WMJ : official publication of the State Medical Society of Wisconsin最新文献_第5页

A Qualitative Analysis on the Implementation of a Community-Based Free Sunscreen Dispenser Program. 社区免费防晒霜分发器计划实施的定性分析。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2026-01-01

Alyssa M Jobe, Drake Seibert, Simran Bedi, Jacqueline T Cooper, Sophia Neman, Sarah Seiter, Akorfa Adobor, Karolyn A Wanat

{"title":"A Qualitative Analysis on the Implementation of a Community-Based Free Sunscreen Dispenser Program.","authors":"Alyssa M Jobe, Drake Seibert, Simran Bedi, Jacqueline T Cooper, Sophia Neman, Sarah Seiter, Akorfa Adobor, Karolyn A Wanat","doi":"","DOIUrl":"","url":null,"abstract":"Background: Skin cancer is the most common malignancy in the United States, underscoring the need for effective prevention strategies. The Community Sun Protection Program (CSPP), a medical student-run initiative, aims to improve access to sunscreen through the provision of free sunscreen dispensers.Objectives: This study evaluated the impact of a sunscreen dispenser initiative and identified factors that may inform future community sunscreen dispenser programs.Methods: The CSPP provided 13 sunscreen dispensers to 8 community partners in Milwaukee County, Wisconsin. After at least 1 summer of dispenser use, community site managers were interviewed, and responses were transcribed for thematic analysis.Results: Community site managers identified 3 primary themes: improved accessibility, positive community engagement, and increased educational opportunities related to sun safety.Conclusions: These findings highlight the value of a collaborative public health intervention aimed at improving sun safety awareness and access to preventive resources.","PeriodicalId":94268,"journal":{"name":"WMJ : official publication of the State Medical Society of Wisconsin","volume":"125 3","pages":"394-397"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148803923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessing the Health Needs of Northcentral Wisconsin's Transgender Population. 评估威斯康星州中北部跨性别人群的健康需求。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2026-01-01

Liane Kee, Corina Norrbom

{"title":"Assessing the Health Needs of Northcentral Wisconsin's Transgender Population.","authors":"Liane Kee, Corina Norrbom","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: The body of literature surrounding transgender health care primarily focuses on metropolitan populations and resource-rich areas. This qualitative study examines the perspectives of transgender patients in northcentral Wisconsin to identify recommendations for more comprehensive, inclusive health care practices.Methods: A series of semistructured interviews was conducted with recipients of gender-affirming care residing in northcentral Wisconsin. A mixed deductive-inductive approach was used for qualitative thematic analysis.Results: A total of 10 interviews were completed. Qualitative analysis revealed 3 key themes contributing to positive and negative experiences with health care providers: education, cultural competency, and access.Discussion: Patients reported feeling supported by health care providers but not always that providers were well equipped to address their specific health needs. The attitudes of all members of the health care team contributed to participants' feelings of acceptance and comfort in the health care environment. Participants living in rural areas cited transportation challenges and provider scarcity as barriers to gender-affirming care.Conclusions: Health care providers play an important role in mitigating health disparities among transgender patients. Experience providing gender-affirming care, nonjudgmental attitudes, and visible displays of allyship are associated with positive clinician-patient relationships.","PeriodicalId":94268,"journal":{"name":"WMJ : official publication of the State Medical Society of Wisconsin","volume":"125 3","pages":"354-358"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148804008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Incarceration and Health Care in the United States. 美国的监禁和医疗保健。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2026-01-01

Aniketh Naidu, Farzana Hoque

引用次数: 0

Moral Injury and Planetary Health in Primary Care Clinicians and Medical Trainees. 初级保健临床医生和医学实习生的道德伤害和行星健康。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2026-01-01

Kevin Dunn, Jonathan L Temte

{"title":"Moral Injury and Planetary Health in Primary Care Clinicians and Medical Trainees.","authors":"Kevin Dunn, Jonathan L Temte","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Climate change is a serious and worsening public health crisis. Primary care clinicians and medical trainees understand the health effects of climate change yet participate in a carbon-intensive industry and often maintain lifestyles linked to high carbon footprints. Moral injury occurs when individuals perpetrate, witness, or fail to prevent acts that transgress deeply held moral beliefs. We hypothesized that primary care clinicians and medical trainees experience morally injurious circumstances in response to climate change.Methods: A cross-sectional survey was sent to University of Wisconsin family medicine clinicians and medical trainees. The survey assessed participant climate change attitudes, levels of moral injury specific to climate change (using an adapted Moral Injury Symptom Scale), and general dysphoria.Results: A total of 131 surveys were completed (42.5% response rate). The average moral injury score was 45.5 (± 11.8); 80.2% of participants scored at or above the established threshold of 36. A significant, moderate positive correlation was found between climate change attitudes and moral injury (r = 0.561; P < .0001), as well as between moral injury and associated functional impairment and distress (rs = 0.463; P P < .0001).Conclusions: A high rate of climate change-related moral injury was detected in this sample. The degree of moral injury appears to be associated with climate change attitudes and awareness. Family medicine clinicians and medical trainees may represent motivated agents of change in the global climate health response.","PeriodicalId":94268,"journal":{"name":"WMJ : official publication of the State Medical Society of Wisconsin","volume":"125 2","pages":"263-267"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148207435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perceptions of Academic Hospitalists Regarding Rounding Methods. 院系医师对舍入方法的看法。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2026-01-01

