Vital Minds

Episode 29 - May 2023 Topic: Health Equity in Aging Host: James Millward, DMSc, PA-C Guests: Leanne Clark-Shirley, PhD, and Nathan Hart, PA-C Resources: World Health Organization - Ageing and Health American Society on Aging Alzheimer's Association - Alzheimer's Disease Facts and Figures CDC - Alzheimer's Disease and Healthy Aging - Dementia Risk Reduction CDC - Modifiable Risk Factors for Alzheimer Disease and Related Dementias Among Adults Aged ≥45 Years — United States, 2019 World Health Organization - Discrimination and negative attitudes about ageing are bad for your health National Library of Medicine - "Ageism Amplifies Cost and Prevalence of Health Conditions." Levy BR, Slade MD, Chang ES, Kannoth S, Wang SY. Ageism Amplifies Cost and Prevalence of Health Conditions. Gerontologist. 2020 Jan 24;60(1):174-181. doi: 10.1093/geront/gny131. PMID: 30423119; PMCID: PMC7182003. Alzheimer Society of Canada - Stigma Against Dementia Louise Aronson - "Elderhood" Administration for Community Living - Area Agencies on Aging CDC - Alzheimer's Disease and Healthy Aging - Social Determinants of Health and Alzheimer's Disease and Related Dementias

The pathways to career success for PAs is limitless. In this episode, take inspiration from three PAs who have followed nontraditional career paths outside the clinical practice setting – including tips on drawing from your education and experience to explore new opportunities, advocating for yourself and the PA profession in the workplace, and more.

Episode 27 - December 2022 Topic: Flu Vaccination: Navigating Clinical Guidance and Addressing Hesitancy Host: James Millward, DMSc, PA-C Guests: Felicia Gutierrez, PA-C; Sarah McQueen, DMS, PA-C; Justin Wolfe MHS, PA-C Resources: AAPA/PA Foundation animated video - "Flu Vaccine: The More You Know" "In the Words of PAs" blog post - "Flu Vaccination: Using the Health Belief Model to Increase Vaccine Uptake" JAAPA: October 2022 - "Using the Health Belief Model to improve influenza vaccination rates" CDC - Influenza (Flu) CDC - Key Facts About Influenza (Flu) CDC - Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices - United States, 2022–23 Influenza Season CDC - Adjuvanted Flu Vaccine AAPA/PA Foundation animated video - "Flu Vaccine: The More You Know" Sanofi - Flu Shot Importance Flash Card Sanofi - Myth Busters Flash Card

Episode 26 - August 2022 Topic: The Role of Peer Support Specialists in Preventing Prescription Opioid Misuse Host: James Millward, DMSc, PA-C Guests: Richard Bottner, DHA, PA-C, CPHQ, and Jessi Davis, MHPS, RSPS Resources: View the Foundation's full suite of resources: “Preventing Prescription Opioid Misuse in Special Patient Populations” National Association of Peer Supporters (N.A.P.S.) N.A.P.S. - National Practice Guidelines for Peer Specialists and Supervisors Johns Hopkins Medicine - Armstrong Institute for Patient Safety and Quality - Peer Supporters United States Government Accountability Office - Substance Use Disorder - Medicaid Coverage of Peer Support Services for Adults

Episode 25 - July 2022 Topic: Mild Cognitive Impairment: The Importance of Early Screening and Intervention Host: James Millward, DMSc, PA-C Guests: Cynthia (Dunn) Beam, MPAS, PA-C, and Rebecca Loomis, MSPAS, PA-C Resources: Montreal Cognitive Assessment (The MoCA Test) Mini-Cog© – Quick Screening for Early Dementia Detection Mini Mental State Examination (MMSE) The Gerontological Society of America – The GSA KAER Toolkit for Primary Care Teams Alzheimer's Association - Use of the Functional Activities Questionnaire in Older Adults with Dementia Alzheimer's Association - AD8 Dementia Screening Interview Alzheimer's Association - Cognitive Assessment for Professionals American Academy of Family Physicians - Cognitive and Functional Assessment Tools Alzheimer's Association - 10 Early Signs and Symptoms of Alzheimer's Eldercare Locator - Area Agencies on Aging

