Issue - Southern Medical Association

Invited Commentary

Commentary on “Improving Postoperative Efficiency: An Algorithm for Expedited Void Trials After Urogynecologic Surgery”

For many reasons, including the general aging of the US female population, women’s awareness of surgical therapies to address pelvic floor dysfunction, and the increasing acceptance of such therapies, the incidence of pelvic floor reconstructive surgery is increasing and likely will continue to increase.1

Original Article

Dramatic Reduction in 30-Day Readmissions Through High-Risk Screening and Two-Phase Interdisciplinary Care

Objectives: Thirty-day readmissions are common, serious, and costly. Most important, often they are preventable. The purpose of this quality improvement study was to evaluate an interdisciplinary, two-phase intervention to reduce 30-day readmissions among high-risk medical patients. One or two high-risk patients were selected each weekday by a hospitalist using literature-based,…

Original Article

Radiologists’ Recommendations for Additional Imaging on Inpatient CT Studies: Do Referring Physicians Follow Them?

Objectives: Studies have found that recommendations for additional imaging (RAI) accompany up to 31% of index computed tomography (CT) scans. In this study we assessed the frequency with which recommendations are accepted by the referring physician and the impact of AI on case management. Methods: We performed a cross-sectional study…

Original Article

Objective Structured Clinical Examination–Based Teaching of the Musculoskeletal Examination

Objectives: Musculoskeletal complaints are the most common presenting illnesses in primary care settings, yet physicians often are underprepared to manage such complaints. We sought to create and evaluate an objective structured clinical examination (OSCE)–based musculoskeletal workshop designed to simultaneously educate medical students and internal medicine residents, enlisting volunteer medical students…

Original Article

Cross-Sectional Study of the Relation of Health Literacy to Primary Language and Emergency Department Length of Stay

Objectives: The primary aim of this study was to determine whether emergency department (ED) length of stay (LOS) or primary language was related to the degree of health literacy of patients. Methods: Adult English-speaking and Spanish-speaking patients were recruited for the study. Participants completed the Newest Vital Sign (NVS) tool…

Original Article

Improving Postoperative Efficiency: An Algorithm for Expedited Void Trials After Urogynecologic Surgery

Objectives: To evaluate the relation between voided volume and void trial “success” to create an algorithm that minimizes the need for postvoid residual volume (PVR) assessment in backfill-assisted void trials. Methods: This article is an ancillary analysis of deidentified data from a randomized trial evaluating prophylactic antibiotics after urogynecologic surgery….

Original Article

Internal Medicine Hospitalists’ Perceived Barriers and Recommendations for Optimizing Secondary Prevention of Osteoporotic Hip Fractures

Objectives: Osteoporosis is a major public health concern affecting an estimated 10 million people in the United States. To the best of our knowledge, no qualitative study has explored barriers perceived by medicine hospitalists to secondary prevention of osteoporotic hip fractures. We aimed to describe these perceived barriers and recommendations…

Original Article

Defining Medical Student Patient Care Responsibilities Before Intern Year: Results of a National Survey

Objectives: Program directors have noted that first-year residents struggle with many of the patient care responsibilities they assume as they enter the US graduate medical education system. A national description of medical students’ patient care experience in advance of graduation has not been published. We sought to describe the experience…

Original Article

Variation in Use of Prophylactic Antibiotics in Gynecologic Procedures Before and After an Educational Intervention

Objectives: Guidelines for use of prophylactic antibiotics in gynecologic procedures are outlined by the American Congress of Obstetricians and Gynecologists. There remains, however, a high rate of unindicated administration of antibiotics for surgeries. A retrospective study performed at our institution in 2012–2013 demonstrated that unindicated prophylactic antibiotics were administered over…

Invited Commentary

Commentary on “Internal Medicine Hospitalists’ Perceived Barriers and Recommendations for Optimizing Secondary Prevention of Osteoporotic Hip Fractures”

Osteoporotic hip fractures are a public health concern in the United States. The potential sequelae of a hip fracture are far reaching and can lead to a state of chronic pain, functional dependence, diminished quality of life, increased cost burden, and premature death. A patient’s chance of a second fracture…

Letter to the Editor

Reducing the Time Spent Writing Notes Could Help Solve the Physician Shortage

To the Editor: There is concern about physician shortages, with estimates of primary care physician shortages of 44,000,1 46,000,2 or 52,0003 by the year 2025.

Original Article

Development of Multiple Primary Cancers in Lung Cancer Patients: Appalachian Versus Non-Appalachian Populations of Kentucky

Objectives: The aim of this study was to investigate whether patients with lung cancer in Appalachian Kentucky are more likely to develop multiple primary cancers than patients in non-Appalachian Kentucky. Additional analyses were conducted to identify other factors that may be associated with an increased hazard of developing multiple primary…

Original Article

Developing a Mass Casualty Surge Capacity Protocol for Emergency Medical Services to Use for Patient Distribution

Objectives: Metropolitan areas must be prepared to manage large numbers of casualties related to a major incident. Most US cities do not have adequate trauma center capacity to manage large-scale mass casualty incidents (MCIs). Creating surge capacity requires the distribution of casualties to hospitals that are not designated as trauma…

Errata

EMS Patients and Walk-In Patients Presenting With Severe Sepsis: Differences in Management and Outcome: Erratum

In the December 2014 issue of Southern Medical Journal there was an error in the AMS (%) number under the “Died” column in Table 2.