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Articles 31 - 60 of 99
Full-Text Articles in Medicine and Health Sciences
Tackling Healthy Food Insecurity In Vermont’S Windham County, Marc J. Vecchio
Tackling Healthy Food Insecurity In Vermont’S Windham County, Marc J. Vecchio
Family Medicine Clerkship Student Projects
The goal of this community project was to help bring healthy, nutritious food to underserved community members in Windham County, Vermont. It was designed to be an extension of the Vermont Foodbank's VeggieVanGo program, supplying fresh produce to those who cannot afford it. It was also designed to educate local businesses regarding available tax reductions for those who donate food to families in need.
Acrylate Allergy To Fake Nails: Unique Presentations Of Onchodystrophy And Subungual Hyperkeratosis, Marie Kenney
Acrylate Allergy To Fake Nails: Unique Presentations Of Onchodystrophy And Subungual Hyperkeratosis, Marie Kenney
Family Medicine Clerkship Student Projects
Artificial nails are commonly used worldwide for cosmetic nail enhancement. Chittenden County, Vermont has 20 operating salons that offer acrylic nail procedures. Common procedures for the administration of acrylic nails include self-curing sculptured nails and light-cured nail lacquer, also known as “gel” nails. Both methods employ binding agents that utilize acrylic monomers or polymers. These acrylates are a frequent cause of allergic contact dermatitis in both manicurists and clients. A distinct presentation of allergic contact dermatitis to nail lacquer has been recently recognized in the community. It involves the sudden onset of painful nails and lack of associated eczematous changes. …
Organ Donation: Gauging Perception, Interest, And Clarifying Misconceptions, Tridu Huynh
Organ Donation: Gauging Perception, Interest, And Clarifying Misconceptions, Tridu Huynh
Family Medicine Clerkship Student Projects
Around 120,000 people currently need a lifesaving organ transplant in the United States. On average, 22 people die each day while waiting for a life-saving organ transplant. In 2011, over $34 billion dollars were spent on dialysis patients with end-stage renal disease. Only 52% of the national population is registered for organ donation. In Vermont, that number is 44%. This project aimed to clarify some common misconceptions regarding organ donation in the form of a brochure. Participants' subsequent interest and concerns regarding registering as an organ donor were also gauged. A total of 50 people filled out the form. There …
Teaching Value-Based Care: A Framework For A Family Medicine Resident Clinic, Alexander W. Marchese
Teaching Value-Based Care: A Framework For A Family Medicine Resident Clinic, Alexander W. Marchese
Family Medicine Clerkship Student Projects
Milton Family Practice is home to the University of Vermont’s Family Medicine residency program. As efforts to improve the value of health care increase, graduate medical education accreditation organizations may begin to reward and penalize residency programs based on their commitment to teaching and providing value-based care. Residency programs currently lack a clear strategy to prepare residents to assess and deliver value-based care. In this presentation, I present the VALUE Framework (Patel, Davis, & Lypson 2012) for the University of Vermont Family Medicine residency program to teach residents to assess and deliver value-based care for their patients during preceptor sessions.
Improving Adolescent Nutrition: Using Smartphone Applications To Guide Healthy Eating, Allison Greene
Improving Adolescent Nutrition: Using Smartphone Applications To Guide Healthy Eating, Allison Greene
Family Medicine Clerkship Student Projects
Rates of adolescent obesity remain high throughout the United States. While Vermont fares better than other states, 12.4% of high school students in the state are obese. This project sought to harness teens' frequent use of smartphones to communicate important nutrition information and promote healthy eating patterns. A search was conducted for nutrition-related iPhone and Android applications to create a list for distribution to adolescent patients at South Burlington Family Practice.
Nutrition And Exercise Resources For Clinton County, Paige M. Wood
Nutrition And Exercise Resources For Clinton County, Paige M. Wood
Family Medicine Clerkship Student Projects
The obesity epidemic is a nation wide problem that has increased prevalence in Clinton County, NY when compared to the surrounding areas. Obesity leads to many co-morbid health conditions and is associated with a large increase in health care spending costs. This brochure tackles the limited resources, such as limited number of fitness centers, lack of nutrition education and an overall lower socioeconomic status, that is present in the Clinton County area. This brochure offers help in these areas through free phone applications which cover nutrition education, healthy shopping guidance, at home exercise routines, motivation, habit trackers and mindfulness exercises.
Screening Youth For Suicide Risk In Middle School Setting, Nina Xue
Screening Youth For Suicide Risk In Middle School Setting, Nina Xue
Family Medicine Clerkship Student Projects
Depression and suicide ideation is a concern among the middle school population in Rutland County, VT. Youths who experience suicidal ideation are more likely to plan and/or attempt suicide later on in life. Standardized suicide screening and educational pamphlets would aid school counselors working with at risk students.
