SMJ : December 2019 Issue

December 4, 2019 // Randy Glick

The Southern Medical Journal is the official, peer-reviewed journal of the Southern Medical Association. It has a multidisciplinary and inter-professional focus that covers a broad range of topics relevant to physicians and other healthcare specialists, including medicine; surgery; women’s and children’s health; mental health; emergency and disaster medicine; public health and environmental medicine; bioethics and medical education; and quality health care, patient safety, and best practices.

Southern Medical Journal • Vol. 112 • No. 12 • December 2019

Quality Care & Patient Safety
CME Article: A Hospitalist-Led Team to Manage Patient Boarding in the Emergency Department: Impact on Hospital Length of Stay and Cost
Alexander Hrycko, MD, Vishal Tiwari, MD, Michael Vemula, MD, Ashley Donovan, BS, Christine Scibelli, RN, Kirti Joshi, MD, Paul Visintainer, PhD, and Mihaela S. Stefan, MD, PhD

Commentary on “A Hospitalist-Led Team to Manage Patient Boarding in the Emergency Department: Impact on Hospital Length of Stay and Cost”
Amy A. Ernst, MD

Emergency Medicine & Disaster Preparedness
Emergency Medicine Resident–Driven Point of Care Ultrasound for Suspected Shoulder Dislocation
Benjamin Boswell, DO, Robert Farrow, DO, Michael Rosselli, MD, David A. Farcy, MD, Luanna Santana, RN, Carlos Dos Santos, BA, and Luigi X. Cubeddu, MD, PhD

Bioethics & Medical Education
How Postbaccalaureate Career Changer and Traditional Medical Students Differ Academically
I. Cori Baill, MD, Bertha Ben Khallouq, MA, Oloruntomi Joledo, PhD, Anna Jacobs, BA, Robert Larkin, BA, and Nyla Dil, DVM, PhD

Commentary on “How Postbaccalaureate Career Changer and Traditional Medical Students Differ Academically”
Lewis L. Hsu, MD, PhD

Spirituality of Physicians
Duraiyah Thangathurai, MD, PhD, Sarah Vitug, MD, MPhil, and Vikas Ravi, MD

Editor’s Response
G. Richard Holt, MD, MSE, MPH MABE, DBioethics

Medicine & Medical Specialties
Dietary Supplement Use is High among Individuals with Parkinson Disease
Christine C. Ferguson, MS, RD, Linda L. Knol, PhD, RD, Anne Halli-Tierney, MD, and Amy C. Ellis, PhD, RD

Public Health & Environmental Medicine
Social Support for Physical Activity for High Schoolers in Rural Southern Appalachia
Pooja Shah, BSPH, Jodi L. Southerland, DrPH, and Deborah L. Slawson, PhD, RD, LDN

Women’s & Children’s Health
When to Worry about Cancer: Concurrent Carcinoma and Recurrence in Borderline Ovarian Tumors
Mackenzie W. Sullivan, MD, and Susan C. Modesitt, MD

SMJ Home
Subscribe
Archives
Call For Reviewers
SMA Services, Inc.

Sponsored by SMA Services, Inc.

Posted in: SMJ

Did You Miss Out on the 2019 Southern Regional Assembly?

November 7, 2019 // Randy Glick

Did you miss SMA's Southern Regional Assembly?

Review some of the highlights from this year's Assembly

SMA Presidential Installation

Philip Hartman, MD
SMA 2019-20 President

"While respecting the one hundred and thirteen year old organization we represent, we must continually evolve to draw in new members and provide value to our current members. While once upon a time, physicians joined organizations because “This is my specialty,” or “This is my region” or even “I believe in this mission,” Today's young physicians look more for return on investment. We also place a high value on work-life balance."

Click Here to Learn More about Dr. Hartman

Installation of New Leadership

Along with the installation of the new SMA President Dr. Philip Hartman, SMA also installed new leadership -- Dr. Christopher Morris is the new President-Elect and Dr. Donna Breen assumed the role of the President-Elect Designate. New committee members were also recognized. We would like to say thank you to all the newly installed members of our SMA Membership for your commitment to serve and lead SMA.

Click Here to See SMA's New Leadership
Click Here to See All of the New Committee Members

Young Physicians' Day

On the Saturday session of the Assembly, SMA hosted a Young Physicians' Day Abstract Competition. We started off the morning with Poster Presentations. It was a great morning of SMA Leadership and other Physicians walking around learning about the research done by Residents and Medical Students. Following the Poster Presentations, we had Residents/Medical Students/and Fellows presenting Oral Abstracts in front of the audience of the Assembly.  

Click Here to See the Results of the Abstract Competition

2020 Southern Regional Assembly

SMA Installs New Committee Members

November 7, 2019 // Randy Glick

AT THIS TIME, SMA WOULD LIKE TO RECOGNIZE OUR NEW COMMITTEE APPOINTMENTS.

NEW MEMBERSHIP COMMITTEE MEMBERS

Karan Pastora, BS

Dantwan Smith, MD, MBA

NEW EDUCATION COMMITTEE MEMBERS

David S. H. Bell, MD

Christopher Jackson, MD

Errington Thompson, MD

Natalie Weiss, BA, BS, MS

NEW BUDGET AND FINANCE COMMITTEE MEMBER

Karan Pastora, BS

NEW ALLIANCE COMMITTEE MEMBERS

Stella Brown, BA

Dr. Alicia Hodge

THANK YOU ALL FOR YOUR COMMITMENT TO SERVE AND TO LEAD SMA.

