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

Nonpharmaceutical Interventions in Georgia: Public Health Implications

Objectives: As coronavirus disease 2019 (COVID-19) spread, many states implemented nonpharmaceutical interventions in the absence of effective therapies with varying degrees of success. Our aim was to evaluate restrictions comparing two regions of Georgia and their impact on outcomes as measured by confirmed illness and deaths. Methods: Using The New…

Posted in: Infectious Disease110

Original Article

CME Article: Student Clinical Experiences in Cross-Cultural Education

Objectives: Education in cultural competence is critical to training medical students to care for patients from all backgrounds, but it is unclear what experience students have in the clinical learning environment. We describe the medical student experience in directly observed cross-cultural encounters within two clinical clerkships, and we identify areas…

Original Article

Identifying Gender-Related Differences in Graduate Medical Education with the Use of a Web-Based Professionalism Monitoring Tool

Objectives: Medical education is required to ensure a healthy training and learning environment for resident physicians. Trainees are expected to demonstrate professionalism with patients, faculty, and staff. West Virginia University Graduate Medical Education (GME) initiated a Web-based professionalism and mistreatment form (“button”) on our Web site for reporting professionalism breaches,…

Original Article

Open Access: Assessing Medical Students’ Comfort with Telemedicine

Objective: The Association of American Medical Colleges (AAMC) has recommended that the provision of telemedicine services become an entrustable professional activity (EPA). Given its increased scope, medical student comfort with telemedicine was explored. Methods: An institutional review board–approved 17-question, anonymous voluntary survey was created based on the AAMC’s EPAs and…

Original Article

Medical Students’ Perspectives on Opportunities to Engage in the Clinical Care of COVID-19 Patients during the Pandemic

Objectives: Recent disease modeling suggests that pandemics are likely to increase in frequency and severity. As such, medical educators must learn from their experiences with coronavirus disease 2019 (COVID-19) to develop systematic strategies for ensuring that medical students receive hands-on training in the management of emerging diseases. Here, we outline…

Posted in: Infectious Disease110

Original Article

The Local Market of Major Teaching Hospitals

Objective: The purpose of this study was to describe the local communities served by major teaching hospitals. Methods: Using a dataset of hospitals around the United States provided by the Association of American Medical Colleges, we identified major teaching hospitals (MTHs) using the Association of American Medical Colleges’ definition of…


Building Better Patient Care in Mississippi Radiation Oncology: Why Mississippi Needs a Collaborative Quality Initiative

Objectives: Cancer is an insidious and devastating disease that affects many people. Progress in mortality rate has not been realized universally across the United States, and challenges remain in how to best make up the ground that has been lost in these areas, one of which is Mississippi. Radiation therapy…

Posted in: Medical Oncology38

Letter to the Editor

Navigating Scope of Practice Tensions

To the Editor: The notion of scope of practice (SOP) has become a topic of contention between physicians and advanced practice providers across many medical specialties.

Original Article

Impact of Preoperative Echocardiograms on In-Hospital Outcomes of Patients Undergoing Surgical Hip Fracture Repair and Their Clinical Appropriateness

Objectives: Preoperative transthoracic echocardiograms (TTE) before hip fracture repairs are controversial. This study aimed to quantify the frequency of ordering TTE, the appropriateness of testing based on current guidelines, and the impact of TTE on in-hospital morbidity and mortality outcomes. Methods: This retrospective chart review of adult patients admitted with…

Original Article

Convalescent Plasma Therapy in Late-State, Severe COVID-19 Infection

Objectives: Current evidence favors plasma to be effective against coronavirus disease 2019 (COVID-19) in critically ill patients in the early stages of infection. We investigated the safety and efficacy of convalescent plasma in specifically late-stage (designated as after 2 weeks of hospital admission) severe COVID-19 infection. We also conducted a…

Posted in: Infectious Disease110

Invited Commentary

Commentary on “Convalescent Plasma Therapy in Late-State, Severe COVID-19 Infection”

In this issue of the Southern Medical Journal, Kumar et al report on the use of convalescent plasma in late-stage, severe coronavirus disease 2019 (COVID-19) infection.1 In this case series, convalescent plasma use improved Sequential Organ Failure Assessment scores without increasing adverse events. This commentary provides some historical context for…

Posted in: Infectious Disease110

Review Article

Direct Use of Clinical Tolerance Limits for Assessing the Degree of Agreement between Two Methods of Measuring Blood Pressure

A large number of new methods of measuring blood pressure (BP) have recently emerged with advances in technology. Different methods of measuring BP generally provide varying readings compared with one another. Clinicians must decide how to respond to these variations and how to assess the degree of agreement. Clinical agreement…

Posted in: Hypertension13


Screening Echocardiography in Adults with Down Syndrome

Down syndrome is the most common chromosomal disorder in the United States, occurring in about 14.14/10,000 births. It is associated with multiple medical anomalies, including cardiac, gastrointestinal, musculoskeletal, and genitourinary abnormalities, which increases the burden of morbidity for this patient population. Management is typically directed toward optimizing health and function…

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