Issue - Southern Medical Association

Original Article

Effect of Payor-Mandated Review of Prescription Drug Monitoring Program on Opioid Prescriber Rates

Objective: To evaluate the effect of a 2016 South Carolina payor mandate to query the state prescription drug monitoring program (PDMP) before prescribing controlled substances on the rate of opioid prescribers in South Carolina. Methods: South Carolina PDMP datasets from 2010–2017 were evaluated using interrupted time series regression to compare…


Global Health Lessons from a District Hospital

An increasing number of residents, fellows, and medical students are engaging in global health activities during their training in low- and middle-income countries (LMICs). Their clinical activities often are in district hospitals and they are more likely to encounter adult patients with noncommunicable diseases (NCDs) than infectious diseases on the…

Letter to the Editor

Understanding Income and Health Inequities in the Deep South

To the Editor: A substantial body of research provides evidence for a relation between poverty and health, with poverty linked to heart disease, diabetes mellitus, and other chronic health conditions.1 This research may be particularly important to address in the context of the US Deep South, given its disproportionately high…


Voting Rights in the Era of COVID-19

The year 2020 has brought to the United States the coincidence of the coronavirus disease 2019 (COVID-19) pandemic and a presidential election year. It appears likely that concerns regarding medically vulnerable individuals may extend for months into the future, to Election Day in November or even beyond. In any event,…


Cystic Fibrosis and COVID-19

In the early days of the coronavirus disease 2019 (COVID-19) pandemic, most of the specialists caring for patients with cystic fibrosis (CF) feared for the worst while waiting for more evidence to better characterize the natural history of the disease. Any emerging pathogen could spell trouble for patients with chronic…

Posted in: Pulmonary Disease12

Original Article

Prediction of Functional Limitations in Balance after Tests of Tandem Walking and Standing Balance in Older Adults

Objective: Older adults who may not complain of balance problems may nevertheless be developing subtle balance problems that may affect future functioning. This study sought to determine whether subtle problems could be predicted by standard balance testing. Methods: At the geriatric medicine clinic at an academic tertiary-care center, geriatricians referred…

Original Article

Implications of Frailty among Men with Implantable Cardioverter Defibrillators

Objectives: Frailty is associated with adverse outcomes, but little is known of the impact of frailty on patients with implantable cardioverter defibrillators (ICDs). This study sought to determine the prevalence of frailty, based on quantitative assessment, and assessed its potential impact on outcomes among community-dwelling men with ICDs. Methods: A…

Posted in: Other Primary Geriatric Topics2

Original Article

Travel Histories in Children: How Well Do Interns and Medical Students Do?

Objective: To evaluate the knowledge of obtaining travel histories in medical students and interns. Methods: Medical students and interns participated in a high-fidelity pediatric simulation with two cases (malaria or typhoid fever) that hinged on travel history. After the simulation, appropriate methods of obtaining travel histories were discussed. Participants completed…

Original Article

Segmental Withdrawal During Screening Colonoscopy Does Not Increase Adenoma Detection Rate

Objectives: The aim of this study was to compare a standard versus segmental withdrawal during screening colonoscopy and its effect on the adenoma detection rate (ADR). Methods: We performed a single-center clinical trial of average-risk patients 50 years of age and older undergoing screening colonoscopy. Patients were randomized into four…

Posted in: Gastroenterology31

Original Article

Attending an Alcoholics Anonymous Meeting: A Pilot Study of an Experiential Learning Activity on the Family Medicine Clerkship

Objectives: Physicians frequently treat patients struggling with addiction, including alcohol abuse. The Society of Teachers of Family Medicine’s National Clerkship Curriculum lists necessary learning for all future physicians and includes several core objectives related to identifying community resources, the role of support groups in treating patients, and identifying and managing…

Original Article

CME Article: Assessment of Written Feedback for Emergency Medicine Residents

Objectives: An essential component of resident growth is a learning environment with high-quality feedback. Criteria have been developed for characterizing and assessing written feedback quality in internal medicine residents by Jackson et al. Our primary goal was to describe feedback characteristics and assess the quality of written feedback for emergency…

Original Article

Self-Directed Learning among Internal Medicine Residents in the Information Age

Objectives: The revolution in information technology and a rapidly expanding evidence base are changing residency training. Understanding the habits and preferences of trainees’ self-directed learning (SDL) has never been more important. Our goal was to provide a contemporary description of residents’ SDL practices. Methods: Internal medicine residents at four university-affiliated…

Original Article

US Dermatology Resident Responses about the COVID-19 Pandemic: Results from a Nationwide Survey

Objectives: The coronavirus disease 2019 (COVID-19) pandemic has drastically changed resident training in the United States. Here, we explore the early perceived effects of COVID-19 on dermatology residents through an electronic sample survey and identify possible areas for targeted improvement in lieu of a possible second wave of COVID-19 cases….

Posted in: Dermatology3

Letter to the Editor

Psychiatric Morbidities among COVID-19 Survivors

To the Editor: Coronavirus disease 2019 (COVID-19) took the world by surprise. It is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which belongs to the family of coronaviruses.1 Mental health personnel focus on mitigating psychological morbidities caused by the distress induced by this pandemic. There are psychiatric…

Posted in: Mental Health32


Proportion and Characterization of Co-infections of HIV and Hepatitis C or Hepatitis B among People with HIV in Alabama, 2007–2016: Erratum

The article, “Proportion and Characterization of Co-infections of HIV and Hepatitis C or Hepatitis B among People with HIV in Alabama, 2007–2016”, which published in the June 2020 issue of Southern Medical Journal on page 298, contained an error. In the first sentence of the Discussion section, percentages in the…