Issue - Southern Medical Association

Original Article

CME Article: Association of Hypertension and Hyperthyroidism in a Subspecialty Clinic and a National Database

Objective: Hypertension can cause significant morbidity and reduced life expectancy. Most patients with hypertension have primary hypertension; however, 10% to 15% have secondary hypertension. Endocrine disorders as a secondary cause occur in approximately 10% of patients with secondary hypertension, and thyroid disorders account for approximately 1% of all patients with…

Posted in: Endocrinology, Diabetes, and Metabolism18 Hypertension5


Osteoporosis Management Strategies in the COVID-19 Pandemic

Coronavirus disease 2019 (COVID-19) has led to active infections and relatively high morbidity and mortality across the world, including the United States.1 The pandemic has challenged the US healthcare system, and rapid treatment adaptations have had to be made to stabilize public health and provide effective medical care.

Posted in: Infectious Disease39 Metabolic & Other Bone Disease (Osteoporosis)6

Original Article

Central Venous Catheter Confirmation by Ultrasonography: A Novel Instructional Protocol

Objectives: Ultrasound (US)-only confirmation of central venous catheter (CVC) placement has proven to be accurate and fast when compared with the current standard chest radiograph. This procedure depends on the detection of appropriately timed atrial bubbles during central line flushing, called the rapid atrial swirl sign (RASS). The most obvious…

Original Article

Characteristics and Outcomes Based on Perceived Illness Severity in SARS-CoV-2

Objectives: The severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) epidemic is characterized by a global sense of uncertainty, partly driven by the paucity of real-life clinical data. This study assessed whether admission patient characteristics were associated with need for intensive care unit (ICU) care. Methods: The observational study included consecutive patients admitted…

Posted in: Infectious Disease39

Original Article

Hospital Annual Delivery Volume and Presence of Graduate Medical Education Influence Mode of Delivery after Stillbirth

Objectives: To evaluate the statewide experience in mode of delivery for pregnancies complicated by stillbirth by annual delivery volume and presence of graduate medical education programs. Methods: This is a descriptive study of all stillbirths without known congenital anomalies or aneuploidy born in our state from July 1, 2015 to…

Posted in: Pregnancy16

Original Article

Implementation of a Vertically Integrated Trainee Program (VITP): Progress and Lessons Learned

Mentorship is vital in the effective progression of a physician’s educational training. This journey often begins during a physician’s undergraduate career prior to advancing on to medical school, residency, and fellowship training. These levels of training distinguish different tiers of mastery, and collaboration among these tiers is integral in order…


Appreciating Our Shield Wall

As plans for the coronavirus disease 2019 (COVID-19) surge ramped up in early March 2020 at our institutions, the University of Michigan Medical Center and the Department of Veterans Affairs Ann Arbor Health System, our preparations revolved around our resident workforce. The strategic clinical redeployment of these young doctors allowed…

Original Article

Drip System for Admissions to Resident Teams: Impact on Workload and Education

Objectives: Assigning patients to a call team every fourth day (bolus system) caused the maldistribution of patients among resident teams and required additional faculty effort for overflow patient care. We changed to a continuous daily rotation (drip system) and examined the effect on clinical workload among resident teams, resident education,…


Teaching Professionalism in the Clinical Setting: Testing a Practical Structured Model

When surveyed in 2016, more than half of all graduating US medical students reported a disconnect between what they were taught about professionalism and what they saw faculty demonstrating.1 Educators have developed a number of methods to teach medical professionalism, including didactic lectures, Web-based learning modules that incorporate audio and…


Improving Exposure of Physician Trainees to Patient Safety and Quality Improvement

Across a spectrum of specialties, physicians have embraced a culture of quality improvement (QI) and patient safety (PS). Teaching the next generation of physicians about these important topics is a well-established educational metric and core competency. Per the 2019 Accreditation Council for Graduate Medical Education (ACGME) training program requirements, the…

Original Article

Does Point-of-Care Ultrasound Affect Outcomes in Pediatric Patients with Skin and Soft Tissue Infections?

Objective: There is increasing evidence for the use of point-of-care ultrasound (POCUS) in pediatric patients with skin and soft tissue infections (SSTI), but there is a lack of sufficient data on its impact on SSTI outcomes. The objective of this study was to determine whether POCUS use is associated with…

Posted in: Dermatology4

Original Article

Trends in Premature Deaths among Women Living with HIV/AIDS and Cervical Cancer

Objectives: There is a lack of updated information on premature death and years of potential life lost (YPLL) among human immunodeficiency (HIV)–positive women with cervical cancer. We hypothesize that increased access to preventive resources such as antiretroviral therapy, preexposure prophylaxis, and human papillomavirus vaccines has reduced premature mortality and YPLL…

Posted in: Infectious Disease39 Acquired Immunodeficiency Syndrome (AIDS) And Human Immunodeficiency Virus (HIV) Infection7 Gynecologic Cancer4


Presidential Address of Dr. Christopher Morris, 2020–2021 President of the Southern Medical Association

The following is the Presidential address of the Southern Medical Association’s (SMA) 2020–2021 President, Dr. Christopher Morris. Dr. Morris was installed on Saturday, October 10, 2020, during SMA’s Southern Regional Assembly which was held virtually October 9–10, 2020.


SMA’s 2020 Southern Regional Assembly Abstract Presentations

The following abstracts were accepted and presented during Southern Medical Association’s virtual Southern Regional Assembly, October 9-10, 2020, and are listed in order of presentation. Abstracts are published as submitted. Please note, all figures and tables are published in black and white. To view these in color (where applicable), visit…