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A Provider's Guide To Medical Cannabis: Thc And Cbd. Putting The Evidence To Work For Improved Patient Care, Danielle Smith 2019 University of Vermont

A Provider's Guide To Medical Cannabis: Thc And Cbd. Putting The Evidence To Work For Improved Patient Care, Danielle Smith

Family Medicine Clerkship Student Projects

Please use abstract uploaded with previous powerpoint


Conjunctivitis: Patient Information, Nicole Jedrzynski 2019 The University of Vermont

Conjunctivitis: Patient Information, Nicole Jedrzynski

Family Medicine Clerkship Student Projects

Conjunctivitis or “pink eye” is a common affliction encountered frequently in family medicine. Most cases are viral and do not require antibiotics, and more accurate information for patients and their caregivers is needed to minimize unnecessary visits to urgent care and the emergency room. This will facilitate better patient care and fewer healthcare costs.


Substance Use Disorder Treatment Decision Aid For Adults In Chittenden County Vermont, Elizabeth V. McLeod 2019 University of Vermont

Substance Use Disorder Treatment Decision Aid For Adults In Chittenden County Vermont, Elizabeth V. Mcleod

Family Medicine Clerkship Student Projects

Substance Abuse Disorders (SUDs) are a prevalent public health concern in both the national and local arena resulting in millions of dollars in pubic health costs and loss of life. Navigating the treatment options available in Chittenden County can be time consuming, difficult, and delay treatment. In order to help guide adult patients and their families in Chittenden County along their journey towards recovery from SUDs, a treatment decision aid was developed for choosing the right level of care.


Improving Patient Knowledge Of Antimicrobial Resistance And Appropriate Antibiotic Use In A Rutland County Acute Care Center, Stephen D. Daniels 2019 Larner COM at UVM

Improving Patient Knowledge Of Antimicrobial Resistance And Appropriate Antibiotic Use In A Rutland County Acute Care Center, Stephen D. Daniels

Family Medicine Clerkship Student Projects

Antimicrobial resistant infections are one of the most prevalent global health concerns of our time. It is paramount that action be taken to do all we can to reduce the burden that these “superbug” infections bring in the form of both serious illness and financial strain on healthcare systems. As healthcare professionals, the onus falls on us to educate the public on basic knowledge regarding bacterial/viral illness, as well as proper antibiotic utilization, so that we can all work in coercion with one another to combat this global health concern. The here-in project describes an educational piece with this ...


Promoting Tia Awareness: Decreasing Stroke Mortality In Vermont, Nicole Becher 2019 University of Vermont

Promoting Tia Awareness: Decreasing Stroke Mortality In Vermont, Nicole Becher

Family Medicine Clerkship Student Projects

The death rate from stroke in Washington County, VT was nearly twice that of the state in 2015. Risk of death from stroke can be decreased by timely intervention, however many patients are unaware as to signs and symptoms of stroke, and when to seek medical attention. A brochure was developed and distributed, aiming to shorten the time between experiencing TIA symptoms and point of contact with medical professionals.


Reducing Benzodiazepine Use For The Treatment Of Insomnia And Supporting Nonpharmacological Therapies, UnChan Pyon 2019 University of Vermont

Reducing Benzodiazepine Use For The Treatment Of Insomnia And Supporting Nonpharmacological Therapies, Unchan Pyon

Family Medicine Clerkship Student Projects

Most medical organizations recommend against the use of benzodiazepine use for the treatment of insomnia, especially in the elderly. However, the percentage of the adult population on benzos increase with age: 7.5% in adults ages 51-64; 9% in adults over 65. Alternative therapies for insomnia, including online CBT, require more commitment than taking a medication so many patients opt for medication. This project aims to increase awareness of benzodiazepine use for insomnia and provide support for nonpharmacological therapies.


Transportation As A Barrier To Healthcare, Melissa Romero 2019 The University of Vermont

Transportation As A Barrier To Healthcare, Melissa Romero

Family Medicine Clerkship Student Projects

Lack of transportation is large barrier to medical care, particularly in rural areas. Many patients decline medical appointments because they do not have access to a personal vehicle or other transportation resources. Consequences include missed appointments and higher healthcare costs for patients and providers in the future. Solutions will involve educating patients on resources available to them, simplifying access to current programs, introduction of new programs, and the collaboration of public and private entities to provide new services.