SMA Installs Philip Hartman as the 2019-20 President
SMA Installs New Leadership

SMA Installs New Leadership

November 7, 2019 // Randy Glick

Christopher Morris, MD
President Elect 2019-20

Christopher R. Morris, MD, a board certified rheumatologist with more than 25 years’ experience, is in private practice in Kingsport, Tennessee at Arthritis Associates. Additionally, he has served as a clinical educator for internal medicine residents at East Tennessee State University in Johnson City, Norton Community Hospital in Norton, Virginia, and Johnston Memorial Hospital, in Abingdon, Virginia.

A native of Springfield, Illinois, Dr. Morris received his undergraduate degree from Tulane University in New Orleans, Louisiana, and received his medical degree from the Universidad Autonoma de Guadalajara, Guadalajara, Jalisco, Mexico. He completed his Internship and Residency at the University of Tennessee Medical Center in Knoxville, and Rheumatology fellowship at the Medical College of Georgia in Augusta.

Dr. Morris is an active member of the Southern Medical Association (SMA) and currently serves as the Chair of the Education Committee. He previously has served as an SMA Councilor for the state of Tennessee, as well as a member of several of the Association's Education Design Groups. Additionally, Dr. Morris has served on 5 Committees for the American College of Rheumatology, currently serving on the Government Affairs Committee, which advocates for the specialty of Rheumatology, as well asfor the patients with arthritic diseases.

In her own words,

I am an Otolaryngologist practicing general ENT and allergy for the past 30 years in Marksville, Louisiana after finishing my residency at Tulane Medical Center in 1988. I graduated from University of Alabama Medical School cum laude in 1983. Also, I completed a fellowship in Otolaryngic Allergy in 1992. I am proud to serve the needs of a semirural small town community and take care of adults and children with ear, nose, and throat problems who would have to travel many miles for their care.

Practicing in a small community was very new to me when I first came here. I grew up in New Orleans, Louisiana and was educated in the public and parochial schools there. Living in a smaller community remained a challenge for me in adjustment, but I have come to realize that this environment is perfect for me. I get to know my patients and their families, and their extended families, and relatives, which engages me in their lives, both as a medical doctor, friend and mentor. It is truly the best of both worlds and I have come to treasure my practice as a small town doctor in this community.

I joined the SMA in 1984, while I was a resident and I have been a member ever since. I enjoyed the collegiality as well as the learning experience. It is a big organization with a small town atmosphere in that we are emboldened to learn from the experts in a spirit of congeniality and relaxed learning experience. It is an organization where everyone has equal time, every question has equal value, and everyone has the right to understand the concepts that are being presented. No question or thirst for knowledge is too little and everyone is included in the quest for medical knowledge and skills in the healing arts.

Donna Breen, MD
President Elect Designate 2019-20

SMA Installs New Committee Members
SMA Installs Philip Hartman as the 2019-20 President

SMA Installs Philip Hartman as the 2019-20 President

November 7, 2019 // Randy Glick

Philip Hartman, MD
SMA President 2019-20

Click Here to Read Dr. Hartman's Speech

Originally from Southwest Ohio, Dr. Hartman received his bachelors of science in Biology at Wheeling Jesuit University in West Virginia and returned to the Cincinnati area for medical school at the University Of Cincinnati College of Medicine.  After medical school, he became a board certified Family Physician through training with St Elizabeth Healthcare of Northern Kentucky. He practices broad-based, integrative family medicine in an outpatient setting for infants through the elderly, performing numerous procedures, acupuncture for the treatment of pain and traditional Western medicine for other chronic disease states and ailments such as obesity, diabetes, hypertension, and drug addiction. He is passionate about providing for his patients' needs with high quality, evidence-based care.

He regularly teaches medical students from his own alma mater as well as the University of Louisville, holding a gratis associate faculty positions at each. Taking his mission abroad, he has left the country numerous times to see patients in Belize and Haiti.

While serving as the Councilor to the State of Kentucky for the Southern Medical Association, he strove to bring other physicians the tools they needed to enjoy practicing excellent medicine. He continues that through his leadership as President of SMA.

In his spare time, he enjoys reading suspense novels and participating in outdoor activities with his wife, three children and two dogs. He also enjoys farming and attempts to play an active role in the production of as much of his family's food as possible through raising fruit trees, crops, chickens, fish and bees.

SMA Installs New Committee Members
SMA Installs New Leadership

SMA Recognizes Young Physicians and Physicians-in-Training at the Regional Assembly

November 7, 2019 // Randy Glick

The work of talented medical students and residents was on display Saturday, November 2, during SMA’s Southern Regional Assembly in Birmingham, Alabama. With more than 40 poster and oral abstract presentations, meeting attendees had the opportunity to interact with the presenters while hearing interesting case studies and learning about various fields of research. Prizes were awarded for the best posters and oral abstracts and SMA would like to recognize the winners:

Oral Abstract Winners

1st Place: An Analysis of Proton Pump Inhibitor Therapy and Glycemic Control in Patients with Type 2 Diabetes Mellitus
Mark Daniel Cromer, BS