Education On Tickborne Diseases And Prevention Strategies, Christopher Bernard
Education On Tickborne Diseases And Prevention Strategies, Christopher Bernard
Family Medicine Clerkship Student Projects
Research suggests that around 300,000 people are diagnosed with Lyme disease each year and that around one billion dollars is spent on healthcare for Lyme disease alone. Vermont has the highest rate of incidences of Lyme disease per 100,000 persons in the United States. While Lyme disease is certainly a major community health issue in Berlin, VT there are many other tickborne diseases that are becoming increasingly prevalent such as Anaplasmosis, Babesiosis, Powassan virus disease, and Borrelia miyamotoi disease. An educational handout was created providing helpful information for both community members as well as healthcare providers. For community members the …
Primary Care Treatment Of Hcv In Medicaid Patients, Stephanie S. Kulaga
Primary Care Treatment Of Hcv In Medicaid Patients, Stephanie S. Kulaga
Family Medicine Clerkship Student Projects
New, safer HCV treatment regimens make it more feasible than ever for primary care providers to manage Hepatitis C patients in their own practices, rather than leaving management solely to specialists. With the current prevalence of HCV and increasing number of new cases linked to the opiate epidemic, it makes sense to expand the number of providers who manage this illness. However, the landscape of new treatments and changing Medicaid requirements present administrative barriers to primary care treatment of HCV. This project aimed to clarify what those barriers were and create a treatment algorithm to simplify decision-making around which patients …
Backpack Safety Awareness To Prevent Back Pain In School-Aged Children, Aaron M. Gelinne
Backpack Safety Awareness To Prevent Back Pain In School-Aged Children, Aaron M. Gelinne
Family Medicine Clerkship Student Projects
According to the Consumer Product Safety Commission, more than 6,300 children between the ages of 5 and 18 were treated in emergency rooms for backpack injuries in 2016. Swanton Elementary School services over 500 children and frequently cites back pain as a reason for nurse visits, but does not provide any education on proper backpack safety. September 20, 2017 was National School Backpack Awareness Day which provided a unique opportunity to educate school parents and children about backpack safety.
Medical Aspects Of Transitioning - A Guide For Transgender Youth, Amy M. Berkman
Medical Aspects Of Transitioning - A Guide For Transgender Youth, Amy M. Berkman
Family Medicine Clerkship Student Projects
Interacting with the medical system can be intimidating for all youth, including those who are transgender. The goal of this project was to provide information about community resources and medical terminology and treatments that transgender youth may encounter during the medical transition process. The target audience is those that attend a community center dedicated to LGBTQ youth.
Assessing Transportation Hurtles In Lamoille County, Vt, Brian J. Rosen
Assessing Transportation Hurtles In Lamoille County, Vt, Brian J. Rosen
Family Medicine Clerkship Student Projects
Rural areas are often characterized by low population densities, and large distances between available services and the population they serve. Lack of transportation in these areas makes access to services even more challenging. Access to primary healthcare was listed as the number one concern for patients in 2015 Copley Hospital Service Area (Lamoille County) and lack of suitable transportation was a major reason for this lack of access. The primary purpose of this project was to assess the medical transportation options for patients without appropriate transportation in Lamoille county, and to produce a flyer educating the patients about their options. …
Peer-Led Smoking Prevention In Winooski, Vermont, Grace Culley Adamson
Peer-Led Smoking Prevention In Winooski, Vermont, Grace Culley Adamson
Family Medicine Clerkship Student Projects
Smoking is the number-once preventable cause of death, contributing to more than 1 in 5 deaths per year in the United States. Statistics indicate that 90% of adult smokers tried their first cigarette before the age of 18. In Vermont, the rate of youth smoking dramatically increases between middle school and high school, and individuals in the State with lower incomes have significantly higher smoking rates than those with middle and upper class incomes. Whether a youth decides to try smoking is strongly influenced by their peers’ smoking behavior and beliefs, and several studies have shown that peer-led tobacco prevention …
Food For All, Vicenta Hudziak
Food For All, Vicenta Hudziak
Family Medicine Clerkship Student Projects
Hardwick area free and reduced-cost local food resources. Includes schedules and contact information for local meals, food pantries, assistance programs, educational programs, and cookbook information.
Hepatitis C Screening In The Baby Boomer Cohort, Peter Hyson
Hepatitis C Screening In The Baby Boomer Cohort, Peter Hyson
Family Medicine Clerkship Student Projects
The USPSTF recommends a one-time screening for Hepatitis C, irrespective of prior risk factors, for individuals born between 1945-1965. Many patients in this group may not be aware of this recommendation or understand very much about Hepatitis C infection. This project sought to educate and promote screening among the "Baby Boomer" cohort at Hinesburg Family Medicine Clinic. A literature review on HCV screening in the age group cohort was carried out and a poster was created.
