Prehospital Airway Management in Iraq and Afghanistan: A Descriptive Analysis.
Authors: Schauer SG, Naylor JF, Maddry JK, Beaumont DM, Cunningham CW, Blackburn MB, April MD Abstract OBJECTIVES: Airway failures are the second leading cause of potentially preventable death on the battlefield. Improvements in airway management depend on identifying current challenges. We sought to build on previously reported data on prehospital, combat airway management. METHODS: We used a series of emergency department procedure codes to identify patients within the Department of Defense Trauma Registry from January 2007 to August 2016. This is a subanalysis of those with a documented prehospital airway in...
Source: Southern Medical Journal - December 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Commentary on "Prehospital Airway Management in Iraq and Afghanistan: A Descriptive Analysis".
Commentary on "Prehospital Airway Management in Iraq and Afghanistan: A Descriptive Analysis". South Med J. 2018 Dec;111(12):714-715 Authors: Richard Holt G PMID: 30512121 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - December 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Adverse Events in the Efficacy of Crotalidae Polyvalent Immune Fab Antivenom vs Placebo in Recovery from Copperhead Snakebite Trial.
CONCLUSIONS: In a randomized controlled trial of FabAV for copperhead bites, the incidence of hypersensitivity reactions was low. Most reactions were mild skin reactions. PMID: 30512122 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - December 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Physician Advance Care Planning Experiences and Beliefs by General Specialty Status and Sex.
CONCLUSIONS: Many physicians, regardless of specialty type or sex, are interested in undertaking more ACP conversations and being trained to do so. Overall, more female physicians than male physicians were involved and interested in various aspects of ACP, and they were more accepting of the involvement of nonphysician healthcare professionals in ACP. Multiple barriers for clinicians, patients, and families were identified that will need to be addressed by work settings or through education to increase ACP. PMID: 30512123 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - December 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Medical Student H & Ps: Do You Have to Observe Them All At Once?
CONCLUSIONS: Partial versus full observations of students' H&P skills have no effect on standardized clinical examination performance, and clerkships should consider using partial observations of students for efficient assessments. Promptness of checklist submission also may be an indicator of examination performance. PMID: 30512124 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - December 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Teaching to Teach: An Effective and Feasible Teaching Curriculum for Internal Medicine Interns.
CONCLUSIONS: Interns participating in a half-day interns-as-teachers workshop aimed at preparing them to teach medical students in clinical settings achieved significant improvement in teaching knowledge and in several core, self-reported teaching behaviors. PMID: 30512125 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - December 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Stress Electrocardiography vs Radionuclide Myocardial Perfusion Imaging among Patients Admitted for Chest Pain: Comparison of Teaching and Nonteaching Hospital Services.
The objectives of this study were to determine how often patients hospitalized for chest pain are assessed with stress electrocardiography (stress ECG) compared with radionuclide myocardial perfusion imaging (rMPI) and to evaluate whether the cardiac testing guidelines of the American Heart Association and the Choosing Wisely campaign are being followed. We also sought to determine whether there were differences in practice patterns between a teaching and a nonteaching hospital service. METHODS: We conducted a retrospective chart review of 842 consecutive patients admitted with the primary diagnosis of chest pain to a ...
Source: Southern Medical Journal - December 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Maternal/Perinatal Outcome in Women with Sickle Cell Disease: A Comparison of Two Time Periods.
Authors: Chang JN, Magann EF, Novotny SA, Cooley CE, Gauss CH, Parrish MR, Morrison JC Abstract OBJECTIVE: To compare pregnancy outcomes in women with sickle cell disease from recent deliveries with a similar group delivered earlier. METHODS: During a 12-year period (2005-2016), data from pregnant women with hemoglobin SS or SC were collected from three university medical centers and compared with earlier studies (1979-2003) involving similar patients. The primary endpoints were maternal complications during pregnancy and newborn outcomes. RESULTS: There were 278 patients in the control group (1979-2003) co...
Source: Southern Medical Journal - December 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Invasive Mechanical Ventilation.
Authors: Walter JM, Corbridge TC, Singer BD Abstract Invasive mechanical ventilation is a potentially lifesaving intervention for acutely ill patients. The goal of this review is to provide a concise, clinically focused overview of basic invasive mechanical ventilation for the many clinicians who care for mechanically ventilated patients. Attention is given to how common ventilator modes differ in delivering a mechanical breath, evaluation of respiratory system mechanics, how to approach acute changes in airway pressure, and the diagnosis of auto-positive end-expiratory pressure. Waveform interpretation is emphasiz...
