The Southern Medical Journal (SMJ)  is the official, peer-reviewed journal of the Southern Medical Association. It has a multidisciplinary and inter-professional focus that covers a broad range of topics relevant to physicians and other healthcare specialists.

Review Article

Leadership in Equity, Diversity, and Inclusion: What Skills and Attributes Are Documented in the Literature?

Objectives: Equity, diversity, and inclusion (EDI) leadership has recently been scrutinized, and many institutions have had to repurpose EDI leaders due to recent legislation. The skills or attributes of EDI leaders are not well understood. The authors sought to identify skills or attributes associated with EDI leaders. Methods: The authors…

Original Article

Neural Tube Defects in South Carolina 1992–2019: A Review of Risk Factors

Objectives: Neural tube defects (NTDs) are one of the most common major birth defects, yet the reasons for occurrence of many NTDs are still not well understood. This study sought to determine the presence of seven specific NTD risk factors in a sample of 515 isolated NTD cases that occurred…

Original Article

Injuries Related to Nonpowder Firearms: A National Database Study

Objectives: Nonpowder firearms (NPFs) have become increasingly popular. We sought to analyze the epidemiology of NPF injuries. Methods: A search was conducted through the National Electronic Injury Surveillance System for data from 2012 to 2021 to analyze NPF-related injuries. Results: Between 2012 and 2022, the National Electronic Injury Surveillance System…

Errata

Racial and Ethnic Disparities in Pediatric Atopic Dermatitis: Erratum

In the October 2024 issue of Southern Medical Journal, in the article by Jonsdottir et al., “Racial and Ethnic Disparities in Pediatric Atopic Dermatitis,” the second author’s middle initial was incorrect. The author’s name should have appeared as Emily C. Craver.

Posted in: Dermatology16

Perspectives

Inattentional Blindness as an Underappreciated Emphasis in Patient Safety Education: Need for Greater Recognition in Medical and Surgical Training

Attention and perception are essential cognitive processes in medical and surgical practice and training. They also are complex processes that are subject to distortion or failure from many different sources. When there is an admonishment of “How could you miss that?,” it is often assumed, at worst, to be the…

Original Article

Simulation-Based Knee Joint Arthrocentesis Workshop for Internal Medicine Residents

Objectives: Knee arthrocentesis is a safe and valuable diagnostic and therapeutic primary care procedure. Enhancing Internal Medicine (IM) residents’ competency in this skill is crucial for effective patient care. We implemented a simulation-based knee arthrocentesis workshop (SBKAW) to improve residents’ comfort in offering knee joint arthrocentesis in primary care settings….

Original Article

Role of Race, Rurality, and Age in Human Papillomavirus Vaccine Initiation among US Women

Objectives: Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States, with a lifetime prevalence of more than 80%. HPV is associated with cervical cancer, which affects thousands of US women each year. A vaccine was introduced in 2006 to mitigate the prevalence and mortality of…

Posted in: Sexually Transmitted Diseases & Infections of Reproductive Organs1

Perspectives

Impact of School-Enforced Step 1 Deadlines on Medical Student Well-Being and Failure Rates: Two Medical Students’ Perspective

The US Medical Licensing Examination Step 1 is a milestone assessment that evaluates a medical student’s mastery of foundational medical sciences. Traditionally taken at the end of the preclinical curriculum, it now serves as a pass/fail examination before students begin clinical rotations. This transition, coupled with the enforcement of strict…

Original Article

Implementation and Assessment of a Resident-Preceptor Curriculum for Internal Medicine Residents in Outpatient Continuity Clinics

Objective: Opportunities for senior residents to precept junior trainees in continuity clinics have previously been explored. Faculty or junior resident perceptions of the resident-preceptor model remain understudied, however. We describe a resident-preceptor curriculum implemented with third-year Internal Medicine residents at a single institution with a multipronged evaluation. The objective was…

Perspectives

Telemedicine: Raising the Bar or Crouching Beneath It?

Having been educated, trained, and considerably experienced in what is best described as traditional medicine and knowing full well that other medical professionals may disagree, we believe it necessary to voice our serious concerns and fervent opinions as they relate to the present-day burgeoning practice of telemedicine. The current expansion…

Review Article

Using Wearable Technology to Evaluate Sleep and Stress for Physicians

Objectives: Physician stress and burnout are increasingly prevalent issues that often are exacerbated by chronic sleep deprivation. Poor sleep not only compromises the well-being of physicians but also can negatively affect patient care and safety. As wearable technology has become more advanced, the potential is growing to use these devices…

Review Article

When Suicidality Is Suspected

Physicians have the potential to detect a person in danger of suicide. A history of self-injury, abuse of illegal substances or alcohol, mood disorders, and schizophrenia may contribute to the risk of suicide. There are four recognized screening tools that can assist in identifying individuals at risk to commit suicide….

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