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| The Monthly Pulse |
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| Utah Governor Signs First PA Licensure Compact Bill into Law
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| The Story |
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| In March, Utah became the first state to adopt the PA Licensure Compact. S.B.35 was signed into law by Governor Spencer Cox and addresses professional licensing challenges across various industries, including the PA Licensure Compact. To become active, the compact must be adopted through legislation by seven states. |
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| What You Should Know |
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| While Utah is paving the way for the PA Licensure Compact, several other states are close behind. Texas, Rhode Island, Ohio, and Minnesota all have bills lined up for the 2023 legislative season to adopt the compact in their states. The compact would make it easier for PAs to practice in multiple states, thereby playing an important role in helping to address healthcare staffing shortages.
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| Debate over? On-pump CABG, off-pump CABG lead to similar 10-year outcomes
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| The Story |
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| According to findings from the Department of Veterans Affairs Randomized On/Off Bypass (ROOBY) Trial, 10-year outcomes for patients who received either on-pump or off-pump coronary artery bypass grafting were very similar. More than 1,000 veterans were tracked through the study, with the average age for both groups being 63.
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| What You Should Know |
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| Surgeons have debated on-pump versus off-pump surgery for roughly two decades. The findings from this study don’t quite settle the debate once and for all, however. The authors note that the data is limited, since the study only included male veterans. They suggest that while the findings may be helpful when deciding which procedure to use for male veterans who are candidates for either option, the findings should not be generalized to other populations, and each patient’s care should be individualized to meet their unique needs.
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| Randomized Feasibility Trial of Prophylactic Radiofrequency Ablation to Prevent Atrial Fibrillation after Cardiac Surgery |
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| The Story |
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| Recently, the FDA granted an investigational device exemption to use a bipolar radiofrequency clamp for prophylactic pulmonary vein isolation in a small trial of 60 cardiac surgery patients aged 70 and older. The goal was to reduce the incidence of postoperative atrial fibrillation (POAF). Results showed that POAF was 55% in the control group and 7% in the treatment group, suggesting that the device is effective for reducing POAF. |
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| What You Should Know |
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| While bipolar radiofrequency clamps have been used for patients with a preoperative history of Afib, this study explores the prophylactic use of the device in patients with no history of Afib. While the study was limited in scope, its results are promising. A larger, multi-center trial may be warranted to see if results are consistent.
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| Leadership Reflections |
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From Transition to Transformation
I think it’s safe to say we’ve all gone through significant transitions over the past three years. Some were forced upon us, such as the pandemic and economic downturn. Others were self-initiated; for example, our team is in the midst of a complete tech stack overhaul. It’s tempting to just tolerate transition with as little change as possible. I would like to propose striving toward transformation with the end goal of a stronger and more resilient individual, team, and organization.
Transition is the process of changing from one state or condition to another. Transformation, on the other hand, is a marked change in form, nature, or appearance. People are naturally resistant to change, especially significant transformational change. According to McKinsey & Company, 70% of organizational transformations fail and 72% of organizations with failed transformations cite employee resistance and management as the major barrier.
As a role model inspiring others to adopt new behaviors leading to transformation, it’s important to find other champions of change who will partner with you to:
- Influence others to buy into the vision
- Listen, show empathy for fears and struggles, and communicate well
- Build trust
- Coach others toward growth and adaptation
If you’re in the midst of transition or transformation, check out McKinsey & Company’s Perspectives on Transformation videos for some great insights and strategies.
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| AACN NTI 2023 |
| Mon., May 22 - Wed., May 24 |
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| 2023 STS Coronary Conference |
| Sat., June 3 - Sun., June 4 |
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| APACVS 42nd Annual Meeting |
| Wed., June 21 - Sun., June 25 |
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| Adult ECMO Specialist Course |
| Thurs., June 22 to Fri., June 23 |
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| EACTS Case Corner: Aortic Dissection |
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