The Southern Medical Journal 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

Primary Care Clinicians’ Perceived Role in Addressing Childhood Obesity in the Southern United States

Objectives: Primary care is an opportune setting to promote healthy behaviors for children and families. In 2007, an expert committee recommended that pediatric primary care clinicians assess nutrition and physical activity at wellness visits and offer recommendations; however, little is known about what pediatric primary care clinicians perceive their role…

Posted in: Eating Disorders (Not Including Obesity)2

Original Article

Association of an Early Interest in Orthopedic Surgery with Match Rate into Orthopedic Surgery

Objectives: Orthopedic surgery residency is considered one of the most competitive specialties in which to match. Studies examining the factors associated with a successful match have neglected whether participation in an orthopedic interest group (OIG) improves the chances of orthopedic residency match. The goal of this study was to test…

Perspectives

Improving Access to Adolescent Primary Healthcare Services

According to the US Census Bureau, adolescents make up approximately 13% of the US population, with approximately 42 million people ages 10 to 19 living in the United States in 2019.1 Adolescents ages 10 to 19 years are at a critical stage of life; at this stage, they begin to…

Perspectives

Posttraumatic Stress Disorder 101

Treatment of veterans at the Louisville Veterans Administration (VA) Medical Center during the past 46 years motivated this summary of key points from the literature regardingposttraumatic stress disorder (PTSD). News reports from the coronavirus disease 2019 pandemic, a building collapse in Miami, hurricanes off the coast of Florida, and fires…

Review Article

Gallbladder Dyskinesia

Gallbladder dyskinesia is a functional disorder of the gastrointestinal tract, which can result in debilitating episodes of abdominal pain and associated symptoms. Key diagnostic criteria include a diminished gallbladder ejection fraction on scintigraphy and absence of other causes for the symptoms. Pathologic findings and follow-up suggest a distinct mechanistic basis…

Posted in: Gastroenterology39

Original Article

CME Article: Comparison of Sense of Humor and Burnout in Surgeons and Internal Medicine Physicians

Objectives: We aimed to evaluate humor styles in surgeons and internists and investigate the association between humor and burnout. Methods: A cross-sectional survey of physicians in surgical and medicine departments was conducted, assessing sense of humor and burnout using the Humor Styles Questionnaire and the Emotional Exhaustion subscale of the…

Original Article

Examination of a Stillbirth Workup: A Rural Statewide Experience

Key Points The frequency of the assessments after a stillbirth was 72% for placental pathology, 67% for genetic testing, 31% for fetal inspection at delivery, and 13% for fetal autopsy. All four stillbirth assessments were accomplished in 2% of stillbirth cases, three assessments in 27%, two assessments in 47%, one…

Posted in: Pregnancy25

Original Article

Participation in a Longitudinal Seminar Series Increases Medical Student Engagement with the COVID-19 Pandemic

Objectives: The coronavirus disease 2019 (COVID-19) pandemic required a multifaceted response by healthcare professionals. Medical students played only a limited role in the early response, resulting in feelings of disengagement. The authors developed a discussion-based elective course reviewing the COVID-19 response to address this gap in medical student education. Methods:…

Posted in: Infectious Disease93

Letter to the Editor

Guidelines Could Reduce Opioid Prescribing for Uncomplicated Distal Radius Fractures

To the Editor: The article entitled “Uncomplicated Distal Radius Fractures: An Opportunity to Reduce Emergency Medicine Opioid Prescribing?” by Altman et al was highly informative.1 Theauthors sent a survey to 1238 physicians across the nation, asking for the type and dose of pain medication they prescribed to their last patient…

Perspectives

The Need for a Digital Vital Sign

Since early spring 2020, healthcare systems across the United States opted for the use of telehealth platforms to provide care to patients in varying degrees during the coronavirus disease 2019 (COVID-19) pandemic. The vastly increased reliance on telehealth to deliver care has illuminated the issue of a persistent digital divide…

Original Article

CME Article: A Glasgow-Blatchford Bleeding Score of >2 Is a Poor Predictor of Endoscopic Intervention in Nonvariceal Upper GI Bleeding

Key Points The Glasgow-Blatchford Bleeding Score is recommended by many society guidelines to identify patients with upper gastrointestinal bleeding in need of emergent upper endoscopy. A Glasgow-Blatchford Bleeding Score cutoff of >2 was not an accurate criterion to triage patients with nonvariceal acute gastrointestinal bleeding for inpatient emergent esophagogastroduodenoscopy in…

Posted in: Gastroenterology39

Original Article

Readmission Risk after COVID-19 Hospitalization: A Moderation Analysis by Vital Signs

Objective: Readmission to the hospital after hospitalization with coronavirus disease 2019 (COVID-19) is associated with significant morbidity and mortality. Hospital clinicians may identify the presence of a patient’s comorbid conditions, overall severity of illness, and clinical status at discharge as risk factors for readmission. Objective data are lacking to support…

Posted in: Infectious Disease93

Original Article

OPEN: Trends in ICD-10-CM–Coded Administrative Datasets for Injury Surveillance and Research

Objectives: Accurate injury surveillance depends on data quality in administrative datasets created for billing and reimbursement. Significant effort has been devoted to testing the ability of candidate injury case definitions to identify injury cases accurately in these datasets. We used interviews with experienced coders, informed by a review of the…

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