Issue - Southern Medical Association

Original Article

Primary Care Providers’ Comfort Levels in Caring for Patients with Sickle Cell Disease

Objective: The purpose of this study was to determine the comfort levels of primary care providers in caring for individuals with sickle cell disease (SCD) and determine factors that improved or lessened provider comfort. Methods: We surveyed providers at the annual Johns Hopkins Community Physicians retreat. The survey consisted of…

Original Article

Educational Intervention in Primary Care Residents’ Knowledge and Performance of Hepatitis B Vaccination in Patients with Diabetes Mellitus

Objectives: Although guidelines recommend hepatitis B virus (HBV) immunization for adults with diabetes mellitus (DM), vaccination rates remain low. Our aim was to evaluate knowledge and practice regarding HBV and to assess the effectiveness of a multifaceted educational program. Methods: Primary care residents (n = 244) at three academic institutions…

Original Article

Incidence and Clinical Predictors of Nonresponse to Hepatitis B Vaccination among Patients Receiving Hemodialysis: Importance of Obesity

Objectives: The objectives of this study were to quantify the incidence of hepatitis B virus (HBV) vaccine nonresponse and identify clinical characteristics associated with vaccine nonresponse. Methods: A retrospective cohort study was conducted among patients undergoing hemodialysis (HD) receiving the HBV vaccine. Study inclusion criteria were age 18 years and…

Original Article

Risk Factors for Unscheduled 30-day Readmission after Benign Hysterectomy

Objectives: Readmission rates after hysterectomy have been reported, but specific risk factors for readmission have not been fully delineated. We aimed to determine risk factors for and implications of 30-day unscheduled readmission after benign hysterectomy using data from the American College of Surgeons National Surgical Quality Improvement Program. Methods: We…

Original Article

Effect of Repetitive, Subconcussive Impacts on Electrophysiological Measures of Attention

Objectives: In this preliminary study, the auditory P3b response, when measured during a visually distracting task, was investigated as an index of change in cognitive function resulting from exposure to subconcussive impacts (SCIs) in collision sports over time. Methods: Both pre- and postseason P3b responses were examined in seven first-year…

Original Article

Healthcare Providers’ Knowledge of Diets and Dietary Advice

Objectives: Little is known about healthcare providers’ knowledge of dietary evidence or about what dietary advice providers offer to patients. The objective of our study was to determine which diets providers recommended to patients and providers’ beliefs about the evidence behind those recommendations. Methods: This was a 22-question cross-sectional survey…

Original Article

Increased Anesthesia Usage in a Large-Volume Endoscopy Unit: Patient Acuity Is Not the Main Predictor

Objectives: The use of monitored anesthesia care (MAC) for colonoscopy sedation continues to increase. This study examined trends during a 9-year period in the use of MAC and explored which patient variables may have influenced these trends. Methods: This was a retrospective review of all colonoscopies performed in our hospital-based…

Original Article

Patient Demographics and Socioeconomic Characteristics of an Ambulatory Care Clinic Served by a University PCCM Training Program

Objectives: Continuity clinics are an important aspect of pulmonary medicine fellowship training. We provide a description of a pulmonary outpatient clinic in an inner city, county-owned, university-affiliated hospital. Methods: This is a descriptive study of administrative data on consecutive patient visits to the University of Tennessee Regional One Health at…

Invited Commentary

Commentary on “Primary Care Providers’ Comfort Levels in Caring for Patients With Sickle Cell Disease”

Perhaps no other disease entity has generated as much discussion as sickle cell disease (SCD) in terms of multidisciplinary management. During its long, illustrious history in modern medicine, disciplines such as hematology, pain management, palliative care, psychiatry, and addiction have played important roles in its management.1 The role of primary…

Original Article

Evaluating Violent Person Management Training for Medical Students in an Emergency Medicine Clerkship

Objectives: Violence is a significant problem facing healthcare workers in the United States, particularly in emergency departments (EDs). Education is key to providing a safe environment for workers to ensure their ability to recognize and respond to violent patients and visitors. We studied the effects of a video podcast–based violence…

Original Article

Etiologies and Short-Term Mortality in Patients with Ultraelevated Serum Ferritin

Objectives: Hyperferritinemia is common in states of iron overload, inflammation, and malignancy. There is evidence that higher ferritin levels may be associated with worse outcomes in several clinical conditions. Available data have been drawn primarily from cases of serum ferritin between 1000 and 5000 ng/mL and from relatively few cases…

Review Article

Autoimmune Pancreatitis: A Diagnostic Challenge for the Clinician

Autoimmune pancreatitis (AIP) is a rare cause of chronic pancreatitis that poses a diagnostic challenge to the clinician in that it mimics pancreatic cancer and presents with painless obstructive jaundice. In this review, we discuss the two types of AIP: type 1, known as lymphoplasmacytic sclerosing pancreatitis and type 2,…

Review Article

Postconcussive Syndrome Following Sports-related Concussion: A Treatment Overview for Primary Care Physicians

Postconcussive syndrome is an increasingly recognized outcome of sports-related concussion (SRC), characterized by a constellation of poorly defined symptoms. Treatment of PCS is significantly different from that of SRC alone. Primary care physicians often are the first to evaluate these patients, but some are unfamiliar with the available therapeutic approaches….

Letter to the Editor

Where Did All of the Students Go?

To the Editor: As a result of the 2015 National Resident Matching Program’s Main Residency Match, nearly 17,000 US applicants matched, as did 9000 others, for the nearly 27,000 first-year positions that were offered.1 Those who did not match in the first round would have had few alternatives before the…