2nd Place: Impella Device Success: Walking Home after Cardiogenic Shock from Ventricular Fibrillation
Christopher Taylor Smith, DO

3rd Place: When Negative Imaging And Cultures Fool The clinical Picture Of A Brain Abscess And What to Trust
Jared B. Mullins, DO

Poster Winners

1st Place: P02: An Unusual Case of Disseminated Nocardial Infection Resulting in Brain  Abscess in an Immunocompetent Patient
Talha Perwez, MD

2nd Place: P17: Knowledge, Attitudes, and Beliefs Regarding HIV Post-Exposure  Prophylaxis
Katie O'Connell, MS

3rd Place: P04 Paradoxic septic emboli in a setting of tricuspid valve infective endocarditis  and atrial septal defect: A case report
Catherine Ann Adams, BS, MD

Travel Award Winner

Given in Recognition of the Highest Submission Score Received for the Abstract
Marshall University Surgery Resident Radiation Safety
Ruth Pula Gerola, BSN, MD

Congratulations to all of our presenters! Each of you helped make SMA’s Southern Regional Assembly a success! For a complete listing of all posters and oral abstracts presented at the Assembly, please visit https://sma.org/presentations.

New Courses from the Business of Medicine

November 7, 2019 // Randy Glick

Presented by:
Stanley (Stan) G. Harris, PhD

Ethics and Motivating Change in a Millennial Workforce

Credits: 1 | ABIM MOC Points: 1

As healthcare leaders and practitioners, you are expected to change to meet demands or capitalize on opportunities. Sometimes you get to guide the change from the beginning and other times you are expected to implement a change determined by someone else. Regardless of the impetus, how do you help change efforts succeed particularly given the historical odds of success? Only about a third of change efforts accomplish their designed purposes, another third fall woefully short, and a third fail. In this presentation, and drawing from over 25 years of research on the “Building Readiness for Change” model by Achilles Armenakis and Stan Harris, you will explore the five key concerns that underlie individuals’ decisions to resist, comply with, or support changes and examine them in your own context. You will also gain insight into the six leadership behaviors that can shape these concerns to build change support and enthusiasm.

Take this Course Now

Presented by:
Joni Wyatt

Opportunities in Value Based Reimbursement

Credits: 1 | ABIM MOC Points: 1

As the healthcare industry moves to value based reimbursement, providers and health systems are often caught in the crossfire of new regulations, new reimbursement models and the potential for government incentives or penalties. Thriving in this new environment requires an understanding of new regulations, knowledge of the available reimbursement models and the ability to access risk and reward associated with each opportunity. The goal of this activity is to present information on new types of reimbursement models, the infrastructure needed to make them successful and how they may impact current revenue and patient care. Concepts around the integration of value based care as part of a long term strategy will also be discussed, along with processes to ensure successful implementation.

Take this Course Now

Presented by:
Nneka Unachuwku, MD, FAAP

Career Development: Lifelong Learning - Don’t Stop at MD, Think Like an Entrepreneur

Credits: .50 | ABIM MOC Points: .50

The health care industry is in the middle of a disruption. For the first time in decades, less than 50% of practices are physician owned. This is despite the fact that the research shows better patient outcomes with physician led systems. While there are many reasons for this, one of the major reasons is because physicians lack business skills and so avoid the business of medicine altogether. Physicians need to add business skills to their clinical skills in order to not only take great care of their patients but to also build the thriving systems needed.

Take this Course Now

Presented by:
Robert Martin

Marketing and Promoting Your Medical Practice

Credits: .75

Approximately 1 out of 5 of healthcare professionals do not have a website, making it harder for new patients to find them. SMA's Business of Medicine Simplified Conference will provide information to improve communication skills, develop relationships, and better engage patients through the use of tools and techniques available via internet marketing.

Take this Course Now

Presented by:
Kayla Blakely, DPN, CRNP, NP-C

State of Rural Health in the South

Credits: 1 | ABIM MOC Points: 1

The primary care workforce across the United States has significantly aged. In Alabama alone, predictions forecast Alabama will require a 23% increase in primary care providers within the next 10 years to meet the demands of the growing and aging population. The decline in primary care providers available and the lack of access to healthcare in rural areas creates a challenge. Overcoming the provider and access shortage can be accomplished through implementing interprofessional teams, philanthropic partnerships and academic-practice partnerships. The goal of this activity is to introduce the concepts needed to help a clinician become proactive in improving rural health and identify ways to implement new partnerships.

Take this Course Now

Presented by:
Teddy Gillen

MedMal 101: Contracts, Claims, and Risk Management

Credits: .75

The past 5-10 years have been a 'buyers market' for independent physicians in search of medical malpractice insurance coverage. Pricing has been going down year over year and more carriers are entering the market. In the last year, we have seen 7 insurance companies go insolvent. Underpriced coverage, large judgements, reinsurance availability and carriers operating at an underwriting loss are factors pointing towards a hardening malpractice marketplace. It is important that independent physicians understand their options. Malpractice contracts can be complicated, and sometimes even confusing for a provider who is navigating the selection of the best possible contract, at the best possible rate, or to meet a specific need. The goal of this activity is share insights on claims trends and the other forces that determine pricing; examine the basics of medical malpractice insurance terms, and the various contracts available to the independent physician; and provide tips on risk management strategies to mitigate risk to malpractice claims.

