The Michigan Journal of Medicine (MJM) is a peer-reviewed, student led forum to bring high quality scientific and clinical research generated by the members of the University of Michigan to the scientific community at large. Students occupy all editorial leadership roles for the journal and supply all content. The journal editorial work is conducted under the guidance of world-class faculty at the University of Michigan Medical School, many of whom serve as editors for prestigious international journals such as JAMA and Spine. more about MJM...
Katherine Wolf and Elie Ellenberg are leading MJM as co-Editors-in-Chief for the 2020-2021 academic year, and are overseeing the publication of MJM
Patient decision aids are informative tools that educate patients about health conditions and promote shared decision-making between patient and provider. They have been shown to improve patient knowledge, reduce decisional conflict, and encourage patients to take an active role in their care. When made available in medical offices and public spaces, patient decision aids such as booklets, posters, videos, or other interactive tools can supply accurate, accessible information well beyond the reach of the specialist's clinic. Full articleJohnathan Brown, BS BA; Annemarie Opipari, BS; Nathan Rietberg, BS; Daniel Klarr, BS; Michael Hipp, BS; Anita Pandit, MS; Lili Zhao, PhD; Susan G. Urba, MD; Shari Barnett, BS; Judy Miller; Philip W. Carrott. MD; William Lynch, MD; Rishindra M. Reddy, MD; Jules Lin, MD; Mark B. Orringer, MD; Andrew C. Chang, MD
Fear of cancer recurrence is prevalent among esophageal cancer patients. Little to no treatment is available for this problem. We evaluated the overall quality of life (QoL) following esophagectomy, symptom-specific quality of life, and symptoms related to fear of recurrence (FoR). Our analysis intended to determine the relationships between QoL, symptom-specific QoL, and symptoms related to FoR in order to examine how to potentially address the various elements affecting QoL and FoR. Full articleAnn A. Soliman, BS; Michelle H. Moniz, MD, MSc; Kayte Spector-Bagdady, JD, MBE; Michele Heisler, MD, MPH; Zoe Finer; Vanessa K. Dalton, MD, MPH
Long-acting reversible contraception (LARC; eg, intrauterine devices [IUDs] and contraceptive implants) is a highly effective tool for women who want to delay or prevent repeat pregnancy after childbirth. Rapid repeat pregnancy is associated with increased risk of complications such as preterm birth, low birth weight, and perinatal death. For postpartum women, the device can be inserted either during the delivery hospitalization (immediate insertion) or at a subsequent postpartum office visit (interval insertion). Currently, most postpartum LARC insertions are interval procedures; immediate postpartum LARC insertion is rare (14 in 10,000 US deliveries) and unavailable in many settings. Clinical guidelines from the American College of Obstetricians and Gynecologists (ACOG) and the Centers for Disease Control and Prevention (CDC) affirm the safety and effectiveness of both immediate and interval postpartum LARC insertion and encourage institutions to make both options available to patients. Enhancing access to both options may help women obtain their preferred contraceptive method and address unmet demand for LARC. Full articleRahul S Iyengar, BSE; James M Mossner, BS; Shaina Sekhri, BS; Andrew Mullard, MS; Greta Krapohl, PhD, RN; Darrell A Campbell Jr, MD; Michael J Englesbe, MD
Within the medical community is a strong desire to increase transparency between healthcare providers and patients. Achieving transparency in healthcare requires making available information about the cost and quality of healthcare services so that patients can become informed consumers. Transparency increases trust and improves dynamics between patients and physicians when complete, objective, and high-quality data regarding patient care is made available. To achieve this ambitious goal, the measures used for public reporting must be accepted by all stakeholders and must reliably predict the performance of the physicians being assessed. Full article