November 2019, Volume XXXIIi, No 8
Administration
Physician coaching: Enhancing performance and reducing burnout
By Timothy McClernon, PhD
Tiger Woods is one of the most dominant professional golfers of all time. Between endorsements and golfing, he has earned more than $1.5 billion. The pressure to remain at the top following his back surgery demanded that Tiger adapt to his new limitations. He engaged a swing coach, enabling him to return to the pro circuit and win his fifth Masters Tournament earlier this year.
Youth with special health needs: Lost in transition
By Elise Holmes, MPP; Wendy Berghorst, MSN; Sarah MapelLentz, JD, MPH; Blair Harrison, MPH; and Sarah Dunne, MPH, MSW
Adolescence is a period of rapid change, development, excitement, and sometimes fear and confusion. For youth with disabilities or other special health needs, this period is especially complex, with added factors of disease management and continuing supports. This article addresses the importance of a coordinated health care transition and call to action to improve processes and outcomes in Minnesota.
Special Focus: Rural Health
Maternity care: Complexities and critical next steps
By Emily Onello MD; Sandra Stover, MD; and Jennifer Pearson, MD
More than half of rural U.S. counties currently lack a qualified childbirth provider. Researchers at the University of Minnesota Rural Health Research Center have published a large body of work on the topic of rural obstetrical care across the country, including a 2017 publication which revealed that between 2004 and 2014, a staggering 9% of rural counties experienced the loss of all hospital obstetric services.
Social disparities in Greater Minnesota: Health happens in communities
By Charlie Mandile, MA
Maria, a patient with type 2 diabetes, was challenged to manage her condition despite the best efforts of HealthFinders Collaborative (HFC), a charitable health center in Rice County that sees underserved patients experiencing barriers to accessing health care. Maria eventually developed retinopathy and partial blindness. HFC providers had given her regular 60-minute appointments, bilingual/low-literacy educational materials, teach-back instruction, and frequent check-ins between appointments.
Special Focus: Rural Health
Medical Care in Greater Minnesota: The changing face of community needs
From its inception, the clinical mission of the University of Minnesota Medical School’s Duluth Regional Campus has been to prepare students to address the unique health needs of Native Americans and other patients in Greater Minnesota—and to encourage them to remain in rural areas as they launch their practices. Classwork, special programming, active solicitation of rural preceptors, and increased rural rotations and residencies are all key to this effort.
Behavioral Health
Gambling disorder: Diagnosing the “hidden addiction”
When you meet with a patient, the topic of addiction is not typically top-of-mind. And on the rare occasions when you suspect that an addiction is playing a role in your patient’s condition, you’re probably thinking about drug or alcohol addiction. However, other, less obvious addictions can be causing distress and poor health. One such lesser-known addiction is gambling disorder.
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