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Marshfield Clinic began in 1916, when six physicians joined together in group practice, named it after their community, and set its focus on patient care, research, and education. Today it's part of Sanford Health, which describes itself as the largest rural health system in the United States: headquartered in Sioux Falls, South Dakota, with 53,000 employees serving over 2 million patients and nearly 425,000 health plan members across the upper Midwest.

The history explains some of the character. The practice nearly dissolved in 1944 as its doctors left to serve in World War II and care often went unpaid; it rebuilt after the war, and physicians like Russell Lewis, the architect of the Greater Marshfield Community Health Plan, carried it into new territory. The combined system's footprint now covers South Dakota, North Dakota, Minnesota, Wyoming, Iowa, Wisconsin, and Michigan's Upper Peninsula, and its stated mission is short: to care, comfort, and cure. The Marshfield Clinic Research Institute continues the research focus the six founders wrote into the practice a century ago, worth knowing if you want clinical work with an academic streak. And the stated vision, for the record: to be the premier rural health system in the United States.

Group practice has been the model here since 1916, and outpatient clinic care is exactly where medical assistants work; Marshfield Clinic's own reach is more than 60 locations and 11 hospitals across Wisconsin and Michigan's Upper Peninsula.

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