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Articles 91 - 119 of 119
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Health Care Shares: Vermont Community Wellness Through A Farm To Patient Collaboration, Lindsay S. Howe
Health Care Shares: Vermont Community Wellness Through A Farm To Patient Collaboration, Lindsay S. Howe
Family Medicine Clerkship Student Projects
Food insecurity in Vermont has increased over the past decade, with nearly 85,000 Vermonters struggling to provide adequate amounts of food for their families during the past year. Families living in the Northeast Kingdom of Vermont have higher rates of food insecurity than those in urban settings. Unfortunately, when families are living with or threatened with food insecurity, they often rely on cheaper, processed foods that have a longer shelf life than fresh produce. This is likely contributing to the increase in obesity and chronic health conditions such as diabetes. Programs such as Health Care Share aim to combat food …
Vermont Food Insecurity: Implementing Screening Tools And Interventional Assistance At Thomas Chittenden Health Center, Quinn Self
Family Medicine Clerkship Student Projects
Hunger Free Vermont estimates that over 11% of Vermonters experience Food insecurity defined as a lack or access to adequate nutritious food due to lack of money or other resources. Food insecurity has been linked with numerous health problems including obesity, depression, poor school performance, heart disease, anemia and increased number of hospitalizations. Despite the adverse health outcomes associated with food insecurity, primary care providers don't usually screen for it. There are short validate tools to screen with high sensitivity and specificity for food insecurity. The goal of this project was to generate a screening poster for waiting rooms and …
Aging Well: Informing Seniors About Local Resources Throughout The Aging Process, Sravana Paladugu
Aging Well: Informing Seniors About Local Resources Throughout The Aging Process, Sravana Paladugu
Family Medicine Clerkship Student Projects
A large portion of the Franklin County population is elderly and above the age of 60. They have many unique socioeconomic barriers to healthcare that add to the difficulty of maintaining independence in the community. This has been a burdensome public health cost for not only this community but for Vermont as a whole. The goal of this project was to inform local seniors of services provided by Age Well VT that could enable them to stay at home for longer. This was carried out by designing an Age Well VT handout that could be easily read and utilized by …
Mat For Opioid Use Disorder In Maine, Eliot S. Jia
Mat For Opioid Use Disorder In Maine, Eliot S. Jia
Family Medicine Clerkship Student Projects
Opioid Use Disorder (OUD) is a major problem in the state of Maine with one person dying from overdose every day. Medication Assisted Treatment (MAT) using Suboxone has been shown to be helpful in the treatment of OUD, but there is currently a great need for providers to prescribe Suboxone in this region. We looked at barriers that providers saw for obtaining a waiver to prescribe Suboxone and created a handout to educate providers on MAT and the process for getting the waiver.
Promoting Skin Cancer Awareness, Sree Sahithi Kolli
Promoting Skin Cancer Awareness, Sree Sahithi Kolli
Family Medicine Clerkship Student Projects
Skin cancer is the most common cancer in the nation and the cost to treat it is around 8 billion dollars a year. Sun exposure is linked to all three types of skin cancer and incidence of melanoma is highest in Caucasians compared to other races. In Brookfield, CT which is comprised of a predominantly Caucasian population, there is a lack of awareness of skin cancer detection and prevention. One of the best ways to promote skin cancer awareness is through education about the different types of skin cancers and sun safety behaviors. The idea is to start the conversation …
Approaching Refusal Of Colorectal Cancer Screening, Greg Whitcher
Approaching Refusal Of Colorectal Cancer Screening, Greg Whitcher
Family Medicine Clerkship Student Projects
This project aimed to investigate the reasons why patients refuse colonoscopy, the screening rates for colonoscopy, alternatives to colonoscopy and methods primary care physicians can use to encourage patients to have colorectal cancer screening.
Breast Cancer Screening - Helping Patients Choose, Fran Riley
Breast Cancer Screening - Helping Patients Choose, Fran Riley
Family Medicine Clerkship Student Projects
Breast cancer imaging has been covered broadly in the lay press. Many questions have been raised in the past few years, which bring confusion to patients in terms of risks vs benefits. In addition, new research shows dense breasts to be a significant risk factor to developing breast cancer, warranting additional modalities. All of this requires the patient to have an understanding of the risks versus benefits so they can choose what's best for them. This project creates an information brochure for patients, using numbers to give patients objective perspective to inform their decision.
