Issue - Southern Medical Association

Original Article

Medical Students’ Perceptions of Feedback in a Busy Ambulatory Setting: A Descriptive Study Using a Clinical Encounter Card

Background: Residents and medical students have expressed repeated concerns over the years about the inadequate amounts and quality of feedback in the clinical setting. Despite innovative ways to teach the skill of giving feedback, the problem has not been fixed. Methods: In this study, the author introduced the clinical encounter…

Original Article

What Attributes are Necessary to Be Selected for an Orthopaedic Surgery Residency Position: Perceptions of Faculty and Residents

Orthopaedic surgery has an extremely competitive residency selection process. The authors discuss which attributes of an orthopaedic surgery residency applicant are the most important in obtaining a position. A comparison of applicants’ opinions to those of faculty was also done. Anonymous questionnaires were filled out by orthopaedic surgery residency applicants…

Original Article

Great Shakes: Famous People With Parkinson Disease

James Parkinson is credited with the first complete clinical description of the syndrome attributed to his name, Parkinson disease. It is recognized as the first syndrome defined after neurology became a specialty. Descriptions of Parkinson features are rare in antiquity, and famous people with this disorder have not been found…

Expired CME Article

Religion and Spirituality in Three Major General Medical Journals From 1998 to 2000

Objectives: Religion and spirituality provide the means by which many individuals and their families cope with illness. Moreover, there is evidence to suggest that health outcomes may be influenced by patients’ religious beliefs, attitudes, and behavior. Methods: We examined three representative nonspecialty journals (Journal of the American Medical Association, Lancet,…

Expired CME Credit Submission and Evaluation Form

CME Credit—December 2004 Featured CME Topic: Spirituality

Expired CME Credit Submission and Evaluation Form – Spirituality

Review Article

Leprosy: A Case Series and Review

Hansen disease, historically known as leprosy, is caused by Mycobacterium leprae. The disease is rare in the United States but remains endemic among certain immigrant populations, and may manifest years after infection. The US military has a number of active duty troops originally from endemic countries. Recently, three US soldiers…

Case Report

Carotid Dissection Associated with a Handheld Electric Massager

The extracranial internal carotid artery (ICA) is susceptible to injury and dissection from external shear forces applied to the neck. Traumatic ICA dissection usually occurs in the setting of a sudden, high amplitude force causing significant distortion of surrounding soft tissues. Weaker, repetitive forces applied for longer intervals may also…

Case Report

Diagnosis of Benign Solitary Fibrous Tumors by Positron Emission Tomography

An 80-year-old male presented with dyspnea so severe that he could not perform the activities of daily living. Chest radiography and computed tomography of the chest demonstrated a 30-cm left chest mass extending inferiorly to displace the left kidney and spleen. Three incisional biopsies yielded inconclusive results. Positron emission tomography…

Letter to the Editor

Cranial Electrotherapy Stimulation: A Safe Neuromedical Treatment for Anxiety, Depression, or Insomnia

The Institute of Medicine’s To Err is Human made headlines by estimating that medical errors account for between 44,000 and 98,000 deaths annually in the United States. Together with the subsequent quality dimension report, Crossing the Quality Chasm, the Institute of Medicine has brought patient safety into the spotlight.1 The…

Original Article

Patients’ Views About Discussing Spiritual Issues With Primary Care Physicians

Objectives: The authors sought to explore patients’ views about discussing spiritual issues with primary care physicians, including perceived barriers to and facilitators of discussions. Methods: The study was a qualitative, semistructured interview of 10 chronically or terminally ill patients who were deliberately selected to represent a range of demographic factors…

Original Article

Hippocratic Oath

Hippocratic Oath

Case Report

Successful Use of a Polymerized Hemoglobin Blood Substitute in a Critically Anemic Jehovah's Witness

A stable, polymerized hemoglobin product has been formulated that overcomes the three traditional hurdles of hemoglobin-based blood substitutes: nephrotoxicity, osmotic diuresis, and blood-borne pathogens. We present a case of a patient with persistent colonic bleeding and a hemoglobin of 2.9 g/100 mL. Since her religious faith prevented her from accepting…

Case Report

When Is an Organ Donor Not an Organ Donor?

The Uniform Anatomical Gift Act (UAGA) grants any competent adult the legal right to designate whether he or she wishes to donate his or her organs for transplantation after death. However, contextual issues may interfere with organ donation by individuals who want to be organ donors. This case report describes…

Editorial

The Strange and Stressful Path to Residency

The path that any orthopaedic (or other) resident applicant travels—from completed Electronic Residency Application Service (ERAS) application, to program interview, to rank number, to selection by the residency match—is a complicated, expensive, stressful, and chancy trip. A paucity of signs, billboards, and consensus standards exist to clarify that path.

Editorial

Fluorodeoxyglucose F 18 Positron Emission Tomography Scanning in Thoracic Disease

Positron emission tomography (PET) is based on the observation that tumor cells exhibit high glucose utilization.1 Though not unique to malignant cells, this feature prompted the development of a radiolabeled tagged glucose tracer that can assess tissue metabolism. Fluorodeoxyglucose F 18 (FDG) is the tracer most widely used in clinical…

Editorial

Religion and Spirituality: Important Psychosocial Variables Frequently Ignored in Clinical Research

Religious and spiritual beliefs and practices are fundamental to the identity of many people. But, are such beliefs and practices relevant to health care? Previous work published in a variety of journals suggests that they are. Religious and spiritual variables have been associated with lower levels of mortality in prospective…

Editorial

Publication in the Field of Spirituality, Religion, and Medicine: An Uphill Battle?

