September 2018, Volume 111 - Issue 9

Team-Based Learning Activities for First-Year Medical Students: Perception of the Learners

Amir Kazory, MD, Zareen Zaidi, MD

Abstract: Objectives: Team-based learning (TBL) is an active learning strategy that is used increasingly in medical education to promote critical thinking, knowledge application, teamwork, and collaboration. The aim of this study was to assess the students’ perspective on the...

(pp 525-529)

Is It “In” to Wear Scrubs Out?

Pavela G. Bambekova, BS, Chirag A. Buch, BS, Chelsea Mendonca, BS, Amr Arar, BS, Alireza Mirahmadizadeh, MD, MPH, PhD, Ali Seifi, MD

Abstract: Objective: This study aimed to identify differences in perceptions between healthcare and non-healthcare personnel when it comes to wearing scrubs in non-healthcare settings. Methods: An anonymous survey with 11 closed-ended questions sent via e-mail to healthcare students...

(pp 537-541)

Patient Beliefs and Preferences Regarding Surrogate Decision Makers

James M. Hunter, MD, Wendy Walters, MSW

Abstract: Objectives: Many patients lose the capacity to make medical decisions because of severe illness or the effects of sedation or anesthesia. Most states in the United States designate the next of kin (NOK) as a default surrogate decision maker (SDM), but this may not always...

(pp 518-523)

Commentary on “Patient Beliefs and Preferences Regarding Surrogate Decision Makers”

Julia F. Costich, JD, PhD

Abstract: In this issue of the Southern Medical Journal, Hunter and Walters report an ongoing problem with surrogate decision making in the absence of legally sufficient advance directives: the default choice as defined by state law may not be the patient’s preferred surrogate.1...

(pp 524)

How Much Time Do Residents Spend on Inpatient Clinical Computing?

Robert Goldszer, MD, Navid Ajabshir, MD, Luigi Cubeddu, MD, Haley Watsky, DO, Tarang Kheradia, MBBS, MPH, Michael Dalley, DO

Abstract: Objective: To evaluate the time that residents spend on clinical computing. Methods: Our electronic health record system was used to record clinical computing time. Residents were unaware that we were tracking their time. Prior studies have reported computing times by...

(pp 530-533)

Hospitalist Infectious Disease Service in Academic Medical Centers: A Win-Win for Hospitalists and Fellows

Jennifer Townsend, MD, Kittane Srinivas Vishnupriya, MBBS, Eili Klein, PhD, Brian Spoelhof, PharmD, Jonathan Zenilman, MD

Abstract: In the last decade, inpatient care has changed dramatically at academic centers nationwide. In part this has been driven by resident work-hour restrictions, which have forced most teaching hospitals to develop and expand hospitalist services.1,2 Our institution initiated an...

(pp 534-536)

Parental Age and the Risk of Gestational Hypertension and Preeclampsia

Christopher Ortiz, DO, MS, Nancy U. Rondeau, MPH, Lisa E. Moore, MD, Zuber D. Mulla, PhD

Abstract: Objectives: To determine the effect of maternal age (MA) and paternal age (PA) on the risk of gestational hypertension, preeclampsia, and eclampsia in women who delivered on the Texas–Mexico border. Methods: A cohort study using birth certificate data (singleton...

(pp 544-548)

Commentary on “Religious Characteristics of Physicians Who Care for Underserved Populations or Work in Religiously Oriented Practices”

George F. Handzo, MA, MDiv

Abstract: In recent years, the common understanding has been that the United States is becoming increasingly less religious. Certainly as far as religious observance and active participation in organized faith communities is concerned, this is demonstrably the case. Paradoxically,...

(pp 516-517)

OPEN ACCESS: Association Between System Factors and Acute Myocardial Infarction Mortality

Appathurai Balamurugan MD, DrPH, Martha Phillips PhD, MPH, James P. Selig PhD, Holly Felix PhD, MPA, Kevin Ryan JD, MA

Abstract: Objectives: We conducted a cross-sectional study to assess the association between healthcare system factors and death from acute myocardial infarction (AMI), in terms of access (distance to the hospital, mode of transportation), availability (emergency medical services,...

(pp 556-564)

Uric Acid Control in Advanced Chronic Kidney Disease in a Southeastern US Urban Cohort

Tibor Fülöp, MD, PhD, Christian A. Koch, MD, PhD, MACE, Lindsey T. Norris, MD, Betzaida Rodríguez, MD, Tibor Szarvas, PhD, Zsolt Lengvárszky, PhD, Éva Csongrádi, MD, PhD, Mehul P. Dixit, MD

Abstract: Objectives: Uric acid (UA) control may be insufficient in chronic kidney disease (CKD) patients in the current era. It is unclear, however, whether this is the result of environmental effects, patient anthropometrics or insufficient dosing of medical therapy (allopurinol)....

(pp 549-555)

Religious Characteristics of Physicians Who Care for Underserved Populations or Work in Religiously Oriented Practices

Jonathan Lio, MD, Hyo Jung Tak, PhD, Yan Duan, MD, Farhan Dadani, MD, Basil Ali,MD, John D. Yoon, MD

Abstract: Objectives: This study examined the relation between physicians’ religious characteristics and working for medically underserved populations or in religiously oriented practices. Methods: Secondary data analysis of 2009–2010 national survey of 896 primary care...

(pp 511-515)

Some Thoughts on Implementing Remote Telehealth

Neil J. Nusbaum, JD, MD, Judith Peratrovich, RN, BSN

Abstract: The Department of Veterans Affairs (VA) has had a major focus on increasing access to care, including by use of telehealth. Telehealth technology has been used in direct patient care by numerous VA providers, up to and including the cabinet secretary in charge of the...

(pp 542-543)

Major Complications Associated with Conventional Transbronchial Needle Aspiration

Muhammad K. Zaman, MD, Rabin Shrestha, MD

Abstract: Objectives: Transbronchial needle aspiration (TBNA) is a widely used sampling technique for diagnosis and staging of lesions centered around bronchoscopically accessible airways. We report our single-institution experience of complications associated with conventional TBNA...

(pp 565-571)

Commentary on “Major Complications Associated with Conventional Transbronchial Needle Aspiration”

Alfio Proietto, MD, Francesco Nucera, MD, Gaetano Caramori, MD, PhD

Abstract: In this issue of the Southern Medical Journal, Zaman and Shrestha1 provide a retrospective on their 14 years of experience with the major complications associated with conventional transbronchial needle aspiration (TBNA) and an extensive review of the published literature...

(pp 572-573)