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.
Children gaining access to unsafely secured firearms is a serious concern. Unintentional injury, including from firearms, is the leading cause of death in children. Firearms-related injuries are the second highest cause of child mortality in the United States, with more than 3100 cases reported in 2016.1 In 2021, two in…
Objectives: Community health workers (CHWs) help patients navigate community resources and support healthier lifestyles. Although stroke transitions of care require navigating complex clinical services and behavioral changes, there is no established formal training for CHWs in stroke care across Florida. We describe the impact of a comprehensive stroke training course…
Objective: Severe alcohol withdrawal (SAW) is a common cause of hospital admission in the United States. There has been increased interest in phenobarbital use for SAW treatment. We aimed to investigate variability in alcohol withdrawal management protocols at different hospitals within a geographic region, with a focus on phenobarbital use….
Objectives: Pregnant women living in rural areas of the United States are not equitably served by healthcare systems and may be disproportionately affected by sexually transmitted infections (STIs). We examined the impact of location of pregnancy care on STI screening and positivity in a statewide health system. Methods: Pregnant women…
Objectives: Although healthcare disparities between rural and urban populations are documented, access to pulmonary subspecialty care in rural regions is not well characterized. This study aimed to quantify rural-urban disparities in access to pulmonology, pulmonary critical care medicine (PCCM), and sleep medicine physicians in Georgia. Methods: The Georgia Composite Medical…
Objective: Trainee autonomy is a value emphasized by formal governing bodies within graduate medical education, yet prior data demonstrate that pediatric residents perceive less autonomy than attendings report providing. Independent rounding (IR) is one practice that has been demonstrated in qualitative studies to promote autonomy. The objective of our study…
MedConnect, originally known as the Vertically Integrated Trainee Program (VITP), was created in fall 2017 to connect premedical undergraduate students at the University of South Carolina with medical students at the University of South Carolina School of Medicine, both located in Columbia, for mentorship and guidance. Our organization was formed…
Breast cancer remains a predominant contributor to global cancer-related morbidity and mortality among women, with its incidence steadily rising and presenting complex therapeutic challenges. Conventional treatment modalities, including chemotherapy, endocrine therapy, and molecularly targeted interventions, have demonstrated substantial clinical efficacy. The emergence of therapeutic resistance, systemic cytotoxicity, and metastatic progression…
Objectives: Medication-assisted treatment (MAT) is associated with low maternal weight gain, and low maternal weight gain is associated with infant mortality. Many MAT patients also are smokers. This study investigates buprenorphine administration during pregnancy as a possible independent risk factor for low maternal weight gain. To our knowledge, this is…
In The Doctor by Sir Luke Fildes (Fig.), light draws our focus to the patient and physician. The painting shows the compassion, concern, and tenderness found in their relationship. The physician’s countenance encapsulates the challenges of our profession. In the physician’s expression of concern, there is the contemplation of pathophysiology,…
Objectives: A retrospective review of high school, college, and professional female basketball team game number and season duration comparisons was performed. The objective was to compare group differences with consideration of the possible relationship between game volume per season duration and noncontact anterior cruciate ligament injury risk from accumulated microtrauma….
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