Take this Course Now

Presented by:
Teddy Gillen

MedMal 101: Contracts, Claims, and Risk Management

Credits: 1 | ABIM MOC Points: 1

Technology in every industry in business has been able to make things more efficient, automate processes, and reduce costs. However, in healthcare thus far, things have been the absolute opposite or extremely stagnant. Technology has yet to gain the same the traction and in some ways has taken a few steps backward. It has not done what we have all expected would occur; improve the quality of care for patients and improve the quality of life for providers, reduce healthcare costs, improve throughput, and make things so much easier. Why?

Take this Course Now

Presented by:
G. Richard Holt, MD, MSE, MPH, MABE, DBE

Publishing a Manuscript

Credits: .50

Medical research, clinical studies, and knowledge sharing through scientific publications are all foundational to the profession of medicine. Preparing scientific manuscripts properly is a foundational capability for medical students, resident physicians, and practicing physicians. In particular, the Southern Medical Journal is a multidisciplinary journal which strives to provide a format for sharing of clinical information across specialties with the goal of excellence in patient care. Properly preparing a manuscript for submission to a medical journal is both an art and a science, and many manuscripts fail to meet the standards set forward by a specific journal. The goal of this activity is to enhance the knowledge of the attendees in manuscript preparation, and to provide resources for that goal.

Take this Course Now

SMA Online CME Courses make it easy to obtain AMA PRA Category 1 Credits™.

Courses are available to anyone and are free to SMA Members.

Posted in: CME

SMJ : November 2019 Issue

November 4, 2019 // Randy Glick

The Southern Medical Journal is the official, peer-reviewed journal of the Southern Medical Association. It has a multidisciplinary and inter-professional focus that covers a broad range of topics relevant to physicians and other healthcare specialists, including medicine; surgery; women’s and children’s health; mental health; emergency and disaster medicine; public health and environmental medicine; bioethics and medical education; and quality health care, patient safety, and best practices.

Southern Medical Journal • Vol. 112 • No. 11 • November 2019

Women’s & Children’s Health
Provider Practice and Perceptions of Pediatric Obesity in Appalachian Kentucky
Timothy S. Thornberry, Jr, PhD, Valery R. Bodziony, MS, and David A. Gross, MPA

Commentary on “Provider Practice and Perceptions of Pediatric Obesity in Appalachian Kentucky”
Inés María Anchondo, DrPH, RD

Teen Driving Education in a Pediatric Emergency Department: Effectiveness of a Toolkit
Zoza Grace Spears, MD, Brittany Schoen, BSN, RN, Tiffany Thompson, RN, BSN, Michele Nichols, MD, William King, MPH, DrPH, and Kathy Monroe, MD

Role of Physician Gender in the Modern Practice of Obstetrics and Gynecology: Do Obstetrician-Gynecologists Perceive Discrimination from their Sex?
Mark Turrentine, MD, Mildred Ramirez, MD, Lauren Stark, MPP, Carrie Snead, MA, and Jay Schulkin, PhD

Bioethics & Medical Education
Curriculum Enrichment Across the Medical Education Continuum Using e-Delphi and the Community Priority Index
Hamisu M. Salihu, MD, PhD, Deepa Dongarwar, MS, Erik D. Malmberg, PhD, JD, Toi B. Harris, MD, Jennifer G. Christner, MD, and William A. Thomson, PhD

Public Health & Environmental Medicine
Patients and Guns: Florida Physicians Are Not Asking
Melanie G. Hagen, MD, Babatunde Carew, BS, Marie Crandall, MD, MPH, and Zareen Zaidi, MD, PhD

Medicine & Medical Specialties
Frequency of β-Blocker Use Following Exacerbations of COPD in Patients with Compelling Indication for Use
Nathan Pinner, PharmD, Wesley Oliver, PharmD, MS, Tara Veasey, PharmD, Jessica Starr, PharmD, Sarah Eudaley, PharmD, Amber Hutchison, PharmD, and Kurt Wargo, PharmD

CME Article: Impact of β-Lactam Allergies on Antimicrobial Selection in an Outpatient Setting
Rachel A. Ness, PharmD, BCPS, Jessica G. Bennett, PharmD, Whitney V. Elliott, PharmD, BCPS, BCGP, Amanda R. Gillion, PharmD, BCPS, and Debendra N. Pattanaik, MD, MBBS, FACR, FAAAI

Scratching the Surface of the Antivaccination Phenomenon
Faysal Alhasan, MD, Leen Makki, MD, and Steven Lippmann, MD

SMJ Home
Subscribe
Archives
Call For Reviewers
SMA Services, Inc.

Sponsored by SMA Services, Inc.

Posted in: SMJ

A Qualitative Assessment of Healthcare Experiences and Perceptions Among Pregnant and Postpartum Women with a History of Drug Use

October 21, 2019 // Randy Glick

A Qualitative Assessment of Healthcare Experiences and Perceptions Among Pregnant
and Postpartum Women with a History of Drug Use

Author: Alexandra Ranucci, BS, MS4, Department of Obstetrics and Gynecology, Tulane School of Medicine, New Orleans, LA
Co-Authors: Alexandra Ranucci, Jinnesse Taylor, Clara Wynn,
Department of Obstetrics and Gynecology, Tulane University School of Medicine

Knowledge Gap: Women who use illicit drugs during pregnancy are often faced with the difficult decision  whether or  not to seek prenatal care that will likely include drug screening and subsequently reveal illegal  substance use. We believe clinician actions and implicit biases during initial encounters with pregnant  women who use drugs have the ability to greatly impact this decision. Our study aims to better  understand the factors that encourage or dissuade these women from seeking prenatal care and  ultimately disclosing their substance use. Additionally, we aim to elicit women’s perceptions of  clinician actions after learning of their drug use, with suggestions for clinician improvement when  treating this population.

