July 2016, Volume 109 - Issue 7

Where Joy May Find Us

Timothy P. Daaleman, DO, MPH

Abstract: Several of my colleagues have started to use a catchphrase to address a weariness that seems to be common among physicians these days: finding joy in practice. Although the concept of joy does not have roots in the social or psychological sciences, I think that most people...

(pp 391-392)

Commentary on “Where Joy May Find Us”

Elizabeth MacDonald, MD, Andrew Elder, MD

Abstract: The capacity for joy is intrinsic to human nature, but physicians may not be finding it in their work like they once did. In a thought-provoking piece in this issue of the Southern Medical Journal, Timothy Daaleman reflects on joy in contemporary medical practice and asks...

(pp 393-394)

House Staff Participation in Patient Safety Reporting: Identification of Predominant Barriers and Implementation of a Pilot Program

David A. Stewart, MD, Justin Junn, MD, Megan A. Adams, MD, Joanna L. Spencer-Segal, MD, PhD, Emily Perdoncin, MD, Kerri Lopez, BS, Christopher S. Kim, MD

Abstract: Objectives: Patient safety event (PSE) reporting is a critical element for healthcare organizations that are striving for continuous quality improvement. Although resident physicians routinely provide the majority of direct patient care, the level of their participation in...

(pp 395-400)

Commentary on “House Staff Participation in Patient Safety Reporting: Identification of Predominant Barriers and Implementation of a Pilot Program”

Turi McNamee, MD

Abstract: In his book Outliers: The Story of Success, Malcolm Gladwell describes a dark period in the history of Korean Air, which had experienced more crashes than almost any other airline.1 After investigation it was found that in many of these crashes, the copilot/first officer...

(pp 401)

Examining Invasive Bedside Procedure Performance at an Academic Medical Center

Cynthia Kay, MD, MS, Erica M. Wozniak, MS, Aniko Szabo, PhD, Jeffrey L. Jackson, MD, MPH

Abstract: Objectives: Explore the performance patterns of invasive bedside procedures at an academic medical center, evaluate whether patient characteristics predict referral, and examine procedure outcomes. Methods: This was a prospective, observational, and retrospective chart...

(pp 402-407)

Commentary on “Examining Invasive Bedside Procedure Performance at an Academic Medical Center”

Jayakrishna Chintanaboina, MD, MPH, FACP

Abstract: The decision to perform a procedure at the bedside or refer a patient to a radiologist rarely is based on the patient’s comorbidites and is largely discretionary.1 In this issue of the Southern Medical Journal, Kay and colleagues have shown that female patients and those...

(pp 408)

Estimating the Net Career Income of a Geriatrician and a Nurse Practitioner: Still Want to Be a Doctor?

Adam G. Golden, MD, Peixin Xu, BS, Thomas T.H. Wan, PhD, Saul Barry Issenberg, MD

Abstract: Objectives: With a continual shortage of geriatricians, adult-gerontology primary care nurse practitioners have assumed a greater role in the delivery of outpatient care for older adults. Given the long duration of physician training, the high cost of medical school, and...

(pp 409-414)

Commentary on “Estimating the Net Career Income of a Geriatrician and a Nurse Practitioner: Still Want to Be a Doctor?”

J. Rush Pierce, MD, MPH, David R. Scrase, MD, MHSA

Abstract: In this issue of the Southern Medical Journal, Golden and colleagues use an economic model to compare the lifetime earnings of geriatricians, primary care physicians, and geriatric nurse practitioners; they then examine the effects of three policy interventions: forgiving...

(pp 415-416)

Pneumococcal Vaccine Eligibility Misconception

Herbert L. Muncie, MD

Abstract: To the Editor: Oldfield and Stewart did an excellent job discussing 10 misconceptions regarding adult vaccination administration.1 Recommendation 4, ‘‘Both pneumococcal polysaccharide vaccine and pneumococcal conjugate vaccine are indicated in healthy adults older than...

(pp 417)

Authors’ Response

Benjamin J. Oldfield, MD, Rosalyn W. Stewart, MBA, MD, MS

Abstract: To the Editor: We appreciate the clarifications provided in the letter by Dr Muncie. We apologize for the typographical errors in our figure. The current recommendations for immunoprophylaxis against pneumococcal disease are indeed confusing and changing frequently. Four...

(pp 417-418)

When Should ED Physicians Use an HIE? Predicting Presence of Patient Data in an HIE

Christine Marie Carr, MD, Steven Howard Saef, MD, MSCR, Jingwen Zhang, MS, Zemin Su, MS, Cathy L. Melvin, PhD, Jihad S. Obeid, MD, Wenle Zhao, PhD, J. Christophe Arnaud, BS, Justin Marsden, BS, Adam B. Sendor, BA, Leslie Lenert, MD, MS, William P. Moran, MD, MS, Patrick D. Mauldin, PhD

Abstract: Objectives: Health information exchanges (HIEs) make possible the construction of databases to characterize patients as multisystem users (MSUs), those visiting emergency departments (EDs) of more than one hospital system within a region during a 1-year period. HIE data can...

(pp 427-433)

Incorporating Patient Satisfaction Metrics in Assessing Multidisciplinary Breast Cancer Care Quality: Erratum

No author listed

Abstract: In the article that appeared on pages 372-376 of the June 2015 issue, there is discordance between the text and Figure 1 in the reported outcomes for the metric ‘‘Comfort with Care Plan’’. Please see the corrected figure below that corresponds to the...

(pp 440)

Health Information Exchange in the ED: What Do ED Clinicians Think?

Cathy L. Melvin, PhD, MPH, Steven H. Saef, MD, MSCR, Holly O. Pierce, MS, Jihad S. Obeid, MD, Christine M. Carr, MD

Abstract: Objectives: Our regional health information exchange (HIE), known as Carolina eHealth Alliance (CeHA)-HIE, serves all major hospital systems in our region and is accessible to emergency department (ED) clinicians in those systems. We wanted to understand reasons for low...

(pp 419-426)

A Comprehensive View of Frequent Emergency Department Users Based on Data from a Regional HIE

Steven Howard Saef, MD, MSCR, Christine Marie Carr, MD, Jeffrey S. Bush, MD, Marc T. Bartman, MD, Adam B. Sendor, BA, Wenle Zhao, PhD, Zemin Su, MS, Jingwen Zhang, MS, Justin Marsden, BS, J. Christophe Arnaud, BS, Cathy L. Melvin, PhD, Leslie Lenert, MD, MS, William P. Moran, MD, MS, Patrick D. Mauldin, PhD, Jihad S. Obeid, MD

Abstract: Objectives: A small but significant number of patients make frequent emergency department (ED) visits to multiple EDs within a region. We have a unique health information exchange (HIE) that includes every ED encounter in all hospital systems in our region. Using our HIE we...

(pp 434-439)