Episode 24 - May 2022 Topic: Addressing Food Allergy: Working with Patients and Caregivers Host: James Millward, DMSc, PA-C Guests: Amanda Michaud, MMS, PA-C, AE-C, DMSc Fellow, and Brian Bizik, MS, PA-C Support for this episode of Vital Minds is provided by the National Peanut Board. Resources: National Library of Medicine PubMed.gov - Randomized trial of peanut consumption in infants at risk for peanut allergy NIAID - Addendum Guidelines for the Prevention of Peanut Allergy in the United States Ready Set Food - How to Follow the NIAID Guidelines on Peanut Introduction Healthy Children - AAP Clinical Report Highlights Early Introduction of Peanut-based Foods to Prevent Allergies The National Peanut Board - Managing Peanut Allergies FARE - Learning Early About Peanut Allergy (LEAP) Food Allergy Canada - Early Introduction

Episode 23 - July 2021 Topic: Telemedicine: The Importance of Addressing Mental Health Guest Host: Shannon Jackson, MSPAS, PA-C Guest: Jill Mattingly, DHSc, MMSc, PA-C Resources: View the Foundation's full suite of resources: "Addressing Pain Via Telemedicine" (coming soon)

Episode 22 - June 2021 Topic: Get to Know All of Us: Precision Medicine and the Future of Healthcare Host: James Millward, DMSc, PA-C Guests: Sheri Schully, Ph.D., and Nguyen Park, MS, PA-C This episode was sponsored by the All of Us Research Program, from the National Institutes of Health. The program is inviting one million people across the U.S. to help build one of the most diverse health databases in history. Learn more at joinallofus.org. Resources: NIH website - All of Us Research Program All of Us Research Program - joinallofus.org All of Us Research Hub https://spagg.wildapricot.org/About-PAs AAPA - PAs: Get Involved in Genetics to Help Patients AAPA - PAs Say Genetics and Genomics Key to Patient Diagnosis and Treatment Arizona Daily Star - The Heart of the Matter: Discover how research has altered medical approaches and why it has the potential to improve the health of generations to come. The Conversation - Scientists are on a path to sequencing 1 million human genomes and use big data to unlock genetic secrets HealthITAnalytics - "All of Us" Aims to Expand Tribal Engagement for Precision Medicine HealthITAnalytics - Exploring the Intersection of Genomic Data and AI in Healthcare OUPblog - Addressing health inequity in disparities of cancer outcomes STAT - As All of Us moves to diversify medicine, its tech partners push to democratize research WKOW - National research program returns first results to local participants Birmingham Times - All of Us Research: Why Some Get Sick, And Others Are in Great Health

Episode 21 - February 2021 Topic: Health Inequities: Understanding Data and Bridging the Care Gap Host: Andrea Lowe, PA-C Guests: Deanna Bridge Najera, PA-C, and Tori Marsh, MPH Support for this episode is provided by GoodRx, a company that believes everyone deserves affordable and convenient healthcare, with a focus on helping people find the best care at the best price. Through technology they provide Americans, regardless of income or insurance status, the knowledge, choice and care to stay healthy. Resources: GoodRx - ‘Vaccine Deserts’ Threaten to Prolong COVID-19 Vaccine Rollout and Widen Disparities GoodRx white paper - The Effect of Income on Prescription Fill Patterns GoodRx - Live Updates: January 2021 Drug Price Increases GoodRx - Health Insurance Aside, Americans Still Struggle to Pay for Their Medications GoodRx - Why Don’t Patients Fill Their Prescriptions? NeedyMeds HRSA Data Warehouse - Find a Health Center Harriet A. Washington - Medical Apartheid: The Dark History of Medical Experimentation on Black Americans from Colonial Times to the Present Kaiser Family Foundation/The Undefeated - Survey on Race and Health The Health Disparities Podcast - Black Physician Assistants Matter: A “JEDI” discussion‪Read more ›

