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...

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...