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.

Perspectives

The “Three-Question Approach” to Medical Assessments and Plans: A Standardized Approach for Medical Trainees

Transitioning from preclinical to clinical education can be a terrifying prospect for medical students and is commonly cited as a major point of anxiety in medical education. Anxiety around clerkship performance is likely to become worse in the coming years. Because the US Medical Licensing Examination Step 1 has been…

Perspectives

Procedural Decision Making by Hospitalists: The Need for a Team Approach

Complex decision making about performing bedside procedures is a growing challenge for hospitalists. Although existing guidelines help stratify procedural risk and identify safe practices, these guidelines can be in conflict and may not capture all of the comorbidities that shape procedural decision making.

Original Article

Surging Liver Transplantation for Nonalcoholic Steatohepatitis from 2000–2022: A National Database Study

Objectives: Our aim was to provide an up-to-date, large-scale overview of the trends and clinicodemographics for NASH LTs performed in the United States compared with all other LT indications between 2000 and 2022. We also examined the demographic factors that will predict future demand for NASH LT. Methods: Our analysis…

Posted in: Liver Disease7

Original Article

Epidemiologic Trends of Cleft Lip and Palate in a Southern State: A 30-Year Follow-Up

Objectives: Children’s of Mississippi at the University of Mississippi Medical Center serves as the state’s only American Cleft Palate-Craniofacial Association–approved cleft team at the only pediatric hospital in the state. The goal of this study is to report geographic and demographic patterns of patients with orofacial cleft (OFC) treated at…

Original Article

Exploring Infant Feeding Experiences and Maternity Care Practices in Appalachia

Objectives: Our aim was to explore postpartum individuals’ experiences and perceptions of breastfeeding and International Board Certified Lactation Consultants’ (IBCLC) knowledge and perceptions of maternity care practices and perceived barriers to breastfeeding among their patient populations in Appalachia. Methods: Semistructured interviews were conducted with seven IBCLCs and seven postpartum individuals….

Posted in: Pregnancy31

Original Article

How Student and Faculty Perceptions Differ on the Stressors that Medical Students Face

Objectives: Medical education is notorious for the stress that students face as they strive to succeed both academically and clinically. This stress has been linked to declining academic performance and worsening mental health. To combat these negative outcomes, it is essential for medical school faculty and administration to address common…

Posted in: Mental Health44

Original Article

Factors Influencing Vision Health and Eye Care among Older Adults in Northeast Tennessee

Objectives: The purpose of this study was to examine the factors associated with vision impairment (VI), age-related eye disease (ARED), and frequency of eye examinations among older adults. Methods: A cross-sectional study (N = 166) was designed to identify barriers in vision and eye care services among adults 50 years…

Perspectives

Putting a Positive Spin on the Phubbing Phenomenon

For nearly a decade, professionals in the mental health and social sciences fields have studied why people phub one another. This smartphone-caused, societal phenomenon—“ph” for phone, “ub” for snub—describes a tête-à-tête in which one participant in the conversation elects to scroll/text/e-mail instead. The act of phubbing can abort sensory connections.

Review Article

Comprehensive Care for Adults with Down Syndrome in Primary Care Settings

This review article aims to bridge the knowledge gap in providing comprehensive care to adults with Down syndrome (DS) in primary care settings. Despite the increasing prevalence of adults with DS, there is a significant lack of familiarity and comprehensive guidelines for their health care among primary care physicians. This…

Original Article

Out-of-Hospital Birth in Medical Education: A Thematic Analysis of Question Banks for Medical Licensing Examinations in the United States

Objectives: This study assessed the content of US Medical Licensing Examination question banks with regard to out-of-hospital births and whether the questions aligned with current evidence. Methods: Three question banks were searched for key words regarding out-of-hospital births. A thematic analysis was then utilized to analyze the results. Results: Forty-seven…

Posted in: Obstetrics and Gynecology43 Pregnancy31

Original Article

Increasing Trainee Comfort with Nutrition

Objectives: Nutrition counseling is necessary for the prevention and treatment of many chronic diseases. US survey data demonstrate that 61% of Internal Medicine (IM) residents receive little to no nutrition training. The objective of our study was to develop a curriculum to increase IM resident comfort and ability in conducting…

Review Article

Anemia to Median Nerve Palsy

Mesenteric angina has a high mortality rate. Occlusion of the superior mesenteric artery is the most common cause. Increasingly, it is managed endovascularly instead of by open revascularization. Despite the lower risk of complications in minimally invasive procedures, it is important to be mindful of long-term sequelae of minor complications….

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