Education On Tick Bites, Tick Borne Disease, And Prevention In Middlebury, Vt, Florence Dibiase
Education On Tick Bites, Tick Borne Disease, And Prevention In Middlebury, Vt, Florence Dibiase
Family Medicine Clerkship Student Projects
Tick borne disease and tick encounters are continuing to increase significantly in Vermont, and represent a significant portion of primary and urgent care visits. In order to spread awareness and educate both providers and patients as to the incidence, symptoms, treatment, and prevention of tick borne diseases, an informational guide was made. This guide includes information for providers including up to date statistics, a tick identification and life cycle guide, and a chart explaining symptoms, lab findings, diagnosis, and treatment of the diseases found in Vermont. It also includes a patient education handout with a cut out identification card. This …
Familial Hypercholesterolemia In Lewiston/Auburn, Me: Directed Education Towards Improving Community Awareness, Omkar Betageri, Dervilla Mccann, Bethany Picker
Familial Hypercholesterolemia In Lewiston/Auburn, Me: Directed Education Towards Improving Community Awareness, Omkar Betageri, Dervilla Mccann, Bethany Picker
Family Medicine Clerkship Student Projects
There is a need for an improved awareness about Familial Hypercholesterolemia to promote prompt treatment and long-term management amongst a population disproportionately affected by the disease, namely Franco-Americans in Lewiston-Auburn, Maine
Immunization Safety: Addressing Parental Safety Concerns, Andrew Gallagher
Immunization Safety: Addressing Parental Safety Concerns, Andrew Gallagher
Family Medicine Clerkship Student Projects
Since 1998, when a fraudulent research paper alleged a connection between the MMR vaccine and autism, increasing numbers of parents are refusing routine childhood vaccinations. Recent research has shown parents’ top vaccine-related concerns included the number of vaccines during the first 2 years of life, administration of too many vaccines in a single doctor visit, and a possible link between vaccines and autism. More than 10% of parents of young children refuse or delay vaccinations, with most believing that delaying vaccine doses is safer than providing them in accordance with the Centers for Disease Control and Prevention’s recommended vaccination.
Recognizing Depression In Elderly Patients, Maia Sakradse
Recognizing Depression In Elderly Patients, Maia Sakradse
Family Medicine Clerkship Student Projects
Recognizing depression in elderly patients can be challenging. Lack of awareness of mental health issues amongst elderly patients, ideas that depression is a normal part of aging, and confusing symptoms of depression as symptoms of other conditions are just a few of the challenges. Providing patient information about the signs and symptoms of depression in older patients may help encourage patient to talk to their doctors about depression.
Improving Breastfeeding In New American Communities Of Burlington, Vt, Amelia V. Tajik
Improving Breastfeeding In New American Communities Of Burlington, Vt, Amelia V. Tajik
Family Medicine Clerkship Student Projects
Community Health Centers of Burlington (CHCB), a Federally Qualified Health Center (FQHC), provides healthcare services including social work and financial assistance to these New American communities. The flagship site, Riverside, provides a specialized OB clinic where many of these community women obtain prenatal and postnatal care. Continuing to understand the barriers these communities and families face in providing the recommended healthcare to their newborns allows mission-driven CHCB to most effectively communicate, support, and effectively direct resources to these barriers. Barriers and challenges to breastfeeding were identified during this rotation through confidential interactions with patients, shared with the staff and providers …
Cervical Cancer Screening At Community Health Centers Of Burlington, Adrienne Jarvis
Cervical Cancer Screening At Community Health Centers Of Burlington, Adrienne Jarvis
Family Medicine Clerkship Student Projects
Most invasive cervical cancers are found in women who have never been screened or who have not been screened in the last five years. In order to improve the cervical cancer screening rate at the Community Health Centers of Burlington, a chart review was conducted of female patients who did not have records of Pap tests within current guidelines. It was found that the 28% of these patients had pap tests by outside providers, indicating local care coordination is a major barrier to cervical cancer screening tracking. Another major barrier to screening was patients seen for acute visits only or …
Chronic Pain: Improving Patient Awareness Of Management Options, Lauren E. Haggerty
Chronic Pain: Improving Patient Awareness Of Management Options, Lauren E. Haggerty
Family Medicine Clerkship Student Projects
Chronic pain affects 100 million Americans and places a significant burden on patients and their families. Opioids are frequently used to manage chronic pain, and their potential for misuse, addiction, and adverse effects are of growing concern in Vermont. Increasing patient awareness of different pain management options could decrease patient suffering and mitigate the opioid epidemic. This project aimed to educate patients on chronic pain management and resources available in Franklin County.
