Issue - Southern Medical Association

Original Article

Provider Practice and Perceptions of Pediatric Obesity in Appalachian Kentucky

Objectives: This study assessed providers’ present practices and perceived needs in Appalachian Kentucky to identify the standard of care and implementation of expert recommendations for managing pediatric obesity.Methods: Questionnaire data were gathered from 28 providers at a pediatric obesity continuing medical education workshop in eastern Kentucky. We assessed current practices,…

Invited Commentary

Commentary on “Provider Practice and Perceptions of Pediatric Obesity in Appalachian Kentucky”

In this issue of the Southern Medical Journal, Thornberry and colleagues asked 28 physicians and nurses in Kentucky’s Appalachian region to answer a 69-item questionnaire1 about the Expert Committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity.2

Original Article

Teen Driving Education in a Pediatric Emergency Department: Effectiveness of a Toolkit

Objectives: In the United States, the leading cause of death for adolescents aged 16 to 24 years is motor vehicle crashes, with Alabama ranked as the second-worst state in the nation for teen driving deaths. We sought to determine the efficacy of teenage driving education within the setting of the…

Original Article

Role of Physician Gender in the Modern Practice of Obstetrics and Gynecology: Do Obstetrician-Gynecologists Perceive Discrimination from their Sex?

Objectives: It is unclear whether obstetrician-gynecologists (OBGYNs) experience gender discrimination as a result of patient and organizational gender preferences. Our objective was to evaluate whether the gender preference for OBGYNs resulted in perceptions of discrimination by the physician while simultaneously assessing their patients’ views for choosing their OBGYN.Methods: A survey…

Posted in: Obstetrics and Gynecology32

Original Article

Curriculum Enrichment Across the Medical Education Continuum Using e-Delphi and the Community Priority Index

Objective: To describe the use of the e-Delphi combined with the Community Priority Index (CPI) to support medical curriculum enrichment.Methods: This mixed-methods study was conducted from December 2017 to May 2018 at Baylor College of Medicine in Houston, Texas. First, a nominal group identified a topical list. Second, to refine…

Original Article

Patients and Guns: Florida Physicians Are Not Asking

Objectives: The number of deaths from gun violence continues to increase in the United States. Despite multiple studies demonstrating that counseling patients leads to safer gun storage, it is not routinely practiced by physicians. There are multiple barriers to discussing firearms with patients. A barrier in Florida, until recently, was…

Original Article

Frequency of β-Blocker Use Following Exacerbations of COPD in Patients with Compelling Indication for Use

Objective: To assess the current use of β-blockers in patients with compelling indications for use, following the acute exacerbation of chronic obstructive pulmonary disease (COPD).Methods: We performed a multicenter retrospective observational study using data from all of the patients admitted to five institutions for an acute exacerbation of COPD. Patients…

Posted in: Pulmonary Disease13

Original Article

CME Article: Impact of β-Lactam Allergies on Antimicrobial Selection in an Outpatient Setting

Objective: The primary objective of this study was to determine whether patients prescribed nonpreferred antibiotics received appropriate alternative antibiotics.Methods: This was a retrospective observational analysis of military veteran patients with a β-lactam allergy treated in an outpatient clinic or emergency department for an infection during a 5-year span. Antibiotic regimens…

Posted in: Allergy and Immunology3

Letter to the Editor

Scratching the Surface of the Antivaccination Phenomenon

To the Editor: Refusals and doubt about vaccine safety and/or effectiveness is not a recent problem. It has been present since the advent of smallpox vaccinations in the 18th century.1