Jul-Aug_2021July-August 2021 | Volume 104 | Issue 4

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2. View individual articles by clicking on the titles below.



IN THIS ISSUE

Where we live, what schools we went to—and how many years we studied, the kind of exercise we do regularly, our income, our relationships … these and more, including race and ethnicity, impact our health and our healthcare. A number of physicians are trying to improve the social determinants of health for those at the low end of the spectrum, both in the clinic and through advocacy. Articles begin on page 20.

 

TABLE OF CONTENTS


ON THE COVER

Social determinants of health

Beyond the medical checklist
Where patients live, work, learn, play and more affects their health throughout life.

Medical students and those without housing
Mayo Clinic Alix School of Medicine students help—and learn—from unsheltered patients.
BY GRACE JOHNSON AND DERRICK LEWIS

Community health clinics take a comprehensive approach

The Indian Health Board in Minneapolis and Access Family Medical Clinic in Worthington work with patients who have needs well outside their clinic visits.
BY SUZY FRISCH
 

Choices limited in food deserts
Some urban neighborhoods have little access to affordable and healthy food.
BY JANET SCHMITT, MD

Advocates for improving social determinants of health
Some physicians devote themselves to improving systems that affect their patients’ well-being.
BY SUZY FRISCH
 
School-based health centers
Programs in schools can offer barrier-free healthcare in a one-stop hub where children and youth spend the majority of their waking hours.
BY ABBE PENZINER-BOKDE, MD
 

FEATURE

Physician assistants
Since 1965, these medical professionals have become essential to providing care in today’s healthcare systems.
BY VICTORIA LOUWAGIE, MSPAS, PA-C; OMAR MOUSA, MBBS, MD; AND BECKY NESS, PA-C
 

CLINICAL and HEALTH AFFAIRS

Retrospective SARS-CoV-2 real-time PCR testing of stored bronchoalveolar lavage samples from February 2020
BY DOUGLAS CHALLENER, MD; ADITYA SHAH, MBBS; MATTHEW BINNICKER, PHD; ANDREW BADLEY, MD; AND JOHN O’HORO, MD, MPH

Paraneoplastic cerebellar degeneration in Merkel cell carcinoma with unknown primary and subsequent complete spontaneous regression
BY MACKENZIE MAKI, MD; JETTER ROBERTSON, DO; EVIDIO DOMINGO-MUSIBAY, MD; AND JANE YUET
CHING HUI, MD, MS

 

EDITOR’S NOTE

Combating fear of the unknown in healthcare worker COVID vaccination

You can ask someone who wants to wait for more data whether the unlikely long-term risk of vaccination outweighs the very well-known risks (including long-term risks) of getting or spreading COVID.
Zeke J. McKinney, MD, MHI, MPH


GOOD PRACTICE

Research of the people, by the people, for the people

Researchers studying Native Americans need to make sure the community is a driver, not just a subject.
BY KONNIE LEMAY
 

THE JOY OF MEDICINE

RECLAIMING HAPPINESS IN YOUR WORK


WHEN ILLNESS—OR WORK—IS OVERWHELMING

Amy Stenehjem, MD, finds ways to calm her limbic system when under stress.
BY LINDA PICONE


ETHICS

Should COVID vaccination be mandatory for healthcare employees?

BY CRESTA JONES, MD, AND MARAIKA ROBINSON, MD


LIFE IN MEDICINE

Chart notes on learning to parent.

BY IRIS WAGMAN BOROWSKY, MD, PHD


ARTS AND MEDICINE

Imposter Syndrome

A poem on feeling like an imposter.
BY JAMEE SCHOEPHOERSTER

 

COMMENTARY

ADDRESSING QUALITY OF LIFE

We can do better with goals-of-care discussions.
BY BRYAN J. NETH, MD, PHD
 

BOOK REVIEW

The Doctors Blackwell

Elizabeth and Emily Blackwell became physicians despite the odds.
BY CHARLES R. MEYER, MD


THE PHYSICIAN ADVOCATE

The Physician Advocate / MMA NEWS

The MMA's report on policy, people and politics
MMA on Minnesota eviction case. Suicide rate in Minnesota decreases. New conditions qualify for medical cannabis. Mental health crisis for children.
 

ON CALL

Meet MMA physicians
Eleazar Briones, MD, and John Patrick (JP) Janowski, MD.