October 2015, Volume 108 - Issue 10

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

Roshni Narayanan, MD, Rebecca Nugent, PhD, Kenneth Nugent, MD

Abstract: 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...

(pp 629-634)

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

William B. Horton, MD, Andrew Q. Weeks, MD, J. Matthew Rhinewalt, MD, Richard D. Ballard, MD, Frederick H. Asher, MD

Abstract: 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...

(pp 596-598)

Waiting in the Accident and Emergency Department: Exploring Problematic Experiences

Nanne Bos, PhD, Henk van Stel, PhD, Augustinus Schrijvers, PhD, Leontien Sturms, PhD

Abstract: 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...

(pp 613-620)

Internship and Empathy: Variations Across Time and Specialties

Sameer K. Avasarala, MD, Sarah Whitehouse, MAW, Sean M. Drake, MD

Abstract: 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...

(pp 591-595)

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

Kendall M. Campbell, MD, José E. Rodríguez, MD

Abstract: 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...

(pp 612)

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

David Albert Jones, DPhil, David Paton, PhD

Abstract: 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...

(pp 599-604)

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

Aaron Kheriaty, MD

Abstract: 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...

(pp 605-606)

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

Nghia M. Vo, MD, Rebecca Trocki, MSHAI

Abstract: 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...

(pp 622-626)

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

Victor O. Kolade, MD

Abstract: 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...

(pp 635-636)

Effect of Body Weight on Dose of Vitamin K Antagonists

Timothy H. Self, PharmD, Jessica L. Wallace, PharmD, BCPS, Sami Sakaan, PharmD, BCPS, Christopher W. Sands, MD

Abstract: 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...

(pp 637-643)

Achieving Excellence in Pharmaceutical Care

Lori H. Dupree, PharmD, BCPS

Abstract: 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...

(pp 627)

Academic Health Centers and Diversity “Readiness”

Luther Brewster, PhD

Abstract: 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...

(pp 607-609)

SMJ Response

James M. Wooten, PharmD

Abstract: 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...

(pp 628)

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

Rachel Brown, MBBS

Abstract: 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...

(pp 610-611)

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

Vivek C. Shah, MD, Lalit Patel, BS, Steven Lippmann, MD

Abstract: 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...

(pp 621)