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ACR Weighs in on APP Loans and Professional Degrees

ACR

The American College of Rheumatology (ACR) recently joined with 16 other healthcare organizations to submit comments to the U.S.

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Open-access Arthralgia Clinics

Jack Cush, MD

The early diagnosis in inflammatory arthritis (IA), particularly rheumatoid arthritis (RA), hinges on efficient referral and screening of arthralgia patients.

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SATISFACTION (2.27.2026)

Jack Cush, MD

Dr. Jack Cush reviews the news and journal reports from this past week on RheumNow.com.

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Equivalent Healthcare Outcomes by Nurses and Physicians

Jack Cush, MD

With increasing demand for health services in an aging population, serving complex patients with comorbidities, and increasing healthcare costs, the question of whether nurses can substitute for physicians was addressed by a recent Cochrane review.

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ANA Pollution (2.06.2026)

Jack Cush, MD

Dr. Jack Cush reviews the news, journal articles and regulatory news from this past week on RheumNow.com

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Difficult to Treat Rheumatoid Arthritis

Jack Cush, MD

Dr. Cush addresses the management of difficult-to-treat rheumatoid arthritis (D2TRA).

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Assess Reproductive Health in SLE Clinic Visits

Jun Chu , MSN, CRNP

Due to the complexity of SLE, rheumatology providers should take an active role in assessing reproductive health, providing education on how SLE may affect pregnancy, and taking a collaborative, multidisciplinary approach with the patient’s gynecologist.

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Methotrexate

Jack Cush, MD

In this session, Dr. Jack Cush reviews methotrexate.

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Physician Assistant Workforce Grew 28% in USA (2020 To 2024), reaching 189,188 PAs; increased in every state (lease in Alaska 10%, most in SCarolina 48%,(to 2,984 in 2024). In 2024, there were 55.6 PAs/100,000 population https://t.co/VdXP3aM3ga https://t.co/qin2zfuUZe

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Dr. John Cush RheumNow ( View Tweet)
Equivalent Healthcare Outcomes by Nurses and Physicians With increasing demand for health services in an aging population, serving complex patients with comorbidities, and increasing healthcare costs, the question of whether nurses can substitute for physicians was addressed by https://t.co/nKsFn7pUgw
Dr. John Cush RheumNow ( View Tweet)
Should I become a physician or physician assistant/associate? Practical overview from US News. KEY QUESTIONS: 1) which is harder to get into? 2) Career flexibility? 3) Work-Life balance? 4) Which fits for you? Both are a lifelong commitment to patient care. https://t.co/szv1nUmkYQ
Dr. John Cush RheumNow ( View Tweet)
AMA survey of 502 nurse practitioners (95% work on a MD-led team - 88% were satisfied; Half very satisfied working w/ MDs. 94% valued physician mentorship;  89% cited patient safety as a key benefit to physician-led care; and  88% listed liability protection as a key benefit. https://t.co/SVvr3XEQSz
Dr. John Cush RheumNow ( View Tweet)
American College of Chest Physicians has announced that advanced practice providers (APPs) can earn the CHEST Critical Care Advanced Practice Provider (CCAPP) designation; CCAPP Certification exam designed to validate clinical competence & Enhanced credibility/recognition https://t.co/Ip6YMjwOBc
Dr. John Cush RheumNow ( View Tweet)
Study shows half of FL autonomous nurse practitioners practicing outside their scope of practice. FL law allows autonomous NPs in primary care w/ 3K practice hrs. 194/328 NPs working in non-primary care: cosmetics, antiaging, IV hydration, vitamin infusions, hormonal Rx, https://t.co/WMksEb0Uyc
Dr. John Cush RheumNow ( View Tweet)
Hiring, Onboarding and Training APPs Tuesday Night Rheumatology: Hiring, Onboarding and Training APPs. Visit our Mission APP: Partners in Care site for more APP-focused articles and videos. https://t.co/CGrXSCrp9n https://t.co/wYkb6C1IEW

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Dr. John Cush RheumNow ( View Tweet)
UK NHS has cut use of physician associates over ‘substitute doctor’ fear. The reduction in roles is being blamed by union leaders for an increasing in waiting times and consultants’ workload. Plus 76% of PAs said their scope of practice had been restricted in recent months. GMC https://t.co/i0l4x9UVhZ
Dr. John Cush RheumNow ( View Tweet)
PA Assn President position on DES/gov Proposed Rule on Federal Student Loans "... loan rule is deeply flawed, outside the Dept’s authority...inconsistent w/.. Trumps rural healthcare workforce priorities.. excluding PAs will decimate US healthcare workforce pipeline" https://t.co/p5owv3Ui2B
Dr. John Cush RheumNow ( View Tweet)
Advanced Practice Rheum: Methotrexate https://t.co/PHAFWBG4gJ https://t.co/p9cMqT4nhR

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Medicare Primary Care Shortage - betw 2013 -2021, PCPs decr 25%, while APPs rose 91%. 2021 AVAILABILITY per 10,000 Medicare beneficiaries; - Total clinicians: 23.4 to 22.2 (–5%) - Total new visits: 1162 to 1102 (–5%) - Total PCPs: 20.0 to 15.5 (–22%) - APPs: 3.4 to 6.7 (+97%) https://t.co/ALQI3O3Ian

Dr. John Cush RheumNow ( View Tweet)
Nurse Practitioner Independence A JAMA Viewpoint article reports on a March 2025 Nurse Practitioner (NP) Entrepreneurship Summit in Boston in March 2025 identifying barriers and opportunities to NP-owned medical practices. https://t.co/rkzLwhnNYh https://t.co/bxJWptPQK9

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Dr. John Cush RheumNow ( View Tweet)
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