Issue - Southern Medical Association

Review Article

A Social-Ecological Review of Cancer Disparities in Kentucky

Cancer continuously ranks among the top 10 leading causes of death in the United States. The burden of cancer is particularly elevated in the Commonwealth of Kentucky and its 54-county Appalachian region, where cancer is the leading cause of death. Kentucky’s high rates of cancer have been attributed to a…

Original Article

Comparison of Children’s Menu Items at Full- and Quick-Service Restaurants

Objectives: The proportion of food consumed by children from restaurants tripled during the last 4 decades and that coincided with the increased rate of obesity. Despite the presence of data linking quick-service (QS) food consumption to poor diet quality, studies comparing the nutrition content of the children’s menu items at…

Perspectives

Importance of Interdisciplinary Medical Education: A Frontline Perspective

What do you get when a physician, nurse, social worker, and physical therapist walk into a patient’s room? No, this is not the start of some joke, but rather just a regular day at the hospital. I often think about one of my first trauma call nights as a student….

Original Article

Engagement in an Online Cultural Competency Training

Objectives: Engagement with online cultural competency training has not been well studied. We examined knowledge, attitudes, and skills differences among medical students, physicians, and other professionals in an online cultural competency education program. Methods: A total of 1745 participants completed up to four online modules aimed at exploring stereotype, bias,…

Original Article

Single-Center Retrospective Study of Risk Factors and Predictive Value of Framingham Risk Score of Patients with ST Elevation Myocardial Infarction

Objectives: The objective of this study was to identify risk factors and clinical profile of the patients presenting with ST elevation myocardial infarction (STEMI). We further evaluated the utility of the Framingham Risk Score (FRS) in the accurate identification of these patients if used before their coronary event. Methods: We…

Original Article

Improving Underrepresented Minority in Medicine Representation in Medical School

Objectives: Despite the efforts of various leading organizations in medical education, representation of black students in US medical schools has declined since the mid-1990s. The Florida State University College of Medicine (FSUCOM) has undertaken efforts to increase black and other underrepresented minority in medicine (URMM) representation in medical school through…

Invited Commentary

Commentary on “Importance of Interdisciplinary Medical Education: A Frontline Perspective”

In this issue of the Southern Medical Journal, Aman Pandey, a medical student under the mentorship of Dr Jennifer Jackson, presents a perspective on the importance of interdisciplinary medical education preparatory to the responsibility for clinical care of patients.1 I could not agree with Pandey more. In fact, presenting interprofessional…

Letter to the Editor

On “Diagnosis of Child Maltreatment: A Family Medicine Physician’s Dilemma”

To the Editor: I recently had an opportunity to read the article ‘‘Diagnosis of Child Maltreatment: A Family Medicine Physician’s Dilemma,’’ by Eniola and Evarts,1 which appeared in the May 2017 issue of the Southern Medical Journal. Having practiced in family medicine for >35 years in rural settings as well…

Original Article

Provider Variation in Antibiotic Prescribing and Outcomes of Respiratory Tract Infections

Objectives: Inappropriate antibiotic use for respiratory tract infection (RTI) is an ongoing problem linked to the emergence of drug resistance and other adverse effects. Less is known about the prescribing practices of individual physicians or the impact of physician prescribing habits on patient outcomes. We studied the prescribing practices of…

Original Article

Measuring Functional Status in Hospitalized Older Adults Through Electronic Health Record Documentation

Objectives: Hospitalization-associated disability affects up to 60% of older adults; however, standardized measures of function are not routinely used and documented. We sought to determine whether nursing documentation in electronic medical records can be used to determine mobility status and associated clinical outcomes. Methods: A retrospective study of 2383 medical…

Original Article

Clinical Context and Detection of the Murmur of Advanced Aortic Stenosis

Objectives: Auscultation is an important clue to the presence of aortic stenosis (AS). We sought to assess the effect of symptom status, prior knowledge of diagnosis, and other patient factors on murmur detection. Methods: Patients with moderate-to-severe AS by echocardiography at a single center between June 2015 and June 2016…

Original Article

Postponing Childbearing and Fertility Preservation in Young Professional Women

Objectives: To evaluate young women’s awareness of ovarian reserve testing and oocyte cryopreservation (OC) and assess how testing ovarian reserve may affect the desire for fertility preservation. Methods: Three questionnaire-based observational studies were conducted among female students/young professionals 20 years of age and older. The third survey was completed after…