Source: Southern Medical Journal - December 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Uremic Pericarditis: Distinguishing Features in a Now-Uncommon Clinical Syndrome.
We present the case of a 47-year-old man with a history of diabetes mellitus and diabetic nephropathy who was admitted to our hospital with acute uremic myopericarditis. Echocardiography demonstrated a fibrinous pericardial effusion. The patient was initiated on hemodialysis for hyperkalemia, metabolic acidosis, and uremia. He subsequently developed shock from cardiac tamponade, which required emergent pericardiocentesis. He was notably without tachycardia while he was hypotensive, and his admission electrocardiogram did not show typical ST- or PR-segment changes typically associated with acute pericarditis. This case high...
Source: Southern Medical Journal - December 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Influences on Primary Care Provider Imaging for a Hypothetical Patient with Low Back Pain.
CONCLUSIONS: Our results reinforce the potential to leverage professional societies to advance evidence-based medicine and reduce unnecessary testing. At the same time, practice site appeared to exert influence, suggesting that these recommendations must be part of local institutional culture to be effective. PMID: 30512130 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - December 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Demographic and Practice Characteristics of Physicians Who Care for Medically Underserved People: A National Survey.
CONCLUSIONS: Familial role models may be influencing physicians to work with MUS patients, but the quality of their current work environments raises concerns about the long-term retention of physicians in MUS settings. PMID: 30512131 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - December 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

A Misguided Venture: Presidential Fitness and the Duty to Warn.
Authors: Kels CG, Kels LH PMID: 30512132 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - December 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Commentary on "A Misguided Venture: Presidential Fitness and the Duty to Warn".
Commentary on "A Misguided Venture: Presidential Fitness and the Duty to Warn". South Med J. 2018 Dec;111(12):770-771 Authors: Cepeda M PMID: 30512133 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - December 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Impact of an Innovative Psychiatric Consultation Liaison Model on Provider Satisfaction with Care of Behaviorally Complex Patients.
CONCLUSIONS: In University Hospital at Michigan Medicine, this novel service improved physicians' and staff's perceptions of available education and supportive resources for patients' behaviors, as well as their comfort in psychiatric and behavioral symptom management, including nonpharmacologic and pharmacologic interventions. PMID: 30512134 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - December 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Potential Provider Oversupply and Underserved Areas: The Future of Alabama Medicine.
Authors: Warren KR, Eichold BH, Morrissette E PMID: 30391996 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - November 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Blood Pressure, HIV, and Cocaine Use Among Ethnically and Racially Diverse Individuals.
CONCLUSIONS: Age, BMI, cannabis use, and diet were associated with increased diastolic BP and MAP. Cocaine did not emerge as a significant predictor of CVD after controlling for cannabis dependence. Cocaine and HIV lacked significant association with CVD, possibly because the majority of the sample was younger than age 40. Lifestyle modifications and substance abuse counseling may be important in preventing CVD among those without a history of CVD. PMID: 30391997 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - November 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Late-Stage Melanoma: Be Sure to Screen Uninsured, Unmarried Men.
CONCLUSIONS: The incidence of melanoma is increasing dramatically. With no screening recommendation for the general population from the US Preventive Task Force, clinicians should focus on those at increased risk of late-stage melanoma: unmarried men who are uninsured or receiving Medicaid. PMID: 30391998 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - November 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Prevalence and Impact of Diabetes Mellitus on the Frozen Shoulder.
CONCLUSIONS: The prevalence of undiagnosed diabetes mellitus is low in patients with FS and does not differ from the general population. Diabetes mellitus does not seem to affect patients' perceived severity of an FS. PMID: 30391999 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - November 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Role of Rifaximin in Spontaneous Bacterial Peritonitis Prevention.
Authors: Oliver A, Wong M, Sanchez C Abstract Cirrhosis affects millions of people around the world and is associated with increased morbidity and mortality. Spontaneous bacterial peritonitis (SBP) is a common complication of liver disease with cirrhosis and accounts for up to 30% of infections in patients with cirrhosis. Patients with a history of SBP and those deemed to be at high risk often are prescribed antibiotics to reduce the incidence of SBP. Fluoroquinolones and sulfamethoxazole-trimethoprim are commonly used antibiotics for long-term prevention for these specified populations; however, these antibiotics ...