Attention to religion, faith, and spirituality in medicine has increased in recent years. The number of papers published on the subject has skyrocketed in the decade of the 90s, and the pace has continued in the new millennium. The topic has been the subject of a number of popular books,…

Editorial

Spirituality, Health, and Religion: The Need for More Research

Jesus said, “I command you, pick up your mat and go home,” and the paralytic man got up and walked.1 Are these truly signs of divine intervention? Does God intervene in our daily miseries? If the answer is affirmative, how can this phenomenon be harnessed in a reproducible manner? Or…

Expired CME Article

Spirituality

Expired CME Article – Spirituality

Expired CME Article

Religious Involvement and Adult Mortality in the United States: Review and Perspective

Objectives: The scientific community has recently taken a serious interest in the relation between religious involvement and adult mortality risk in the United States. We review this literature, highlighting key findings, limitations, and future challenges. Methods: Literature from medicine, epidemiology, and the social sciences is included. Results: Taken together, the…

Expired CME Article

Spiritual Care: Whose Job Is It Anyway?

The use of spirituality and religion in coping with illness is widespread among primary care patients. Although the overwhelming majority of healthcare providers agree that they should be aware of patients’ spiritual beliefs, that these beliefs may influence their healing, and that patients benefit from spiritual care, there remains considerable…

Expired CME Article

Religion, Spirituality, and Medicine: Research Findings and Implications for Clinical Practice

A growing body of scientific research suggests connections between religion, spirituality, and both mental and physical health. The findings are particularly strong in patients with severe or chronic illnesses who are having stressful psychologic and social changes, as well as existential struggles related to meaning and purpose. Recent studies indicate…

Expired CME Article

Selected Resources

Expired CME Article – Selected Resources

Expired CME Article

The Role of Religion/Spirituality for Cancer Patients and Their Caregivers

Research has shown that religiosity and spirituality significantly contribute to psychosocial adjustment to cancer and its treatments. Religion offers hope to those suffering from cancer, and it has been found to have a positive effect on the quality of life of cancer patients. Numerous studies have found that religion and…

Expired CME Article

Introduction

Compassionate patient care should be an integral part of the medical profession. Unfortunately, while medicine is making tremendous technologic advances, the potential for offering compassionate care is decreasing. Patients and their families may be intimidated by the health care delivery system and modern technology-based treatment.1 The current health care system…

Original Article

Burnout in Residency: A Statewide Study

Objective: To determine the prevalence of burnout in residents in obstetrics and gynecology through the use of a validated tool. Methods: The Maslach Burnout Inventory Human Services questionnaire is a previously validated tool that measures burnout. Obstetrics and gynecology residents from Texas were invited to participate in this study in…

Original Article

Origins of the Compleat Physician: Caricature or Reality?

Fellow faculty, parents, guests, and young colleagues: I am greatly honored to have been invited to be the guest speaker on the occasion of your initiation into our special fraternity. In case it crossed your mind, our president has very properly vetoed any semblance of hazing for admission to this…

Author Index

Author Index

Author Index

Book Review

Counseling Survivors of Traumatic Events: A Handbook for Pastors and Other Helping Professionals

Many health care professionals will sooner or later be called upon to help someone who has been the victim of a traumatic event, such as a natural disaster, an act of criminal violence, a catastrophic accident, or regrettably, even a terrorist attack. There is little time for reflection during a…

Acknowledgment

In Appreciation

The editor and staff of the Southern Medical Journal would like to extend their appreciation to those who served as reviewers during 2004.

Letter to the Editor

Radiotherapy Dose Fractionation in Pediatric Langerhans Cell Histiocytosis

Langerhans cell histiocytosis (LCH) is an uncommon disease characterized by idiopathic proliferation of dendritic histiocytes, most commonly diagnosed in children younger than 20 years of age. Though LCH is radioresponsive, the use of radiation has been restricted in children, due to concerns about growth, developmental, and other late toxicities and…

Medical Webwatch

Medical Webwatch

“I just want to run a few tests.” It’s one of the most common phrases that a patient will hear from you. Wouldn’t it be ideal to check off the tests prescribed so that a patient could look them up online at home? Well now you can, with Lab Tests…

Subject Index

Subject Index

Subject Index

Acknowledgment

The Patient’s Page

Is there anything more frightening than being diagnosed with cancer? Perhaps not. But researchers have found that patients who maintain a sense of hopefulness about their cancer are better able to deal with the emotional and physical traumas of their disease. Faith often provides a framework through which patients can…

Article

Religion, Aging, and Health: Exploring New Frontiers in Medical Care

Key PointsA growing number of studies suggest that involvement in religion may exert a beneficial effect on the physical and mental health of older people. There appear to be negative as well as positive influences of religion on health. Much remains to be learned about the specific facets of religion…

Article

Religion and HIV: A Review of the Literature and Clinical Implications

Key PointsEmpirical studies suggest that religion and spirituality can be both resources for people with HIV and sources of pain and struggle. Practitioners have begun to develop spiritually integrated interventions for this population. “Lighting the Way: A Spiritual Journey to Wholeness” is an 8-session, nondenominational, group program that was designed…

Article

Methodologic Issues in Research on Religion and Health

Key PointsAlthough there are methodologic deficiencies in many of the studies that have reported a positive relation between religion and health, the methodologic sophistication of research in this area has steadily improved, especially in the last several years. The application of epidemiologic criteria for inferring causality supports the contention that…