University of Wisconsin–Madison Medical College of Wisconsin

Current Issue

September 2025

Cover artwork “Blooming Perspectives” by Toan Vu

This issue of WMJ features research and commentary exploring a wide array of topics, including drivers of opioid prescriptions for Medicare patients, analysis of chlamydia and gonorrhea infection rates in La Crosse County over 20 years, incidence of lymph node metastasis in patients with endometrial intraepithelial neoplasia, a novel approach to clinical faculty mentoring, and more.

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TABLE OF CONTENTS

EDITORIAL

From the Editor
Cultivating the Next Generation of Physician-Scholars
Fahad Aziz, MD, FASN

Commentary
Cultural Competency in Short-Term Medical Missions 
Isaac KS Ng, MBBS, MRCP

NEWS

WMJ Welcomes Two New Deputy Editors
Kendi Neff-Parvin

ORIGINAL RESEARCH

Drivers of Opioid Prescriptions for Medicare Patients at an Urban Tertiary Center 
Elise A. Biesboer, MD; Abdul Hafiz Al Tannir, MD; Leonard E. Egede, MD, MS; Rebekah J. Walker, PhD; Sneha Nagavally, MS; Sarah A. Endrizzi, MD; William J. Peppard, PharmD

Epidemiological Analysis of Chlamydia and Gonorrhea Cases in La Crosse County, Wisconsin, 2001-2020 
Abigail Multerer, MS; Paula Silha, MASL, MCHES; Gary D. Gilmore, PhD, MCHES; Jennifer Rombalski, MPH; Abdulaziz Elfessi, PhD; Loriann Stanislawski, MS, MCHES; Peter R. Wilker, PhD; William R. Schwan, PhD

Incidence of Lymph Node Metastasis in Patients With a Preoperative Diagnosis of Endometrial Intraepithelial Neoplasia 
Matthew K. Wagar, MD; Allison Zinter, BS; Stephanie M. McGregor, MD, PhD; Makeba Williams, MD; Lisa M. Barroilhet, MD, MS; Katherine Sampene, MD

Characteristics of Patients Disengaged From Pharmacist-Led Hypertension Management in Primary Care: An Observational Study 
Isabel Wedig, PharmD; Anupama Joseph, MD; Tyler Ho, PharmD

The Empty SmartLink Solution: A Quality Improvement Initiative to Improve History and Physical Notes Documentation Using Clinical Decision Support 
Sabrina E. Carro, MD; Sarah Milota, MD; Danita Hahn, MD; Amanda Rogers, MD; Sarah C. Bauer, MD

Comparing Magnetic Resonance Imaging and Computed Tomography Machine Accessibility Among Urban and Rural County Hospitals in Wisconsin 
Benjamin Burdorf, MD; William MacDonald, MD; Pravallika Kesarla, BS; Samantha Burdorf, MBA

A Novel Coach-Approach to Clinical Faculty Mentoring and the UW Department of Medicine Clinical Faculty Development Program
James D. Alstott, MD; Chariti Gent, MA, MCC, CPCC; Christine Fabian Bell, MS; Daniel R. Marlin, MPA; Anthony Hernandez, PhD; Esther Schulman, BS; Sharon Gehl, MBA; Lynn M. Schnapp, MD; James H. Stein, MD

Exploration of Factors That Positively Influence Medical Student Reception of Question-Based Teaching in Clinical Settings
Asha S. Jain, BS; Jacob J. Abou-Hanna, MD; Elizabeth M. Petty, MD

Brain and Body Fitness Group for Those With Dementia and Their Caregivers Through Community Partnership: A Program Evaluation
Lindsey J. G. Creapeau, EdD; Norah M. M. Airth-Kindree, DNP; Jeffrey A. Goodman, PhD

BRIEF REPORTS

A Silent Wave: Increases in Wisconsin’s Alcohol-Related Mortality During the COVID-19 Pandemic
Thomas Bentley, MS; Paul D. Creswell, PhD

Electronic Fetal Monitoring Patterns With and Without Continuous Amnioinfusion 
Brock E. Polnaszek, MD; Jessica Chen, MD; Rodolfo Fernandez-Criado, MD, MPH; Anna Palatnik, MD; Susan Cohen, MD; Methodius G. Tuuli, MD, MBA, MPH; Adam K. Lewkowitz, MD, MPHS

A Case-Based Approach to Racial Health Disparities in Infertility Diagnosis and Management—From Reproductive Life Planning to Treating Infertility
Micaela Stevenson Wyszewianski, MD; Eliyah J. Stevenson, BS; Jayme Bosler, MD

Barriers to Completing Advance Care Planning: Insights From the Wausau Free Clinic
Grace F. Wittenberg, MD; Lauren Woyak, MD; Jeffrey Todd, MS, CMPE; Jeffrey Oswald, MD; Amy Prunuske, PhD

Brain Doctors: Evaluating a Mental Health Initiative for Elementary Students
Parnika Telagi, MD; Jessica Liu, BS; Bryan Johnston, MD

CASE REPORTS

Mitochondrial Neurogastrointestinal Encephalomyopathy Presenting with Peripheral Neuropathy and Hearing Loss 
Milan Patel, MD; Kaleb Keener, BS; Gina LaWall, NP; Pinky Jha, MD

Candida Auris Total Knee Arthroplasty Infection in an Immunocompetent Individual: Case Report and Literature Review 
Milan Patel, MD; Jacob Kodra, BS; Kaleb Keener, BS; Riya Singh; Pinky Jha, MD

Locally Invasive Central Nervous System Aspergillosis Presenting as Subacute Vision Loss 
Amelia Papadimitriou, MPH; Alenna Beroza, MS; Kriti Behl, APNP; Muhammad Hammad, MD; Roshan Thapa, MD; Pinky Jha, MD, MPH

An Eye for an Eye, An Ear for an Ear: A Midwestern Case Report of Vogt-Koyanagi-Harada Disease 
Neil Dixit, MD; Emily Koller, MD; Nicole Avendaño, MD; Pinky Jha, MD

Intentional Hydroxychloroquine Overdose Leading to Severe Hypotension and Multiorgan Failure 
Drake W.S. Giese, BS; Katherine M. Ernste, MD; Muhammed B. Gilani, MD

Subacute Combined Degeneration of the Spinal Cord From Nitrous Oxide Abuse 
Lauren Beranek, MD; Satchel Beranek, MD; Benjamin Kaster, MD

LIMITED SERIES

Statistical Thinking in Medicine, Part 6: Creating Evidence (or What to Know Before Visiting a Statistician) 
Robert A. Calder, MD, MS; Jayshil J. Patel, MD

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