Source: Southern Medical Journal - November 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Outcomes and Predictors of Readmissions with GI Bleeding in Patients with Left Ventricular Assist Devices.
Authors: Shah R, Qayed E Abstract OBJECTIVES: Gastrointestinal (GI) bleeding is a major comorbidity in patients with left ventricular assist devices (LVADs). The study aim was to estimate the rate of hospital readmissions for GI bleeding in patients with LVADs using a nationally representative database. Additionally, we evaluated the etiologies, costs, endoscopy utilization, mortality, and predictors of GI bleeding readmissions in these patients. METHODS: We analyzed data from the National Readmissions Database (NRD) from 2010 through 2014. We compared hospitalized adult patients with congestive heart failure (...
Source: Southern Medical Journal - November 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Integration of Personalized Health Planning and Shared Medical Appointments for Patients with Type 2 Diabetes Mellitus.
CONCLUSIONS: The PHP-SMA is a proactive and participatory approach to chronic care delivery that synergizes the benefits of PHP within SMAs. This study describes the components of this intervention; collects evidence on feasibility, acceptability, and clinical outcomes; and identifies implementation barriers and facilitators. The PHP-SMA warrants further evaluation as an approach to improve health outcomes in patients with common chronic conditions. PMID: 30392002 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - November 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Differences in Medical Students' Academic Performance between a Pass/Fail and Tiered Grading System.
CONCLUSIONS: Overall academic performance was similar. The potential for an enhanced learning environment associated with pass/fail grading does not create an important decrement in academic performance. PMID: 30392003 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - November 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

On "Women's Health Curriculum for Medical Students".
On "Women's Health Curriculum for Medical Students". South Med J. 2018 Nov;111(11):688 Authors: Kumar A, Mathur J PMID: 30392004 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - November 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Author's Response.
Authors: Sattari M PMID: 30392005 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - November 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Obesity and Weight-Biased Shaming in South Carolina: A Medical Student's Perspective.
Authors: Patrizi J, Sharma TR PMID: 30392006 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - November 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Vaginal Anatomy on MRI: New Information Obtained Using Distention.
CONCLUSIONS: The three-zone configuration of the distended vagina was confirmed by this study. The configuration of the vagina is more complex than has been reported previously. This configuration may facilitate parturition and may be useful in the design of intravaginal devices. PMID: 30392007 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - November 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Effects of Respiratory Syncytial Virus Infection in Infancy on Asthma and Respiratory Allergy in 6-Year-Old Children.
CONCLUSIONS: Our findings support the need for understanding and monitoring the long-term health outcomes of RSV infection in infancy. Appropriate prevention and treatment measures for RSV infection during infancy may reduce the incidence of associated long-term adverse health outcomes. Knowledge of the long-term complications of RSV infection in infancy, such as asthma, hay fever, or respiratory allergy, can aid in the prevention and better management of these health conditions. PMID: 30392008 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - November 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Resource Utilization with the Use of Seclusion and Restraint in a Dedicated Emergency Psychiatric Service.
CONCLUSIONS: The use of an intervention such as seclusion in>3% and restraint in 0.3% of patients represents the use of seclusion and restraint in a dedicated psychiatric emergency service with personnel trained to minimize the use of seclusion and restraint. PMID: 30392009 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - November 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Provision of Buprenorphine to Pregnant Women by For-Profit Clinics in an Appalachian City.
CONCLUSIONS: The high cost of for-profit clinics is a barrier for patient access to medication-assisted therapy with buprenorphine. Tapering of buprenorphine dosage in pregnant women has penetrated buprenorphine management practice in our community. Further research is needed to determine whether elimination of cost barrier would have a positive effect on the rates of neonatal abstinence syndrome. PMID: 30285261 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - October 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Birth Weight and Risk of Childhood Acute Lymphoblastic Leukemia in Arizona, Illinois, and Kentucky.
CONCLUSIONS: This study confirms the association between high birth weight and ALL previously reported by other studies in children of European ancestry. The literature on maternal risk factors for both macrosomia and ALL is reviewed, with maternal overnutrition emerging as a plausible risk factor for both outcomes. PMID: 30285262 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - October 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Contemporary Geographic Variation and Sociodemographic Correlates of Hysterectomy Rates Among Reproductive-Age Women.