Domestic Health Assessment For Syrian Refugees In Rutland, Vt, Ian Grant
Domestic Health Assessment For Syrian Refugees In Rutland, Vt, Ian Grant
Family Medicine Clerkship Student Projects
The Vermont Dept. of Health/Agency of Human Services “Refugee Domestic Health Assessment Form” was reviewed, edited, and reformatted to improve provider work-flow, ensure accuracy, and ease the process of data collection. This form was redesigned specifically to be used by providers in Rutland, VT when assessing the health of newly-arrived Syrian refugees.
Colorectal Cancer Screening, Eric Schmidt
Colorectal Cancer Screening, Eric Schmidt
Family Medicine Clerkship Student Projects
The USPSTF gives Colorectal Cancer screening a Grade A recommendation, beginning at age 50 years and continuing until age 75 years. Screening colonoscopies are proven to show dramatic decreased incidence and mortality from colorectal cancer. This project evaluates the percentage of patients at Stowe Family Practice and Community Health Services of Lamoille Valley who are meeting these guidelines. Using chart reviews and patient interviews, the project seeks ways to increase screening rates through provider-patient shared decision making tools and educational materials for the office.
Marijuana Use Counseling During Pregnancy, Adam Petchers
Marijuana Use Counseling During Pregnancy, Adam Petchers
Family Medicine Clerkship Student Projects
Penobscot County, Maine has among the highest rates of marijuana use in the country, and Maine has recently voted to legalize recreational use of marijuana. Research has shown that pregnant women frequently seek out and are dissatisfied with information regarding the safety of marijuana use during pregnancy. We surveyed Family Medicine providers at the Center for Family Medicine at Eastern Maine Medical Center in Bangor Maine regarding their counseling of pregnant patients on the topic of marijuana use. From the results, we created an information sheet to aid providers in marijuana use counseling with pregnant women.
Strategies For Clinical Management Of Hypertension: Understanding Community Perspectives, Patrick Cruden
Strategies For Clinical Management Of Hypertension: Understanding Community Perspectives, Patrick Cruden
Family Medicine Clerkship Student Projects
Survey analysis of hypertensive patients in an outpatient family medicine practice aimed at efficiently improving clinical management and health literacy.
Promoting Awareness Of The Opioid Epidemic In Rural Vermont, Kathleen Olson
Promoting Awareness Of The Opioid Epidemic In Rural Vermont, Kathleen Olson
Family Medicine Clerkship Student Projects
Vermont is in the middle of an opioid epidemic. Heroin use fatalities are on the rise and the number of people in treatment for opioid use disorder in Rutland County has tripled in recent years. Despite this widespread problem, community members of Rutland County feel that there is reluctance to talk about opioid misuse and lack of awareness. This project aims to bring awareness, provide resources, and encourage people struggling with opioid use disorder to seek treatment.
Identification Of Barriers To Organ Donation: A Primary Care Interventional Approach, Brittany L. Rocque Msc
Identification Of Barriers To Organ Donation: A Primary Care Interventional Approach, Brittany L. Rocque Msc
Family Medicine Clerkship Student Projects
Organ transplantation provides a potentially life saving intervention for patient with end-organ failure as well as substantial cost-benefit with relation to Medicare expenditure. Despite the advantages of transplantation, deceased organ donors are in short supply and many patients die or lose quality years while awaiting transplantation. Registered organ donor rates are relatively low in our opt-in system being 52% nationwide and only 44% in Vermont, which is below the >50% per state goal. Non-organ donor patients were given and informational brochure and surveyed regarding their attitudes and beliefs toward organ donation.
Narrative Medicine: Improving Patient Care And Shifting Office Culture, Julia Shatten, Yazen Qumsiyed
Narrative Medicine: Improving Patient Care And Shifting Office Culture, Julia Shatten, Yazen Qumsiyed
Family Medicine Clerkship Student Projects
Assessing the effects of narrative medicine on the doctor patient relationship, office culture and the management of symptoms in patients with chronic pain and depression in a primary care setting.
Increasing Advance Directive Knowledge Among Healthcare Professionals, Laura K. Donnelly
Increasing Advance Directive Knowledge Among Healthcare Professionals, Laura K. Donnelly
Family Medicine Clerkship Student Projects
Advance Directives (ADs) have been shown to be associated with increased patient satisfaction with end-of-life care, decreased in-hospital deaths, and decreased end-of-life costs in high-cost regions. Nationally, prevalence of ADs has increased over the last 20 years, but the majority of patients still have not completed an AD. A significant obstacle to completion is lack of awareness. A presentation to increase knowledge regarding ADs among primary care staff was created to address this.