Issue - Southern Medical Association

Perspectives

The Role of Anticipation in Patient Adherence

Poor medication adherence is a problem in all medical disciplines and results in inadequate treatment outcomes and avoidable healthcare costs, leading to an estimated burden of billions of dollars per year. This is particularly true in the field of dermatology, which relies heavily on long-term topical therapies for chronic diseases…

Review Article

A Narrative Review of Medical Interpretation Services and their Effect on the Quality of Health Care

Half of the foreign-born population in the United States speaks English “less than very well.” The extant literature suggests that low-English-proficient (LEP) patients experience poorer healthcare outcomes than do language-concordant patients. It remains unclear which methods of interpreter services are best for communicating effectively and achieving positive health outcomes for…

Original Article

Sex Education and Sexual Risk Behavior among Adolescents and Youth in the Deep South: Implications for Youth HIV Prevention

Objectives: Adolescents and young adults represent the largest group of new human immunodeficiency virus (HIV) infections in the United States, especially in the South. We wanted to determine whether abstinence only until marriage (AOUM) sex education programs were effective in reducing HIV vulnerability among youth in Mississippi. Methods: Using the…

Posted in: Infectious Disease78 Acquired Immunodeficiency Syndrome (AIDS) And Human Immunodeficiency Virus (HIV) Infection9

Original Article

Facilitating the Advance Care Planning Conversation with Patients: An Interactive Virtual 1.5-Hour Session

Objectives: The Liaison Committee on Medical Education requires that the curriculum of medical schools includes end-of-life care. Most medical students feel reluctant to discuss end-of-life issues with their patients, but would like to learn more. Methods: We created an educational session on using Five Wishes to facilitate the advance care…

Perspectives

Webinars and Continuing Medical Education: Pros, Cons, and Controversies

One of the most important effects of the crisis caused by coronavirus disease 2019 (COVID-19) at a global level was on education and its delivery, mainly of the face-to-face type.1,2 The pandemic posed challenges and necessitated changes to the previously used system and created opportunities for growth and innovation. At…

Original Article

Multidrug-Resistant Bloodstream Infections in Internal Medicine: Results from a Single-Center Study

Objectives: Infections due to multidrug-resistant organisms (MDROs) are expanding globally and are associated with higher mortality rates and hospital-related costs. The objectives of this study were to analyze the trends of MDRO bacteremia and antimicrobial resistance rates in Internal Medicine wards of our hospital and to identify the variables associated…

Posted in: Bacteremia & Sepsis Syndrome1

Original Article

Optimizing the Educational Value of Bedside Rounds by Exploring Perceptions of Internal Medicine Residents

Objectives: Bedside rounds provide a valuable opportunity for residents to learn vital clinical skills, yet they are increasingly being replaced by card-flip rounds in conference rooms. Residents express mixed views about the educational value of bedside rounds; however, little is known about their perspectives regarding how the structure and content…

Original Article

Annual FEV1 Loss in Patients with Noncystic Fibrosis Bronchiectasis and Affecting Factors

Objectives: Bronchiectasis is a chronic respiratory disease characterized by sputum production, cough, and several bronchial infections. Lung function is an important parameter to evaluate and study in patients with bronchiectasis. This study aimed to evaluate the annual changes in forced expiratory volume in one second (FEV1) and related factors in…

Posted in: Pulmonary Disease15

Original Article

CME Article: Vessel Sealant Devices in Thyroidectomies: An ACS-NSQIP Study

Objectives: Thyroidectomies involve meticulous dissection of a highly vascularized organ and complications may develop, such as hematoma, hypocalcemia, and even hypoparathyroidism. Because some of these complications may be fatal, we sought to identify the differences in postthyroidectomy outcomes when the use of a vessel sealant device (VSD) such, as LigaSure…

Posted in: Endocrinology, Diabetes, and Metabolism26

Original Article

The Doctors in the House: Examining Physician Legislators in the US Congress from 2011 to 2020

Objectives: Legislation dictating federal healthcare policy is drafted largely by members of the US Senate and House of Representatives. As such, their personal and professional backgrounds play important roles in setting the national healthcare agenda. We examine the professional and legislative records of the 28 federal physician legislators with voting…

Original Article

CME Article: Developing Awareness and Allies: Simulating Difficult Conversations about Microaggressions for Faculty and Students

Objectives: Discrimination and bias in clinical training often take the form of microaggressions, which, albeit unintentional, are detrimental to the learning environment and well-being of students. Although there are a few reports of medical schools training students to respond to microaggressions, none have included a complementery student-led faculty training module….

Perspectives

Vaccination of Children in the United States against COVID-19: An Ounce of Prevention

As of October 28, 2021, the United States was the epicenter of the coronavirus disease 2019 (COVID-19) pandemic. The United States accounts for >45.6 million of the >244 million cases of COVID-19 worldwide, or 18.5% in a population of 940,000 of the >4.95 million deaths worldwide have occurred in the…

Posted in: Infectious Disease78

Original Article

Relationship between Sociodemographic Factors, Perceived COVID-19 Risk, and Engagement with Health Protective Behaviors

Objectives: This study describes the relationship between sociodemographic factors, chronic conditions, coronavirus disease 2019 (COVID-19) fears and stressors, and the perception of risk from COVID-19 and the use of health protective behaviors among Arkansans during the COVID-19 pandemic. Methods: Data collected from an online survey, administered in Arkansas between July…

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