Objectives: Accreditation Council for Graduate Medical Education guidelines require internal medicine residents to develop skills in the interpretation of medical literature and to understand the principles of research. A necessary component is the ability to understand the statistical methods used and their results, material that is not an in-depth focus…
Objectives: To determine the effects of a guideline-derived resident educational program on inpatient glycemic control and length of hospital stay (LOS). Methods: We compared the following variables before and after resident education: percentage of patients on basal-plus-bolus regimens, mean fingerstick glucose (FSG), LOS, and rates of hypoglycemia (FSG
Objectives: To investigate the relation between perceived waiting times and patients’ overall ratings of accident and emergency departments (A&Es) and to explore which patients view waiting times as problematic. Methods: A cross-sectional survey was held in 21 A&Es in the Netherlands. From each A&E, a random sample of patients was…
Objectives: To assess whether any differences exist in Interpersonal Reactivity Index (IRI) scores among postgraduate year 1 (PGY-1) residents across specialties. Methods: PGY-1 residents representing 11 specialties at our academic institution were invited to take a Web-based IRI survey at three time points. The specialties were condensed into several binary…
Patients with chronic pain can be some of the most difficult patients for clinicians to assist, but they are also some of the most knowledgeable about physical dysfunction resulting from pain. Physicians often struggle to learn the lessons these patients try to teach regarding the daily challenges they face. In…
Objectives: Several US states have legalized or decriminalized physician-assisted suicide (PAS) while others are considering permitting PAS. Although it has been suggested that legalization could lead to a reduction in total suicides and to a delay in those suicides that do occur, to date no research has tested whether these…
The study from Jones and Paton in this issue of the Southern Medical Journal is important not only for informing public health initiatives aimed at suicide risk reduction but also for informing public policy debates regarding proposed laws to permit physician-assisted suicide (PAS).1 The findings here undermine the hypothesis originally…
Objectives: This study documents the first six unplanned virtual review (VR) sessions conducted during the 2012 hurricane season at the Agency for Healthcare Research and Quality and their effects on review outcomes. It also compares these VR sessions with five face-to-face (FF) sessions. Methods: In the first part of this…
The Accreditation Council for Graduate Medical Education expects faculty who supervises residents to participate in journal clubs, and some residents and faculty should demonstrate scholarship via publications, presentations, and/or peer-reviewed funded research.1 Journal club meetings have long been invaluable tools in medical education for the delivery of critical appraisal skills…
Objectives: Numerous factors are well documented to affect the response to vitamin K antagonists (VKA), including dietary vitamin K, other drugs, age, pharmacogenetics, and disease states. Body weight is perhaps not as well known as a variable affecting VKA dose. Our aim was to review the literature regarding body weight…
To the Editor: Walking down the hall of the medicine/surgery unit, I began my daily routine of working as a clinical pharmacist at this academic medical center. I heard my name called as I passed a room, and upon entering, the patient stated, “Thank you for helping adjust my pain…
The Patient Protection and Affordable Care Act (PL 111–148) has significantly affected traditional medicine. The relatively homogenous client population of past generations has become an unprecedentedly diverse constituency. The healthcare workforce, particularly the academic health centers (AHCs) committed to preparing them, is faced with the question of how to more…
To the Editor: Dr Dupree’s letter details the daily work of a clinical pharmacist serving as a member of a multidisciplinary internal medicine team at an academic institution. Various examples are provided that document clearly the role and the impact of the clinical pharmacist on this team. As the author…
In this issue of the Southern Medical Journal, Brewster reminds us of some of the similarities between the Pentagon’s new approach to diversity and that of academic medicine.1 Instead of using “traditional” definitions of diversity, the Pentagon has taken a comprehensive approach. Rather than being defined by the limited number…
To the Editor: Bipolar disorder (BD) and attention-deficit/hyperactivity disorder (ADHD) are two mental health conditions of childhood with high degrees of comorbidity. BD is a recurrent, familial ailment that occurs in 1% to 3% of youth, particularly in adolescents.1 The persistence and rapid change in symptoms at crucial stages of…
Membership grants access to journals, courses and a slew of premium benefits.
Please consider supporting us by choosing an option below:
View Membership Options Make A Tax-Deductable Donation
No Thanks, take me to the site and don't show me this again.