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Articles 63451 - 63480 of 292221

Full-Text Articles in Medicine and Health Sciences

Challenges With Diet During The Covid Pandemic, Cinduja Nathan Jan 2021

Challenges With Diet During The Covid Pandemic, Cinduja Nathan

Family Medicine Clerkship Student Projects

The ongoing COVID-19 pandemic has had a tremendous impact on many individual's lives and their families. It has caused many people to change their lifestyles and daily routines. This project focuses on how diet has changed during the COVID pandemic and explores the reasons for these diet changes. 23 patients from the Central Vermont Medical Center were given surveys and their responses were analyzed and recorded. Out of the 23 patients, 20 patients reported that they noticed a change in their diet as a result of COVID 19. Of the 20 patients who noticed a change in their diet, 5 …

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Assessing And Improving Awareness Of Safe Prescription Drug Disposal In Hinesburg, Vermont, Kaitlyn Peper Jan 2021

Assessing And Improving Awareness Of Safe Prescription Drug Disposal In Hinesburg, Vermont, Kaitlyn Peper

Family Medicine Clerkship Student Projects

Millions of Americans misuse prescription drugs each year and over half of these people obtained a prescription from friends or family. Additionally, medications that are disposed of improperly lead to contamination of the environment. This project aimed to assess awareness of proper medication disposal amongst patients at Hinesburg Family Practice and to increase communication with patients regarding options for prescription drug disposal in Hinesburg, Vermont.

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Improving Sleep: Patient Education On Sleep Hygiene Techniques, Anya Srikureja Jan 2021

Improving Sleep: Patient Education On Sleep Hygiene Techniques, Anya Srikureja

Family Medicine Clerkship Student Projects

Approximately one third of adults in the United States sleep less than the recommended 7 hours a night. Insufficient sleep is associated with increase risk of chronic diseases and all-cause mortality. While pharmacologic sleep aids are available, cognitive behavioral therapy is recommended as an effective, first line treatment for insomnia. This project aimed to create patient education materials on sleep hygiene techniques that could be easily distributed by providers through the electronic medical record in order to help improve sleep for the patient population in Vergennes, Vermont.

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Low-Cost At-Home Cardio Solutions For Patients During The Covid-19 Pandemic, Anna G. Quinlan Jan 2021

Low-Cost At-Home Cardio Solutions For Patients During The Covid-19 Pandemic, Anna G. Quinlan

Family Medicine Clerkship Student Projects

No abstract provided.

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Tailored Sexual Orientation And Gender Identity (Sogi) Education: Assessing Network Needs Through A Survey Of Knowledge And Attitudes, Luke M. Higgins Jan 2021

Tailored Sexual Orientation And Gender Identity (Sogi) Education: Assessing Network Needs Through A Survey Of Knowledge And Attitudes, Luke M. Higgins

Family Medicine Clerkship Student Projects

No abstract provided.

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The Design And Impact Of A Rural Community Supported Doula Program, Kalin Jean Gregory-Davis Jan 2021

The Design And Impact Of A Rural Community Supported Doula Program, Kalin Jean Gregory-Davis

Family Medicine Clerkship Student Projects

The purpose of this study is to describe the design and impact of a rural community supported doula program. The Washington County Mental Health Doula Project is a unique collaboration between the Central Vermont Medical Center and Washington County Mental Health Services, whereby doula support services are offered for at risk patients during their pregnancy, through the birth process and the post partum period, and up to one year post delivery. Many more typical doula programs are of significant cost to the patient, making this support inaccessible to those that may need it the most. This program is unique in …

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Assessing Perspectives And Targeting Education About The Covid-19 Vaccine Within The Hudson Headwaters Health Network, Malla K. Keefe Jan 2021

Assessing Perspectives And Targeting Education About The Covid-19 Vaccine Within The Hudson Headwaters Health Network, Malla K. Keefe

Family Medicine Clerkship Student Projects

No abstract provided.

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Infant Care In Our Community: Development Of An Infant Care Guide, Justin G. Schulz Jan 2021

Infant Care In Our Community: Development Of An Infant Care Guide, Justin G. Schulz

Family Medicine Clerkship Student Projects

Improving health outcomes for infants and parent-provider communication at FQHCs by designing patient/parent focused health education literature.