Media Screen Time For Young Children, A Culturally Competent Approach, Jenna Conway Jorgensen
Media Screen Time For Young Children, A Culturally Competent Approach, Jenna Conway Jorgensen
Family Medicine Clerkship Student Projects
Young children are being exposed to excessive screen time. There are many health and developmental risks of excessive or inappropriate media exposure, including sleep disturbances, developmental delays, and obesity. New American families are likely unaware of the consequences of too much screen time in young children.
Narrative Medicine: Improving Patient Care And Shifting Office Culture, Yazen Qumsiyeh, Julia Shatten
Narrative Medicine: Improving Patient Care And Shifting Office Culture, Yazen Qumsiyeh, Julia Shatten
Family Medicine Clerkship Student Projects
Chronic pain and depression are both prevalent in the Unites States and often co-exist in the same population. According to the literature, there is no consensus between providers as to the best practice of treating chronic pain and concomitant depression. Narrative Medicine, a medical model that uses a patient’s illness narrative to make meaning of their disease, allows patients to tell their stories of chronic pain and other important aspects about their life, while it helps providers better understand patients’ experiences with pain. This project will assess the current culture and attitudes of providers treating chronic pain conditions at the …
Hidden Adolescent Risks: Provider Education On Non-Suicidal Self-Injury, Bailey Fay
Hidden Adolescent Risks: Provider Education On Non-Suicidal Self-Injury, Bailey Fay
Family Medicine Clerkship Student Projects
Non-suicidal self-injury (NSSI) has been shown to be a strong risk factor for suicidal ideation and suicide attempt. One study has shown over 50% of people engaging in NSSI have at least one suicide attempt in their lifetime. The 2015 Vermont Youth Risk Behavior Survey found 17% of high school students reported non-suicidal self-injury at least once in the past year. This reflects roughly one in four females and one in ten males. Furthermore, these numbers have increased significantly since 2013. In an effort to promote awareness of NSSI in the primary care setting, a handout was created for providers …
Advance Directive Initiative- St. Johnsbury, Vt, Arjun Janardhan
Advance Directive Initiative- St. Johnsbury, Vt, Arjun Janardhan
Family Medicine Clerkship Student Projects
Valuable time is frequently lost during end of life care or in the unforeseen circumstance of severe injury or illness when a patient does not have appropriate advance care planning. While end of life care costs continue to increase in an aging U.S. population, only 26% of U.S. healthcare consumers have completed Advance Directives (ADs). One of the key barriers to increased participation and awareness continues to be lack of patient education. Due to the complicated terminology often used in these legal documents, one essential component of the AD initiative at St. Johnsbury Community Health Center is creating a simple …
Patient Education: Sodium Awareness In Bomoseen, Vt, Ashley D. Adkins
Patient Education: Sodium Awareness In Bomoseen, Vt, Ashley D. Adkins
Family Medicine Clerkship Student Projects
Many patients in the outpatient setting are placed on diets with sodium restrictions by their primary care physician for management of a variety of chronic diseases. Patients often have difficulties adhering to these diets, a primary reason being unawareness of the sodium content of many foods that make up the American diet. This project aims to increase awareness for these patients and to provide education for them to make more informed decisions about their health. A poster was made for providers to display in their practice that illustrates the sodium content of various food groups. The foods were selected based …
Nutrition, Diabetes And Misconceptions, Kristen M. Dalton
Nutrition, Diabetes And Misconceptions, Kristen M. Dalton
Family Medicine Clerkship Student Projects
One of the most effective ways to assist patients with diabetes is to empower them to manage their diabetes through lifestyle change. However, figuring out what to eat when you have diabetes can be very confusing. This project attempted to provide simple lifestyle changes patients could make.
Radiation Risks And Safety, Hyunsoo Joshua No
Radiation Risks And Safety, Hyunsoo Joshua No
Family Medicine Clerkship Student Projects
Patient and physician requests for the use of X-Rays, CTs, and other radiation-producing medical imaging are increasing in the US. Both public and physician awareness of radiation knowledge is limited. Studies suggest that the general public is not concerned about exposure to ionizing radiation from medical procedures due to the widespread notion that healthcare professionals have received extensive training in the radiation principles and are competent in minimizing risk. Pamphlets providing simplified information, available for both providers and patients, may provide as an effective intervention to help educate both physicians and the public about radiation risks and safety.