Melanoma Surveillance, Samuel Logan 2019 UVM Larner College of Medicine

Melanoma Surveillance, Samuel Logan

Family Medicine Clerkship Student Projects

According to the CDC, in 2015 the rate of melanoma of the skin was 22.1 per 100 thousand people, the sixth most common cancer. In Vermont this rate was 35.8 per 100 thousand, higher than the national average. In Berlin, VT, it was noted that patients often are concerned about their nevi, but often do not know when it is appropriate to bring them to their physician's attention. A pamphlet was developed to assist physicians in educating patients on the characteristics of melanocytic nevi and encourage patients to speak to their physician when they find moles which ...


Interventions For Fall Prevention In Community-Dwelling Older Persons, Gregory S. Roy 2019 The University of Vermont

Interventions For Fall Prevention In Community-Dwelling Older Persons, Gregory S. Roy

Family Medicine Clerkship Student Projects

Falls in individuals over the age of 65 is a pervasive problem resulting in significant health and economic burden in our country. Thus, effective fall prevention strategies are an important public health measure, especially in an age group that is growing rapidly. Research has shown a multifactorial approach to fall prevention addressing environmental hazards, strength and balance, medications, and medical comorbidities to be most effective. Despite there being strong evidence to support this, many individuals are unaware of the factors that put them at risk and ways to mitigate them. An educational pamphlet containing evidence-based strategies to reduce fall risk ...


Sleeping Mindfully, Jinal Gandhi 2019 University of Vermont

Sleeping Mindfully, Jinal Gandhi

Family Medicine Clerkship Student Projects

Insomnia is a disorder of hyperarousal that affects up to 30% of adults. Insomnia is based on cognitive dysfunction that causes us to worry and neuroendocrine factors that upregulate our autonomic nervous system. Studies have shown that just 10 minutes of daily mindfulness practice can improve sleep. Mindfulness is able to work at the root of both causes of insomnia. It improves our ability to relax through increasing attentional factors that impart control over stress hormones and helps reduce ruminative thoughts.


Improving Patient Educational Materials For A Suboxone Clinic In Southeastern Vermont, C. Wesley Cubberley 2019 University of Vermont

Improving Patient Educational Materials For A Suboxone Clinic In Southeastern Vermont, C. Wesley Cubberley

Family Medicine Clerkship Student Projects

Access to medical treatment for opioid use disorder plays a significant role in the ability of a community to support a person's recovery. In Springfield, VT, community workers and providers are attempting to organize a Suboxone (buprenorphine + naloxone) clinic in order to bridge the significant geographic and socioeconomic gaps implicit to this rural community's location. In order to garner interest and increase awareness of this forthcoming project, a short, accessible educational flyer was developed with the input of the health center's staff for future use.


A Quick Guide To Eating Healthy With Type Ii Diabetes, Caleb Lee Watkins 2019 University of Vermont

A Quick Guide To Eating Healthy With Type Ii Diabetes, Caleb Lee Watkins

Family Medicine Clerkship Student Projects

Diabetes is becoming increasingly more prevalent in the U.S. and in the state of Vermont. With an increased prevalence of diabetes and a worsening obesity crisis, the total cost of diabetes management is increasing as well. The population around Bellows Falls, VT has not been spared from this epidemic. Many patients in this region have struggled to make and maintain lifestyle changes, particularly surrounding diet and exercise. Therefore, a one-page, double-sided handout was created to provide easily digestible information to patients about managing their diabetes through proper nutrition.


Community-Based Exercise Education During Colder Months, Cole S. Shapiro 2019 University of Vermont

Community-Based Exercise Education During Colder Months, Cole S. Shapiro

Family Medicine Clerkship Student Projects

Approximately 50% of US adults and 75% of US high school students don't meet recommended weekly physical activity guidelines, and physical activity declines further during colder seasons. Resources describing local suggestions for physical activity should be made broadly available to community members, such as at their primary health care office.


Patient Education: Low-Dose Ct Screening, Charles Nicoli 2019 University of Vermont

Patient Education: Low-Dose Ct Screening, Charles Nicoli

Family Medicine Clerkship Student Projects

Low-dose computerized tomography scans have come into play as effective screening modality for high-risk patients in the most deadly cancer nationwide. The introduction of this screening option requires a larger amount of patient education on their methodology, benefits and drawbacks, and effectiveness. A patient education brochure was produced for this purpose.


A Quick Guide To Eating Healthy With Type Ii Diabetes, Caleb Lee Watkins 2019 University of Vermont

A Quick Guide To Eating Healthy With Type Ii Diabetes, Caleb Lee Watkins

Family Medicine Clerkship Student Projects

Diabetes is becoming increasingly more prevalent in the U.S. and in the state of Vermont. With an increased prevalence of diabetes and a worsening obesity crisis, the total cost of diabetes management is increasing as well. The population around Bellows Falls, VT has not been spared from this epidemic. Many patients in this region have struggled to make and maintain lifestyle changes, particularly surrounding diet and exercise. Therefore, a one-page, double-sided handout was created to provide easily digestible information to patients about managing their diabetes through proper nutrition.


