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.


An Overview of Non-Compaction Cardiomyopathy

An Overview of Non-Compaction Cardiomyopathy

Non-compaction cardiomyopathy (NCCM) carries a significant risk of malignant arrhythmias, thromboembolic events, and left ventricular dysfunction. This post provides an overview of the characteristics, diagnosis, and management of this type of cardiomyopathy.

What is NCCM?

NCCM is characterized by the existence of prominent and significant myocardial trabeculations; it has also been referred to as spongy myocardium, spongiform cardiomyopathy, or persisting myocardial si... Continue Reading

Filed under: Cardiometabolic

Infiltrative Diseases of the Heart: A Brief Overview

Infiltrative Diseases of the Heart: A Brief Overview

Infiltrative diseases affecting the heart muscle and function are lesser-known causes of heart failure but are considered major etiologies of cardiomyopathie... Continue Reading

Filed under: Cardiometabolic

What to Do With Patients who Report Allergic Symptoms Following the First Dose of an mRNA COVID-19 Vaccine

What to Do With Patients who Report Allergic Symptoms Following the First Dose of an mRNA COVID-19 Vaccine

A major concern to public health officials is incomplete vaccination with the mRNA COVID-19 vaccine series. One reason for incomplete vaccination is if patie... Continue Reading

Filed under: Allergy/Immunology, Infectious Diseases, Preventive Medicine

The PA Profession Wants to Change Its Name

The PA Profession Wants to Change Its Name

In May 2021, on a vote of 198 for and 68 against, the American Academy of Physician Assistants (AAPA) House of Delegates (HOD) passed a resolution to change... Continue Reading

Filed under: NPs & PAs, Practice Management/Career

A New Biologic on the Horizon for Severe Asthma

A New Biologic on the Horizon for Severe Asthma

There are currently 5 available monoclonal antibody treatments for patients with moderate to severe asthma, all of which target immunoglobulin E (IgE) or typ... Continue Reading

Filed under: Allergy/Immunology, Pulmonary Medicine

Leveraging Telehealth to Improve Access to Healthcare

Leveraging Telehealth to Improve Access to Healthcare

While strides have been made in the overall expansion of (and reimbursement coverage for) telehealth services during the COVID-19 pandemic, there continue to... Continue Reading

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

Wellness-Centered Leadership – Why it Matters

Wellness-Centered Leadership – Why it Matters

A paper recently published by Shanafelt et al titled: "Wellness-Centered Leadership: Equipping Health Care Leaders to Cultivate Physician Well-Being and Prof... Continue Reading

Filed under: NPs & PAs, Practice Management/Career

Wrinkles in Time: Photoaging

Wrinkles in Time: Photoaging

As I enjoy my vacation in sunny Cabo San Lucas, sitting under my umbrella covered in sunscreen and SPF clothing, I am reminded of how much the sun can damage... Continue Reading

Filed under: Dermatology

Encouraging Self-Exams for Early Detection of Skin Cancer

Encouraging Self-Exams for Early Detection of Skin Cancer

With the beginning of warmer weather and more time outdoors, it is the perfect time to begin reminding patients about the importance of sun protection and sk... Continue Reading

Filed under: Dermatology, Oncology/Hematology

A Free Algorithm Program to Scan Big Data for Chronic Kidney Disease

A Free Algorithm Program to Scan Big Data for Chronic Kidney Disease

A team at Columbia University Medical Center in New York has developed and validated a free software algorithm that can scan an electronic medical record (EM... Continue Reading

Filed under: Preventive Medicine, Public Health

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