Design: We recruited 11 women from two Louisiana drug rehabilitation centers who were pregnant or gave  birth within the past two years and reported drug use during that pregnancy. We utilized semi‐ structured qualitative interviews, and collected lifetime drug use and pregnancy histories and basic  demographics. Using NVivo software, three independent research team members have begun to  conduct in‐depth analysis to identify interview themes using an exploratory approach. Consensus  building rounds will occur to resolve discordant coding.

Findings: Based on preliminary interview coding, a variety of factors were identified as contributing to a  woman’s reluctance to seek prenatal care, including: perception of judgement from clinicians, fear of  DCFS intervention and child separation, and drug addiction and the need to use superseding other  priorities like accessing healthcare. Recommendations for providers included the need for clinicians to  address drug use more directly, explicitly asking if treatment was desired as well as any other social  factors impacting their drug use and pregnancy.

Implications: In response to these themes, our preliminary recommendations include: improved training to  mitigate clinician implicit bias specifically when providing prenatal care to women using drugs, and  education regarding the full scope of substance use treatment options available to patients in order to improve clinician comfort in directly addressing substance use with evidence based treatment.

Subscribe for Updates

* indicates required
Newsletter
Login or Create a Free Account
SMA Membership

Members Login or Create a Free Account to view this Episode.

Posted in: Hidden

A student-led interactive campaign day teaching UME trainees to Choose Wisely

October 21, 2019 // Randy Glick

A student-led interactive campaign day teaching UME trainees to Choose Wisely

Author: Sudarshan J Mohan, Bachelor of Science in Public Health in Biostatistics and Quantitative Biology (UNC‐Chapel Hill), Master of Science in Biomedical Sciences (EVMS), Medical Student (second year), School of Medicine, EVMS, Eastern Virginia Medical School, Norfolk, Virginia
Co-Authors: Lauren Keenan/B.S. Cell Biology and Biochemistry, Bucknell Univ. (2017), Medical Student, Eastern Virginia Medical School/Norfolk, VA

Background: The negative implications of wasteful healthcare spending are well‐documented in literature; yet, the  physician’s responsibility in reducing healthcare costs is not effectively taught during medical training.  Recently, many have advocated for the addition of a high‐value care (HVC) competency to modern  medical curriculum in an effort to pre‐emptively educate students on resource stewardship and  counteract high‐ordering practice habits often developed in residency. Eastern Virginia Medical  School has taken steps to establish a high‐value care thread within our Care Forward Curriculum. The  inaugural year (2018‐2019) of incorporating Choosing Wisely into the curriculum included an  interactive learning day for the entire community that is described here.

Intervention: The inaugural Choosing Wisely Day took place on November 16, 2018. The event was open to  students of all‐disciplines and levels, residents, attendings, and faculty. Events included a keynote  with a well‐known high‐value care expert, a poster session with “Top 5” Choosing Wisely  recommendations, and an innovation challenge, modeled after the popular television show Shark  Tank. We also hosted the American College of Radiology, who prepared several Choosing Wisely‐ based cases and taught students to use their Clinical Decision Support Tool to aid in providing high‐ value care.

Outcomes: Over 100 students representing each of our medical school classes and numerous faculty attended  and/or participated in at least one of the events during the day. The most notable outcome of the day  was establishing a value‐added role for students to engage residents, attendings, and other faculty by  using recommendations supported by medical specialty societies to advocate for patients. Following  the intervention, attendees were administered a pre‐/post‐evaluation, designed to survey students'  prior knowledge about high‐value care, willingness to seek out Choosing Wisely resources, and  comfort in applying HVC concepts in the clinical setting. Results indicated that students largely  recognized low‐value care as an issue at baseline, even though statistically significant increases  (p<.01) were observed in students' agreement with statements establishing the presence and ill effect  of low‐value care. A key finding was students' markedly increased reported likelihood to seek out  Choosing Wisely recommendations to guide their clinical decision making (p<.0001). This suggests  that Choosing Wisely Day may have provided students with the knowledge and resources to  incorporate value into their medical education and practice prior to entry into residency. However, we  also observed that students reported relatively low comfort levels in identifying overuse and advising  patients accordingly in the clinical setting. We thus have recognized skills involved in practicing high‐ value care as a target area for improving subsequent Choosing Wisely events.

Future Directions: We will continue to host a Choosing Wisely campaign day annually, while ensuring to modify event  content to address students’ self‐reported areas of weakness in applying HVC in clinical practice. In  future years, we will continue to engage students in both the planning and execution of the event, increase attendance through improved marketing, and further increase awareness of Choosing Wisely  and the importance of High‐Value Care.

Subscribe for Updates

* indicates required
Newsletter
Login or Create a Free Account
SMA Membership

Members Login or Create a Free Account to view this Episode.

