No abstract

New treatment guidelines for acute rhinosinusitis outline when antibiotic therapy is appropriate, as well as describe evidence-based treatment to relieve symptoms, prevent complications, and prevent chronic disease.

18 JAAPA • april 2012 • 25(4) • www.jaapa.com commentAry T he first PAs were men, but three-quarters of PA students today are women. As our demographics continue to change, how will our profession evolve? When I asked this question of some of our profession's key leaders, I noticed that while most PAs in clinical practice are women, most leadership roles are filled by men. My focus then shifted to ask, why aren't more women PAs in key leadership roles?Early in my 30-year career, there was a frequent need to define our profession: "more than a nurse, less than a doctor." This was a terrible explanation, but it was the gold standard. Male PAs were commonly assumed to be physicians, while female PAs were often mistaken for nurses. Although these formative years involved an uphill battle for professional respect for all of us, I expect most women practicing during those years would agree that the hill was a bit steeper for "girls," who were also confronting other societal prejudices in the workplace. Men commanded higher salaries and wider ranging opportunities. In the hospital where I began my career, male PAs shared locker rooms with physicians and female PAs joined the nurses. These associations and shared identities provided leadership opportunities for the "boys" that were not available to the women.