Chidinma O Ikonte, Mohamed T Abdelrahim, Akorfa Adobor, Philisha Mesidor, Nhung H Tran, Sanjay Bhandari, Pinky Jha

引用次数: 0

Portrayal of Medical Students in Artificial Intelligence- Generated Images. 医学生在人工智能生成图像中的写照。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2026-01-01

Molinna Bui, Paul H Yi, Ifeanyichukwu Onuh, Ian Kuckelman, Andrew B Ross

{"title":"Portrayal of Medical Students in Artificial Intelligence- Generated Images.","authors":"Molinna Bui, Paul H Yi, Ifeanyichukwu Onuh, Ian Kuckelman, Andrew B Ross","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: The adoption of artificial intelligence (AI) in image generation raises concerns about potential bias, as these technologies may not accurately reflect the populations represented in the images they create. This study examined whether AI-generated images of medical students accurately represent the diversity of the current US medical student population.Methods: Using the DALL-E (Open AI) image-generation algorithm, we created 300 images with the text prompt \"medical student.\" Two researchers independently analyzed images for demographic indicators, including perceived sex, race/ethnicity, age group, setting, and attire. Descriptive statistics summarized the data, and subgroup analyses assessed differences in portrayals by sex and race/ethnicity. Demographic proportions in the virtual cohort were graphically compared with Association of American Medical Colleges enrollment data.Results: Of the 300 generated images, 227 (76%) were females and 223 (74%) were White, indicating overrepresentation compared with actual medical school demographics. Black and Latino/Hispanic students were more commonly depicted in scrubs compared to White students, who were often portrayed in white coats or collared shirts (P = .002). No images represented Native American/Alaskan Native or Native Hawaiian/Pacific Islander students.Conclusions: AI-generated images of medical students demonstrated significant demographic disparities, indicating potential bias in these technologies. Such biased portrayals may perpetuate stereotypes and hinder diversity efforts. Future research should identify and address these biases to promote more equitable and inclusive applications of AI tools.","PeriodicalId":94268,"journal":{"name":"WMJ : official publication of the State Medical Society of Wisconsin","volume":"125 1","pages":"158-161"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147694515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Are You My Mentor? Pediatric Residents' Conceptualization of Mentoring and Mentoring Relationships. 你是我的导师吗？儿科住院医师师徒观念与师徒关系。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2026-01-01

Rory Bade, Daniel Sklansky, Megan Moreno, Jesse Boyet Anderson

{"title":"Are You My Mentor? Pediatric Residents' Conceptualization of Mentoring and Mentoring Relationships.","authors":"Rory Bade, Daniel Sklansky, Megan Moreno, Jesse Boyet Anderson","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Mentorship involves a multidimensional relationship between junior and senior professionals and is integral to professional development. Pediatric residents are required by the Accreditation Council for Graduate Medical Education to identify at least 1 mentor. However, it remains unclear how residents conceptualize and use mentorship. This study sought to understand how pediatric residents identify and value mentorship and to assess a workshop designed to empower residents to develop mentoring relationships.Methods: Pediatric residents were surveyed regarding their experiences with and perceptions of mentoring. An interactive workshop was designed to facilitate the identification and utilization of mentors in professional development for pediatric residents. Preworkshop and 8-month postworkshop surveys assessed resident professional growth priorities, sources of mentorship, other advisors, satisfaction with mentorship, and confidence in cultivating mentor-mentee relationships.Results: Twenty-nine residents completed the preworkshop survey. Residents identified clinical skills, career development, work-life balance, leadership, and research as their top priorities for growth. Nearly all residents (97%) identified advisors, though only 65% reported having a mentor. Nine residents completed the postworkshop survey. Residents reported increased confidence in initiating mentoring relationships and mentoring junior trainees following the workshop.Conclusions: Pediatric residents identified numerous areas of personal and professional growth amenable to mentoring. While nearly all residents identified advisors, many were unable to identify a mentor, suggesting a discordance between residents' conceptualization and actualization of mentorship. Resident responses suggest that a brief workshop intervention may durably increase resident confidence in initiating mentoring relationships.","PeriodicalId":94268,"journal":{"name":"WMJ : official publication of the State Medical Society of Wisconsin","volume":"125 1","pages":"125-129"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147694631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Transformative Impact: Advancing Resident Competence and Confidence in Gender-Affirming Care Through a Multimodal Transgender Health Curriculum. 变革性影响：通过多模式跨性别健康课程提高住院医师在性别确认护理方面的能力和信心。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2026-01-01

