but it is still clearly not sufficient, you work, currently, i believe in colombia in columbia university hospitaly. yes. so dying and death are realities you live with every day. absolutely every day. what impact has that had on your life? it changes and it changed who i am. i actually can't think of myself as someone who hasn't encountered a death a week. that person that i must‘ve been at some point of time before i became an oncologist, has vanished for me, that person... that person who was under your care. this is someone that is under my care, is a friend, or someone i've been referred to, essentially, the familiarity with someone dying, as i said, one person in the large ecosystem of my life dying once a week is the new normal for me and is the new normal for most oncologists. you're quite frank about it. you say that at times you walked down the corridors of your hospital after a particularly gruelling shift and you struggle to find the sympathy that you feel you should have for some of the patients in your care. i think for myself, i can answer for myself, that's the time i go to the lab

i had the university hospital in columbia, missouri saying they are taking more rural patients than they should and bypassing their hospitals and going to university hospitals. can any of you address many, ms. martin, address the problem we have with ob-gy nmp s to be in rural areas and how we can incentivize doctors to go to these rural communities and stay in these rural communities? ms. martin: i think we have spoke today the loan repayment rograms, the conrad and visa program. but they are important. it is easing about the regulatory programs. they want to be taking care of physicians and work at the top of their skill, they are more satisfied in a rural community and i think we talked about telehealth, because when physicians know they can be covered when they are off or out or don't feel the 24 slb 7 responsibility, that is satisfying for them as well. we are fortunate in the ob-gyns that we have that work there and we work with midwives who call for regular deliveries to give them relief and call time and balance of life is different. and so it's the use and complement of those nu

i had the university hospital in columbia, missouri, say they were taking in more rural patients than they should. rural patients were bypassing their local hospitals and going to the university hospital, mainly because that's where their doctors were. can any of you address maybe ms. martin you can address the real problem especially we have with ob gyn's being able to be in rural areas and any ideas you may have on how we can incentivize doctors to stay in these rural communities, go to these rural communities and stay in these rural communities? >> i think the workforce issues are very much challenges in rural areas. i think we've spoke today about the loan repayment programs, the conrad 30 j-1 visa programs, i think they are very important to rural communities. but i also think it's about easing some of the regulatory burden on physicians who work in small areas because they just want to be physicians. they want to take care of patients. and when they can work to the top of their license and to the top of their skill, they're more satisfied in a rural community. and i think that w