Development of a Vertically Integrated Trainee Program: Linking Future and Young Physicians

Organizations representing a wide spectrum of health and healthcare settings, such as healthcare disciplines, clinical and scientific professional organizations within disciplines, hospitals, and academic medical centers, are facing many challenges and concerns. Organized medical associations such as local, state, and national associations are not immune from similar concerns faced...

On “Improving Underrepresented Minority in Medicine Representation in Medical School”

To the Editor: We sincerely thank Campbell et al for their article exploring the importance of and the need to improve the representation of underrepresented minorities in medical school.1 This is a societally shifting paradigm and a task-shifting agenda that must be brought to the forefront of medical...

A 5-Step Framework for the Assessment and Remediation of a Struggling Medical Learner in the Clinical Environment

Struggling medical learners are not uncommon, comprising between 7% and 15% of trainees in >90% of all US internal medicine training programs across a spectrum of size, geographic location, and academic affiliation.1,2 Interactions with such learners present a unique set of challenges to clinical...

Signed, Sealed, Delivered: Increasing Patient Notification of Test Results in an Internal Medicine Resident Continuity Clinic

Objectives: Informing patients of their test results is an important patient safety issue, yet many physicians perform dismally in this regard. Residents often face additional barriers to communicating test results to patients. We wanted to determine whether streamlining the notification process, communicating expectations, and having residents audit their performance...

Commentary on “What Attracts Medical Students to Primary Care? A Nominal Group Evaluation”

Weiland and colleagues1 should be commended for their work in the area of primary care choice that appears in this issue of the Southern Medical Journal. As our nation struggles with a primary care provider shortage, new and innovative strategies are required. This article describes the results of interviews...

What Attracts Medical Students to Primary Care? A Nominal Group Evaluation

Objective: To examine the perceptions of first-year medical students on their experiences in primary care. Methods: Nominal group technique sessions were conducted with first-year medical students for 5 years. Questions were designed to evaluate primary care experiences and the role of primary care physicians. The questions explored what would...

Comparison of Medical Student Communication Skills Measured by Standardized Patients During an OSCE and by Faculty During an In-Hospital Encounter

Objectives: At our institution, learner communication skills during an objective structured clinical examination (OSCE) are measured by standardized patients (SPs) using the New Mexico Clinical Communication Scale (NM-CCS). Faculty physicians also conduct a direct observation of a clinical encounter (DOCE) to observe students’ interactions with real hospitalized patients. The...

Impact of Inpatient Consults by a Family Medicine Teaching Service

Objectives: Inpatient consult rates by family physicians significantly affect many aspects of medical care. Limited research has investigated the consultant rate by family medicine residents and their impact on length of stay (LOS) and direct cost. This study examines the inpatient consultant rate of family medicine residents. Methods: We...

Uterine Surrogacy is Morally Equivalent to Selling a Kidney

To the Editor: Uterine surrogacy is accepted in the United States, but it is illegal for an individual to financially benefit from donating a kidney to another person. Both provide the gift of life. For surrogacy, it is a newborn child; for transplantation it is longer life expectancy1 and...

Frequency, Timing, and Types of Medication Ordering Errors Made by Residents in the Electronic Medical Records Era

Objectives: To describe associations between resident level of training, timing of medication orders, and the types of inpatient medication ordering errors made by internal medicine residents. Methods: This study reviewed all inpatient medication orders placed by internal medicine residents at a tertiary care academic medical center from July 2011...

Editor’s Response

We have elected to publish Dr McCartney’s Letter to the Editor, wherein he advocates for an open market for the sale of kidneys for transplantation, to again stimulate thought and discussion regarding the ethical nuances of organ...

Teaching to Teach: An Effective and Feasible Teaching Curriculum for Internal Medicine Interns

Objectives: New competency requirements from the Accreditation Council for Graduate Medical Education have prompted greater emphasis on developing residents’ teaching skills. Many residents make their first foray into teaching during internship, making it an important yet underrecognized opportunity to develop basic teaching skills. In addition, in the current graduate...

Stress Electrocardiography vs Radionuclide Myocardial Perfusion Imaging among Patients Admitted for Chest Pain: Comparison of Teaching and Nonteaching Hospital Services

Objectives: The American Board of Internal Medicine Foundation’s Choosing Wisely initiative has identified the routine use of stress cardiac imaging among lower-risk patients as an expensive test that should be questioned by both physicians and patients. The objectives of this study were to determine how often patients hospitalized for...

Physician Advance Care Planning Experiences and Beliefs by General Specialty Status and Sex

Objectives: Advance care planning (ACP) involvement could be substantially different by physician specialty or sex group, with implications for training and methods to increase ACP activities. The objective of this article is to compare primary care physicians (PCPs) and other specialty physicians and female compared with male physicians’ views...

Medical Student H&Ps: Do You Have to Observe Them All At Once?

Objectives: Direct observation of medical students’ history and physical examination (H&P) skills by attendings is essential in ensuring trainees’ competence. This study compared whether partial observations by multiple pediatric attendings across various clinical encounters versus a full observation by one attending affected students’ performance on the pediatric Objective Structured...

On “Women’s Health Curriculum for Medical Students”

To the Editor: We would like to sincerely thank Sattari et al for their insightful piece on developing a diverse women’s health elective for medical students.1 As future doctors studying in a time of change from paternalistic to patient-centered medicine, we believe it is important that we empower female...

Differences in Medical Students’ Academic Performance between a Pass/Fail and Tiered Grading System

Objectives: Medical school implementation of a pass/fail grading system offers the opportunity for a reduction in student stress and anxiety and the creation of a less competitive environment, leading to an improvement in overall well-being. Some critics of a pass/fail system have raised concerns of a decrement in academic...

Obesity and Weight-Biased Shaming in South Carolina: A Medical Student’s Perspective

To the Editor: The economic cost of obesity in South Carolina alone has been estimated by the Department of Health and Environmental Control to be >$8.5 billion/year and growing. As of August 2017, South Carolina was ranked 12th in the nation for adult obesity — 32.3% of the state’s...

Author’s Response

To the Editor: Kumar and Mathur eloquently highlight the importance of addressing not only the reproductive health of female patients but also preservation of their wellness and prevention of illness.1 Women’s health encompasses screening, diagnosis, and management of disease or conditions that are unique to or more common or...

Do Teaching-Focused Medical Schools Perpetuate the Thinking That Black Faculty Should Not Be Researchers?

To the Editor: In attempts to address concerns about a physician shortage, there has been an increase in the number of US medical schools. Many of these schools are community based and have been created with a focus on teaching to increase the numbers of primary care physicians and...