Southern Medical Journal - Southern Medical Association

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.

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Special Section

SMA’s 2021 Annual Scientific Assembly Abstract Presentations

The following abstracts were accepted and presented during Southern Medical Association’s Annual Scientific Assembly, October 28-30, 2021, and are listed in order of SMA’s multidisciplinary categories. Abstracts are published as submitted.


The Patient-Resident Physician Covenant

Twenty-five years ago, a group of physicians argued for what they called the “patient–physician covenant.”1 “Medicine is, at its center,” they claimed, “a moral enterprise grounded in a covenant of trust.” They were responding to what at the time appeared to be an increasingly complicated relationship between physicians and commercial…

Original Article

CME Article: How Food Insecurity and Financial Difficulty Relate to Emotional Well-Being and Social Functioning

Objectives: Medically uninsured individuals living in poverty experience poor health and face social barriers that negatively affect their health. The purpose of this study was to examine the association between social barriers, particularly healthy food availability and financial difficulty, and well-being among uninsured free clinic patients in the United States….

Special Section

The 2021 Dr. Robert D. and Alma W. Moreton Research Award and Commemorative Lectureship: Paradoxical Role of Intestinal Stromal Cells in Healing and Disease

Dr. Don W. Powell is the 2021 recipient of the Dr. Robert D. and Alma W. Moreton Research Award and Commemorative Lectureship, which was presented at the Southern Medical Association’s 112th Annual Scientific Assembly in Lake Buena Vista, Florida. This commentary serves as a synopsis of this presentation, the video…

Posted in: Gastroenterology33

Original Article

The Safe Discharge Checklist: A Standardized Discharge Planning Curriculum for Medicine Trainees

Objectives: Hospital discharge is a challenging time for residents, requiring the completion of many tasks to ensure safe transitions for patients. Despite recognition of the importance of hospital discharge planning, formal curricula are lacking. We sought to improve medicine residents’ comfort and skills with discharge planning and enhance the quality…

Special Section

Presidential Address of Dr. Donna Breen, 2021–2022 President of the Southern Medical Association

The following is the presidential address of the Southern Medical Association’s 2021–2022 president, Dr Donna Breen. Dr Breen was installed on Saturday, October 30, 2021, during the SMA Southern Regional Assembly, which was held October 28–30, 2021, in Lake Buena Vista, Florida, live and virtually.

Review Article

OPEN: An Epidemic Supplanted by a Pandemic: Vaping-Related Illness and COVID-19

Before the coronavirus disease 2019 (COVID-19) pandemic, vaping-related illness was the prevailing public health concern. The incidence of vaping-related illnesses—mainly e-cigarette, or vaping, product use–associated lung injury (EVALI)—went from a peak in September 2019 to a low in February 2020, and the Centers for Disease Control and Prevention decided to…

Posted in: Infectious Disease63 Pulmonary Disease13

Original Article

Stigma, Social Support, and Substance Use in Diverse Men Who Have Sex With Men and Transgender Women Living with HIV in the US Southeast

Objectives: Human immunodeficiency virus (HIV) rates in the southeast United States are high and substance use is common among people living with HIV (PLWH). This study used baseline data from the weCare intervention study to examine factors associated with the use of alcohol, tobacco, and marijuana among racially and ethnically…

Posted in: Infectious Disease63


Postdischarge Evaluation for Individuals Hospitalized with COVID-19

Primary care providers (PCPs) now face a novel clinical scenario: postdischarge care for patients with COVID-19. In a study of 138 patients hospitalized for COVID-19 in Wuhan, China, discharged patients had an average hospital stay of 10 days, with courses that were complicated by ARDS, venous thromboembolism (VTE), arrhythmias, and…

Posted in: Infectious Disease63


A Letter to My Future Self: A Student and an Educator’s Experiences with Future-Oriented Reflection in Medical Education

As soon as I (E.L.) set down my laptop, I was excited for that future moment when I would be able to look back, reread the words, and relive the emotions written there. I felt I had truly captured their essence as I put the finishing touches on my reflection…

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