Perspectives

The Hospitalized Physician-Patient: Finding a Role

Having spent almost 50 years as an academic clinician educator, I have been privileged to have taught thousands of trainees and colleagues about the art of teaching, learning, and patient care in the context of pediatrics. Fast forward to reaching a senior stage of my life and “retired” at age…

Original Article

Surgical Management of Primary Pulmonary Carcinoid Tumors

Objective: Primary pulmonary carcinoid tumors constitute 1% to 2% of primary lung neoplasms, with limited surgical outcome data due to the rarity of these neoplasms. The aim of our study was to review the complications and long-term outcomes following surgery for primary pulmonary carcinoid neoplasms. Methods: With institutional review board…

Posted in: Pulmonary Disease17

Letter to the Editor

Suicide and Global Warming

To the Editor: Since the onset of the Industrial Revolution, human activity has been altering the environment, and carbon dioxide production is causing global climate change.1 We have already seen the consequences of global climate change in medicine. These consequences include increased morbidity and mortality in susceptible individuals as a…

Posted in: Mental Health47

Original Article

Handling the Challenges: Access to Certified Hand Therapy in Mississippi

Objectives: Access to a certified hand therapist (CHT) plays a crucial role in enhancing postsurgical functional outcomes and reducing morbidity in complex hand surgery and trauma cases. Unfortunately, the availability of CHTs is uneven across regions, particularly in less populous states such as Mississippi. The financial and time-related burdens of…

Original Article

Evaluating the Impact of a Second-Level Observation Unit on Patient Outcomes at a Large Academic Health Center with a Coexisting Type I Observation Unit

Background: Observation units (OUs) are a common healthcare delivery model for health systems across the United States. OUs vary from a type I to type IV based on several factors. Another category of OUs—second-level OUs—does not fit this traditional classification due to a different patient population composition and staffing model….

Original Article

Enhancing Interpreter Utilization among Telephone Schedulers Assisting Patients with Non-English-Language Preference

Objectives: Patients with non-English-language preference (NELP) face language barriers that impede effective communication and delivery of high-quality care. Recognizing call centers as pivotal points of contact for patients with NELP, we proposed a quality improvement initiative to evaluate and enhance interpreter utilization among telephone schedulers within a tertiary healthcare system….

Perspectives

Watch Your Career Like You Watch Your Money: Minority Tax Mitigation Strategies

Academic medical center faculty members from historically underrepresented backgrounds in medicine in the United States face multiple factors that limit their recruitment, retention, and advancement in academic medicine. Although high-level system changes are needed to achieve an equitable and diverse academic workforce, academic health systems do not change rapidly. Faculty…

Perspectives

Mitigating Health Disparities: Bridging the Digital Divide in Modern Health Care

In the rapidly evolving landscape of US health care, technological advances promise significant improvements. The ongoing digital divide, however, is a critical factor affecting equitable access to health care. This perspective examines the multifaceted nature of the digital divide and its impact on health literacy, the use of electronic health…

Perspectives

Know Your Guidelines Series: Key Recommendations from the SCCM/IDSA Guideline on Evaluating New Fever in the Adult Intensive Care Unit Patient

Fever in the intensive care unit (ICU) may occur in 28% to 88% of adult ICU patients, depending on the definition of fever used.1 New fevers may be a sign of new conditions that have developed or of earlier causes of fever that are not improving with current therapy. Fevers…

Review Article

Updates in the Management of Patients with Obstructive Sleep Apnea

Obstructive sleep apnea (OSA), a condition with high prevalence, is characterized by reduced dilatory function of pharyngeal muscles, which can be influenced by upper airway narrowing, dilator muscle dysfunction, respiratory dysfunction, and genetics. Three of the most clinically important phenotypes of OSA include disturbed sleep, excessive sleepiness, and minimal symptoms,…

Posted in: Sleep Disorders1

Original Article

Over-the-Counter Therapies for Urinary Incontinence before Presentation at a Specialty Clinic: Patient Perspective and Use

Objectives: The estimated prevalence of female urinary incontinence (UI) is 60% in the United States, and several over-the-counter (OTC) therapies for bladder health and UI exist on the market. Safety, efficacy, and patient use profiles of OTC treatment for medical issues such as constipation and headache are well established; however,…

Posted in: Obstetrics and Gynecology48

Original Article

An Innovative Approach to Cultural Competency and Spirituality Education for Medical Students

Objectives: Professional organizations have recognized the need to educate and empower medical students for equitable and inclusive care. One component of providing such care for patients of diverse backgrounds is culturally sensitive and patient-centered communication. The aim of this work was to improve skills in culture competency and spiritual history…

Errata

Where Are Future Doctors Who Southern Rural African Americans Will Trust? A Look Back into Rural Medical Scholars Data: Erratum

In the March 2025 issue of Southern Medical Journal, the article by Wheat et al, “Where Are Future Doctors Who Southern Rural African Americans Will Trust? A Look Back into Rural Medical Scholars Data” contained an error in the first paragraph of the Discussion section. The text “67 million matriculants”…

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