June 2019, Volume 112 - Issue 6

Summary of Selected Healthcare Encounters among a Selection of Patients with Myotonic Muscular Dystrophy

Kevin J. Bennett, PhD, Joshua R. Mann, MD, MPH, Lijing Ouyang, PhD

Abstract: Objective: Research has not examined the use of health care by patients with myotonic muscular dystrophy (MMD), but it would provide insights into this population, which is prone to comorbidities and high service needs. This study is an analysis of this understudied...

(pp 349-354)

Predictors of Empathic Compassion: Do Spirituality, Religion, and Calling Matter?

Caroline L. Thomas, MD, Mariana Cuceu, MD, Hyo Jung Tak, PhD, Marija Nikolic, MD, Sakshi Jain, MD, Theodore Christou, MD, John D. Yoon, MD

Abstract: Objective: To determine whether physician spirituality, religion, and sense of calling toward medicine are predictors of self-reported empathic compassion.Methods: We sampled 2000 practicing US physicians from all specialties and used self-reported measures of general and...

(pp 320-324)

Availability of Hospital Resources and Specialty Services for Stroke Care in North Carolina

Mehul D. Patel, PhD, Gilson Honvoh, MSPH, Antonio R. Fernandez, PhD, Rhonda Cadena, MD, Emma R. Kelly, BSPH, Philip McDaniel, MA, Jane H. Brice, MD, MPH

Abstract: Objectives: Effective regionalization of acute stroke care requires assessment and coordination of limited hospital resources. We described the availability of stroke-specific hospital resources (neurology specialty physicians and neuro-intensive care unit bed capacity)...

(pp 331-337)

Everyday Leadership: A Combined Resident and Faculty Workshop

Sherine Salib, MD, MRCP, FACP, Victoria Valencia, MPH

Abstract: Objectives: Historically, physicians have always been viewed as leaders in the healthcare field. Whether they embrace this role, physicians often find themselves in a leadership role, from the clinical setting to an institutional setting. In most cases, this leadership role...

(pp 301-304)

Commentary on “Dealing with Surrogate Conflict: A Student’s Perspective”

G. Richard Holt, MD, MSE, MPH, MABE, DBioethics

Abstract: I would like to commend Drs Su and Fleming for their article “Dealing with Surrogate Conflict: A Student’s Perspective,” which addresses this important aspect of end-of-life decision making, with a particular emphasis on what medical students should understand about...

(pp 318-319)

Dealing With Surrogate Conflict: A Student’s Perspective

Derek Su, MD, David A. Fleming, MD, MA

Abstract: Surrogate decision making is a standard arrangement for patients who are unable or unfit to make independent healthcare decisions. Ideally, the surrogate–patient relationship would be current and meaningful, and the participants in it would have recently discussed the...

(pp 315-317)

OPEN: Practical Considerations for the Academic Physician Moving to a New State

Jeremy B. Richards, MD, MA, Susan R. Wilcox, MD

Abstract: Moving from one state to another for a new position or opportunity is a common event for academic physicians. Although moving can be personally and professionally disruptive for everyone, it can be particularly challenging for academic physicians. From practical...

(pp 305-309)

On “Healthcare Professionals and In-Flight Medical Emergencies: Resources, Responsibilities, Goals, and Legalities as a Good Samaritan”

Jim Q. Ho, BA, Ware G. Kuschner, MD

Abstract: To the Editor: We read with interest the article by de Caprariis et al that appeared inthe January 2019 issue of the Southern Medical Journal.1 The authors provide anauthoritative review of matters of importance to healthcare professionals who respond to in-flight...

(pp 355)

Holiday Discharges Are Associated with Higher 30-Day General Internal Medicine Hospital Readmissions at an Academic Medical Center

Ajay Dharod, MD, Brian J. Wells, MD, PhD, Kristin Lenoir, MPH, Wesley G. Willeford, MD, Michael W. Milks, MD, Hal H. Atkinson, MD, MS

Abstract: Objective: Academic medical centers face unique challenges in educating physician trainees in effective discharge practices to prevent readmissions. Meanwhile, residents must handle high workloads coupled with frequent rotations to different services. This study aimed to...

(pp 338-343)

Authors’ Response

Pascal Joseph de Caprariis, MD, Angela de Caprariis-Salerno, RPh, MS

Abstract: To the Editor: Mr. Ho and Dr. Ware suggested advising an ill airline passenger regarding the Health Insurance Portability and Accountability Act of 19961 (HIPPA) protection of his or her health information “if circumstances permit” and/or with a surrogate “when...

(pp 356)

Increasing Prevalence of Chronic Hepatitis C Virus Infection in a Southern Academic Obstetrical Clinic

Gweneth B. Lazenby MD, Cody Orr BA, Constance Guille MD, Eric G. Meissner MD, PhD

Abstract: Objectives: The opioid epidemic has resulted in rising rates of hepatitis C virus (HCV) infection in women of childbearing age. With this changing epidemiology in mind, the Infectious Diseases Society of America/American Association for the Study of Liver Diseases...

(pp 325-330)

Canine-Assisted Therapy in Hospitalized Patients Awaiting Heart Transplantation

David Snipelisky, MD, Jessica Smidt, BS, Shawn Gallup, RN, Jane Myrick, RN, Brent Bauer, MD, M. Caroline Burton, MD

Abstract: Objectives: Patients awaiting heart transplantation can be listed for prolonged periods of time and, as a result, the prevalence of anxiety and depression is high. Our study evaluates the feasibility of canine-assisted therapy (CAT) in this population.Methods: A...

(pp 344-348)

CME Article: Workplace Violence: Experiences of Internal Medicine Trainees at an Academic Medical Center

Becky Lowry, MD, Leigh M. Eck, MD, Erica E. Howe, MD, JoHanna Peterson, MD, Cheryl A. Gibson, PhD

Abstract: Objectives: Healthcare professionals are at higher risk for workplace violence (WPV) than workers in other sectors. This elevated risk exists despite the vast underreporting of WPV in the medical setting. The challenge of responding to this risk is compounded by limited...

(pp 310-314)