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...

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...

Teen Driving Education in a Pediatric Emergency Department: Effectiveness of a Toolkit

Objectives: In the United States, the leading cause of death for adolescents aged 16 to 24 years is motor vehicle crashes, with Alabama ranked as the second-worst state in the nation for teen driving deaths. We sought to determine the efficacy of teenage driving education within the setting of...

Commentary on “Provider Practice and Perceptions of Pediatric Obesity in Appalachian Kentucky”

In this issue of the Southern Medical Journal, Thornberry and colleagues asked 28 physicians and nurses in Kentucky’s Appalachian region to answer a 69-item questionnaire1 about the Expert Committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and...

Provider Practice and Perceptions of Pediatric Obesity in Appalachian Kentucky

Objectives: This study assessed providers’ present practices and perceived needs in Appalachian Kentucky to identify the standard of care and implementation of expert recommendations for managing pediatric obesity.Methods: Questionnaire data were gathered from 28 providers at a pediatric obesity continuing medical education workshop in eastern Kentucky. We assessed current...

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

Health Information Technology (HIT): “Bridging the Gap”

State of Rural Health in the South

MedMal 101: Contracts, Claims, and Risk Management

Ethics and Motivating Change in a Millennial Workforce

Publishing a Manuscript

Marketing and Promoting Your Medical Practice

Career Development: Lifelong Learning – Don’t Stop at MD, Think Like an Entrepreneur

Opportunities in Value Based Reimbursement