The Exchange

Commentary and Observations from
the Medical Front Lines

Latest NPs & PAs Articles on PCE's The Exchange

Engaging and Empowering Team Members

Engaging and Empowering Team Members

As healthcare professionals, we are lifelong learners. I like to think of our endless pursuit of knowledge extending even beyond the healthcare space—a source of inspiration for me is learning about the stories, experiences, and people in other industries, in particular, their relentless pursuits of building positive working environments.

Recently, as part of a Harvard Business Review (HBR) video series titled, The New World of Work, Michele Buck, CEO of The Hershey C... Continue Reading

Filed under: NPs & PAs, Practice Management/Career

Nurses Make a Difference – Happy Nurses Week

Nurses Make a Difference – Happy Nurses Week

May represents Nurses Month, with Nurses Week held annually from May 6 through May 12; the theme for 2022 is "Nurses Make a Difference." At its sta... Continue Reading

Filed under: NPs & PAs, Practice Management/Career

Potential Nursing Shortage Is a Major Workforce Concern

Potential Nursing Shortage Is a Major Workforce Concern

According to a national survey of more than 6000 acute and critical care nurses that was conducted by the American Association of Critical-Care Nurses (AACN)... Continue Reading

Filed under: NPs & PAs, Practice Management/Career

Cultivating Trust as a Healthcare Leader—Part II

Cultivating Trust as a Healthcare Leader—Part II

What do trust and trustworthiness really mean? How can we really establish ourselves as trustworthy leaders in healthcare for our colleagues and patients? Wh... Continue Reading

Filed under: NPs & PAs, Practice Management/Career

Cultivating Trust as a Healthcare Leader—Part I

Cultivating Trust as a Healthcare Leader—Part I

Many clinician leaders who I have met over the years have emerged from 1 of 3 groups: Planned: Leadership was their planned/expected career p... Continue Reading

Filed under: NPs & PAs, Practice Management/Career

Women Making a Difference and Paving the Way: Part 2 – Nurse Practitioners

Women Making a Difference and Paving the Way: Part 2 – Nurse Practitioners

In this second post for Women's History Month, I will be focusing on the contributions of female NPs who have gone above and beyond in the field to exemplify... Continue Reading

Filed under: Miscellaneous, NPs & PAs

Women Making a Difference and Paving the Way: Part 1 – Physician Associates/Assistants

Women Making a Difference and Paving the Way: Part 1 – Physician Associates/Assistants

In New York City, the 1-year anniversary of the garment workers' strike—where the International Ladies' Garment Workers' Union led 15,000 women in a march... Continue Reading

Filed under: Miscellaneous, NPs & PAs

Hospital Rounding Update: How COVID Affects Patients Without COVID-19, Excerpt From A 9-hour Cardiology Shift

Hospital Rounding Update: How COVID Affects Patients Without COVID-19, Excerpt From A 9-hour Cardiology Shift

My day started with learning that heart surgeries were on hold for 3 patients because there were no ICU beds for recovery; another patient could not get tran... Continue Reading

Filed under: NPs & PAs, Practice Management/Career

What Will Happen in 2022? Concerning Trends for Healthcare

What Will Happen in 2022? Concerning Trends for Healthcare

The past year has seen a tremendous shift in workforce issues that profoundly impact healthcare. Since the beginning of the pandemic, 1 in 5 people in health... Continue Reading

Filed under: NPs & PAs, Practice Management/Career

A Veteran, A Legacy

A Veteran, A Legacy

Loretta C. Ford, EdD, RN, PNP, NP-C, CRNP, FAAN, FAANP—an icon in the nurse practitioner (NP) world—turned 100 on December 28, 2020. Loretta, who is know... Continue Reading

Filed under: NPs & PAs

Happy Nurse Practitioner Week

Happy Nurse Practitioner Week

National Nurse Practitioner (NP) Week is celebrated this year from November 7-13. The theme for 2021 is "NPs going the extra mile." The American Association... Continue Reading

Filed under: NPs & PAs

Celebrate #PAweek

Celebrate #PAweek

Today marks the last day of National Physician Assistant Week; let's go through the history of PAs and their recognition. National PA Day was first c... Continue Reading

Filed under: NPs & PAs

What to Do During #PAweek

What to Do During #PAweek

National Physician Assistant Week is celebrated every year from October 6th through October 12th. The theme for 2021 is "PAs: You deserve all the applause!"... Continue Reading

Filed under: NPs & PAs

Advanced Practice Clinicians in Rheumatology, Part 1

Advanced Practice Clinicians in Rheumatology, Part 1

I have been practicing as an NP in rheumatology for 7 years and I love it. I got lucky, really: A recruiter reached out to a fellow student who was not inter... Continue Reading

Filed under: NPs & PAs, Practice Management/Career, Rheumatology

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

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

Nurses Week 2021: May 6 - May 12

Nurses Week 2021: May 6 - May 12

I can't believe a year has gone by since I wrote about the 2020 Nurses Week theme. This year, the American Nurses Association (ANA) joined with the World Hea... Continue Reading

Filed under: NPs & PAs, Practice Management/Career

Women in History: Nurse Practitioners of Note

Women in History: Nurse Practitioners of Note

This is the second of two blogs featuring influential female nurse practitioners (NPs) and physician assistants (PAs), highlighting influential NPs, as part... Continue Reading

Filed under: NPs & PAs

Women in History: Physician Assistants of Note

Women in History: Physician Assistants of Note

Since March is Women's History month, this will be a two-part blog series featuring influential female nurse practitioners (NPs) and physician assistants (PA... Continue Reading