Posted in: Hidden

SMA Connect

October 9, 2019 // Randy Glick

With SMA Connect, a new member benefit, Southern Medical Association (SMA) members gain a powerful resource by which members can connect, exchange knowledge and share solutions.

SMA Connect, is a cloud-based, private member-only online community. The community includes an open forum for general member discussion, as well as Board of Directors and Committee forums for facilitating communications and document sharing. Other communities planned for launch include Medical Student and Residents forums.

SMA Connect
SMA Membership
Posted in: SMJ

SMJ : October 2019 Issue

October 3, 2019 // Randy Glick

The Southern Medical Journal is the official, peer-reviewed journal of the Southern Medical Association. It has a multidisciplinary and inter-professional focus that covers a broad range of topics relevant to physicians and other healthcare specialists, including medicine; surgery; women’s and children’s health; mental health; emergency and disaster medicine; public health and environmental medicine; bioethics and medical education; and quality health care, patient safety, and best practices.

Southern Medical Journal • Vol. 112 • No. 10 • October 2019

Women’s & Children’s Health
Improving Transitions of Care for Healthy Adolescents and Young Adults
Shannon Leung, MD, MPH, Mason Walgrave, MD, and Sarah Mennito, MD, MSCR

Enhanced vs Standard Parents as Teacher Curriculum on Factors Related to Infant Feeding among African American Women
Lisa Tussing-Humphreys, PhD, MS, RD, Jessica L. Thomson, PhD, Melissa Goodman, PhD, and Alicia Landry, PhD, RD

Bioethics & Medical Education
Implementation of Case Conferences to Improve Interprofessional Collaboration in Resident Continuity Clinic
Tanya Nikiforova, MD, MS, Carla L. Spagnoletti, MD, MS, Scott D. Rothenberger, PhD, Kwonho Jeong, MS, and Peggy B. Hasley, MD, MHS

Teaching Medical Students in the Rural Setting Long Term: Physicians’ Attitudes and Perceptions
John Wheat, MD, MPH, John Brandon, MD, Melissa Cox, PhD, Scott Thomas, MD, Susan Guin, MSN, and James Leeper, PhD

CME Article: A More Directive Living Will for Older Adult Patients with End-Stage Medical Conditions?
Jack DePriest, MD, MACM, Priyanka Jagannath, MD, Michael Iannetti, MD, and Suzanne Kemper, MPH

Medicine & Medical Specialties
Use of Rheumatologic Testing in Patients Who Eventually Receive a Diagnosis of Rheumatoid Arthritis
Dilpreet K. Singh, MD, Jasdeep Badwal, MD, Ritika Vankina, MD, Santhi Gokaraju, MD, Jennifer Friderici, MS, Scott Halista, MD, and Tara Lagu, MD, MPH

Commentary on “Use of Rheumatologic Testing in Patients Who Eventually Receive a Diagnosis of Rheumatoid Arthritis”
Kam A. Newman, MD, and MohamadOmid Edrissian, MD

Intravascular Iodinated Contrast Is an Independent Cause of Acute Kidney Injury Following Coronary Angiography
Srijan Tandukar, MD, Helbert Rondon-Berrios, MD, MS, and Steven D. Weisbord, MD, MSc

Sports-Injury Encephalopathy
Angeline Prabhu, MD, Bilal Abaid, MD, Samreen Fathima, MD, Shivani Naik, MD, and Steven Lippmann, MD

Venous Thromboembolism: Are NOACs the Right Initial Drug of Choice for Unprovoked Venous Thromboembolism?
Ahmed K. Pasha, MD, Anupa Baral, MD, and Ahmed K. Pasha, MD Anupa Baral, MD

SMJ Home
Subscribe
Archives
Call For Reviewers
SMA Services, Inc.

Sponsored by SMA Services, Inc.

Posted in: SMJ

Medical Ultrasound Awareness Month

September 25, 2019 // Randy Glick

October is Medical Ultrasound Awareness Month

Check out our Ultrasound Resources.

Use of Point-of-Care Ultrasound in Cardiopulmonary Disease

Despite numerous studies documenting the benefits of an ultrasound-enhanced bedside examination, focused or "point-of-care" ultrasound (POCUS) is underutilized, particularly among hospitalists and general practitioners. Cardiopulmonary disease is a leading cause of morbidity and mortality as well as healthcare spending. Use of cardiopulmonary POCUS has significant potential to enhance diagnostic accuracy for these conditions and improve patient care.

Check out the CME Course

Check out the July 2018 issue of the Southern Medical Journal which focus on POCUS, Point of Care Ultrasound.

Check out the SMJ
Posted in: CME

Domestic Violence Awareness Month

September 25, 2019 // Randy Glick

October is Domestic Violence Awareness Month

View our Domestic Violence Resources

  • Nearly 1 in 5 adult women and about 1 in 7 adult men report having experienced severe physical violence from an intimate partner in their lifetime.*
  • About 1 in 6 women and 1 in 12 men have experienced contact sexual violence from an intimate partner (this includes rape, being made to penetrate someone else, sexual coercion, and unwanted sexual contact).*
  • Ten percent of women and 2 percent of men report having been stalked by an intimate partner.*

Domestic Violence Management and Survivorship

Domestic violence is frequently encountered by healthcare providers and should be addressed properly. Victims are often not recognized, and lack of knowledge on adequately identifying domestic violence is commonly presented as a barrier. Healthcare providers often need information to assist with identifying subtle and not so subtle signs of domestic violence.

