Moral Injury or Burnout?

Burnout among healthcare providers is a growing problem, leading to the early retirement of otherwise qualified professionals and suboptimal medical care. Rates of physician burnout in the United States are estimated to exceed 50%, increasing the cost of medical care through high turnover and decreased quality of patient...

Moral Controversy and Working with Colleagues with a Shared Ethical/Moral Outlook: A National Survey of US Primary Care Physicians

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

The finding that in the midst of moral conflict, physicians who are more religious or with a high sense of calling may prefer to work most closely with colleagues who share similar ethical and moral perspectives is not entirely surprising, as detailed in the article by Choi and colleagues...

CME Article: Moral Controversy and Working with Colleagues with a Shared Ethical/Moral Outlook: A National Survey of US Primary Care Physicians

Objectives: This study assesses physicians’ attitudes on the importance of working with colleagues who share the same ethical or moral outlook regarding morally controversial healthcare practices and examines the association of physicians’ religious and spiritual characteristics with these attitudes.Methods: We conducted a secondary data analysis of a 2009 national...

Commentary on “What Defines an Honors Student? Survey of Pediatric and Internal Medicine Faculty Perspectives”

In “What Defines an Honors Student? Survey of Pediatric and Internal Medicine Faculty Perspectives,” in this issue of the Southern Medical Journal, Schmit and colleagues seek to explicate how attendings think.1 How do these evaluators recognize excellence (honors) for a third-year medical student...

What Defines an Honors Student? Survey of Pediatric and Internal Medicine Faculty Perspectives

Objective: Although considerable emphasis is placed on the attainment of honors in core medical school clerkships, little is known about what student characteristics are used by attending physicians to earn this designation. The purpose of this study was to evaluate what values and characteristics that attending physicians consider important...

The Costs of Applying to Residency: One Institution’s Efforts to Increase Transparency

Objectives: To provide students at our own institution with more accurate and granular data regarding the costs associated with applying for residency.Methods: We created an electronic survey with >28 different fields delineating the costs associated with applying for residency. Demographic data, costs broken down by type of expenditure, and...

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

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 empirical research on medical training environments. Understanding trainees’...

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

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 considerations such as applying for a new state medical license...

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

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 the process.1 After all, these challenges of clinical care and...

Dealing With Surrogate Conflict: A Student’s Perspective

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 patient’s values, preferences, and treatment goals. For patients who have not...

Everyday Leadership: A Combined Resident and Faculty Workshop

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 is taken on without prior training on even the...

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

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 clinical empathic compassion taken from previous studies. Independent variables were single-item measures of calling,...

A National Evaluation of Scholarly Activity Requirement in Osteopathic EM Residency Programs: Survey of EM Program Directors

Objectives: The objectives of the study were to determine the percentage of osteopathic emergency medicine (EM) residencies that require an original research project to meet the American Osteopathic Association requirement, describe the resources available to the residents and faculty members to complete their projects, and determine resident and faculty...

On “Team-Based Learning Activities for First-Year Medical Students: Perception of the Learners”

To the Editor: We would like to graciously thank Kazory and Zaidi for their poignant article “Team-Based Learning Activities for First-Year Medical Students: Perception of the Learners” in the September 2018 issue of the Southern Medical Journal.1 As medical students from the United Kingdom, we are honored to provide...

Saying Goodbye

To the Editor: My brothers and our mother huddle outside room 780. It is 7 PM and the hospital floor is quiet. We are all near tears, but able to talk. I bring up the discussion our family had together 2 years ago when our parents told us their...

On “Importance of Interdisciplinary Medical Education: A Frontline Perspective”

To the Editor: We thank Pandey and Jackson for their article, “Importanceof Interdisciplinary Medical Education: A Frontline Perspective,” which aptly identified some of the key discourse on integrating interdisciplinary education into the medical...

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...