August 2017

Our guest today (the first for PA month here on TOTAL EM) is Adrian Banning.  She is an Evidence Based Medicine (EBM) guru and is also on the JAAPA Podcast with a previous guest, Kris Maday.  Today though she is here to talk to us about breaking bad news.  Something most of us are experienced with but one thing few of us do well.  We combine EBM and "soft skills" to better care for our patients and families in this very difficult time.

Kristopher Maday, PA-C is featured on this month's episode. He is the program director for the University of Tennessee Health Science Center PA program in the Memphis and his background is ER medicine. He has a strong philosophy on education believing access and discussion around educational topics is critical to continued development and success.  this is demonstrated by his dedication to detail in his PAIN podcast (physician assistants in education) and his JAAPA podcast (Journal of the American Association of Physician Assistants).  Kristopher touches on the topic of PA education, running his podcasts, and challenges in the US medical system specifically related to the PA profession.  Enjoy this intriguing conversation from a PA leader south of the Canadian boarder. Subscribe to his podcasts. Kristopher is also open to comments and is happy to connect with other PAs. https://painepodcast.com/JAAPA podcast https://itunes.apple.com/us/podcast/jaapa-podcast/id1235826100Kristopher is also open to comments and is happy to connect with other PAs. Find him on Twitter or LinkedInKristopherMaday PA-C (@PA_Maday) https://www.linkedin.com/in/kristopher-maday-ms-pa-c-16710535/

Increasingly, nurse practitioners and physician assistants are being asked to step into the role of physicians. While surgeons and procedural doctors have been fairly insulated from this phenomenon, the tide is beginning to turn. Today we are going to explore the phenomenon of NPs and PAs performing colonoscopies, screening tests for colon cancer. Colorectal surgeon Amer Alame MD discusses the flaws in a study that claims to show that PAs can safely perform colonoscopies.Fejleh MP, Shen C, Chen J, Bushong J, Dieckgraefe, B, Sayuk G. Quality metrics of screening colonoscopies performed by PAs. JAAPA. 2020;33(4):43-48.Get the book! https://www.amazon.com/Patients-Risk-Practitioner-Physician-Healthcare/dp/1627343164/PhysiciansForPatientProtection.org