Take the CME Course

Intimate Partner Violence

According to The National Center on Domestic Violence, Trauma & Mental Health, research conducted over the past 30 years has consistently demonstrated that being victimized by an intimate partner increases one’s risk for developing depression, PTSD, substance abuse, and suicide, as well as a range of chronic health conditions. A tremendous barrier to diagnosing and treating domestic violence is a lack of knowledge and training for clinicians. It is essential that professionals providing care to at risk populations recognize the mounting evidence of associated health problems in domestic violence survivors.

Take the CME Course

Learn more about these articles of the Southern Medical Journal which focus on domestic violence.

*Statistics provided by the CDC

Posted in: SMJ

Breast Cancer Awareness Month

September 25, 2019 // Randy Glick

October is Breast Cancer Awareness Month

View our Breast Cancer Resources

*Not counting some kinds of skin cancer, breast cancer in the United States is:

  • The most common cancer in women, no matter your race or ethnicity.
  • The most common cause of death from cancer among Hispanic women.
  • The second most common cause of death from cancer among white, black, Asian/Pacific Islander, and American Indian/Alaska Native women.
View our YouTube Channel

Learn more about this issue from October 2017 of the Southern Medical Journal which focuses on breast cancer.

*Statistics provided by the CDC

Posted in: CME

2019 Alabama Financial Fraud Summit

September 25, 2019 // Randy Glick

Use promo code KCOFS2019

Register Now

InfraGard Birmingham Members Alliance and the FBI Birmingham Office present the 2019 Alabama Financial Fraud Conference, hosted in partnership with Regions Bank, Kassouf & Co., P.C., ASIS Birmingham Chapter, and DarkTower.

Representatives from financial institutions should not miss this unique educational opportunity to hear from both public and private sector experts on recent trends in fraudulent activity and ways to mitigate those threats. See speaker list below.

This event is pending approval by the following for up to 7 hours continuing education credit:  ABA, ASBPA, APOSTC, ACFE, ACAMS, & FPA. 

Planned Topics Include:

  • Open Remarks from the US Attorney – The Current Fraud Landscape
  • FTC Violation Trends
  • Securities and Exchange Violations and Fraud.
  • The Certified Fraud Examiner’s Perspective
  • Mitigating Risk of Fraud in Your Financial Institution
  • Current Cyber Threats and the Tools to Combat Them
  • Business Email Compromise
  • Synthetic ID Fraud

*Speakers, presentations and times may be subject to change.

SMJ : September 2019 Issue

September 5, 2019 // Randy Glick

The Southern Medical Journal is the official, peer-reviewed journal of the Southern Medical Association. It has a multidisciplinary and inter-professional focus that covers a broad range of topics relevant to physicians and other healthcare specialists, including medicine; surgery; women’s and children’s health; mental health; emergency and disaster medicine; public health and environmental medicine; bioethics and medical education; and quality health care, patient safety, and best practices.

Southern Medical Journal • Vol. 112 • No. 09 • September 2019

Emergency Medicine & Disaster Preparedness

Patients Threatening Harm to Others Evaluated in the Emergency Department under the Florida Involuntary Hold Act (Baker Act)
Michael J. Maniaci, MD, M. Caroline Burton, MD, Christian Lachner, MD, Tyler F. Vadeboncoeur, MD, Nancy L. Dawson, MD, Archana Roy, MD, Adrian G. Dumitrascu, MD, Patricia C. Lewis, ARNP, and Teresa A. Rummans, MD

CME Article: Benefits of Using The Pause after Death in Emergency Departments: A Delphi Study
Tim Cunningham, DrPH, RN, and Dallas M. Ducar, MSN, RN

Commentary on “Benefits of Using The Pause after Death in Emergency Departments: A Delphi Study”
Brian James Daley, MD, FACS

Homelessness Among Patients in a Southeastern Safety Net Emergency Department
Toni S. Jackson, MD, Tim P. Moran, PhD, Jonathan Lin, BS, Jeremy Ackerman, MD, PhD, and Bisan A. Salhi, MD, PhD

Bioethics & Medical Education

Moral Injury or Burnout?
Thomas F. Heston, MD, and Joshuel A. Pahang, BS 

Women’s & Children’s Health

Comment on “Propofol Versus Dexmedetomidine for Procedural Sedation in a Pediatric Population”
Steven T. Baldwin, MD

A Simulation Course Focusing on Forensic Evidence Collection Improves Pediatric Knowledge and Standardizes Curriculum for Child Abuse
David W. Bernard, MD, Marjorie Lee White, MD, MPPM, Nancy M. Tofil, MD, Chris Jolliffe, RN, SANE-P, Amber Youngblood, BSN, RN, J. Lynn Zinkan, MPH, RN, Stacy L. Gaither, MSN, RN, Dawn Taylor Peterson, PhD, and Yih Ying Yuan, MD

Surgery & Surgical Specialties

Anesthetic Errors During Procedures in the United States
Punit Singh, MD, Mostafa Maita, DO, John Lacci, BA, Brian Boies, MD, America S. Revere, BS, Eden T. Sirak, BS, and Ali Seifi, MD

Medicine & Medical Specialties

Transitions of Care for Healthy Young Adults: Promoting Primary Care and Preventive Health 
Laurie Graves, MD, Shannon Leung, MD, Prashant Raghavendran, DO, and Sarah Mennito, MD, MSCR

SMJ Home
Subscribe
Archives
Call For Reviewers
SMA Services, Inc.

