Southern medical journal
-
Southern medical journal · Oct 2022
Sustaining the Intrinsic Motivations of the "Good Physician": A Content Analysis of Medical Students' and Physicians' Responses from Two National Surveys.
Physician motivation has been described as the reason, purpose, and force that drives people to pursue their work, and motivating factors include those that are intrinsic or extrinsic to the work. Social forces may contribute to motivational disparities between medical school and actual practice. ⋯ Our findings suggest that the reality of social forces in medicine threatens the ability of practicing physicians to derive meaning from their work, although students and physicians still report intrinsic motivation from establishing meaningful relationships. Further research is needed to explore what strategies enable physicians to wisely navigate the dynamic interactions of intrinsic and extrinsic motivators over various stages of their careers. These strategies could include encouraging reflective spaces in physicians' workplaces that have a specific focus on sustaining intrinsic motivation in medicine.
-
Tropical storms and hurricanes often produce ocean wave conditions that attract surfers. The risk for serious injury or death from "storm surfing" has not yet been described in the medical literature. This study aimed to quantify deaths attributable to storm surfing along the coasts of North America and the Caribbean islands. ⋯ Both tropical storms and hurricanes produce dangerous surf conditions that have resulted in fatal injuries among surfers during the past 25 years.
-
Southern medical journal · Oct 2022
Falls from Tree Stands Have Become the Leading Cause of Deer Hunting Accidents in Pennsylvania.
This study aimed to describe, using a statewide trauma registry, the incidence, trends, and injuries for tree stand falls while deer hunting in Pennsylvania. ⋯ Tree stand falls are now the leading cause of Pennsylvania deer hunting accidents. Fall victims usually sustain multiple nonfatal but often disabling injuries. Study findings support the need for surveillance of these accidents and additional tree stand safety education.
-
Southern medical journal · Oct 2022
We Need You Here! Predictors of Job Placement and Practice among New Mexico Family Medicine Residents.
Primary health care (PHC) is essential for a well-functioning health system. Although PHC has been shown to have adverse effects on health outcomes, many barriers prevent adequate access, including a shortage of primary care physicians. In New Mexico, 32 of 33 counties are designed as primary care health professional shortage areas, and the state has a lower-than-average primary care provider density compared with other states. This study explored the predictors of job placement among New Mexican Family Medicine residents. ⋯ The results of this study provide further evidence that the relationship between place of birth and place of medical training are determining factors for both place of first and current practice. These results can inform practice, policy, and future research to address the pressing need for PHC in underserved and rural communities.