SMJ // September 2023, Volume 116 - Issue 9

Original Article

Effect of Integrase Strand Transfer Inhibitor Use on Time to HIV Viral Suppression before Delivery

Objectives: We sought to determine whether pregnant individuals with human immunodeficiency virus (HIV) prescribed integrase strand transfer inhibitor (INSTI) antiretrovirals (ARVs) achieve viral suppression faster than individuals taking non-INSTI regimens and to determine whether there were differences in viral suppression at delivery among INSTI ARVs. Methods: This is a retrospective…

Posted in: Infectious Disease136 Acquired Immunodeficiency Syndrome (AIDS) And Human Immunodeficiency Virus (HIV) Infection20

Original Article

Patient Acceptance of Primary Care Behavioral Health in a Resident Obstetrics and Gynecology Clinic

Objectives: Primary care behavioral health (PCBH) is a patient care model in which a behavioral health consultant (BHC) works alongside the primary care provider to address behavioral components of health conditions. PCBH is well received in the primary care setting; however, little is known about acceptability of the service among…

Posted in: Obstetrics and Gynecology45

Original Article

CME Article: Missing Voices: What Early Career Hospitalists View as Essential in Hospital Medicine–Focused Education

Objectives: Acknowledging that a successful career in hospital medicine (HM) requires specialized skills, residency programs have developed hospital medicine–focused education (HMFE) programs. Surveys of Internal Medicine residency leaders have described HMFE curricula but are limited to that specialty and lack perspectives from early career hospitalists (ECHs) who recently completed this…

Original Article

A Multicenter Observational Study Comparing Virtual with In-Person Morning Reports during the COVID-19 Pandemic

Objectives: The coronavirus disease 2019 (COVID-19) pandemic disrupted how educational conferences were delivered, leaving programs to choose between in-person and virtual morning report formats. The objective of our study was to describe morning reports during the COVID-19 pandemic, including the use of virtual formats, attendance, leadership, and content. Methods: A…

Posted in: Infectious Disease136

Perspectives

Locally Connected Underrepresented Minority Faculty in Academic Medicine

Much has been learned about why underrepresented minority faculty remain in low numbers in academic medicine.1,2 Not only have issues such as lack of faculty development, lack of mentorship, and low institutional expectations played a role in minority faculty advancement but systemic racism and glaring inequities in clinical and community…

Review Article

CME Article: Physician Leader, Humble Thyself: Balancing Narcissism and Humility in Healthcare Leadership

Data on expert leadership have shown numerous benefits, including enhanced job satisfaction, productivity, and job retention. Similarly, many of the top hospitals in the United States are physician led; however, the training of a successful physician and that of a successful healthcare administrator often are significantly different. Here, we specifically…

Perspectives

The Current Challenge of Suffering

“Appears older than stated age.” It is mid-afternoon. There are other patients to see. I do not elaborate on the opening line of the physical exam. The inadequacy of the phrase comes back to me as I am driving home: It doesn’t begin to convey the weariness I saw in…

Original Article

Chargemaster Pricing Variation for Commonly Billed Procedures in Interventional Cardiology

Objectives: A chargemaster is a database of all of the billable items offered by a hospital with their base price listings. A 2018 executive order required all American hospitals to publish their chargemasters to increase price transparency and reduce healthcare expenditures. Chargemaster listings, however, demonstrate marked variability and inconsistency and…

Original Article

Community Socioeconomic and Urban–Rural Disparities in Prehospital Notification of Stroke by Emergency Medical Services in North Carolina

Objectives: Notification by emergency medical services (EMS) to the destination hospital of an incoming suspected stroke patient is associated with timelier in-hospital evaluation and treatment. Current data on adherence to this evidence-based best practice are limited, however. We examined the frequency of EMS stroke prenotification in North Carolina by community…

Posted in: Neurology16

Original Article

Impact of COVID-19 Policies on Hospitalists’ Psychological Safety

Objectives: The coronavirus disease 2019 pandemic brought about many changes in work environment and interpersonal interactions to prevent the spread of infection. Policies such as ubiquitous masking, virtual meetings, physician distancing, and decreased communal eating changed the inpatient work environment. This study aims to look at the impact of these…

Posted in: Infectious Disease136

Original Article

Characteristics of a Southern Intensive Trauma- and Psychiatric-Focused Recovery Program

Objectives: Treatment of substance use disorders (SUDs) is complex, involving biological, psychological, and social factors to be considered when designing effective programs. Trauma-informed psychiatric care integrated with a developmentally appropriate intensive 12-step approach is being used at A Reprieve for Women (Reprieve), a long-term intensive residential recovery program for female…

Posted in: Psychiatry4
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