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.
Objectives: Most of the literature on micro- and macro-aggressions from the perspectives of physicians and learners derives almost exclusively from surveys and focus groups. A more thorough understanding of individual perspectives is necessary to further advance this subject. The objective of this study was to explore physicians’ and physician trainees’…
Objective: Arkansas has significant health disparities for maternal and infant outcomes, including high rates of low birth weight, preterm birth, severe maternal morbidity, and both maternal and infant mortality. Multiple studies have identified advantages of including doulas in maternal care teams. The purpose of this article was to describe the…
Objectives: Safety-net hospitals are crucial in providing health care regardless of patients’ financial means; however, individuals with social risk factors often face challenges in accessing post-acute rehabilitation services, leading to functional decline and extended hospital stays. The Bridge to Home program was developed to address these disparities by providing intensive…
Objectives: This study aimed to determine whether healthcare professionals’ breastfeeding-related training and certification are associated with breastfeeding support knowledge, self-efficacy, and attitudes. Methods: An online survey was created by modifying existing instruments. Items assessed Alabama healthcare professionals’ certification in breastfeeding support, breastfeeding support-related training experience, knowledge, self-efficacy, and attitudes. Participants…
Training with Artificial Intelligence: Are There Hidden Costs in Clinical Reasoning and Medical Education? Maya Guhan, MD, MBA, Chirayu Shah, MD, and Prathit A. Kulkarni, MD When this article was originally published in the February 2026 issue, the following disclaimer should have been included. The views and opinions expressed in…
Objectives: There is a scarcity of published best practices for efficient and effective hospital rounds. We introduced a standardized rounding intervention (NET Rounding, or Novel Rounding Practices, Shared Expectations, and Time Management) with the primary aims of improving rounding efficiency, reducing resident work-hour violations, and positively affecting clinician experience. Secondary…
Objective: Medicine, as both clinical and moral practice, is increasingly complex. As such, there is growing appreciation for the importance of practical wisdom (phronesis), a multidimensional capacity that clinicians develop as they navigate practice. Narrative serves as a mode by which clinical exemplars communicate wisdom and therefore provides a rich…
Although lithium and other mood stabilizers remain the preferred agents for bipolar disorder, their clinical use has been declining steadily while antipsychotic and antidepressant use has been increasing. We performed an integrative review of efficacy, mechanisms of disease, and drug effects. The most reproduced biologic abnormality during the ill phases…
Objectives: Hepatitis C virus (HCV) is the most common bloodborne infection in the United States and a leading cause of liver-related morbidity. Tennessee is among the top 10 states for a patient population living with HCV, and it is especially prevalent in the Appalachian counties. The purpose of this study…
Heart failure (HF) is a global burden and, irrespective of age, sex, race, nationality, and geography, affects individuals across the world. Several reports mentioned that, globally, more than 64 million people, which accounts for 1% to 3% of the total global population, are living with HF. In the United States,…
Objectives: Patients with Medicaid compared with private insurance have increased difficulty gaining access to orthopedic care. How insurance status affects access to care for young athletes (football; from here, all “young athletes” are football players) with hip labrum tears has yet to be assessed. The purpose of this study was…
Objectives: This study addresses two objectives: to describe the epidemiology of dog bite-related emergency department (ED) visits and to evaluate changes in the rate of dog bite visits from 2019 to 2023. Methods: Dog bite visit data from the Children’s Injury Database were analyzed. Descriptive statistical and epidemiologic analyses were…
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