Episode 20 - February 2021 Topic: Telemedicine, Treating Pain, and the Prescription Decision Host: James Millward, DMSc, PA-C Guest: Jeremy Adler, DMSc, PA-C Support for this episode is provided by Allied Against Opioid Abuse, a national education and awareness initiative to help prevent the abuse and misuse of prescription opioids. Resources: Allied Against Opioid Abuse CDC - Using Telehealth to Expand Access to Essential Health Services during the COVID-19 Pandemic DEA - COVID-19 Information Page How to Prescribe Controlled Substances to Patients During the COVID-19 Public Health Emergency HHS - Policy changes during COVID-19 CMS.gov - Medicare Telemedicine Health Care Provider Fact Sheet Opioid Risk Tool (ORT) Center to Advance Palliative Care - Outpatient Opioid Prescribing During COVID-19 Practical Pain Management - How HCPs Can Use Telemedicine in the Time of Coronavirus Advisory Board - Opioid monthly: America's telemedicine boom has improved access to treatment for opioid use disorder Mayo Clinic Proceedings - Telemedicine’s Role in Addressing the Opioid EpidemicRead more ›

Episode 19 - January 2021 Topic: Mind Shift: Taking Whole-Person Care From Concept to Practice Host: James Millward, DMSc, PA-C Guests: Amber Danielecki Buzzi, MSPAS, PA-C, and Phyllis Peterson, MPAS, PA-C This episode of Vital Minds is a collaborative effort between the nccPA Health Foundation and the PA Foundation and is part of the PArtners in Mental Health Initiative. This initiative leverages a collective impact change strategy to improve the nation’s health by advancing the roles of PAs and strengthening partnerships to address issues impacting mental health and substance use disorders. Achieving that goal means encouraging all PAs, regardless of discipline or practice setting, to be champions of mental healthcare and to reduce the stigma associated with mental illness. Join the movement today. Resources: nccPA Health Foundation - Mental Health SMI Adviser SMI Adviser - My Mental Health Crisis Plan app American Psychiatric Association - "New app will help people with serious mental illness develop a crisis plan" American Hospital Association - Behavioral Health Integration: Treating the Whole Person Medical Group Management Association - Integrated behavioral health in a clinical primary care setting HRSA Health Center Program - Behavioral Health and Primary Care Integration HealthAffairs - How We Are Integrating Behavioral Health Into Primary CareRead more ›

Episode 18 - August 2020 Topic: Preventing Prescription Opioid Misuse Host: James Millward, DMSc, PA-C Guest: Laura Katers, MS, MCHS, PA-C Resources: View the Foundation's full suite of resources entitled "Preventing Prescription Opioid Misuse: Empowering Future Providers Through Education."Read more ›

Episode 17 - June 2020 Topic: COVID-19: Emotional Toll on Healthcare Providers Host: James Millward, DMSc, PA-C Guests: Catherine Judd, MS, PA-C, CAQ-Psychiatry, DFAAPA, and Charles Raison, MD Support for this episode of Vital Minds is provided by Takeda Pharmaceuticals U.S.A., Inc. Resources: National Center for PTSD - "Managing Healthcare Workers’ Stress Associated with the COVID-19 Virus Outbreak" Psychiatry & Behavioral Health Learning Network - Coping During COVID-19 Psychiatry & Behavioral Health Learning Network - "Preparing for COVID-19-Induced PTSD Among Health Care Providers" Psychiatry & Behavioral Health Learning Network - "Strengthening Our Well-Being During COVID-19"Read more ›

Episode 16 - May 2020 Topic: PA School and Beyond: Perspectives From PA Student Leaders Hosts: James Millward, PA-C, and Andrea Lowe, PA-C Guests: Cooper Couch, PA-S; Kaci Hardsock, PA-S; and Katie Ganser, PA-S Resources: AAPA Career Central - Become a PA AAPA Member Central - Pre-PA 9 Reasons to Become a PA 6 Steps to Become a PARead more ›

