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Articles 1 - 30 of 105
Full-Text Articles in Medicine and Health Sciences
Breaking The Bank: Cost Of Cigarettes In Vermont, Ryan Erik Landvater
Breaking The Bank: Cost Of Cigarettes In Vermont, Ryan Erik Landvater
Family Medicine Clerkship Student Projects
Smoking is still the leading preventable cause of death in the USA with 75% of current smokers expressing a desire to quit, though a meager 2-3% succeed. Previous research has shown that financial incentives for smoking cessation are among the most efficacious. Vermont has implemented high taxation to these ends, though many smokers still do not grasp the financial burden it poses on their discretionary income. A handout was developed that conveys both the cost of smoking at a pack rate over set time frames and provides potential savings rendered by nicotine replacement therapy. The handout will be made available …
Management Of Mental Health Illness: An Actionable Non-Pharmacologic Approach, Cody J. Couperus
Management Of Mental Health Illness: An Actionable Non-Pharmacologic Approach, Cody J. Couperus
Family Medicine Clerkship Student Projects
Mental health illness is a pervasive and incurs tremendous cost onto society. Patients benefit from a multi factorial approach to treatment including non-pharmacological methods. This project includes development of a handout utilizing compiled resources and motivational interviewing to facilitate patient use of these interventions.
Determination Of Return To Play In Infectious Mononucleosis, Tessa R. Barclay
Determination Of Return To Play In Infectious Mononucleosis, Tessa R. Barclay
Family Medicine Clerkship Student Projects
Splenic rupture is a rare, but potentially life-threatening, complication of infectious mononucleosis. Splenic rupture is generally uncommon four weeks after infection onset, however given the long incubation period and prodromal symptomatology characteristic of infectious mono, it can be difficult to determine an individual patient's risk in the clinical setting. Additionally, diagnostic labs have high false negative rates in the first 1-2 weeks of infection. To help alleviate diagnostic uncertainty and protect patients against outcomes such a splenic rupture, an evaluation and consolidation of the available literature yielded a simplified schematic of advisable activity levels for each stage of infection.
Intimate Partner Violence: Updated Screening Tool And Approach To Screen Positive Patients, Michael J. Hall
Intimate Partner Violence: Updated Screening Tool And Approach To Screen Positive Patients, Michael J. Hall
Family Medicine Clerkship Student Projects
Intimate partner violence screening is recommended in all women of child-bearing age. Ensuring validated screening tool utilization and employing strategies to identify risk while providing non-judgmental support is critical to identifying patients and optimizing appropriate resource referral.
Osteoporosis Education: An Insight Into Risk Factors & Prevention, Alan Lee
Osteoporosis Education: An Insight Into Risk Factors & Prevention, Alan Lee
Family Medicine Clerkship Student Projects
In longitudinal studies of women residing in northern latitudes (i.e. Vermont), bone loss was most pronounced during winter months when sun exposure and weight-bearing activities are more limited. Although information about screening and treatments for osteoporosis are widely available to patients, there appears to be a gap in education about risk factors that predispose one to this silent yet deadly disease as well as strategies for prevention according to several community interviews that I conducted. In response to my conversations about osteoporosis, I decided to focus my intervention on educating the community about osteoporosis risk factors, recommended weight-bearing exercises, and …
Getting Ahead Of The Curve: Screening And Early Detection Of Scoliosis In Adolescents To Prevent Progression Of Spinal Deformity, Patrick Saunders
Getting Ahead Of The Curve: Screening And Early Detection Of Scoliosis In Adolescents To Prevent Progression Of Spinal Deformity, Patrick Saunders
Family Medicine Clerkship Student Projects
Scoliosis is a spinal deformity that affects approximately 7 million people in United States. The most common age of onset of idiopathic scoliosis is between 10-15 years old. If left untreated, there is a possibility that scoliosis can progress to a severity that requires surgery to correct spinal curvatures. However, if detected early enough, scoliosis can be managed via noninvasive techniques, which research has shown to be extremely effective in halting the progression of curvatures and preventing the possible need for surgery. In order to detect scoliosis early enough to begin noninvasive treatment, screening programs are essential. Screening for scoliosis …
Evaluation Of Patient-Centered Tool For Measuring Opioid Addiction Recovery, Laura A. Till
Evaluation Of Patient-Centered Tool For Measuring Opioid Addiction Recovery, Laura A. Till
Family Medicine Clerkship Student Projects
Vermont has expanded access to medication assisted treatment (MAT) since the onset of the opiate epidemic. This has included the use of family medicine clinicians as waivered prescribers of buprenorphine. In the absence of clear expectations or knowledge of discontinuation and detox, patients and providers must now reframe the traditional understanding of addiction recovery success as simply abstinence, maintenance medication detox, and survivorship. A 20-question, interactive “POWERS Form” has been developed by Stowe’s MAT team as part of routine counseling and clinical visits. Tracking score changes with patients allows reflection on the broader life changes during recovery process. This activity …
