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WMJ: Official Publication of the State Medical Society of Wisconsin

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https://read.qxmd.com/read/30674104/access-to-palliative-care-in-rural-wisconsin
#1
DeAnn Richards
No abstract text is available yet for this article.
December 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://read.qxmd.com/read/30674103/social-determinants-of-health-fundamental-drivers-of-health-inequity
#2
Amy J H Kind, Robert N Golden
No abstract text is available yet for this article.
December 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://read.qxmd.com/read/30674102/learning-from-leaders-of-academic-medicine
#3
Joseph E Kerschner
No abstract text is available yet for this article.
December 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://read.qxmd.com/read/30674101/promoting-antimicrobial-stewardship-by-incorporating-it-in-undergraduate-medical-education-curricula
#4
Aaron P Beck, Kelsey Baubie, Mary Jo Knobloch, Nasia Safdar
BACKGROUND: Education related to antimicrobial stewardship-the judicious use of antimicrobials-is essential to stem the rising tide of resistance. METHODS: Using a scoping review method that includes a consultation component, we explored the extent to which antimicrobial stewardship is incorporated in undergraduate medical education. RESULTS: We found 4 studies evaluating stewardship content in undergraduate medical school curricula along with 2 studies assessing the effectiveness of specific stewardship training programs in medical education...
December 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://read.qxmd.com/read/30674100/cultural-and-social-challenges-of-diabetes-self-management-education-through-physicians-voices
#5
Laila Azam, John Meurer, David Nelson, Onur Asan, Kathryn Flynn, Paul Knudson, Staci Young
OBJECTIVE: The aim of this study is to understand how the physician-patient relationship is related to referral practices for diabetes self-management education and physicians' perceptions of culturally competent health care delivery at a large health system affiliated with an academic medical center in a Midwestern city. METHODS: Sixteen physicians (6 family medicine, 6 internal medicine, 4 endocrinology) participated in semistructured interviews. Interviews were audio-recorded, transcribed, and coded...
December 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://read.qxmd.com/read/30674099/pardon-the-interruption-s-enabling-a-safer-emergency-department-sign-out
#6
Ryan J Thompson, Brian Sharp, Andrew Lee, Jeffrey Pothof, Azita Hamedani
INTRODUCTION: Patient "handoffs" or "sign outs" in medicine are widely recognized as highly vulnerable times for medical errors to occur. The Emergency Department (ED) has been identified as an environment where these transitions of care at shift changes are particularly high-risk due to a variety of factors, including frequent interruptions, which can further lead to errors in transfer of information. Our primary objective was to evaluate whether simple interventions could minimize interruptions during the sign out period in an attempt to improve patient safety...
December 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://read.qxmd.com/read/30674098/medical-student-wellness-in-wisconsin-current-trends-and-future-directions
#7
Brittany Van Remortel, Emily Dolan, David Cipriano, Patrick McBride
INTRODUCTION: The goal of this study is to describe the state of mental health of Wisconsin medical students. METHODS: Online wellness surveys were distributed to students at the University of Wisconsin School of Medicine and Public Health (UWSMPH) and Medical College of Wisconsin (MCW) during the 2016-2017 school year. RESULTS: Of UWSMPH respondents, 40.0% and 12.5% reported experiencing depression/other mood changes and suicidal ideation during medical school, respectively...
December 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://read.qxmd.com/read/30674097/factors-influencing-rural-physician-retention-following-completion-of-a-rural-training-track-family-medicine-residency-program
#8
Colleen Morken, Kimberly Bruksch-Meck, Byron Crouse, Kara Traxler
INTRODUCTION: Rural training track residency programs were created to aid in addressing the shortage of rural physicians. While these programs have been shown to increase rural recruitment and retention, the reasons for improved retention are unclear. METHODS: We analyzed survey results of 16 graduates of the UW-Baraboo Rural Training Track Family Medicine Residency Program on which factors influenced rural retention. RESULTS: Participants cited the wishes of significant others, meaningful work, and integration into the local community as the most important factors in rural retention...
December 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://read.qxmd.com/read/30674096/graduate-medical-education-initiatives-to-develop-the-physician-workforce-in-rural-wisconsin
#9
Kimberly Bruksch-Meck, Byron Crouse, George Quinn, Linda McCart, Kara Traxler
The physician shortage is an increasing concern across the nation. Wisconsin is seeing this shortage grow even more prominently in rural counties. In order to prepare a sufficient rural physician workforce, several state-funded programs are collaborating to monitor the number of rural graduate medical education (GME) opportunities available, assess the number of rural physicians needed to meaningfully reduce the shortage, and promote effective development and expansion of new and existing opportunities. From 2010 to 2017, there has been substantial growth in rural-focused undergraduate, graduate, and continuing medical education opportunities; by 2020, there will be 141 new rural GME positions through creating new and expanding existing residency and fellowship programs...