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Improving Access To Meditation And Mindfulness For The Management Of Anxiety, Stress, And Other Chronic Diseases Of Chronic, Jesse Naumann, Alex Cohen Jan 2021

Improving Access To Meditation And Mindfulness For The Management Of Anxiety, Stress, And Other Chronic Diseases Of Chronic, Jesse Naumann, Alex Cohen

Family Medicine Clerkship Student Projects

Chronic diseases can have an enormous burden on not only an individual’s quality of life, but their economic output as well. The challenge is that many patients with a chronic disease are not fully treated despite many different medications and doctor’s appointments. Mindfulness is an extremely beneficial tool that can be used as an adjunctive treatment for different chronic health diseases including anxiety, depression, insomnia, chronic pain, and many others. An enormous barrier is that many patients are unsure about what mindfulness truly is, and where one can go about accessing mindfulness resources. Our goal was to create a quick …

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Waist Circumference As A Vital Sign, Brad R. Fiske Jan 2021

Waist Circumference As A Vital Sign, Brad R. Fiske

Family Medicine Clerkship Student Projects

Conversion of research protocol into QI project at Norwalk Community Health Center. Goal is to implement waist circumference as a vital sign.

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Telemedicine After The Covid-19 Pandemic: A Quality Improvement Project, Alexis B. Miller Jan 2021

Telemedicine After The Covid-19 Pandemic: A Quality Improvement Project, Alexis B. Miller

Family Medicine Clerkship Student Projects

This project evaluates patient and provider preferences and perspective on the future of telemedicine use in primary care as we emerge from the COVID-19 pandemic. As our healthcare system adapted to the COVID-19 pandemic, use of telemedicine surged practically overnight. The pandemic created a necessity for rapid innovation in telemedicine, including accessibility and insurance coverage. As we begin to emerge from the COVID-19 pandemic and more events move back to in-person, what does this mean for the future of telemedicine? This project surveyed patients attending both in-person and telemedicine primary care appointments to assess their satisfaction, preferences for in-person versus …

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At Home Blood Pressure Monitoring, Aneesh Singal Jan 2021

At Home Blood Pressure Monitoring, Aneesh Singal

Family Medicine Clerkship Student Projects

Blood pressure measurements in the office are often falsely elevated and do not reflect a patients at-home measurements. This project explores the values of home blood pressure monitoring and includes a pamphlet for use at the Colchester Family Medicine office. It has information on how to check blood pressure, which cuffs to buy, and how to enter home measurements into Epic so the physician can easily view them.

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Evaluation Of Growth In Clinical Genetics Competency Among Pcps Participating In The Uvmhn Genomic Dna Testing Program, Christina Hansen Jan 2021

Evaluation Of Growth In Clinical Genetics Competency Among Pcps Participating In The Uvmhn Genomic Dna Testing Program, Christina Hansen

Family Medicine Clerkship Student Projects

Recently UVM Health Network Family Medicine practices have implemented “The Genomic DNA Test” pilot program to begin a concerted effort toward offering genetically informed primary care to all patients. The program aims to increase the number of participating primary care providers stepwise over time. However, some providers may find integration of genomic testing and discussion of clinical genetics issues with patients to be challenging given the relatively recent change toward emphasis on these topics in medical training curricula. The aim of this project was to develop a pilot survey to gather information from current participating providers about how participation in …

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The Cures Act: How Can We Alleviate Patient Confusion And Provider Workload?, Michela Salusti Simpson Jan 2021

The Cures Act: How Can We Alleviate Patient Confusion And Provider Workload?, Michela Salusti Simpson

Family Medicine Clerkship Student Projects

This project aimed to develop a better understanding of patient and provider needs at all UVMMC family medicine and urgent care offices in regards to the new Cures Act. Data was gathered via a 8 question multiple choice survey and we had 24 provider responses. Most providers have found that they are receiving more phone calls from patients with questions in regards to their medical notes or results since the enactment of the Cures Act. Providers mentioned common patient questions are about imaging results, CBC, and electrolytes. Nearly half of providers noted they have changed the way in which they …

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Preventive Healthcare Education In Primary Care, Anna B. Chamby Jan 2021

Preventive Healthcare Education In Primary Care, Anna B. Chamby

Family Medicine Clerkship Student Projects

Primary and secondary prevention are vitally important mainstays of primary care. Every well visit at Newtown Primary Care involved some discussion of preventive health screening and services and relied on patient recall or EHR document search for last screening/intervention dates. We aimed to find ways to make use of wait times for in-office visits that could also potentially improve efficiency during patient encounters and help educate patients about preventive health measures.

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Examining Provider Burden From The 21st Century Cures Act, Jordan Carver Jan 2021

Examining Provider Burden From The 21st Century Cures Act, Jordan Carver

Family Medicine Clerkship Student Projects

The 21st Century Cures Act enacted new protocols in Spring 2021 requiring all patient notes and reports to be made available electronically as soon as they are finalized. In order to study the initial impact of this change on physician burden, a survey was sent out to Burlington, VT providers to assess impacts to their workflow.