Restoring Self-Sufficiency With Suboxone Group Therapy, Jacob Thomas Lehman
Restoring Self-Sufficiency With Suboxone Group Therapy, Jacob Thomas Lehman
Family Medicine Clerkship Student Projects
No different than many other Northeastern states, Maine continues to face an opioid epidemic. Drug-induced deaths continue to rise each year and Lewiston, ME remains no exception. In 2017 Maine saw 418 deaths related to drugs, a number that is only increasing every year. There remains a rising need for effective treatments such as medically assisted therapy. Starting in 2018, the Family Medicine Residency at the Central Maine Medical Center created such a group and began treating patients. The scope of this research is to track improvements in self-sufficiency among patients and to aide in advertisement of the program. Programs …
Addressing Exercise Education In Clinton County, Ny, Amanda M. Kardys
Addressing Exercise Education In Clinton County, Ny, Amanda M. Kardys
Family Medicine Clerkship Student Projects
In Clinton County, NY residents state that obesity, chronic disease, physical inactivity and low wages are top concerns. Many of these identified problems are tightly integrated and exacerbated by a lack of exercise education in this population. To address this, an exercise education pamphlet was created to be distributed to individuals in the community. The pamphlet focuses on discussing barriers such as time and cost of exercise, as well as enabling individuals with stretching information and local resources.
Needs Assessment: Complementary Medicine (Cm) Services, Zara S. Bowden
Needs Assessment: Complementary Medicine (Cm) Services, Zara S. Bowden
Family Medicine Clerkship Student Projects
In 2012, 33.2% of U.S. adults used complementary health approaches, spending over $30 billion. Despite this substantial investment and a growing body of research supporting the use of these approaches, access to them is still limited in the Primary Care setting. While Central Maine Medical Center’s Family Medicine Residency (CMMC FMR) has historically acknowledged the importance of an holistic approach to care, many of the complementary health approaches previously offered are no longer available. To determine specific, patient-identified needs regarding these approaches, a Needs Assessment was performed by surveying established patients presenting for appointments at CMMC FMR. The data collected …
Promoting Bone Health Through Weight-Bearing, Resistance Training, And Balance Exercises, Kinjal Thakor
Promoting Bone Health Through Weight-Bearing, Resistance Training, And Balance Exercises, Kinjal Thakor
Family Medicine Clerkship Student Projects
Osteoporosis and low bone density affect 54 million Americans. Advanced age, female gender, an underweight BMI, lack of estrogen, smoking, and sedentary lifestyle all increase one’s risk of developing osteoporosis or experiencing bone fractures from minor trauma. In addition, residents of northern states, like Vermont, experience an increased risk of bone loss over time due to limited exposure to sunlight and decreased physical activity over winter months. Although screening, calcium and vitamin D supplementation, general exercise, and treatment are largely discussed, patients are unaware of the specific exercise routines that can be done to strengthen their bones. In response, I …
List Of Local Resources For Substance Abuse Disorders In Burlington, Vt, Gesca Borchardt
List Of Local Resources For Substance Abuse Disorders In Burlington, Vt, Gesca Borchardt
Family Medicine Clerkship Student Projects
List of local resources in Burlington, VT for the treatment of substance abuse disorders. The list was modified into a smartphrase and added to Epic. The providers of South Burlington Family Practice were given access to this smartphrase.
Improving Access To Mental Health Care For Trauma Patients, Kassandra Gibbs
Improving Access To Mental Health Care For Trauma Patients, Kassandra Gibbs
Family Medicine Clerkship Student Projects
It can be difficult to locate a mental health provider in Vermont. Consequently, many individuals with mental illnesses look to their primary care physicians to fill this gap. This project highlights difficulties faced by patients with PTSD and complex PTSD in Chittenden and Addison counties in finding a therapist or psychiatrist. A resource handout was created with instructions on how to find a therapist in VT and a list of practitioners in Addison and Chittenden counties who specialize in trauma. In addition, a patient information sheet that answers some questions about PTSD and complex PTSD and also provides a list …
Discovering Healthy Eating Habits, Sunit K. Misra
Discovering Healthy Eating Habits, Sunit K. Misra
Family Medicine Clerkship Student Projects
Children who are unsupervised after school are most likely to get involved with activities that negatively affect their outcomes as an adult. This project seeks to engage children by adding value to an after school program. These programs help build lifelong skills. More specifically this focused on nutritional health of elementary school aged children.
