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.
Objectives: The coronavirus disease 2019 (COVID-19) pandemic affected the practice of gastroenterology. Endoscopic procedures are aerosolizing procedures that carry the risk of COVID-19 transmission. Our national survey examined factors affecting gastroenterologists’ fear of contracting COVID-19 during endoscopy. Methods: An institutional review board–approved multicenter cross-sectional study used a snowball sample approach…
Objectives: African Americans’ distrust of institutions extends to southern US rural communities, limiting their use of healthcare resources. Local physicians are scarce, and treatable diseases accumulate. These communities want local doctors they can trust, consistent with research promoting culturally concordant doctor–patient relationships. African American student inclusion was a priority of…
Objectives: Humans can develop a vector-associated allergy to galactose-α-1,3-galactose (α-gal) a polysaccharide found in mammalian meats and by-products, resulting in α-gal syndrome (AGS). Amblyomma americanum tick bites have been implicated in AGS development in the United States, but the AGS clinical burden in South Carolina is not well understood. Because…
Challenging patient encounters are an inevitable aspect of health care, requiring clinicians to balance the provision of high-quality health care with professionalism and patient satisfaction. The patient–physician relationship relies on trust, ethical responsibility, respect, and effective communication. Patients often face psychosocial stressors alongside medical issues, which may lead to mood…
Objectives: Systolic ejection time (SET) and systemic inflammation are two essential indicators of heart failure (HF) progression. We aimed to evaluate the associations between SET and inflammatory mediators in end-stage HF. Methods: Participants included 16 patients with end-stage HF recruited from the Heart Failure Clinic at Toronto General Hospital and…
Objectives: The coronavirus disease 2019 (COVID-19) pandemic significantly affected the capacity of health systems across the United States. Although not widely used before the pandemic, the hospital-at-home (HaH) model emerged as a potential strategy to alleviate hospital burden by providing hospital-level care in the home setting. This study aims to…
Objectives: A virtues-based model of character development for training future physicians may lead to increased flourishing in medical students through the influence of exemplary role models. This study aimed to analyze the association between caring virtues and measures of flourishing and to identify facilitators of physician flourishing. Methods: The authors…
Objectives: The Whipple procedure, or pancreatoduodenectomy with pancreatojejunostomy, can result in adverse outcomes among older adult patients with lower physiological reserves. As such, we studied the differences in comorbidities and postoperative outcomes between older adult and younger (nonolder adult) populations following Whipple procedures. Methods: We compared clinical factors of 1553…
Clinically significant fatigue occurs in nearly half of patients with inflammatory rheumatic diseases.1,2 Prior clinical practice guidelines highlight fatigue as essential in defining remission of several inflammatory rheumatic and musculoskeletal diseases (I-RMDs).
Objectives: Postpartum hemorrhage (PPH) is a major contributor to maternal mortality worldwide and is a leading cause of pregnancy-related mortality in the United States. The American College of Obstetricians and Gynecologists, the Royal College of Obstetricians and Gynecologists, and the World Health Organization advocate for the early use of tranexamic…
Objective: Residents frequently graduate medical school with a significant amount of debt and low financial literacy. Historically, there has been a lack of standardized, longitudinal financial education curriculum to educate residents about important financial principles. Our objective was to design and implement a longitudinal curriculum to cover a variety of…
Objectives: Short interpregnancy intervals are associated with preterm births. Increasing access to postpartum contraception is a preventive intervention. Best practice recommendations suggest that postpartum individuals exclusively breastfeed for up to 6 months. Conversations about these two topics tend to occur simultaneously throughout the perinatal period. This study explores the intersection…
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