Domestic Violence (Dv) Screening, Wilson Huang 2019 University of Vermont

Domestic Violence (Dv) Screening, Wilson Huang

Family Medicine Clerkship Student Projects

Domestic Violence (DV) is an understated yet significant source of morbidity and mortality for victims. Healthcare providers have a unique opportunity and responsibility to identify patients who may be victims of DV. A formal screening method for DV should be developed and routinely employed in local practices to address this issue.


Eat, Sleep, Console For Neonatal Abstinence Syndrome Babies, Kathryn Patton 2019 The University of Vermont College of Medicine

Eat, Sleep, Console For Neonatal Abstinence Syndrome Babies, Kathryn Patton

Family Medicine Clerkship Student Projects

Neonatal Abstinence Syndrome (NAS) is a complex disorder that manifests with neurologic, gastrointestinal, and musculoskeletal disturbances and is most often associated with opioid withdrawal. In the US, 6 out of 1,000 babies are born to mothers who used opioids during their pregnancy. These babies go on to develop NAS. Androscoggin County, where Central Maine Medical Center is located, has an even higher rate of babies with NAS: 100 out of 1,000. Most institutions use the Finnegan Neonatal Abstinence Scoring System (FNASS) to guide pharmacologic treatment. This system assigns a score based on 21 clinical signs of withdrawal with ...


How To Improve A Medication-Assisted Treatment Program For Opioid Use Disorder: First, Look At The Evidence, Collin York 2019 University of Vermont

How To Improve A Medication-Assisted Treatment Program For Opioid Use Disorder: First, Look At The Evidence, Collin York

Family Medicine Clerkship Student Projects

The prevalence of Opioid Use Disorder (OUD) in the United States has been described as an epidemic, and rural areas have been affected in particular. A treatment paradigm called Medication-Assisted Treatment (MAT) has been demonstrated to be effective at treating OUD, and more and more rural, primary care clinics are establishing MAT programs. One such clinic is Hudson Headwaters Health Network, a FQHC in Upstate New York. I wrote a literature review and distributed it to staff involved in MAT program design, and I also wrote a practical evidence guide for MAT providers. Providers completed a survey assessing the evidence ...


Stakeholder Engagement In Developing An Electronic Clinical Support Tool For Tobacco Prevention In Adolescent Primary Care, Ramzi G. Salloum, Ryan P. Theis, Lori Pbert, Matthew J. Gurka, Maribeth Porter, Diana Lee, Elizabeth A. Shenkman, Lindsay A. Thompson 2018 University of Florida

Stakeholder Engagement In Developing An Electronic Clinical Support Tool For Tobacco Prevention In Adolescent Primary Care, Ramzi G. Salloum, Ryan P. Theis, Lori Pbert, Matthew J. Gurka, Maribeth Porter, Diana Lee, Elizabeth A. Shenkman, Lindsay A. Thompson

Open Access Articles

Following guideline recommendations to promote tobacco prevention in adolescent primary care, we developed a patient-facing clinical support tool. The electronic tool screens patients for use and susceptibility to conventional and alternative tobacco products, and promotes patient(-)provider communication. The purpose of this paper is to describe the iterative stakeholder engagement process used in the development of the tool. During the pre-testing phase, we consulted with scientists, methodologists, clinicians, and Citizen Scientists. Throughout the development phase, we engaged providers from three clinics in focus groups. Usability testing was conducted via in-depth, cognitive interviewing of adolescent patients. Citizen Scientists (n = 7) played ...


Career Regret Among Physician Assistants: A Comparative Survey Of Primary And Specialty Care Careers, Talia Sierra, Jennifer Forbes, Michael Nelson 2018 Idaho State University

Career Regret Among Physician Assistants: A Comparative Survey Of Primary And Specialty Care Careers, Talia Sierra, Jennifer Forbes, Michael Nelson

Internet Journal of Allied Health Sciences and Practice

Purpose: This study investigated if career regret varies among physician assistants (PAs) practicing in primary and specialty care fields. This information may assist practicing and aspiring physician assistants when selecting or changing their career path.

Methods: A survey was emailed to 5,000 primary and specialty care physician assistants. Items indicating career regret were compared between primary and specialty care groups.

Results: Eight hundred and thrity-four (16.7%) completed surveys were received back. Career regret is similar between primary and specialty care physician assistants, with low reports from both groups. No statistical significance was found between primary care and specialty ...


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