April 2017, Volume 110 - Issue 4

Self-Report Study of Predictors of Physician Wellness, Burnout, and Quality of Patient Care

Jodie Eckleberry-Hunt, PhD, ABPP, Heather Kirkpatrick, PhD, ABPP, Kanako Taku, PhD, Ronald Hunt, MD

Abstract: Objective: The goal of this self-report study was to examine the relation of work variables, self-rated health and mental health status, and perceived social support to physician wellness, physician burnout, and quality of patient care. Methods: We administered a...

(pp 244-248)

Association Between Energy Prices and US Hospital Patient Outcomes

Lawrence H. Brown, PhD, Taha Chaiechi, PhD, Petra G. Buettner, PhD, Deon V. Canyon, PhD

Abstract: Objective: To evaluate associations between changing energy prices and US hospital patient outcomes. Methods: Generalized estimating equations were used to analyze relationships between changes in energy prices and subsequent changes in hospital patient outcomes measures...

(pp 257-264)

Exploration of the Association Between Physical Health and Suicidal Behavior in Psychiatric Outpatients in Rural America

Jessica M. Carbajal, MD, Nolan C. Kordsmeier, MS, Ricardo Cáceda, MD, PhD

Abstract: Objective: Evidence reveals a link between poor physical health and suicide. The physical health of rural, adult psychiatric outpatients with a history of suicide was examined. Methods: The medical records of 192 patients seen at a tertiary-level academic medical center...

(pp 235-238)

Role of Direct Oral Anticoagulants in the Management of Anticoagulation

Rajiv N. Thakkar, MD✝, Suman W. Rathbun, MD, Scott M. Wright, MD

Abstract: For decades, vitamin K antagonists (VKAs) have been the oral treatment of choice for many thromboembolic conditions. The limitations of VKAs include the need for monitoring through blood testing, drug interactions, and narrow therapeutic windows. These shortcomings have led...

(pp 293-299)

Sleep Duration and C-Reactive Protein in US Adults

Michael R. Richardson, MSH, ACSM EP-C, James R. Churilla, PhD, MPH

Abstract: Objective: To use gender-stratified logistic regression analysis to examine the associations between elevated C-reactive protein (CRP; >3–10 mg/L) and sleep duration. Methods: The study sample included male (n = 5033) and female (n = 4917) adult (20 years old and older)...

(pp 314-317)

Improving Mental Health Services Through Physician Assistants: Legislation in Several Southern States

Matthew Buchbinder, JD, Judith Regan, MD, JD, Mirela Aldea, PhD, Denise Makowski, PsyD

Abstract: A national effort to provide more expansive mental health care in the United States has been an increasing priority during the last decade. States have enacted laws that allow for the delegation of psychiatric services to physician assistants in an effort to address the...

(pp 239-243)

Commentary on “Nurturing Competence and Compassion in Future Physicians”

Rachel Brown, MBBS

Abstract: The article by Sherling and Hennekens in this issue of the Southern Medical Journal powerfully emphasizes the importance of assessing noncognitive factors in the selection for medicine.1 No question – patients demand and deserve compassionate humane care. My experience...

(pp 285-286)

Autoimmune Neutropenia Updates: Etiology, Pathology, and Treatment

Wais Afzal, MD, Mohamad Bagher Owlia, MD, Sarfaraz Hasni, MD, Kam A. Newman, MD

Abstract: Autoimmune neutropenia (AIN) is defined as a neutrophil...

(pp 300-307)

Family Medicine–Specific Practice-Based Research Network Productivity and Clinical and Translational Sciences Award Program Affiliation

Treah Haggerty, MD, MS, Allison M. Cole, MD, MPH, Jun Xiang, MS, Arch G. Mainous, PhD, Dean Seehusen, MD, MPH

Abstract: Objective: Practice-based research networks (PBRNs) are groups of practices that work together to conduct research. Little is known about the degree to which PBRNs may be achieving success. This is the first general survey of family medicine–based PBRN directors in the...

(pp 287-292)

Lynch Syndrome and Endometrial Cancer

Sareena Singh, MD, Kimberly E. Resnick, MD

Abstract: In patients with Lynch syndrome, gynecologic cancer often can be the first presenting malignancy. In this review, we summarize the genetics of Lynch syndrome and review the various modalities of identifying patients at risk for this syndrome. The clinical characteristics of...

(pp 265-269)

Aleukemic Myeloid Leukemia Cutis with a Kikuchi Disease–Like Inflammatory Pattern in Myelodysplastic Syndrome

Michelle Khieu, MD, Alexis Beauvais, MD, Rebecca Matz, MD, Adrian Bersabe, MD, Patrick Brown, MD, Alexander Brown, MD, Eric Fillman, MD, Jordan Hall, MD

Abstract: Myeloid leukemia cutis (MLC) is a rare disease characterized by the infiltration of neoplastic myeloid, myelomonocytic, or monocytic precursors into the skin, producing clinically nonspecific-appearing papules, nodules, plaques, or purpura that necessitate biopsy for...

(pp 308-313)

Nurturing Competence and Compassion in Future Physicians

Dawn Harris Sherling, MD, Charles Hennekens, MD, DrPH

Abstract: The stories at the low-income clinic that day were even more gut-wrenching, the usual shocking pathology was perhaps more obscure. Yet, the premedical school student who was translating for the non–Spanish-speaking clinicians seemed unmoved and disinterested. Although he...

(pp 283-284)

Social Support and Health-Related Quality of Life Among Low-Income Women: Findings from Community-Based Participatory Research

Hamisu M. Salihu, MD, PhD, Korede Adegoke, MBBS, MPH, DeAnne Turner, MPH, Dania Al Agili, MPH, DrPH, Estrellita “Lo” Berry, MA

Abstract: Objectives: This study examined the association between social support and health-related quality of life (HRQoL) among low-income women in the southeastern region of the United States. Methods: Analysis was performed on data from a community needs assessment survey that...

(pp 270-277)

Commentary on “Will the ‘Fixes’ Fall Flat? Prospects for Quality Measures and Payment Incentives to Control Healthcare Spending”

Mark Boston, MD

Abstract: In this issue of the Southern Medical Journal, Hauswald and Sklar et al explore the evolution of Medicare payment policies and the challenges faced by the quality-aligned payment incentives.1 After 50 years of various manipulations to a fee-for-service system, the Medicare...

(pp 255-256)

Will the “Fixes” Fall Flat? Prospects for Quality Measures and Payment Incentives to Control Healthcare Spending

Erik Hauswald, BA, David Sklar, MD

Abstract: Payment systems in the US healthcare system have rewarded physicians for services and attempted to control healthcare spending, with rewards and penalties based upon projected goals for future spending. The incorporation of quality goals and alternatives to fee-for-service...

(pp 249-254)

Inflammation and Healthy Lifestyle Choices Influence Cardiometabolic Risks in African American Women

L. Jerome Brandon, PhD, Jurine Owen, PhD, PT

Abstract: Objectives: Individuals of African origin in Europe and the Caribbean have a lower prevalence of coronary heart disease (CHD) than do Europeans and European Americans; however, African Americans, especially women, do not possess the same low CHD prevalence as Africans. As...

(pp 278-282)