Adolescent Sex Education, Carolyn Payne
Adolescent Sex Education, Carolyn Payne
Family Medicine Clerkship Student Projects
This project identified a significant need for adolescent sex education and curriculum development in Vermont and the United States. A comprehensive sex education presentation was developed, reviewed by experts in the field, and piloted at The Boys and Girls Club of Burlington. Subjective results were positive and future strategies to teach students, evaluate effectiveness, and expand impact were developed.
Influenza Awareness In Berlin And Montpelier, Vt, Nathan L. Centybear
Influenza Awareness In Berlin And Montpelier, Vt, Nathan L. Centybear
Family Medicine Clerkship Student Projects
Influenza vaccinations have changed over the years and many patients have concerns regarding the vaccine, such as safety and effectiveness. The goal of this project was to help educate patients regarding common concerns identified in the communities of Berlin and Montpelier, VT surrounding the influenza vaccine. Community members were interviewed to identify commonly asked questions. These questions were used to create an educational flyer, which was made available to patients at the Berlin Family Practice.
Having A Conversation About Health Care Wishes And Goals In Vermont, Eric C. King
Having A Conversation About Health Care Wishes And Goals In Vermont, Eric C. King
Family Medicine Clerkship Student Projects
Research has shown that people think talking with family and friends about end-of-life care is important, but they do not actually have this conversation. The majority of adults do not have any form of advance care planning in place. In the state of Vermont if you are 18 years of age or older there is no default person to make decisions for you (such as a spouse or next of kin) in the event that you would be unable to do so, which can result in a complicated ethical dilemma. The goal of this project is to improve conversation rates …
Promoting Awareness Of Resources Available At Syringe Exchanges In Windsor County, Vt, Erica Worswick
Promoting Awareness Of Resources Available At Syringe Exchanges In Windsor County, Vt, Erica Worswick
Family Medicine Clerkship Student Projects
Heroin addiction is a problem nationwide, and is especially prevalent in the state of Vermont. Individuals who inject heroin are at risk of infection with HIV or hepatitis C, and of death by heroin overdose. Currently, two syringe exchange sites operate in Windsor County in Vermont, located in White River Junction, VT, and Springfield, VT. These programs distribute clean syringes to prevent the spread of HIV and hepatitis C, sharps containers to promote safe disposal of dirty needles, and naloxone to prevent deaths from opioid overdose. They also provide testing for HIV and hepatitis C and information regarding local resources …
Provider Education: Managing Depression In Cancer Patients, Nicole Leonard
Provider Education: Managing Depression In Cancer Patients, Nicole Leonard
Family Medicine Clerkship Student Projects
Depression is more prevalent and less often treated in cancer patients compared to the general population. Cancer can increase the risk of depression in multiple different ways, but depression can also increase the risk of cancer. Untreated depression in cancer patients can increase the risk of metastasis and worsen prognosis. The purpose of this project is to educate providers on the connection between mental health and cancer as well as provide them resources on how to approach and manage patients with cancer and depression.
Caring For Caregivers: Addressing Caregiver Burden In Newtown, Connecticut, Zachary Wunrow
Caring For Caregivers: Addressing Caregiver Burden In Newtown, Connecticut, Zachary Wunrow
Family Medicine Clerkship Student Projects
In 2015, thirty-four million Americans provided unpaid care to an adult 50 years or older. Due to an aging population and an increased number of individuals living with chronic disease, the niche that caregivers occupy in healthcare administration will only become more invaluable in the coming years. However, studies demonstrate that one-third of caregivers report a high burden of care, and these stresses are accompanied by documented health risks including higher rates of depression, insomnia, and all-cause mortality. This project aims to increase awareness about caregiver burden via a pamphlet for caregivers listing local resources that may alleviate burden, and …
Management Of Prenatal Depression, Soraiya Thura
Management Of Prenatal Depression, Soraiya Thura
Family Medicine Clerkship Student Projects
Depression affects many women during and after pregnancy. As many as 1 in 5 women will experience a depressive episode during their pregnancy, however, studies have shown that less than 20% of these women will discuss their symptoms with their healthcare provider and receive care. Barriers to treatment include poor screening, lack of understanding about safe treatment, and stigma against mental illness in pregnant women. This project aimed to address this issue locally, by presenting to a group of family medicine providers in Vermont on the topic of prenatal depression screening and treatment. The presentation was received well and developed …
A Patient's Perspective On Lower Urinary Tract Symptoms, Curran Uppaluri
A Patient's Perspective On Lower Urinary Tract Symptoms, Curran Uppaluri
Family Medicine Clerkship Student Projects
Lower urinary tract symptoms (LUTS) have been increasing in incidence and prevalence in the United States. With a large annual health care cost, an association with a significantly reduced quality of life, and an aging population, LUTS is increasingly becoming more of a burden on the health care system. The American Urological Association created a symptom index in 1992 that assesses for the severity of seven LUTS associated with benign prostatic hyperplasia. This project seeks to address the question of which symptoms from the index score are more common; whether certain symptoms are more concerning from a patient’s perspective.