Filed under: NPs & PAs

The Sky Isn’t the Limit for This PA

The Sky Isn’t the Limit for This PA

Hayley Arceneaux, PA-C, is anything but ordinary. At the age of 10, she already had her black belt in Taekwondo. Then she was diagnosed with osteosarcoma of... Continue Reading

Filed under: Miscellaneous, NPs & PAs

The Power of Presence

The Power of Presence

For the greater part of a decade, I was fortunate to work with, and be mentored by, an incredible physician leader. When you think about attributes of a grea... Continue Reading

Filed under: NPs & PAs, Practice Management/Career

The Art of Listening

The Art of Listening

One of my favorite songs is "The Sounds of Silence" by Paul Simon and Art Garfunkel. Although my interpretation of this song may vary from the artists' inten... Continue Reading

Filed under: NPs & PAs, Practice Management/Career

My Experience With COVID-19 – An NP’s Perspective, Part 2

My Experience With COVID-19 – An NP’s Perspective, Part 2

In my previous post, I wrote about becoming ill with COVID-19 and how the initial symptoms impacted me. In this post, I'll be discussing home care tips that... Continue Reading

Filed under: Infectious Diseases, NPs & PAs, Pulmonary Medicine

My Experience With COVID-19 – An NP’s Perspective, Part 1

My Experience With COVID-19 – An NP’s Perspective, Part 1

Even as an NP practicing 20 years in a pulmonary clinic, I was not prepared for how ill I became when I contracted COVID-19 just after Christmas 2020. ... Continue Reading

Filed under: Infectious Diseases, NPs & PAs, Pulmonary Medicine

Health Assessment During COVID-19: The New Normal

Health Assessment During COVID-19: The New Normal

This year has changed how we teach health assessment or provide objective structured clinical examinations (OSCE) to our students. Now, everyone has gone to... Continue Reading

Filed under: NPs & PAs, Practice Management/Career

Happy PA Week!

Happy PA Week!

Physician Assistant (PA) week is celebrated every year from October 6th through 12th. The first PA program was started at Duke University in 1965. National P... Continue Reading

Filed under: NPs & PAs

National Nurses Week May 6-12: Let’s Not Forget Where It Started

National Nurses Week May 6-12: Let’s Not Forget Where It Started

Two hundred years ago, on May 12th, Florence Nightingale was born—it is now a day when we celebrate nurses around the world. Did you know that... Continue Reading

Filed under: Miscellaneous, NPs & PAs

Telehealth Visits During the COVID-19 Pandemic: What are the Benefits?

Telehealth Visits During the COVID-19 Pandemic: What are the Benefits?

Never before has there been such a frenzy of media exposure about an infectious disease as there has been surrounding COVID-19. We are faced with constant up... Continue Reading

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

Game Changer: Telehealth for NPs and PAs in the Age of COVID-19

Game Changer: Telehealth for NPs and PAs in the Age of COVID-19

Having worked as a nurse practitioner for almost 30 years, I have seen so much change and evolution in health care, from practice standards to system changes... Continue Reading

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

Essential Education for All Patients With Migraine

Essential Education for All Patients With Migraine

With a better understanding of migraine pathophysiology, the number of new migraine treatments has exploded in recent years. Over 40 million Americans suffer... Continue Reading

Filed under: Neurology, NPs & PAs

Connecting with our Patients: What Matters Most

Connecting with our Patients: What Matters Most

We all have busy clinical days, but it is still important to make a personal connection with our patients. I think it is fair to say that one of the main rea... Continue Reading

Filed under: NPs & PAs, 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

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

Do Physician Assistants and Nurse Practitioners Know What They Bill?

Do Physician Assistants and Nurse Practitioners Know What They Bill?

As a practicing clinician, do you know what you bill for? Do you know how much is asked for in the bills that are sent to your patients? The truth of the mat... Continue Reading

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

November is Diabetes Awareness Month

November is Diabetes Awareness Month

Along with the colder weather and the promise of holiday season, November brings us the opportunity to raise awareness about diabetes. Both type 1 and type 2... Continue Reading

Filed under: Cardiometabolic, NPs & PAs, Practice Management/Career, Preventive Medicine, Public Health

New Statement Related to Hospitalized Heart Failure Patients

New Statement Related to Hospitalized Heart Failure Patients

The American College of Cardiology has issued a new Expert Consensus Decision Pathway for the management of patients with heart failure. This newly released... Continue Reading

Filed under: Cardiometabolic, Health Policy and Trends, NPs & PAs

Update: State Regulatory Environment for Opioid Prescribing

Update: State Regulatory Environment for Opioid Prescribing

As prescribers for patients with acute and chronic pain in primary care, NPs and PAs are very much aware of the national opioid epidemic, including ways in w... Continue Reading

Filed under: Health Policy and Trends, NPs & PAs, Substance Abuse

Preceptors and Tax Credits—Interprofessional Policy Change

Preceptors and Tax Credits—Interprofessional Policy Change

This blog is information only and not to be construed for legal tax advice—you must consult your tax professional regarding personal tax advice. Continue Reading

Filed under: Health Policy and Trends, NPs & PAs

Advanced Practice Providers and Liability Risk

Advanced Practice Providers and Liability Risk

It is a misconception that advanced practice providers (APPs) can’t get sued because any errors are a physician’s responsibility. PAs and NPs can and do... Continue Reading

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

Use of Simulation in NP and PA Programs

Use of Simulation in NP and PA Programs

In the last several years, both NPs and PAs have sent out surveys on the use of simulation in their programs, and articles have been published with the resul... Continue Reading

Filed under: NPs & PAs

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