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Prostate Cancer: Patient Education For Changing Guidelines, Richard Mendez 2018 University of Vermont College of Medicine

Prostate Cancer: Patient Education For Changing Guidelines, Richard Mendez

Family Medicine Block Clerkship, Student Projects

In May 2012 United States Preventative Services Task Force (USPSTF) recommended against prostate cancer screening, Grade D, with no other recommendation for providers. Since prostate cancer continues to be among the most common cancer in the United States among men, patients were exposed to previous guidelines during routine visits and require updated educational materials for primary care visits.


The Effects Of Patient Characteristics On Clinician’S Adherence To Preventive Practice Guidelines, DeShana A. Collett Ph.D,PA-C, Kenneth M. Tyler Ph.D. 2017 University of Kentucky

The Effects Of Patient Characteristics On Clinician’S Adherence To Preventive Practice Guidelines, Deshana A. Collett Ph.D,Pa-C, Kenneth M. Tyler Ph.D.

Journal of Health Disparities Research and Practice

ABSTRACT

BACKGROUND: The existence of health disparities confirms that not all patients, regardless of differences in patient demographics, are provided quality healthcare (Agency of Health Care Research and Quality, 2003). Moreover, research suggests that health disparities may be present due to the inadequate delivery of medical services (S. Haist, J. Wilson, M. Lineberry, & C. Griffith, 2007; Van Ryn, Burgess, Malat, & Griffin, 2006). The differences in the delivery of care and services to ethnic minorities and those of low socioeconomic status warrant examining the role healthcare providers play in the causation of these health disparities (Smedley, Stith, & Nelson, 2003).

OBJECTIVE: The purpose of the ...


Breast Density Notification: A Primary Care Summary, Nicole Lin Mendelson 2017 The Robert Larner, M.D. College of Medicine at The University of Vermont

Breast Density Notification: A Primary Care Summary, Nicole Lin Mendelson

Family Medicine Block Clerkship, Student Projects

On January 15th, 2017 Vermont Senate Bill 157 took effect requiring healthcare facilities that perform mammography to provide patients information that identifies their individual breast tissue classification. 40-50% of women fall into the category of having increased breast density. Increased breast density reduces the sensitivity of mammography and increases the chance that cancer will not be detected. Additionally, women who have dense breasts are at an increased risk for developing breast cancer. Supplemental screening provides an opportunity to increase detection of breast cancer, but comes with an increased rate of false positives. With this new law in place, there ...


Food For All, Vicenta Hudziak 2017 University of Vermont College of Medicine

Food For All, Vicenta Hudziak

Family Medicine Block 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.


Intimate Partner Violence In Immigrant/Refugee Populations, Lisa H. Wang 2017 University of Vermont College of Medicine

Intimate Partner Violence In Immigrant/Refugee Populations, Lisa H. Wang

Family Medicine Block Clerkship, Student Projects

Intimate partner violence (IPV) is the most common type of violence affecting women. Globally, Central Africa and South Asia have some of the highest rates of IPV. In Vermont, the majority of refugees are from these regions. Individual, interpersonal, and especially cultural values play critical roles in the definition/appraisal and decision to seek help in these women. This study examines ways to mitigate challenges that healthcare professionals have in identifying women who need help and barriers preventing these women from seeking help.


Peer-Led Smoking Prevention In Winooski, Vermont, Grace Culley Adamson 2017 University of Vermont

Peer-Led Smoking Prevention In Winooski, Vermont, Grace Culley Adamson

Family Medicine Block 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 ...


Promotion Of Skin Protection In Children In Waterbury, Vt, Kelsey M. Sullivan 2017 University of Vermont College of Medicine

Promotion Of Skin Protection In Children In Waterbury, Vt, Kelsey M. Sullivan

Family Medicine Block Clerkship, Student Projects

Background: Vermont has among the highest rates of skin cancer in the nation. Between 2001 and 2005, Vermont had the highest incidence of melanoma of any state, 63% higher than the national average. It is also estimated that if children under 18 regularly used sunscreen of at least SPF 15, the incidence of squamous and basal cell carcinomas would decrease by 78%. Modeling by the EPA and CDC suggests that recommended sun protection measures could prevent 11,000 cases of skin cancer, 50 deaths, and $30 million in cancer treatment costs nationwide. Intervention: To create an information sheet on skin ...


Cervical Cancer Screening At Community Health Centers Of Burlington, Adrienne Jarvis 2017 University of Vermont

Cervical Cancer Screening At Community Health Centers Of Burlington, Adrienne Jarvis

Family Medicine Block 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 ...


