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<br /> advancing the art & science of medicine in the midwest<br /> volume 117 · no. 5 · december 2018<br /> Focusing on Physicians<br /> A look at the impact of burnout in Wisconsin and initiatives<br /> to ensure access to physicians for rural patients<br /> <br /> advancing the art & science of medicine in the midwest<br /> volume 117 · no. 5 · december 2018<br /> Focusing on Physicians<br /> A look at the impact of burnout in Wisconsin and initiatives<br /> to ensure access to physicians for rural patients<br /> COVER THEME<br /> Focusing on Physicians: A look<br /> at the impact of burnout in<br /> Wisconsin and initiatives to<br /> ensure access to physicians<br /> for rural patients<br /> In Wisconsin, 26% of the population<br /> lives in a rural area, yet only 10% of<br /> physicians practice in rural areas.<br /> In this issue of WMJ, 2 reports look<br /> at the problem of physician burnout,<br /> and 2 more describe innovative efforts<br /> to expand t<a title="WMJ_117no5 page 1" href="http://viewer.zmags.com/publication/582850e2?page=1"> advancing the art & science of medicine in the mi</a> <a title="WMJ_117no5 page 2" href="http://viewer.zmags.com/publication/582850e2?page=2"> </a> <a title="WMJ_117no5 page 3" href="http://viewer.zmags.com/publication/582850e2?page=3"> advancing the art & science of medicine in the mi</a> <a title="WMJ_117no5 page 4" href="http://viewer.zmags.com/publication/582850e2?page=4"> The WMJ (ISSN 1098-1861) is published by the Wisc</a> <a title="WMJ_117no5 page 5" href="http://viewer.zmags.com/publication/582850e2?page=5"> Thank You to Our Reviewers The WMJ would like to</a> <a title="WMJ_117no5 page 6" href="http://viewer.zmags.com/publication/582850e2?page=6"> AS I SEE IT Helicopter Emergency Medical Ser</a> <a title="WMJ_117no5 page 7" href="http://viewer.zmags.com/publication/582850e2?page=7"> REFERENCES 1. US Census Bureau. 2010 Census of Po</a> <a title="WMJ_117no5 page 8" href="http://viewer.zmags.com/publication/582850e2?page=8"> FOCUS ON COMMUNITY HEALTH Physician’s Passio</a> <a title="WMJ_117no5 page 9" href="http://viewer.zmags.com/publication/582850e2?page=9"> the early morning hours in hope of getting a tick</a> <a title="WMJ_117no5 page 10" href="http://viewer.zmags.com/publication/582850e2?page=10"> IN THIS ISSUE Rural Health in Wisconsin–</a> <a title="WMJ_117no5 page 11" href="http://viewer.zmags.com/publication/582850e2?page=11"> column, Marshall comments on the cost of helicopt</a> <a title="WMJ_117no5 page 12" href="http://viewer.zmags.com/publication/582850e2?page=12"> SPECIAL REPORT Physician Burnout in Wisco</a> <a title="WMJ_117no5 page 13" href="http://viewer.zmags.com/publication/582850e2?page=13"> November 20, 2017 to January 6, 2018. Five days b</a> <a title="WMJ_117no5 page 14" href="http://viewer.zmags.com/publication/582850e2?page=14"> Figure 1. Benchmark Comparisons Figure 2. Physici</a> <a title="WMJ_117no5 page 15" href="http://viewer.zmags.com/publication/582850e2?page=15"> will cut reimbursement if all the specific points</a> <a title="WMJ_117no5 page 16" href="http://viewer.zmags.com/publication/582850e2?page=16"> that female physicians spend more time communicat</a> <a title="WMJ_117no5 page 17" href="http://viewer.zmags.com/publication/582850e2?page=17"> of telling them how EHR integration will happen, </a> <a title="WMJ_117no5 page 18" href="http://viewer.zmags.com/publication/582850e2?page=18"> CONCLUSION The AMA Code of Medical Ethics states,</a> <a title="WMJ_117no5 page 19" href="http://viewer.zmags.com/publication/582850e2?page=19"> SPECIAL REPORT Graduate Medical Education I</a> <a title="WMJ_117no5 page 20" href="http://viewer.zmags.com/publication/582850e2?page=20"> Through this discussion, we will highlight the st</a> <a title="WMJ_117no5 page 21" href="http://viewer.zmags.com/publication/582850e2?page=21"> the Wisconsin Collaborative for Rural GME (Collab</a> <a title="WMJ_117no5 page 22" href="http://viewer.zmags.com/publication/582850e2?page=22"> Figure 1. Change in Capacity of Rural Residency P</a> <a title="WMJ_117no5 page 23" href="http://viewer.zmags.com/publication/582850e2?page=23"> close.24 Hospital closures especially impact acce</a> <a title="WMJ_117no5 page 24" href="http://viewer.zmags.com/publication/582850e2?page=24"> the understanding that success is a function of e</a> <a title="WMJ_117no5 page 25" href="http://viewer.zmags.com/publication/582850e2?page=25"> 18. 