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Full-Text Articles in Family Medicine

Primary Care Treatment Of Hcv In Medicaid Patients, Stephanie S. Kulaga Jan 2017

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 …


Increasing Advance Directive Knowledge Among Healthcare Professionals, Laura K. Donnelly Jan 2017

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.


Combating Diabetes In Chittenden County: A Healthcare Provider Referral Campaign To Increase Patient Participation In The Vermont Diabetes Prevention Program, Samantha Magier Jan 2017

Combating Diabetes In Chittenden County: A Healthcare Provider Referral Campaign To Increase Patient Participation In The Vermont Diabetes Prevention Program, Samantha Magier

Family Medicine Clerkship Student Projects

As of 2016, diabetes affects more than 29 million people in the United States and is the 7th leading cause of death nationwide. In Vermont, 1/10 people are diagnosed with either diabetes or prediabetes, with 6% of Vermonters affected by prediabetes and 5% of Chittenden Country affected by prediabetes. The public health burden of this chronic disease is immense: diabetes costs Vermont an estimated $543 million each year and is the leading cause of kidney failure, lower limb amputations, and adult-onset blindness. Prediabetes occurs when blood sugar is higher than normal but not at the diagnostic threshold of diabetes. Prediabetes …


Preventing Falls In The Elderly, Rebecca Robbins Jan 2017

Preventing Falls In The Elderly, Rebecca Robbins

Family Medicine Clerkship Student Projects

Falls are the leading cause of fatal and non-fatal injuries for older Americans, leading to 27,000 deaths every year and almost 3 million emergency room visits. Many view falls as just part of getting older; however fall risk can be significantly diminished through appropriate screening, education and community programs. Through literature review and talking to members of the local community, I learned about how fall risk is assessed along with what education and programs are provided for those at increased risk of falling. This project sought to educate patients about simple steps that can be made to decrease their fall …