Headphones And Adolescents: Hearing Loss Prevention, Taylor Sommer 2017 University of Vermont

Headphones And Adolescents: Hearing Loss Prevention, Taylor Sommer

Family Medicine Block Clerkship, Student Projects

Headphone use of adolescents is on the rise due to increased availability of personal listening devices. Hearing loss has also increased in adolescents. This project aims at preventing noise-induced hearing loss by educating adolescents on proper use of headphones.


Chronic Pain: Improving Patient Awareness Of Management Options, Lauren E. Haggerty 2017 University of Vermont College of Medicine

Chronic Pain: Improving Patient Awareness Of Management Options, Lauren E. Haggerty

Family Medicine Block 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 2017 University of Vermont College of Medicine

Domestic Health Assessment For Syrian Refugees In Rutland, Vt, Ian Grant

Family Medicine Block 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.


Organ Donation: Gauging Perception, Interest, And Clarifying Misconceptions, Tridu Huynh 2017 University of Vermont - College of Medicine

Organ Donation: Gauging Perception, Interest, And Clarifying Misconceptions, Tridu Huynh

Family Medicine Block 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 ...


Hepatitis C Screening In The Baby Boomer Cohort, Peter Hyson 2017 University of Vermont

Hepatitis C Screening In The Baby Boomer Cohort, Peter Hyson

Family Medicine Block 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.


Sad Management In Lewiston, Me, Ashley L. Deeb 2017 University of Vermont

Sad Management In Lewiston, Me, Ashley L. Deeb

Family Medicine Block Clerkship, Student Projects

Seasonal affective disorder may be a significant issue in Lewiston, ME due to it's latitude. In addition, lack of transportation and poverty are also issues in this community. This project attempts to address treatment and increase awareness of SAD in Lewiston.


E-Cigarette Prevention Among Vermont Youth, Tyler W. Wark 2017 University of Vermont

E-Cigarette Prevention Among Vermont Youth, Tyler W. Wark

Family Medicine Block Clerkship, Student Projects

E-cigarettes are increasingly used by U.S. adolescents, a trend that is particularly troublesome from a public health perspective because they have been linked to conventional tobacco smoking. In Vermont, recent data from 2015 reports that 30% of high school students ever used electronic vapor products. At present the scientific, regulatory, and lay communities all have a dearth of quality information regarding e-cigarettes and their potential adverse health effects. This school-based intervention aims to promote awareness and educate at-risk youth in the Milton School District about e-cigarettes through an educational fact sheet and health blog post.


Identification Of Barriers To Organ Donation:A Primary Care Interventional Approach, Brittany L. Rocque MSc 2017 UVM

Identification Of Barriers To Organ Donation:A Primary Care Interventional Approach, Brittany L. Rocque Msc

Family Medicine Block 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 2017 The University of Vermont College of Medicine

Narrative Medicine: Improving Patient Care And Shifting Office Culture, Julia Shatten, Yazen Qumsiyed

Family Medicine Block 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.


Counseling Pregnant Women On Marijuana Use, Theresa B. Flanagan 2017 University of Vermont College of Medicine

Counseling Pregnant Women On Marijuana Use, Theresa B. Flanagan

Family Medicine Block Clerkship, Student Projects

Marijuana is the most commonly used illicit substance for pregnant women nationwide, with rates of use trending upward. Marijuana use in Penobscot County is elevated well above the national average, and is likely to continue to rise with the legalization of recreational marijuana in the state of Maine. Though the American Congress of Obstetricians and Gynecologists (ACOG) discourages marijuana use during pregnancy and breastfeeding, studies have shown that providers do not emphasize counseling pregnant patients on marijuana use. This project looked at provider practices and perceptions regarding marijuana use during pregnancy at the Center for Family Medicine at Eastern Maine ...


Strategies For Clinical Management Of Hypertension: Understanding Community Perspectives, Patrick Cruden 2017 University of Vermont

Strategies For Clinical Management Of Hypertension: Understanding Community Perspectives, Patrick Cruden

Family Medicine Block Clerkship, Student Projects

Survey analysis of hypertensive patients in an outpatient family medicine practice aimed at efficiently improving clinical management and health literacy.


Colorectal Cancer Screening, Eric Schmidt 2017 The University of Vermont

Colorectal Cancer Screening, Eric Schmidt

Family Medicine Block 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.


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