December 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://read.qxmd.com/read/30674095/physician-burnout-in-wisconsin-an-alarming-trend-affecting-physician-wellness
#10
Anne Hauer, H J Waukau, Peter Welch
Wisconsin physicians are experiencing burnout at levels that surpass national benchmarks. The Wisconsin Medical Society (Society), in conjunction with the American Medical Association (AMA), conducted a survey of 1,165 Wisconsin physicians to assess burnout and its contributing factors. The results indicate that primary causes of physician burnout include utilization and interactions with electronic health records (EHR), lack of a supportive practice environment, the loss of autonomy, and poor work/life balance...
December 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://read.qxmd.com/read/30674094/rural-health-in-wisconsin-looking-to-the-future
#11
EDITORIAL
Sarina Schrager
No abstract text is available yet for this article.
December 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://read.qxmd.com/read/30674093/physician-s-passion-helps-improve-the-lives-of-victims-of-sex-trafficking
#12
Kay Simmons
No abstract text is available yet for this article.
December 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://read.qxmd.com/read/30674092/helicopter-emergency-medical-services-the-financial-burden-patients-face
#13
EDITORIAL
David M Marshall
No abstract text is available yet for this article.
December 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://read.qxmd.com/read/30407773/the-safety-of-consistency-in-a-changing-world
#14
William Stancil Starnes
No abstract text is available yet for this article.
October 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://read.qxmd.com/read/30407772/wisconsin-health-care-making-progress-toward-cms-quality-strategy-goals-part-ii
#15
Kristin Westphal, Jody Rothe
No abstract text is available yet for this article.
October 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://read.qxmd.com/read/30407771/shared-knowledge-in-precision-cancer-care
#16
Mark E Burkard, Robert N Golden
No abstract text is available yet for this article.
October 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://read.qxmd.com/read/30407770/platypnea-orthodeoxia-a-case-of-unexplained-hypoxia
#17
Nathan Marzlin, Sara Dunbar, Michael Cinquegrani
INTRODUCTION: Platypnea-orthodeoxia syndrome is a rare clinical syndrome defined by worsening deoxygenation and dyspnea when changing to an upright sitting or standing position. It is seen in 3 different clinical scenarios: intracardiac shunts, pulmonary arteriovenous shunts, and ventilation/perfusion mismatch in the lungs. CASE: An 82-year-old woman with a history of nonischemic cardiomyopathy with reduced ejection fraction was admitted with dyspnea and hypoxemia...
October 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://read.qxmd.com/read/30407769/familial-tako-tsubo-cardiomyopathy-clinical-and-echocardiographic-features-including-magnetic-resonance-imaging-findings
#18
Tahir Tak, Umesh Sharma, Swetha Karturi, S Michael Gharacholou
INTRODUCTION: Tako-tsubo cardiomyopathy (TCM) is being recognized more frequently; and a familial form of this diagnosis has been suspected but is less well-established. CASE: A 75-year-old patient with a family history of TCM was admitted with suspected ST-segment elevation myocardial infarction. Transthoracic echocardiography showed apical dyskinesis with hyperdynamic basal walls and a left ventricular ejection fraction (LVEF) of 25%. Repeat echocardiography showed normal LVEF of 60% ejection fraction...
October 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://read.qxmd.com/read/30407768/diabetes-mellitus-not-just-type-1-or-type-2-anymore
#19
Aiman Riaz, Michael J Dolan
INTRODUCTION: Diabetes mellitus traditionally has been categorized as type 1 (insulin deficiency due to autoimmune destruction of islet cells) or type 2 (insulin resistance with the development of relative insulin deficiency). However, other pathophysiologic etiologies for diabetes must be considered in the evaluation of patients with new-onset diabetes. CASE PRESENTATION: We report the case of a 50-year-old man with a diagnosis of type 2 diabetes mellitus who-despite appropriate pharmacotherapy-developed worsening hyperglycemia...
October 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://read.qxmd.com/read/30407767/the-effect-of-understanding-issues-of-personal-finance-on-the-well-being-of-physicians-in-training
#20
Peter Connelly, Cassandra List
BACKGROUND: This study assessed trends in personal financial issues among physical medicine and rehabilitation resident physicians and their impact on resident well-being. METHODS: A 25-question cross-sectional survey was sent to 18 physical medicine and rehabilitation residents. RESULTS: A total of 17 residents completed the survey (94% response rate), with 82% (14 of 17) endorsing personal finances as a contributor to their personal health...
October 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
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