Abbey Knickerbocker, Nathan R Jones, Kristina Kaljo, Laura Hanks

{"title":"Transformative Impact: Advancing Resident Competence and Confidence in Gender-Affirming Care Through a Multimodal Transgender Health Curriculum.","authors":"Abbey Knickerbocker, Nathan R Jones, Kristina Kaljo, Laura Hanks","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Transgender and gender-diverse individuals face well-documented health disparities, often due to limited provider knowledge and training. There is a growing body of evidence that emphasizes the importance of integrating transgender health content into medical education.Objective: We sought to evaluate the impact of a longitudinal multimodal educational intervention on obstetrics and gynecology residents' knowledge, confidence, and comfort in providing gender-affirming care.Methods: An educational transgender and gender-diverse curriculum incorporating didactics, clinical experiences, and surgical exposure was implemented within the obstetrics and gynecology residency program at a single academic medical center over 1 year. Residents (n=20) completed matched pre- and post-intervention surveys assessing self-reported knowledge, confidence, and comfort. Open-ended survey responses were analyzed using conventional content analysis.Results: Residents demonstrated substantial improvements across multiple domains of transgender and gender-diverse care, including understanding of transgender care, confidence in counseling for gender-affirming surgery, comfort with hormone therapy management, and comfort describing hormone effects. Qualitative analysis identified themes of enhanced clinical awareness, shifts in professional identity through transformative learning, and awareness of systemic barriers that may impact provision of care.Conclusions: A structured, longitudinal multimodal educational intervention significantly improved obstetrics and gynecology residents' preparedness to provide gender-affirming care. These findings support the integration of a formal transgender and gender-diverse health education curriculum into graduate medical education to enhance clinical competency and promote equitable health care.","PeriodicalId":94268,"journal":{"name":"WMJ : official publication of the State Medical Society of Wisconsin","volume":"125 1","pages":"152-157"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147694675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bearing Witness to Suffering and Social Justice: A Novel Multimodal Medical Humanities Course That Cultivates Compassionate Health Care. 见证苦难与社会正义：一门培养富有同情心的医疗保健的新型多模式医学人文课程。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2026-01-01

Jessica C Babal, Liana Eskola, Elizabeth A Fleming, Rory Bade, Meinkeng Acha-Morfaw, Jens Eickhoff, Nicole Nelson

{"title":"Bearing Witness to Suffering and Social Justice: A Novel Multimodal Medical Humanities Course That Cultivates Compassionate Health Care.","authors":"Jessica C Babal, Liana Eskola, Elizabeth A Fleming, Rory Bade, Meinkeng Acha-Morfaw, Jens Eickhoff, Nicole Nelson","doi":"","DOIUrl":"","url":null,"abstract":"Background: Racism, sexism, ableism, addiction stigma, weight stigma, and imbalanced power structures in medicine threaten human health and well-being. Medical humanities education that addresses positionality and power in clinical care may enhance physicians' abilities to provide compassionate care.Methods: Sixty medical students completed a medical humanities elective during the 2020-2021 through 2023-2024 academic years focus on suffering and social justice in medicine and completed pre- and post-course surveys.Results: Post-course surveys showed increases in students' self-assessed knowledge about applying medical humanities practices to provide compassionate patient care (P < .001), plans to use medical humanities practices in their future career (P < .001), and intent to disseminate or share their medical humanities work (P < .001).Discussion: This novel multimodal medical humanities curriculum exploring suffering and social justice fostered compassionate clinical care skills and intention to continually engage in humanities work.","PeriodicalId":94268,"journal":{"name":"WMJ : official publication of the State Medical Society of Wisconsin","volume":"125 1","pages":"170-173"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147694713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Managing Access to Medical Specialists for the Uninsured: Specialty Access for the Uninsured Program. 管理对无保险医疗专家的访问：对无保险计划的专业访问。

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2026-01-01

Katrina Gonzales, Greg Stadter, Theresa Umhoefer Wittry, Ann Christiansen

{"title":"Managing Access to Medical Specialists for the Uninsured: Specialty Access for the Uninsured Program.","authors":"Katrina Gonzales, Greg Stadter, Theresa Umhoefer Wittry, Ann Christiansen","doi":"","DOIUrl":"","url":null,"abstract":"Background: Safety net clinics provide primary care to uninsured patients. However, receiving specialty care is more complex because most specialists are not employed by these clinics.Methods: To improve specialty access, the Milwaukee Health Care Partnership created the Specialty Access for the Uninsured Program (SAUP). The program provides timely specialty care distributed equally across the 3 adult health systems in Milwaukee. This paper outlines the process and framework used to implement SAUP.Results: Since SAUP implementation, 23 000 patients have been referred for specialty care, with a 91% appointment show rate.Discussion: The current specialty access system is unsustainable. SAUP provides a framework to address inequalities in specialty care access.Conclusions: The SAUP model demonstrates that a coordinated, equitable distribution of specialty referrals across health systems can improve access for uninsured populations. This collaborative framework offers a sustainable solution for other communities facing rising rates of uninsurance and the high costs of deferred care.","PeriodicalId":94268,"journal":{"name":"WMJ : official publication of the State Medical Society of Wisconsin","volume":"125 2","pages":"276-279"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148207452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0