CONCLUSIONS: This analysis provides preliminary evidence that contemporary hysterectomy use in North Carolina occurs along socioeconomic lines. PMID: 30285263 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - October 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Effects of Maternal Carbohydrate and Fat Intake on Fetal Telomere Length.
Authors: Salihu HM, Adegoke KK, King LM, Daas R, Paothong A, Pradhan A, Aliyu MH, Whiteman VE Abstract OBJECTIVES: Telomere length can be affected by dietary factors in adults. We investigated the association between maternal carbohydrate and fat intake during pregnancy and telomere length in neonatal cord blood leukocytes. We hypothesized that high fat consumption and high carbohydrate consumption would be associated with shortened fetal telomere length. METHODS: We collected umbilical cord blood at delivery from women admitted for labor and delivery in a university hospital (N = 62) and extracted genomic DNA ...
Source: Southern Medical Journal - October 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Expenditures and Quality: Hospital- and Health System-Affiliated Versus Independent Physicians in Virginia.
CONCLUSIONS: Virginia patients, employers, and managed care companies incurred higher per-patient expenditures with hospital and health system physicians than with independent physicians. PMID: 30285265 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - October 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Protocol to Improve Genotyping of Non-Small-Cell Lung Cancer Diagnosed Using EBUS-TBNA.
Authors: Bellinger CR, Sharma D, Dotson T, Ruiz J, Parks G, Haponik EF Abstract OBJECTIVES: Targeted therapies for non-small-cell lung cancers (NSCLCs) are based on the presence of driver mutations such as epidermal growth factor receptor (EGFR) and the echinoderm microtubule-associated protein-like 4-anaplastic lymphoma kinase (EML4-ALK) translocation. Endobronchial ultrasound-guided-transbronchial needle aspiration (EBUS-TBNA) is a first-line modality for diagnosing and staging NSCLC. A quality improvement protocol maximizing tissue acquisition for molecular analysis has not been previously described. METHODS...
Source: Southern Medical Journal - October 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Homicide in the South: Higher Rates Among Whites and Fewer Racial Disparities.
Authors: Buyukozturk B, Drowos J, Hennekens CH, de Grubb MCM, Salemi JL, Levine RS Abstract OBJECTIVE: Describe southern US homicide rates in whites and blacks between 1999 and 2015. METHODS: The Centers for Disease Control and Prevention Multiple Cause of Death Files provided mortality rates and 95% confidence intervals (CIs) for non-Hispanic whites (NHW) as well as non-Hispanic blacks and African Americans (NHB). RESULTS: Overall, age-adjusted (1 to ≥85 years) homicide was significantly higher in the South (7.6/100,000, 95% CI 7.6-7.7) than the rest of the United States (4.9/100,000, 95% CI 4.8-4.9) ev...
Source: Southern Medical Journal - October 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Effects of Religious Involvement on HIV Management Outcomes Among HIV-Positive Adults in Central North Carolina.
CONCLUSION: PLWH in a southern US clinic were willing to answer questions about their spirituality. Religious institution affiliation was not significantly related to virologic suppression or CD4 in this sample. Higher levels of self-reported social support (P = 0.0077) and spiritual well-being (P = 0.0195) predict better clinic attendance. These results suggest that religious affiliation alone does not imply positive benefits for all. Social support and spiritual well-being, however obtained, predict engagement in care. The next steps should include a fully powered study to define the relations among social support, spiri...
Source: Southern Medical Journal - October 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Group Battlefield Acupuncture in Primary Care for Veterans with Pain.
CONCLUSIONS: The short- and intermediate-term beneficial effect of BFA on chronic pain is clinically meaningful. The large proportion of patients reporting decreased pain even 30 days after treatment suggests that the long-term effect of BFA merits further investigation. PMID: 30285269 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - October 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Mobile Health (mHealth) Use or Non-Use by Residents of West Virginia.
CONCLUSIONS: The lack of mHealth use by residents in West Virginia represents an opportunity for clinicians and scientists. The high rates of preventable diseases in the region could be more effectively managed with greater use of these technologies. PMID: 30285270 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - October 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Risk, Outcomes, and Predictors of Clostridium difficile Infection in Lymphoma: A Nationwide Study.