Bridging The Gap: Putting Nutrition Knowledge Into Practice, Monica Rodgers
Bridging The Gap: Putting Nutrition Knowledge Into Practice, Monica Rodgers
Family Medicine Clerkship Student Projects
Obesity is highly prevalent and has overwhelmingly been shown to negatively impact health outcomes for patients. Poor dietary habits are an important contributor to obesity. Formal interviews with local healthcare providers and informal interviews with patients indicated a need for resources for patients who have already completed nutrition education classes or already have the knowledge they need but are unable to implement it to regularly prepare nutritious meals at home. A book of nutritious, filling recipes adapted to include many vegetables, low added sodium, and relatively inexpensive ingredients was compiled for health care professionals to provide to this target population …
Fight Sitting With Movement, Harris Syed
Fight Sitting With Movement, Harris Syed
Family Medicine Clerkship Student Projects
Today, Americans spend an average of 13 hours per day sitting. Sitting for as little as two continuous hours increases the risk of heart disease, diabetes, metabolic syndrome, cancer, back and neck pain, and other orthopedic problems. This project contains 8 YouTube videos presented in an engaging, educational and detailed manner to show individuals what they can do to combat prolonged sitting. The videos focus on moving the body’s joints through their normal ranges of motion & improving an individual’s NEAT (non exercise activity thermogenesis)
A Patient Centered Intervention To Promote Primary Care Based Screening For Diabetic Retinopathy, William B. Earle
A Patient Centered Intervention To Promote Primary Care Based Screening For Diabetic Retinopathy, William B. Earle
Family Medicine Clerkship Student Projects
Diabetic Retinopathy is the leading cause of blindness in patient's age 25-74 in the world. Onset of disease is insidious and early intervention is the only way to reduce morbidity. On average only 60% of diabetic's get an annual eye exam, but in the Western Connecticut Health Network (WCHN) that number is closer to 32%. This project sought to educate and encourage patients to take advantage of a new tele-medicine, primary care based diabetic retinopathy screening program starting at Brookfield Family Medicine (part of the WCHN).
Patient Education On The Shingrix Vaccine, Arjun Patel
Patient Education On The Shingrix Vaccine, Arjun Patel
Family Medicine Clerkship Student Projects
The CDC recommends that most adults over the age of 50 get the Shingrix vaccine for protection against shingles (herpes zoster). Many patients at the WCHN Southbury Primary Care clinic in Connecticut are eligible for vaccination but are unaware of this newer vaccine or are unsure if they need the vaccine based on their past medical history and vaccination history. A brief, easy to understand handout was made to educate patients on the Shingrix vaccine and address frequently asked questions.
Outpatient Management Of Mood Disorders By The Family Physician, Elizabeth S. O'Neill
Outpatient Management Of Mood Disorders By The Family Physician, Elizabeth S. O'Neill
Family Medicine Clerkship Student Projects
It is well-known that the demand for psychiatric care in the US is higher than the supply of psychiatric clinical providers. Vermont, in particular, has a paucity of psychiatric providers and there are minimal providers in Chittenden County and the greater Burlington area. Many patients with psychiatric conditions are inconsistently managed given the lack of available outpatient providers, particularly for patients on Medicaid. Often times, patients suffer from psychiatric episodes that require an emergency department visit or inpatient stay, and they may leave the hospital with an outpatient medication regimen that can then be carried out by a primary care …
Psa Perspectives, Kirsten Martin
Psa Perspectives, Kirsten Martin
Family Medicine Clerkship Student Projects
No abstract provided.
Adult Oral Health Access And Advocacy, James Duguay
Adult Oral Health Access And Advocacy, James Duguay
Family Medicine Clerkship Student Projects
Many adults lack adequate preventative oral healthcare due to multiple factors. Oral health is important due to its effects on systemic health as well as for quality of life issues.
Shingrix: Educating Patients On The New Shingles Vaccine, Sarah Natasha Jost
Shingrix: Educating Patients On The New Shingles Vaccine, Sarah Natasha Jost
Family Medicine Clerkship Student Projects
Herpes zoster (shingles) is a viral infection that results in a painful rash and has a myriad of long-term complications, including post-herpetic neuralgia- chronic pain that does not resolved despite resolution of the rash. Over the last 20 years, incidence of shingles has increased by nearly 50% and now there are 2 vaccines available to prevent shingles. Shingrix was approved by the FDA in 2017 and has garnered public attention for its efficacy. I developed a brochure that gives patients information about shingles, Shingrix, and answers some frequently asked questions.