100 new physicians a year: an imperative for </a> <a title="WMJ_117no5 page 26" href="http://viewer.zmags.com/publication/582850e2?page=26"> BRIEF REPORT Factors Influencing Rural Physic</a> <a title="WMJ_117no5 page 27" href="http://viewer.zmags.com/publication/582850e2?page=27"> METHODS We conducted a case study of graduates of</a> <a title="WMJ_117no5 page 28" href="http://viewer.zmags.com/publication/582850e2?page=28"> Table 3. Importance of Various Factors in Rural R</a> <a title="WMJ_117no5 page 29" href="http://viewer.zmags.com/publication/582850e2?page=29"> BRIEF REPORT Medical Student Wellness in Wis</a> <a title="WMJ_117no5 page 30" href="http://viewer.zmags.com/publication/582850e2?page=30"> Table. Demographic Characteristics of 2016-2017 S</a> <a title="WMJ_117no5 page 31" href="http://viewer.zmags.com/publication/582850e2?page=31"> DISCUSSION This is the first report to describe t</a> <a title="WMJ_117no5 page 32" href="http://viewer.zmags.com/publication/582850e2?page=32"> ORIGINAL RESEARCH Pardon the Interruption(s)—</a> <a title="WMJ_117no5 page 33" href="http://viewer.zmags.com/publication/582850e2?page=33"> METHODS This study was conducted at an academic, </a> <a title="WMJ_117no5 page 34" href="http://viewer.zmags.com/publication/582850e2?page=34"> Table. Pre- and Postintervention Likert Scale Res</a> <a title="WMJ_117no5 page 35" href="http://viewer.zmags.com/publication/582850e2?page=35"> 5 increased from 47.4% before implementation to 9</a> <a title="WMJ_117no5 page 36" href="http://viewer.zmags.com/publication/582850e2?page=36"> 3. Jensen AM, Sanders C, Doty J, Higbee D, Rawlin</a> <a title="WMJ_117no5 page 37" href="http://viewer.zmags.com/publication/582850e2?page=37"> ORIGINAL RESEARCH Cultural and Social Chal</a> <a title="WMJ_117no5 page 38" href="http://viewer.zmags.com/publication/582850e2?page=38"> ing earlier and aggressively in the disease proce</a> <a title="WMJ_117no5 page 39" href="http://viewer.zmags.com/publication/582850e2?page=39"> Data Analysis—Interviews averaged 30 minutes. Int</a> <a title="WMJ_117no5 page 40" href="http://viewer.zmags.com/publication/582850e2?page=40"> you need to learn, like what is your A1c, what ar</a> <a title="WMJ_117no5 page 41" href="http://viewer.zmags.com/publication/582850e2?page=41"> personalized needs, including beliefs, attitudes,</a> <a title="WMJ_117no5 page 42" href="http://viewer.zmags.com/publication/582850e2?page=42"> REVIEW Promoting Antimicrobial Stewardship b</a> <a title="WMJ_117no5 page 43" href="http://viewer.zmags.com/publication/582850e2?page=43"> AS programs. In an effort to identify any missed </a> <a title="WMJ_117no5 page 44" href="http://viewer.zmags.com/publication/582850e2?page=44"> Table 1. Summary of Research Investigating Medica</a> <a title="WMJ_117no5 page 45" href="http://viewer.zmags.com/publication/582850e2?page=45"> Table 3. Summary of Research Evaluating the Effec</a> <a title="WMJ_117no5 page 46" href="http://viewer.zmags.com/publication/582850e2?page=46"> antimicrobial stewardship by the Society for Heal</a> <a title="WMJ_117no5 page 47" href="http://viewer.zmags.com/publication/582850e2?page=47"> DEAN’S CORNER Learning From Leaders of</a> <a title="WMJ_117no5 page 48" href="http://viewer.zmags.com/publication/582850e2?page=48"> In discussing the effects of increased medical </a> <a title="WMJ_117no5 page 49" href="http://viewer.zmags.com/publication/582850e2?page=49"> DEAN’S CORNER Social Determinants of Health</a> <a title="WMJ_117no5 page 50" href="http://viewer.zmags.com/publication/582850e2?page=50"> Figure. Neighborhood Disadvantage Within Wisconsi</a> <a title="WMJ_117no5 page 51" href="http://viewer.zmags.com/publication/582850e2?page=51"> METASTAR MATTERS Access to Palliative Care</a> <a title="WMJ_117no5 page 52" href="http://viewer.zmags.com/publication/582850e2?page=52"> Index to Articles: Vol. 117 (2018) Authors Abdel</a> <a title="WMJ_117no5 page 53" href="http://viewer.zmags.com/publication/582850e2?page=53"> Distal Tibia and Foot Involvement in a Pati</a> <a title="WMJ_117no5 page 54" href="http://viewer.zmags.com/publication/582850e2?page=54"> ADVERTISING Index to Advertisers Gimbel, Reill</a> <a title="WMJ_117no5 page 55" href="http://viewer.zmags.com/publication/582850e2?page=55"> If you offer health insurance for your</a> <a title="WMJ_117no5 page 56" href="http://viewer.zmags.com/publication/582850e2?page=56"> healthy vitals ProAssurance has been monitoring </a>