Authors: Bhandari S, Pandey RK, Dahal S, Shahreyar M, Dhakal B, Jha P, Venkatesan T, Saeian K Abstract OBJECTIVE: The risk of Clostridium difficile infection (CDI) has not been well studied in patients with lymphoma. We thus sought to determine the risk of CDI in hospitalizations with lymphoma along with its trend, outcomes, and predictors using a large database. METHODS: Hospital discharge data from the Nationwide Inpatient Sample (NIS) from 2007 to 2011 were used for the study. Using the International Classification of Diseases, Ninth Revision, Clinical Modification codes, all adult patients aged 18 years or ...
Source: Southern Medical Journal - October 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

A Professional Well-Being Continuum: Broadening the Burnout Conversation.
Authors: Penwell-Waines L, Greenawald M, Musick D PMID: 30285272 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - October 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Commentary on "A Professional Well-Being Continuum: Broadening the Burnout Conversation".
Commentary on "A Professional Well-Being Continuum: Broadening the Burnout Conversation". South Med J. 2018 Oct;111(10):636-637 Authors: Zylstra R PMID: 30285273 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - October 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Do Teaching-Focused Medical Schools Perpetuate the Thinking That Black Faculty Should Not Be Researchers?
Authors: Acheampong C, Campbell KM, Rodríguez JE PMID: 30285274 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - October 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Religious Characteristics of Physicians Who Care for Underserved Populations or Work in Religiously Oriented Practices.
This study examined the relation between physicians' religious characteristics and working for medically underserved populations or in religiously oriented practices. METHODS: Secondary data analysis of 2009-2010 national survey of 896 primary care physicians (PCPs) and 312 psychiatrists. Predictors included physicians' religious characteristics. RESULTS: Adjusted response rates among eligible physicians were 63% (896 of 1427) for PCPs and 64% (312 of 487) for psychiatrists. Overall, 41.3% of US PCPs and 53.2% of US psychiatrists reported working with medically underserved populations. A smaller percentage reported...
Source: Southern Medical Journal - September 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Commentary on "Religious Characteristics of Physicians Who Care for Underserved Populations or Work in Religiously Oriented Practices".
Commentary on "Religious Characteristics of Physicians Who Care for Underserved Populations or Work in Religiously Oriented Practices". South Med J. 2018 Sep;111(9):516-517 Authors: Handzo GF PMID: 30180244 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - September 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Patient Beliefs and Preferences Regarding Surrogate Decision Makers.
CONCLUSIONS: A substantial proportion of patients are unaware that someone other than their preferred SDM may be asked to make decisions for them. Providers should explicitly ask patients about their preferences, including whom the patient's preferred SDM would be, and should encourage the patient to designate a healthcare proxy when his or her preferred SDM is not the default SDM designated by local law. Although there are inherent problems with using SDMs, using the person preferred by the patient should result in a greater chance of following the patient's wishes for medical treatment. PMID: 30180245 [PubMed - in pr...
Source: Southern Medical Journal - September 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Commentary on "Patient Beliefs and Preferences Regarding Surrogate Decision Makers".
Commentary on "Patient Beliefs and Preferences Regarding Surrogate Decision Makers". South Med J. 2018 Sep;111(9):524 Authors: Costich JF PMID: 30180246 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - September 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Team-Based Learning Activities for First-Year Medical Students: Perception of the Learners.
CONCLUSIONS: Students reported a preference and satisfaction with TBL over traditional lectures, but a mixed response was noted on the questions pertaining to accountability for team learning. PMID: 30180247 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - September 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

How Much Time Do Residents Spend on Inpatient Clinical Computing?
CONCLUSIONS: Residents in some specialties may decrease the time spent on clinical computing. There are many possible reasons for the changes. Our study serves as a computerized observation baseline for future assessments, interventions, and for developing improvements that increase the value of clinical computing. PMID: 30180248 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - September 6, 2018 Category: General Medicine Tags: South Med J Source Type: research

Hospitalist Infectious Disease Service in Academic Medical Centers: A Win-Win for Hospitalists and Fellows.
Authors: Townsend J, Vishnupriya KS, Klein E, Spoelhof B, Zenilman J Abstract Supplemental digital content is available in the text. PMID: 30180249 [PubMed - in process] (Source: Southern Medical Journal)
Source: Southern Medical Journal - September 6, 2018 Category: General Medicine Tags: South Med J Source Type: research