Outpatient Management Of Mood Disorders By The Family Physician, Elizabeth O'Neill
Outpatient Management Of Mood Disorders By The Family Physician, Elizabeth O'Neill
Family Medicine Clerkship Student Projects
It is well-known that the demand for psychiatric care in the US is higher than the supply of psychiatric clinical providers. Vermont, in particular, has a paucity of psychiatric providers and there are minimal providers in Chittenden County and the greater Burlington area. Many patients with psychiatric conditions are inconsistently managed given the lack of available outpatient providers, particularly for patients on Medicaid. Often times, patients suffer from psychiatric episodes that require an emergency department visit or inpatient stay, and they may leave the hospital with an outpatient medication regimen that can then be carried out by a primary care …
Integrative Medicine In Primary Care, Ashley M. Bjornerud
Integrative Medicine In Primary Care, Ashley M. Bjornerud
Physician Assistant Scholarly Project Posters
Integrative medicine (IM) is an approach to care that puts the patient at the center and addresses the full range of physical, emotional, mental, social, spiritual and environmental influences that affect a person’s health (Rakel, 2017). Commonly, IM is associated with complementary and alternative medicine therapies (CAM). These are two separate entities. CAM is one of the modalities used in integrative medicine.
Lgbtq Inclusiveness In The Primary Care Setting, Joseph J. Lahey
Lgbtq Inclusiveness In The Primary Care Setting, Joseph J. Lahey
Family Medicine Clerkship Student Projects
Despite public health efforts in recent years to provide additional care to the LGBTQ community, many health disparities still exist. It is difficult to address these problems due to the lack of organized data being received from health care institutions. Many medical offices have failed to provide a comfortable environment for LGBTQ individuals. This project illustrates a presentation given to staff at a primary care office on how to make the clinical environment more inclusive to LGBTQ individuals in order to provide adequate care.
Depression Screening And Prevention Among Vt Bosnian Refugees, Mushtaba Yuridullah
Depression Screening And Prevention Among Vt Bosnian Refugees, Mushtaba Yuridullah
Family Medicine Clerkship Student Projects
Mental health and mental health disorders are stigmatized in our society today. Many people suffer from mental health disorders but are not willing to seek treatments due to various concerns. One big factor is lack of awareness about mental health disorders and brushing mental health issues as something “non-medical” or “all in your head.” This view is especially prevalent among our refugees and new immigrant communities. This project aims to bring about awareness regarding mental health in our local Vermont communities and will emphasize the availability of treatments.
Evaluating The Effectiveness Of A Smoking Cessation Support Group, Holly Bachilas
Evaluating The Effectiveness Of A Smoking Cessation Support Group, Holly Bachilas
Family Medicine Clerkship Student Projects
Smoking rates nationally have declined over the past several decades, however, tobacco use in the North Country of upstate New York remains higher than the national average. Group discussion programs have been shown to be more effective for smoking cessation than pharmacologic efforts alone. A 7-week smoking cessation support group was started in Glens Falls, New York using the Butt Stops Here curriculum. Participants were encouraged to also use pharmacologic methods as directed by their medical providers. Participants completed a brief survey before and after the program. Participants generally felt less motivated, but more equipped to quit after the seven …
Diet Management For Adult Onset Diabetes Mellitus Type 2, Michael A. Persaud
Diet Management For Adult Onset Diabetes Mellitus Type 2, Michael A. Persaud
Family Medicine Clerkship Student Projects
In Southbury, Connecticut, diabetic diet management is an issue that perturbs both primary care providers and their patients. This project seeks to ameliorate the lack of readily available resources for diabetic dietary considerations. A brochure was made including helpful dietary information for patients that are unable or unwilling to see a Certified Diabetic Educator. As the incidence of diabetes continues to rise, patient education will be a powerful tool to help patients manage their diabetic care.
Perinatal Depression: Breaking Barriers To Treatment, Florence Lambert-Fliszar
Perinatal Depression: Breaking Barriers To Treatment, Florence Lambert-Fliszar
Family Medicine Clerkship Student Projects
Depression in the perinatal period is a common medical issue in Vermont, affecting about 10% of women. Multiple and severe consequences of depression during this time are seen for both mothers and babies, including lower breastfeeding rates, fewer healthcare visits for the child, and psychopathology in the child later on. The goal of this project is to identify and address some of the barriers we currently face in identifying and treating women for depression. Major barriers women encounter in seeking help involve poor recognition of symptoms facing increasing stress of motherhood, stigma, as well as neglecting to attend to mental …
Out-Of-Pocket Cost For Individuals Being Treated For Opioid Dependence In Rutland County, Vermont, Christopher T. Veal
Out-Of-Pocket Cost For Individuals Being Treated For Opioid Dependence In Rutland County, Vermont, Christopher T. Veal
Family Medicine Clerkship Student Projects
Each day more than 140 Americans die from drug overdoses, 91 specifically due to opioids. In Vermont, more than 50 people die each year from opioid poisoning. With insurance coverage being a critical component of Opioid Dependence Recovery, many people seeking treatment are unaware of the financial barriers to recovery- namely the out-of-pocket costs associated with treatment. This study sought to provide insight on the financial impact of Opioid Dependence Treatment on the patient, and provide financial assistance information to the Rutland County community.