Commentary on “Wellness Programs in an Academic Practice: Lessons Learned”

We commend the authors of the Perspective entitled “Wellness Programs in an Academic Practice: Lessons Learned,” for highlighting the importance of resident wellness and for developing positive efforts to promote resilience in their resident cadre.1 The present climate in graduate medical education is one of striving to appreciate the...

Wellness Programs in an Academic Practice: Lessons Learned

The development of wellness programs in many groups is increasingly common as institutions work to address the issue of burnout and employee performance. Academic programs face a unique challenge establishing wellness plans because of the varied professional roles of individuals working together in a team model. The individuals in...

Statewide Regional Campus Development: Academic Medicine’s Response to US Physician Shortages

Based on data from the Association of American Medical Colleges (AAMC), the United States will experience a shortage of up to 122,000 physicians by 2032, affecting patient care across the nation.1 In 2006, the AAMC recommended a 30% increase in US medical school enrollment to address the national physician...

CME Article: Epidemiology, Clinical Presentation, and Seasonal Variation in the Diagnosis of Children with Eosinophilic Esophagitis in Oklahoma

Objectives: Eosinophilic esophagitis (EoE) is characterized by upper gastrointestinal tract symptoms in association with esophageal mucosal biopsy specimens containing ≥15 intraepithelial eosinophils per high-power field. The etiology of EoE remains unclear, but an immunologic response to various foods and aeroallergens has been implicated. Seasonal variation has been reported in...

Uterine Corpus Malignancies in Appalachia Kentucky: Incidence, Survival, and Related Health Disparities

Objectives: Uterine cancer is the nation’s most common gynecologic malignancy, but it is understudied in the geographically and socioeconomically diverse state of Kentucky (KY). Our aim was to assess the frequency, distribution, and survival of uterine corpus malignancies in KY, and specifically the differences between Appalachia (AP) and non-Appalachia...

Characteristics of Pediatric Patients With Retained Bullet Fragments and Need for Follow-Up Blood Lead Monitoring

Objectives: Multiple case reports of lead toxicity related to retained bullet fragments in pediatric patients sustaining gunshot wound have been published. The purpose of the present study was to determine whether the demographic and clinical characteristics of gunshot wounds (GSWs) could be classified high/low risk and whether routine blood...

Chest Radiography Should Be Requested Only on Admission Based on Clinical Grounds

Objectives: To determine the clinical utility and adverse consequences of routine admission chest x-ray (CXR) findings in patients with and without respiratory complaints and/or an abnormal chest examination.Methods: In this prospective cohort study in an internal medicine department, we selected 273 patients and determined outcomes by chart review and...

Single-Institution Experience of Synovial Sarcoma

Objectives: The purpose of this study was to investigate the patient population and outcomes of synovial sarcoma at a single institution.Methods: A retrospective review of the medical records of 28 patients with synovial sarcoma diagnosed from 1992 to 2017 was performed. Demographics, staging, disease location, treatment, and response to...

Procedural Anxiety, Pain Catastrophizing, and Procedure-Related Pain during EGD and Colonoscopy

Objectives: Although sedatives and analgesic drugs defuse anxiety and relieve pain, digestive endoscopy still is uncomfortable and painful for some patients. Identifying patients who tolerate digestive endoscopy less well remains difficult. The present study evaluated the relations between procedural anxiety, catastrophizing thoughts, and pain, using a prospective design and...

Poverty and Health in Tennessee

Objectives: Understanding the impact of poverty on health can inform efforts to target social programs and regional economic development. This study examined the effects of poverty on health among the 95 counties of Tennessee.Methods: All of the counties of Tennessee were ranked by 5-year median household income, from the...

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

Epidemiology, Clinical Presentation, and Seasonal Variation in the Diagnosis of Children with Eosinophilic Esophagitis in Oklahoma

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,...