- Advanced Practice Pulse
- Posts
- Slow Down to Speed Up
Happy Tuesday! We’re back! Happy New Year! We were reminiscing on all the great editions published in 2023 and thought we would summarize the hottest topics in case you missed them!
Credit: Giphy/Peacock
In Today’s Edition: We have highlighted the most sought after articles and linked the edition for your ease of access.
Girl Power: AI ranks hospitals using nursing satisfaction and it went viral
Up Top: Forget the drama, let’s refocus on advances in Alzheimer’s research
Girl Power: Thought high HDL was good? Think again
Pour Some Sugar: Move over Metformin: Addressing obesity and type 2 diabetes (DM2) & why Metformin is no longer first line.
Pour Some Sugar: Not so sweet: U.S. life expectancy is on the decline
Show Me the Money: Know your worth
Pour Some Sugar: For our students - Getting Ahead…Consider a Fellowship…or Create One!
🩺 APP Trending News
AI ranks hospitals using nursing satisfaction, and it's gone viral
In order to discover nursing source of burnout, MIT Sloan leveraged AI to analyze over 150,000 nurse reviews on Glassdoor. They scientifically ranked 200 of the US’ largest hospital systems using standard deviation scores and we have questions. Not only regarding AI but we want to know if the nurse satisfaction scores correlate with patient safety outcomes and satisfaction metrics! QI project anyone?! 🤓 🤔
⚙️ The More You Know
Credit: Giphy
Forget the drama, let’s refocus on advances in Alzheimer’s research
Thought high HDL was good? Think again
Move over Metformin: Addressing obesity and type 2 diabetes (DM2) & why Metformin is no longer first line.
The ADA continues to update care and stress the individualized approach to glycemic control in diabetes. Make sure you are keeping up with the latest recommendations available via the ADA's Standards of Care updates. The short: after decades as the “gold standard” in diabetes care, metformin is out.
Not sweet: U.S. life expectancy is on the decline
The research conducted by Steven H. Woolf, MD, MPH, of the Center on Society and Health and the department of family medicine and population health at Virginia Commonwealth University is raising some very good questions…we need to pay attention folks. 💡
Know Your Worth.
Our mutual professional organizations are an excellent resource and publish yearly salary updates as well as salary negotiation tips and tricks. The AANP has excellent advice for negotiating salaries, and the AAPA provides annual guides for reimbursement. Pro-tip: do you homework and consider consulting a professional with experience. We can provide that service, just shoot us an email! We also featured Shayne Foley, MS, PA-C, Educator, Entrepreneur, Mentor, & Co-Founder of The PA Blueprint who provides this service.
💡Inspiration for Aspirations
Browse prior newsletters highlighting inspiring APPs who are paving the way and pursuing careers outside of our traditional realm. Leading the way by example and inspiring colleagues is what we do!
Wisdom is not the product of schooling but the lifelong attempt to acquire it.
📈Future APPs
Credit: Giphy
Pour Some Sugar was just one of many editions filled with pro-tips:
Getting Ahead…Consider a Fellowship…or Create One!
Are you a recent PA or NP grad or prospective student interested in speciality medicine? Are you just ready for a career or specialty change? Fellowships are an excellent way to gain the skills needed to hit the ground running, negotiate for a higher salary (especially for “new grads”), and position yourself for top-notch employment.
The APPAP has been the governing body for Advanced Practice Provider fellowship accreditation since 2014. They have information on all the fellowships, including a comprehensive list of programs... and growing!
🧪Clinical Conundrums: Because We Love a Challenge!
From Show Me the Money, just one of many popular cases with solid resources:
Abdominal X-Rays Give Me Gastritis:
A 3 year old was brought to you due to suspected ingestion. His babysitter only got a glimpse of “something shiny” before it disappeared. After a thorough history and exam, (kiddo looks stable), you obtain a "KUB." What finding confirms your suspicion? What is your next step?
a. radiopaque foreign body
b. normal bowel gas pattern
c. constipation
d. external item obscuring the results
Correct Answer: (A) - radiopaque foreign body
This is a pediatric KUB with a normal bowel gas pattern. No evidence of free air or other "red flag" aside from the presence of a radiopaque foreign body (FB). It is pertinent to define the FB and quickly triage your patient. This is generally a pediatric emergency associated with potential mucosal injury, perforation, and death. Here is an excellent (guideline) algorithm from the National Capital Poison Center (NCPC) on button battery ingestion.
Need more practice? For a succinct KUB tutorial, we recommend this lecture resource from Strong Medicine: Abdominal X-Rays Made Easy.
Check out the next edition, Let’s Get to the Heart of the Matter, for another great case: CXRs give me palpitations!
🔎ICYMI
From our very first edition: New DEA Requirements, Free CME, & Demystifying APP Roles (& the Alphabet Soup)!
You don’t want to be the only interesting APP at the water cooler. Please share, subscribe, and let us know what you would like to see in upcoming editions! Aspire to add content contributions to your CV or your accomplishments? Please share your knowledge. We would love to hear from you!