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.

Original Article

Utilization of Mental Health Services Within 1 Year of Delivery among Different Language Groups

Objectives: Cultural differences can affect postpartum mental health disorders and the utilization of mental health services. We compared women speaking English, Spanish, Russian, and Urdu/Bengali/Punjabi from postpartum through 1 year after delivery. Methods: This was a retrospective study of 3478 pregnant women from a public hospital in New York City….

Posted in: Psychiatry4

Original Article

Improving Communication with Family Members during a Global Pandemic: Effect on Patient Experience

Objectives: Communication with patients and their families/caregivers to facilitate informed decision making is an integral part of patient/family-centered care. Due to the high coronavirus disease 2019 (COVID-19) infection rates and limited personal protective equipment, healthcare systems were forced to restrict patient visitors, limit patient–provider interactions, and implement other changes in…

Posted in: Infectious Disease129

Original Article

Matching Against Men: 5 Years of Residency Match Data Show Disparities Still Exist

Objectives: Despite progress toward equal representation by sex in medical practice, women remain underrepresented in many specialties. This study sought to examine the current state of gender equality among recently graduated doctors in multiple specialties. Methods: Deidentified demographics, standardized examination scores, and Match results were gathered for 829 graduates. Participants…


Barriers to Medical Student Scholarly Activities: A Call to Action

Demonstration of scholarly activity is an important way for medical trainees to strengthen their academic and professional portfolio. Research is fundamental to the study of the biomedical sciences, it encourages hypothesis generation, and medical student research enhances one’s competitiveness for residencies.


Unresolvable Moral Disagreements and the Ethical Integrity of the Medical Profession

On July 24, 2022, dozens of University of Michigan Medical School students received their white coats, took their oaths, and then walked out of their white coat ceremony (WCC) as the keynote speaker began her address. The walkout was purportedly motivated by past prolife comments the speaker had made, and…


Broadening the Use of “Doctor” in the Clinical Setting: A Danger to Patient Decision Making and Informed Consent

In a recent article in The Washington Post, a California nurse practitioner (NP), Jacqueline Palmer, shared her opinions on why she is suing the state for their restrictive regulation around the use of the term “Doctor.”1 The California law coming under scrutiny, California Business and Professions Code Section 2054, is…

Original Article

Type 2 Diabetes Mellitus and Helicobacter pylori Eradication in a Clinical Population

Objectives: Eradication of Helicobacter pylori reduces the risk of gastric cancer (GC). Individuals with type 2 diabetes mellitus (T2DM) are known to be at increased risk for GC. In a cohort of H. pylori-positive individuals, we assessed whether those with T2DM were at risk of persistent infection following H. pylori…

Posted in: Endocrinology, Diabetes, and Metabolism32


Know Your Guidelines Series: Diagnosis and Management of Nonalcoholic Fatty Liver Disease in Primary Care and Endocrinology Clinical Settings

Nonalcoholic fatty liver disease (NAFLD) represents a spectrum of liver disease without ongoing or significant alcohol use that ranges from hepatic steatosis to cirrhosis. NAFLD is associated with obesity, insulin resistance, type 2 diabetes mellitus (T2DM), hypertension, and dyslipidemia.1,2 Nonalcoholic steatohepatitis (NASH) represents the progression of NAFLD with at least…

Posted in: Endocrinology, Diabetes, and Metabolism32

Review Article

Elevated Lp(a): Guidance for Identifying and Managing Patients

Key Points Elevated lipoprotein(a) (Lp(a)) is considered an independent and causal risk factor for atherosclerotic cardiovascular disease (ASVCD) and calcific aortic valve disease, affecting approximately 20% of individuals. Lp(a) levels are established in youth and are almost exclusively genetic and minimally affected by nonpharmacologic interventions. Clinicians should suspect elevated Lp(a)…

Posted in: Cardiovascular Disease24

Original Article

Eccentric Hamstring Strength Imbalance among Football and Soccer Athletes

Objectives: Hamstring strain injuries (HSI) are common among football and soccer athletes. Eccentric strength imbalance is considered a contributing factor for HSI. There is, however, a paucity of data on hamstring imbalances of soccer and American football athletes as they age and advance in skill level. High school athletes will…

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