory Care Setting

A report published in late October entitled "Deep Dive: Safe Ambulatory Care, Strategies for Patient Safety and Risk Reduction" Continue Reading

Filed under: Health Policy and Trends, Practice Management/Career, Public Health

Raynaud’s Phenomenon: A Common Sense Approach to Diagnosis and Management

Raynaud’s Phenomenon: A Common Sense Approach to Diagnosis and Management

Raynaud's phenomenon (RP) is all too common in New England during the colder months of the year. In October, we often see patients return who ha... Continue Reading

Filed under: Miscellaneous, Rheumatology

Can High-dose Vitamin D Prevent Functional Decline in Our Older Population?

Can High-dose Vitamin D Prevent Functional Decline in Our Older Population?

Lower extremity functional decline in our elderly population is a major risk factor for falls, hip fracture, frailty, and loss of autonomy. As the baby boome... Continue Reading

Filed under: Miscellaneous, Orthopedics, Preventive Medicine

Intermittent Fasting

Intermittent Fasting

If you think about how humans have been eating for centuries, it has likely included some "natural" intermittent fasting. For examp... Continue Reading

Filed under: Cardiometabolic, Miscellaneous, Preventive Medicine, Public Health

circadian rhythm clock

Circadian Rhythms and Metabolic Syndrome

As researchers explore the complex relationship of circadian rhythm and metabolic syndrome, they are searching for root causes and best treatment approaches Continue Reading

Filed under: Cardiometabolic, Miscellaneous, Preventive Medicine, Public Health

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