Episode 15 - March 2020 Topic: Meeting a Growing Need: PAs in Palliative Care Guest host: Andrea Lowe, PA-C Guests: Rose Direny-Jean, PA-C, and Rose Rutherford, PA-C Resources: PAs in Hospice and Palliative Medicine (PAHPM) - PAHPM.org Oman Medical Journal - "Palliative Care: Time for Action" Mayo Clinic - "Understanding Palliative Care and Hospice" BMJ Open - "What matters most for end-of-life care? Perspectives from community-based palliative care providers and administrators" The American Journal of Medicine - "Public Awareness and Perceptions of Palliative and Comfort Care" The Ochsner Journal - "The Role of Palliative Care at the End of Life" Medical Orders for Life-Sustaining Treatment (MOLST) - 8-Step ProtocolRead more ›

Episode 14 - February 2020 Topic: Beyond the Baby Blues: Addressing Postpartum Depression Guests: Kathleen Ehrhardt, MMS, PA-C, and Jacob Wills, PA-C This episode of Vital Minds is a collaborative effort between the nccPA Health Foundation and the PA Foundation and is part of the PArtners in Mental Health Initiative. This initiative leverages a collective impact change strategy to improve the nation’s health by advancing the roles of PAs and strengthening partnerships to address issues impacting mental health and substance use disorders. Achieving that goal means encouraging all PAs, regardless of discipline or practice setting, to be champions of mental healthcare and to join in the movement to reduce the stigma associated with mental illness. Join the movement today. Resources: nccPA Health Foundation – Mental Health CDC - "Depression Among Women" National Institute of Mental Health - "Postpartum Depression Facts" Psychiatry & Behavioral Health Learning Network - "Counseling Interventions Can Prevent Perinatal Depression" Postpartum Support International SMI Adviser - "What treatments are available for postpartum depression, or depression after childbirth?" SMI Adviser - "Using Antidepressants in Pregnancy" SMI Adviser - "Perinatal Psychiatry" Edinburgh Postnatal Depression Scale Read more ›

Episode 13 - September 2019 Topic: Food for Thought: Reframing Nutrition with Patients Guests: Ellen Mandel, MPA, PA-C, RDN, CDE Support for this episode of Vital Minds is provided by Abbott Nutrition. Resources: AAPA CME Central - Nutrition Toolkit Jean Ferrières - "The French paradox: lessons for other countries" American Diabetes Association - Prediabetes resources Academy of Nutrition and Dietetics - EatRight.org U.S. Department of Health & Human Services (hhs.gov) - Dietary Guidelines for Americans Office of Disease Prevention and Health Promotion (health.gov) - Dietary Guidelines USDA Center for Nutrition Policy & Promotion - ChooseMyPlate.gov Read more ›

Episode 12 - April 2019 Topic: Tackling Opioid Use Disorder in the Hospital Setting Guest: Richard Bottner, PA-C Support for this episode of Vital Minds is provided by Indivior, a global specialty pharmaceutical company with a 20-year legacy of patient advocacy and health policy, as well as education on evidence-based treatment models. Resources: Ascension Seton/The University of Texas at Austin Dell Medical School - Inpatient Buprenorphine Induction for Opioid Use Disorder Ascension Seton/The University of Texas at Austin Dell Medical School - Inpatient Management of Opioid Use Disorder: Buprenorphine/Naloxone Ascension Seton/The University of Texas at Austin Dell Medical School - Buprenorphine/Naloxone (Suboxone) Nursing Quick Reference Sheet Ascension Seton/The University of Texas at Austin Dell Medical School - Buprenorphine/Naloxone (Suboxone) Pharmacist Quick Reference Sheet SAMHSA TIP 63 Part 2: Addressing Opioid Use Disorder in General Medical Settings Massachusetts Health & Hospital Association - Guidelines for Medication for Addiction Treatment for Opioid Use Disorder within the Emergency DepartmentRead more ›

