A Hospitalist-Led Team to Manage Patient Boarding in the Emergency Department: Impact on Hospital Length of Stay and Cost

SMJ : December 2019 Issue

When to Worry about Cancer: Concurrent Carcinoma and Recurrence in Borderline Ovarian Tumors

Objectives: The objectives of this study were to identify and assess the factors associated with concurrent carcinoma and recurrence in women with epithelial borderline ovarian tumors.Methods: The cancer and pathology databases at a tertiary care academic cancer center were queried for all borderline ovarian tumors from 2005 to 2015....

Social Support for Physical Activity for High Schoolers in Rural Southern Appalachia

Objective: Social support for physical activity (PA) has been shown to enhance PA levels in adolescents. Although social support has been examined extensively in the literature, less is known about the role of social support for PA for high school adolescents in rural southern Appalachia. PA is important because...

Dietary Supplement Use is High among Individuals with Parkinson Disease

Objectives: To assess the present use of dietary supplements among the Parkinson disease (PD) population and to determine which dietary supplements are most commonly taken.Methods: This cross-sectional study used an online questionnaire that was administered to individuals with PD via support group Web sites. Dietary supplement users also were...

Editor’s Response

I appreciate the Letter to the Editor by Thangathurai and colleagues, which examines the issue of physician spirituality as applied to end of life and critical care of patients. More than 50 years ago, as medical students and resident physicians, we were forbidden to even explore the patient’s spirituality....

Spirituality of Physicians

To the Editor: We evaluated the spirituality of caretakers, mainly physicians, in regard to its effect on the care of critically ill patients, terminally ill cancer patients, and older adult patients with comorbidities involving multiorgan dysfunctions. Spiritual issues are common in patients’ final days of life. Historically, spiritual care...

Commentary on “How Postbaccalaureate Career Changer and Traditional Medical Students Differ Academically”

The article by Baill and colleagues in this issue of the Southern Medical Journal1 addresses a moderately important point in medical education, will so-called career changers (CCs) do poorly in medical school? For example, should a medical school seriously consider giving a spot to an applicant who studied liberal...

How Postbaccalaureate Career Changer and Traditional Medical Students Differ Academically

Objective: This retrospective descriptive study compared the academic performance of postbaccalaureate career changer students with that of traditional students during the classroom-based, science-dominated early years of medical school. Earlier studies documented the eventual success of nontraditional medical students, although we found little information specific to the medical school performance...

Emergency Medicine Resident–Driven Point of Care Ultrasound for Suspected Shoulder Dislocation

Objective: To determine the impact of implementing a musculoskeletal in-service educational intervention for emergency medicine (EM) residents on the use of point-of-care ultrasound (POCUS) to diagnose and manage shoulder dislocations in the emergency department (ED).Methods: This study was conducted in the ED of an academic teaching hospital in Miami,...

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

As emergency medicine physicians, we are all too familiar with overcrowding in the emergency department (ED). Previous ED studies have shown that overcrowding occurs anywhere from 12% to 73% of the time. In fact, scales have been validated to determine the presence of overcrowding and predict the degree of...

CME Article: A Hospitalist-Led Team to Manage Patient Boarding in the Emergency Department: Impact on Hospital Length of Stay and Cost

Objectives: Admitted patients boarding in the emergency department (ED) while awaiting inpatient beds represent a bottleneck in patient flow. We sought to examine the impact on patient flow and potential for cost savings by an active management of boarded ED medical admissions by a hospitalist-led team, which included a...

SMJ Online CME Courses

SMJ : November 2019 Issue

Scratching the Surface of the Antivaccination Phenomenon

To the Editor: Refusals and doubt about vaccine safety and/or effectiveness is not a recent problem. It has been present since the advent of smallpox vaccinations in the 18th...

CME Article: Impact of β-Lactam Allergies on Antimicrobial Selection in an Outpatient Setting

Objective: The primary objective of this study was to determine whether patients prescribed nonpreferred antibiotics received appropriate alternative antibiotics.Methods: This was a retrospective observational analysis of military veteran patients with a β-lactam allergy treated in an outpatient clinic or emergency department for an infection during a 5-year span. Antibiotic...

Frequency of β-Blocker Use Following Exacerbations of COPD in Patients with Compelling Indication for Use

Objective: To assess the current use of β-blockers in patients with compelling indications for use, following the acute exacerbation of chronic obstructive pulmonary disease (COPD).Methods: We performed a multicenter retrospective observational study using data from all of the patients admitted to five institutions for an acute exacerbation of COPD....

Patients and Guns: Florida Physicians Are Not Asking

Objectives: The number of deaths from gun violence continues to increase in the United States. Despite multiple studies demonstrating that counseling patients leads to safer gun storage, it is not routinely practiced by physicians. There are multiple barriers to discussing firearms with patients. A barrier in Florida, until recently,...

Curriculum Enrichment Across the Medical Education Continuum Using e-Delphi and the Community Priority Index

Objective: To describe the use of the e-Delphi combined with the Community Priority Index (CPI) to support medical curriculum enrichment.Methods: This mixed-methods study was conducted from December 2017 to May 2018 at Baylor College of Medicine in Houston, Texas. First, a nominal group identified a topical list. Second, to...

Role of Physician Gender in the Modern Practice of Obstetrics and Gynecology: Do Obstetrician-Gynecologists Perceive Discrimination from their Sex?

Objectives: It is unclear whether obstetrician-gynecologists (OBGYNs) experience gender discrimination as a result of patient and organizational gender preferences. Our objective was to evaluate whether the gender preference for OBGYNs resulted in perceptions of discrimination by the physician while simultaneously assessing their patients’ views for choosing their OBGYN.Methods: A...