Issue - Southern Medical Association

Review Article

Improving Transitions of Care for Healthy Adolescents and Young Adults

Objectives: To explore the gaps in care within the transition process from pediatric to adult medicine for healthy and noncomplex adolescents and young adults and to highlight the importance of identifying and adapting interventions to improve transitions for this population.Methods: Three researchers independently completed searches in PubMed, PsychINFO, and CINAHL…

Original Article

Enhanced vs Standard Parents as Teacher Curriculum on Factors Related to Infant Feeding among African American Women

Objectives: To determine the comparative impact of the standard Parents as Teachers (PAT) to the nutrition and physical activity enhanced version (PATE) of the perinatal educational curriculum on compliance with infant feeding recommendations and changes in maternal infant feeding knowledge and beliefs.Methods: Women at least 18 years of age, 0.05)….

Original Article

Implementation of Case Conferences to Improve Interprofessional Collaboration in Resident Continuity Clinic

Objectives: Residents must be trained in skills for interprofessional collaboration and team-based care in the outpatient setting, and successful models are needed to achieve this aim. A longitudinal curriculum was developed to enhance residents’ knowledge of interprofessional team members’ roles, residents’ attitudes toward team-based care, and patient referrals to team…

Original Article

Teaching Medical Students in the Rural Setting Long Term: Physicians’ Attitudes and Perceptions

Objectives: The University of Alabama School of Medicine Tuscaloosa Regional Campus conducted a 2-month block in rural family practice, but committed to expanding to an 8-month longitudinal rural curriculum. We wanted to explore how rural physicians feel about teaching students in a prolonged rural preceptorship.Methods: We brainstormed with colleagues, reviewed…

Original Article

CME Article: A More Directive Living Will for Older Adult Patients with End-Stage Medical Conditions?

Objectives: Many older adult patients want to be treated aggressively for reversible conditions, even when their current quality of life is limited; however, most standard living wills focus on the very end of life and provide little guidance to acute care providers (ACPs) should their older adult patient be admitted…

Original Article

Use of Rheumatologic Testing in Patients Who Eventually Receive a Diagnosis of Rheumatoid Arthritis

Objectives: Anti-cyclic citrullinated peptide antibody (ACPA) has excellent specificity and prognostic value in patients with early rheumatoid arthritis (RA). The American College of Rheumatology included ACPA in their 2010 classification criteria for RA, but we hypothesize that primary care physicians (PCPs) underuse ACPA, even when clinical suspicion for RA is…

Posted in: Rheumatology and Orthopedics8 Rheumatoid Arthritis2

Invited Commentary

Commentary on “Use of Rheumatologic Testing in Patients Who Eventually Receive a Diagnosis of Rheumatoid Arthritis”

Rheumatoid arthritis (RA) is a chronic systemic autoimmune inflammatory disorder of unknown etiology, for which delay in diagnosis and treatment may cause irreversible structural joint damage in affected individuals. A large body of evidence supports that early diagnosis and aggressive treatment of RA have a fundamental role in the prevention…

Posted in: Rheumatology and Orthopedics8 Rheumatoid Arthritis2

Original Article

Intravascular Iodinated Contrast Is an Independent Cause of Acute Kidney Injury Following Coronary Angiography

Objectives: Recent studies have questioned whether intravascular iodinated contrast remains an independent cause of acute kidney injury (AKI). We sought to assess whether iodinated contrast administered during coronary angiography is an independent cause of AKI.Methods: We identified all of the patients who underwent coronary angiography between July 1, 2015 and…

Posted in: Nephrology and Urology18

Review Article

Sports-Injury Encephalopathy

Sports-related encephalopathies are a growing concern among athletes who have experienced head trauma. Anxiety is heightened for the public and especially among parents of children playing contact sports. The most common neuropsychological conditions are concussions and traumatic encephalopathies. Concussions result from brain traumas that can be asymptomatic, but more serious…

Posted in: Sports Injuries & Trauma1

Letter to the Editor

Venous Thromboembolism: Are NOACs the Right Initial Drug of Choice for Unprovoked Venous Thromboembolism?

To the Editor: Venous thromboembolism (VTE) is a common vascular disorder affecting approximately 500,000 people each year in the United States.1 With the advent of novel oral anticoagulants (NOACs), the treatment of VTE has been revolutionized, especially of provoked deep vein thrombosis.2 There remains a concern when VTE is unprovoked…