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Assessment And Awareness Of Mental Health Conditions Among Refugees In Vermont, Sandi Caus Jan 2021

Assessment And Awareness Of Mental Health Conditions Among Refugees In Vermont, Sandi Caus

Family Medicine Clerkship Student Projects

Refugees experience profound hardship in their home-country, displaced country and throughout the period of re-settlement. Experiences like direct or indirect exposure to traumatic events, torture, sexual abuse and stigmatized refugee identity post-resttlement are major risk factors for the development of mental health coniditions inlcuding PTSD, depression and psychosis. Despite major risk factors for the development of mental health conditions, culturally-specific mental health stigma persists as a major barrier to addressing mental health among refugees. This project emphasizes techniques and self-education that can be utilized to improve mentah health screening and identification among refugee patients in Vermont.

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Reach Out And Read Awareness And Utilization At The Community Health Centers Of Burlington, Catrina Hood, Jacob Shaw M.D. Jan 2021

Reach Out And Read Awareness And Utilization At The Community Health Centers Of Burlington, Catrina Hood, Jacob Shaw M.D.

Family Medicine Clerkship Student Projects

The Reach Out and Read (ROR) program is an evidence-based model of literacy promotion used to deliver anticipatory literacy guidance and books to parents and caregivers of children, ages 6 months through 5 years, at well child visits with Primary Care Providers (PCP's). The objective of this project was to assess provider familiarity with and utilization of ROR at the Community Health Centers of Burlington (CHCB) via anonymous survey.

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Medication-Assisted Withdrawal And Alcohol Use Disorder Treatment In The Ambulatory Setting, Jacob Okie Weiss, Javad Mashkuri Md, Marissa Patrick Aprn Jan 2021

Medication-Assisted Withdrawal And Alcohol Use Disorder Treatment In The Ambulatory Setting, Jacob Okie Weiss, Javad Mashkuri Md, Marissa Patrick Aprn

Family Medicine Clerkship Student Projects

Alcohol use disorder (AUD) represents a significant burden of disease in central Vermont, but receives little attention and resources compared to other drivers of morbidity and mortality. As part of a community health improvement project, primary care providers in central Vermont were surveyed regarding current practices and perceived barriers related to the effective treatment of AUD. 69% of respondents reported treating alcohol withdrawal syndrome (AWS) and 83% reported treating AUD. Respondents indicated concern about the safety and efficacy of the medications they currently prescribe and expressed interest in learning about other evidence-based treatments for AWS and AUD. The most frequently …

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Patient Education: Low-Carb Substitutes For Pre-Diabetes Management, Keira L. Goodell Jan 2021

Patient Education: Low-Carb Substitutes For Pre-Diabetes Management, Keira L. Goodell

Family Medicine Clerkship Student Projects

At Milton Family Practice in Milton, VT, individuals diagnosed with pre-diabetes are referred to a clinical nutritionist and sent home with patient instructions about blood sugar and carbohydrates. For those who decline a meeting with the clinical nutritionist, the patient instructions are not an adequate substitute. This project focused on the creation of a SmartPhrase to be added to patient instructions outlining common high-carbohydrate foods and options for lower-carb alternatives.

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Improving Identification Of Ldct Lung Cancer Screening Eligible Patients, Mckenna L. Schimmel Jan 2021

Improving Identification Of Ldct Lung Cancer Screening Eligible Patients, Mckenna L. Schimmel

Family Medicine Clerkship Student Projects

USPSTF updated lung cancer screening guidelines this year to include all patients 50-80 years old who have 20+ pack years of smoking history and are active smokers or who have quit within the last 15 years. While providers and patients both support lung cancer screening efforts, only a small fraction of eligible patients end up getting screened annually. One way we can improve this metric is by making sure we are correctly identifying which patients meet screening criteria.

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How Prepped Are Our Providers?: Assessing Vermont Primary Care Providers’ Knowledge And Awareness Of Pre-Exposure Prophylaxis (Prep) Options For Hiv Prevention, Christopher Flynn Jan 2021

How Prepped Are Our Providers?: Assessing Vermont Primary Care Providers’ Knowledge And Awareness Of Pre-Exposure Prophylaxis (Prep) Options For Hiv Prevention, Christopher Flynn

Family Medicine Clerkship Student Projects

In recent years, a number of pre-exposure prophylaxis (PrEP) medications and dosing strategies have become available to patients to help prevent human immunodeficiency virus (HIV) infection. The primary objective of this research was to assess current PrEP awareness and prescribing practices of family medicine providers at the Hinesburg Family Medicine practice in Hinesburg, VT.