Sponsored by SMA Services, Inc.

Posted in: SMJ

Teddy Gillen

August 7, 2019 // Randy Glick
teddy

Teddy Gillen

Teddy Gillen is an insurance broker and healthcare consultant on a mission protect the independent physician practice model.  Teddy and his firm, Southern Protective Group, design group purchasing malpractice insurance programs for associations with pricing discounts and policy structures that would normally be reserved for larger healthcare systems. Teddy has 15 years of industry experience – He and SPG are endorsed by physician associations across the country.

The Business of Medicine SImplified
REGISTER NOW

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

August 6, 2019 // Randy Glick

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

Dr. Holt is Clinical Professor and Professor Emeritus in the Department of Otolaryngology-Head and Neck Surgery at the University of Texas Health Science Center at San Antonio, where he was the founding chair.  He holds advanced degrees in bioengineering, public health, health care policy, and bioethics.  Dr. Holt has published over 225 scientific articles in a wide range of medical journals and textbooks.  In addition to his term as Editor-in-Chief of the Southern Medical Journal, Dr. Holt is a past Editor-in-Chief of the journal Otolaryngology-Head and Neck Surgery, and past Editor-in-Chief of the journal Aviation, Space, and Environmental Medicine (official journal of the Aerospace Medical Association).  He is a past Co-Editor of The Yearbook of Otolaryngology-Head and Neck Surgery.  He has served on the Editorial Boards of the Journal of Long-Term Medical Effects of Implants, the Journal of CranioMaxillofacial Surgery, and Texas Medicine, and regularly reviews for the Journal of Trauma (now the Journal of Trauma and Acute Care Surgery), the American Journal of Transplantation, Military Medicine, Laryngoscope Investigative Otolaryngology, and the Laryngoscope.  Dr. Holt previously served as the Section Editor for Ethics and Public Policy for the AMA Archives of Facial Plastic Surgery.

The Business of Medicine Simplified
REGISTER NOW
Posted in: CME

SMJ : August 2019 Issue

August 5, 2019 // Randy Glick

The Southern Medical Journal is the official, peer-reviewed journal of the Southern Medical Association. It has a multidisciplinary and inter-professional focus that covers a broad range of topics relevant to physicians and other healthcare specialists, including medicine; surgery; women’s and children’s health; mental health; emergency and disaster medicine; public health and environmental medicine; bioethics and medical education; and quality health care, patient safety, and best practices.

Southern Medical Journal • Vol. 112 • No. 08 • August 2019

Medicine and Medical Specialties

Prevalence and Predictors of Pulmonary Embolism in Hospitalized Patients with Syncope
Hussam Ammar, MD, Chaand Ohri, MD, Said Hajouli, MD, Shaunak Kulkarni, MD, Eshetu Tefera, MS, Ragai Fouda, PhD, MD, Rukma Govindu, MD

Weight-Bearing Physical Activity Influences the Effect of Vitamin D on Bone Turnover Markers in Patients with Intellectual Disability
Philip B. May, MD, Stephen J. Winters, MD

OPEN: Developing and Piloting a Tool to Identify Food Insecurity in Older Adults
Alexandra King, MD, Regina Roofeh, MPH, Christian Nouryan, MA, Meng Zhang, PhD, Maria Torroella Carney, MD

Noncarbapenems for the Treatment of Urinary Tract Infections Caused by Extended-Spectrum β-Lactamase-Producing Bacteria
C. Whitney White, PharmD, BCPS, Jeffrey A. Kyle, PharmD, BCPS, Crystal M. Deas, PharmD, BCPS, Jacob Campbell, PharmD

Public Health & Environmental Medicine

Health Behaviors in Rural Appalachia
Aasha I. Hoogland, PhD, Charles E. Hoogland, PhD, Shoshana H. Bardach, PhD, Yelena N. Tarasenko, DrPH, Nancy E. Schoenberg, PhD

Bioethics & Medical Education

What Defines an Honors Student? Survey of Pediatric and Internal Medicine Faculty Perspectives
Erinn O. Schmit, MD, Chang L. Wu, MD, Ryan B. Khodadadi, MD, L. Nicholas Herrera, MD, Winter L. Williams, MD, Carlos A. Estrada, MD, MS

Commentary on “What Defines an Honors Student? Survey of Pediatric and Internal Medicine Faculty Perspectives”
Patricia G. McBurney, MD, MSCR

CME Article: Moral Controversy and Working with Colleagues with a Shared Ethical/Moral Outlook: A National Survey of US Primary Care Physicians
Kwang Jin Choi, MD, Hyo Jung Tak, PhD, Richard Dwyer, MD, Peter Mousa, MD, Nicholas Barreras, MD, Wafa Dawahir, MD, Theodore Christou, MD, John D. Yoon, MD

Commentary on “Moral Controversy and Working with Colleagues with a Shared Ethical/Moral Outlook: A National Survey of US Primary Care Physicians”
David A. Fleming, MD, MA

SMJ Home
Subscribe
Archives
Call For Reviewers
SMA Services, Inc.

Sponsored by SMA Services, Inc.

Posted in: SMJ
SMA Menu