Lyme Disease Education: Prevention And Response To Tick Bites, Nicholas S. Loschiavo
Lyme Disease Education: Prevention And Response To Tick Bites, Nicholas S. Loschiavo
Family Medicine Clerkship Student Projects
Lyme disease is a major public health concern in Vermont, and is only becoming more prevalent. There were nearly 800 probable cases of Lyme disease in 2016, compared to 100 cases in 2006. Untreated Lyme disease has significant effects on overall health including cardiac disease. Lyme disease also has severe impacts on public health costs, and is responsible for roughly $1 billion annually. A Lyme disease handout for patients at a primary care outpatient center in Vermont was designed to help educate the public on disease prevention and progression.
Improving Our Response To Positive Food Insecurity Screening At Colchester Family Practice, Callie Linehan
Improving Our Response To Positive Food Insecurity Screening At Colchester Family Practice, Callie Linehan
Family Medicine Clerkship Student Projects
My project is to raise awareness of food insecurity among providers, and identify resources and next steps providers can take to help patients who screen positive for food insecurity using the AAP-recommended Hunger Vital Sign.
Sleep Hygiene In Danbury Ct: Providing A Resource To Prompt And Initiate Behavior Change, Sebastian A. Franco
Sleep Hygiene In Danbury Ct: Providing A Resource To Prompt And Initiate Behavior Change, Sebastian A. Franco
Family Medicine Clerkship Student Projects
Sleeplessness is a problem encountered frequently in the primary care setting, and often is inappropriately addressed by prescribing pharmacological intervention for indefinite periods of time. This project sought to promote behavioral intervention strategies modeled after CBT-I to address sleep hygiene in patients struggling with their sleep.
Improving Access To Healthcare For Lgbtq Individuals In Burlington, Andrew Corse
Improving Access To Healthcare For Lgbtq Individuals In Burlington, Andrew Corse
Family Medicine Clerkship Student Projects
Studies consistently show that LGBTQ individuals are at higher risk for substance abuse, tobacco use, suicide, HIV, and chronic health conditions. The Community Health Centers of Burlington recently created a specialty clinic called the Be You Clinic, which will focus on delivering healthcare to LGBTQ persons, by LGBTQ-affirmative and –knowledgeable providers. This project sought to spread awareness of this new clinic by advertising.
A Multimodal Approach To Hypertension: Behavioral Modifications On A Budget, Jayne Manigrasso
A Multimodal Approach To Hypertension: Behavioral Modifications On A Budget, Jayne Manigrasso
Family Medicine Clerkship Student Projects
Hypertension is one of the most common diagnoses in the adult population in the United States. Hypertension also has various sequelae that are preventable with adequate treatment, including medication and lifestyle modification.
Improving Diabetes With An Exercise Log, Ramya Ghantasala
Improving Diabetes With An Exercise Log, Ramya Ghantasala
Family Medicine Clerkship Student Projects
Diabetes is a prevalent and costly disease. Everyone benefits from physical activity, but it is particularly beneficial for people with diabetes. One method to improve motivation and adherence to physical activity may be the use of monitoring with an exercise log.
Barriers To Affordable Prescriptions In Rural Vermont, Niketu P. Patel
Barriers To Affordable Prescriptions In Rural Vermont, Niketu P. Patel
Family Medicine Clerkship Student Projects
This project aimed at understanding why people in Rutland County, Vermont struggle with buying medications for their health. The project implemented and proposed several methods to help the population of Rutland area better adapt to the growing cost of prescriptions via $4 medication lists, rebates, samples, etc.