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Improving Primary Care Access For The Housing Insecure In Washington County, Kristina J. Valentine Jan 2021

Improving Primary Care Access For The Housing Insecure In Washington County, Kristina J. Valentine

Family Medicine Clerkship Student Projects

For this project I went to two local hotels in Washington Co that were providing shelter for people experiencing homelessness during the COVID-19 pandemic. I would survey them on their barriers to primary care and tried to connect them to local providers. I then tracked how many individuals were able to have an appointment with a provider.

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Implementing An Intimate Partner Violence Screening At A Connecticut Family Medicine Practice, Nikkole Turgeon Jan 2021

Implementing An Intimate Partner Violence Screening At A Connecticut Family Medicine Practice, Nikkole Turgeon

Family Medicine Clerkship Student Projects

Intimate partner violence (IPV) is a significant public health problem throughout the United States. The aim of this project was to implement a validated IPV screening form into the work flow of the Newtown Primary Care office and increase awareness about IPV throughout the office. The Hits, Insults, Threatens, Screams (HITS) screening form was implemented and resources from local domestic violence agencies were obtained for the office. A system was set up for patients who screen positive to be referred to the in-house therapist and to local domestic violence agencies. Future steps could include further training and education for the …

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Assessing Patient Perceptions Of Pre-Visit Methods To Reduce Wait Time And Provider Burden, Vinh H. Le Jan 2021

Assessing Patient Perceptions Of Pre-Visit Methods To Reduce Wait Time And Provider Burden, Vinh H. Le

Family Medicine Clerkship Student Projects

Due to multiple factors, patients at ambulatory settings tend to experience long appointment wait times, negatively impacting patient satisfaction and overall well-being. One proposed solution is to use pre-visit data collection to simplify check-in and screening processes at the office. This project surveyed patients at Brookfield Primary Care & Pediatrics regarding quantitative wait time data and qualitative perceptions on the proposed solution. It was found that a majority of patients are open to using pre-visit online forms to reduce wait times.

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Impact Of Mychart Communication On Provider Burden, Samantha R. Schuetz Jan 2021

Impact Of Mychart Communication On Provider Burden, Samantha R. Schuetz

Family Medicine Clerkship Student Projects

Patient portals have shown promise in engaging individuals in the management of their health by allowing exchange of secure electronic messages with their providers. Increased messaging increases physician workload and contributes to burnout among primary care physicians. This project examines both patient and provider perspectives of MyChart messaging and suggests ways in which this tool can be better utilized.

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Psa Screening - Patient Decision Aid, Michael Brown Jan 2021

Psa Screening - Patient Decision Aid, Michael Brown

Family Medicine Clerkship Student Projects

PSA screening decision aid

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Herbs And Natural Supplements For Treatment Of Anxiety, Agatha Forstein Jan 2021

Herbs And Natural Supplements For Treatment Of Anxiety, Agatha Forstein

Family Medicine Clerkship Student Projects

In the primary care setting, patients frequently bring in a list of various supplements or herbs that they are taking for a variety of medical conditions, including anxiety, with the hope to engage in a conversation with their PCP about whether these various supplements are safe and worth the cost. Physicians are often limited by a lack of training on the topic and/or by time constraints in the clinic. Thus, this aspect of care is not well addressed. This project includes the creation of a patient education sheet containing information about common herbal/natural supplements used for anxiety. It highlights the …

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Resource Guide For Autism Spectrum Disorders, Jennifer Risi Jan 2021

Resource Guide For Autism Spectrum Disorders, Jennifer Risi

Family Medicine Clerkship Student Projects

Children with autism spectrum disorder and their families have numerous needs for health and social support. The system through which they receive this support is complex and foreign to many parents. Interactions with patients and their families have made it clear that many of them do not know what resources are available to them or how to access these resources. Furthermore, healthcare provides frequently do not have the time to educate patients fully during visits. To address this, we created an educational pamphlet that acts as a resource guide for families with various unmet needs which can be handed out …

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Where Are You Hiding, Sugar? (Sugar Content Of Popular Drink And Snacks, With Suggestions For Healthier Alternatives), Ashta Narain Jan 2021

Where Are You Hiding, Sugar? (Sugar Content Of Popular Drink And Snacks, With Suggestions For Healthier Alternatives), Ashta Narain

Family Medicine Clerkship Student Projects

Two flyers, with associated dotphrases, on the actual sugar content of popular drink and snack foods were created. Also provided is information about the long-term impact of sugar on our bodies over time from local dieticians, and healthier alternative food and drink choices with less sugar content.

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