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: This study aimed to assess the associations of smoking status and prescription of smoking cessation medication on rehospitalizations. Tobacco use remains a major public health issue in the United States as it is linked to a broad spectrum of serious diseases. Although intensive inpatient tobacco treatment programs have shown…
A 45-year-old woman presented to the emergency department (ED) in Cali, Colombia after sustaining a snake bite to her heel while walking barefoot in her backyard. Examination of the affected foot revealed a tiny puncture wound at the bite site with no surrounding erythema or significant tenderness. The remaining physical…
Objectives: States bordering the lower Mississippi River have large Black populations totaling 1,996,897. In 2019, 7506 Blacks there died of heart disease. These four states have high heart disease death rates. This analysis examined geographic variation in heart disease to suggest populations to target for intervention and suggest hypotheses for…
Objectives: Coverage by private insurance is associated with lower chronic pain prevalence, but the significance of different types of private coverage for the epidemiology of chronic pain is poorly understood. The primary outcome was pain prevalence. Among respondents with chronic pain, secondary outcomes included experiences of severe pain, high-impact pain,…
Objective: Data are lacking on the effect of pediatric clerkship duration on National Board of Medical Examiners pediatric shelf examination scores. Our school has recently changed its clerkship structure, transitioning from separate ambulatory and inpatient clerkships with examination at the end of each clerkship to a combined 8-week ambulatory and…
Objective: The objective was to investigate whether medical students can learn a pediatric musculoskeletal examination independently by studying the pediatric Gait, Arms, Legs, and Spine (pGALS) assessment. Methods: Fourth-year medical students were surveyed in 2018 regarding confidence and experience with the pediatric musculoskeletal training. Students performed an initial scored musculoskeletal…
Constipation is a common condition seen in both the inpatient and outpatient settings that complicates discharges and affects patients’ quality of life. Chronic constipation is estimated to affect 14.6% to 25% of the world population, making it one of the most common causes for referral to a specialist.1
Objectives: Certified athletic trainers (ATCs) are increasingly used in sports medicine clinics. Patient comfort for ATCs as clinical coordinators has yet to be determined. This study aims to determine patient comfort with ATCs as clinical coordinators compared with registered nurses (RNs). Methods: One hundred patients from a sports medicine clinic…
Objectives: Burnout in the healthcare workforce is a growing concern in the United States, with varying levels reported across different demographic groups. This study aimed to explore burnout and resilience domains among healthcare workers, focusing on gender and race/ethnicity differences within the University of Utah Health System. Methods: A cross-sectional…
Medical students around the world are now routinely using generative artificial intelligence (AI) tools (eg, Chat Generative Pre-Trained Transformer, Microsoft CoPilot, and OpenEvidence) as they interview patients, generate differential diagnoses, and formulate treatment plans.1 Although more experienced clinicians who trained without these tools often rely on memory and pattern recognition,…
Objectives: Helicobacter pylori is the strongest risk factor for non-cardia gastric adenocarcinoma, the cancer with the greatest racial disparity in US cancer mortality. The 2017 American College of Gastroenterology guidelines recognized that local H pylori antibiotic resistance data are often unavailable in the United States, highlighted increasing clarithromycin resistance, and…
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