Episode 11 - March 2019 Topic: Healthcare Provider Burnout Guests: Nelae Keene, PA-C, and Jay Somers, PA-C This episode of Vital Minds is a collaborative effort between the nccPA Health Foundation and the PA Foundation and is part of the PArtners in Mental Health Initiative. This initiative leverages a collective impact change strategy to improve the nation’s health by advancing the roles of PAs and strengthening partnerships to address issues impacting mental health and substance use disorders. Achieving that goal means encouraging us, as PAs, to care for ourselves and one another so we’re the best that we can be for our patients. Resources: nccPA Health Foundation - Mental Health AAPA - "Are PAs Burned Out?" National Academy of Medicine - "Implementing Optimal Team-Based Care to Reduce Clinician Burnout" National Academy of Medicine - "Burnout and Job and Career Satisfaction in the Physician Assistant Profession: A Review of the Literature" Journal of the American Association of Nurse Practitioners - "Efficacy of the Well-Being Index to identify distress and stratify well-being in Nurse Practitioners and Physician Assistants"Read more ›

Episode 10 - January 2019 Topic: Addressing Addiction in PA Practice Guest: Gianni Migliaccio, PA-C Support for this episode of Vital Minds is provided by Indivior, a global specialty pharmaceutical company with a 20-year legacy of patient advocacy and health policy, as well as education on evidence-based treatment models. Resources: National Institute on Drug Abuse Addiction Medicine in Primary Care Substance Abuse and Mental Health Services Administration Integrating Addiction and Primary Care Services Qualify for NP and PA Waivers Society of PAs in Addiction Medicine The Commonwealth Fund - "In Focus: Expanding Access to Addiction Treatment Through Primary Care" Harvard Medical School CME Online - "Understanding Addiction" NCBI - "Estimating Demand for Primary Care-Based Treatment for Substance and Alcohol Use Disorders" Read more ›

Episode 9 - October 2018 Topic: Diet Dialogue: Approaching Patient Conversations Using National Nutrition Data Guests: Chris Taylor, PhD, and Ashlyn Smith, PA-C Support for this episode of Vital Minds is provided by Abbott Nutrition. Resources: National Health and Nutrition Examination Survey 1999–2016 Survey Content Brochure Long Term Effects of a Lifestyle Intervention on Weight and Cardiovascular Risk Factors in Individuals with Type 2 Diabetes: Four Year Results of the Look AHEAD Trial The Look AHEAD Trial: Implications for Lifestyle Intervention in Type 2 Diabetes Mellitus Diabetes Prevention Program (DPP) USDA Food and Nutrition Services AACE 2018 DM2 Guidelines (pp. 3-4, 24) ADA Standards of Medical Care in Diabetes 2018 (pp. 47-51) Why Muscle Mass Matters Costs of Malnutrition in Institutionalized and Community-Dwelling Older Adults: A Systematic Review USDA: What We Eat in America Patient Resources: My Game Plan: Food and Activity Tracker AADE Diabetes Wellness Program Dietary Guidelines for Americans USDA MyPlateRead more ›

Episode 8 - September 2018 Topic: National Trends in PA Leadership Guest: Andrea Lowe, PA-C, MHA Support for this episode of Vital Minds is provided by the American Academy of PAs. Resources: CHLM Case Study: "Utilizing PAs and NPs as autonomous clinicians in the clinic setting" CHLM Case Study: "Leadership Structure: System Case Study" CHLM Case Study: "Leadership Structure: Departmental Case Study" Read more ›

Episode 7 - June 2018 Topic: Extending the Practice Environment for Treating Patients with Opioid and Alcohol Use Disorder Guest: Christopher Ortiz, PA-C, EMT-P Support for this episode of Vital Minds is provided by the National Institute on Drug Abuse, Clinical Trials Network Dissemination Initiative. Resources: CTN Dissemination Initiative Adolescent Substance Use Screening Tools SAMHSA Opioid Overdose Prevention Toolkit STAT News: How effective is medication-assisted treatment for addiction? Here’s the science Comparative effectiveness of extended-release naltrexone versus buprenorphine-naloxone for opioid relapse prevention (X:BOT): a multicentre, open-label, randomised controlled trial Allied Against Opioid AbuseRead more ›