The Exchange

Commentary and Observations from
the Medical Front Lines

Latest Practice Management/Career Articles on PCE's The Exchange

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 the professional title of "physician assistant" (PA) to "physician associate." As part of the decision process, the AAPA outsourced work to a consulting company that conducted a broad survey to PAs, physicians, and patients to determine the perception of what PAs do, and how patients and physicians embrace them. The results show that whil... Continue Reading

Filed under: NPs & PAs, Practice Management/Career

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

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

New in April: Open Notes Law Goes Into Effect

New in April: Open Notes Law Goes Into Effect

The 21st Century Cures Act, passed by Congress in 2016, has gone into effect in April 2021. This gives patients the right to immediate electronic access to t... Continue Reading

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

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

New E/M Coding Definitions for 2021

New E/M Coding Definitions for 2021

The American Medical Association's Current Procedural Terminology 2021 codebook updates the existing guidelines developed in 1995 and 1997. For new patients,... Continue Reading

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

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

The Future of the Affordable Care Act

The Future of the Affordable Care Act

We've been hearing a lot about the Affordable Care Act (ACA) and whether the Supreme Court will overturn the law or parts of the law. The Kaiser Family Found... Continue Reading

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

Prostate Cancer and Shared Decision-Making

Prostate Cancer and Shared Decision-Making

All men are at risk for prostate cancer and one out of nine will develop the disease; age and family history influence the chance of a man developing prostat... Continue Reading

Filed under: Oncology/Hematology, Practice Management/Career, Urology

COVID-19 Expands PA/NP Autonomy…and Scope of Practice for Other Professions, Too

COVID-19 Expands PA/NP Autonomy…and Scope of Practice for Other Professions, Too

The COVID-19 pandemic has been but one justification for expanding PA and NP autonomy in some states. In New York, Governor Andrew Cuomo's Execu... Continue Reading

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

How COVID-19 is Impacting the PA and NP Professions

How COVID-19 is Impacting the PA and NP Professions

Have you or one of your colleagues had an impactful change to your career or current job because of COVID-19? Apparently, it is happening to more than we kno... Continue Reading

Filed under: Practice Management/Career

<em>JAMA Internal Medicine</em> Retracts Well-Publicized Paper

JAMA Internal Medicine Retracts Well-Publicized Paper

In what was then considered a very significant finding, JAMA Internal Medicine published an article in 2018 entitled "Association Betwe... Continue Reading

Filed under: Practice Management/Career

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

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

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 health... Continue Reading

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

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

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

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

Women in Oncology

Women in Oncology

As a nurse practitioner, I practice in a predominantly female profession. However, I have seen a wave of symposia at recent major conferences that focus on w... Continue Reading

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

Telehealth Policy Update—A National Resource for Advanced Practice Providers

Telehealth Policy Update—A National Resource for Advanced Practice Providers

Telehealth is a method of enhancing delivery of health services, including diagnosis and monitoring of acute and chronic conditions, counseling, therapy, and... Continue Reading

Filed under: Practice Management/Career

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

How Much Revenue Do You—and Your Practice—Generate for Your Hospital?

How Much Revenue Do You—and Your Practice—Generate for Your Hospital?

Merritt Hawkins, a large search firm specializing in physicians and advanced practice providers (APPs), has published their periodic survey report detailing... Continue Reading

Filed under: Practice Management/Career

Leading the Charge Toward Maintenance of Certification Changes

Leading the Charge Toward Maintenance of Certification Changes

The rationale and justification behind certification examinations has always been explained to me as it must be guaranteed to patients that anyone practicing... Continue Reading

Filed under: Practice Management/Career

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