Issue - Southern Medical Association

Original Article

An Investigation of the Variety and Complexity of Statistical Methods Used in Current Internal Medicine Literature

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…

Original Article

Analysis of a Guideline-Derived Resident Educational Program on Inpatient Glycemic Control

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

Original Article

Waiting in the Accident and Emergency Department: Exploring Problematic Experiences

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…

Acknowledgment

Internship and Empathy: Variations Across Time and Specialties

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…

Letter to the Editor

Chronic Pain Visits and Academic Medicine for Underrepresented Minorities: The Surprising Parallel

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…

Original Article

How Does Legalization of Physician-Assisted Suicide Affect Rates of Suicide?

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…

Invited Commentary

Social Contagion Effects of Physician-Assisted Suicide: Commentary on “How Does Legalization of Physician-Assisted Suicide Affect Rates of Suicide?”

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…

Original Article

Virtual and Peer Reviews of Grant Applications at the Agency for Healthcare Research and Quality

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…

Invited Commentary

Commentary on “An Investigation of the Variety and Complexity of Statistical Methods Used in Current Internal Medicine Literature”

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…

Review Article

Effect of Body Weight on Dose of Vitamin K Antagonists

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…

Letter to the Editor

Achieving Excellence in Pharmaceutical Care

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…

Perspectives

Academic Health Centers and Diversity “Readiness”

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…

Invited Commentary

SMJ Response

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…

Invited Commentary

Commentary on “Academic Health Centers and Diversity ‘Readiness’”

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…

Letter to the Editor

Differentiating Bipolar Disorder from Attention-Deficit/Hyperactivity Disorder in Children

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…