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Patient Education: Importance Of Diabetic Foot Care, John Paul Nsubuga 2018 University of Vermont

Patient Education: Importance Of Diabetic Foot Care, John Paul Nsubuga

Family Medicine Clerkship Student Projects

Diabetes is about the leading causes of mortality in united states, estimated to cause greater than 80,000 deaths annually. With the ongoing obesity epidemic, the prevalence and incidence of this debilitating disease is on the rise. Diabetes the leading cause of non-traumatic lower extremity amputation in United states. These amputations are often preceded by infected non-healing foot ulcers. It is therefore of at most importance to continue educating diabetic patients on proper foot care management to prevent ulcer formation. This project aims to create a patient educational brochure about the importance of proper diabetic foot care, while providing easy ...


Adult Oral Health Access And Advocacy, James Duguay 2018 University of Vermont

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.


Ace’S Contextualization For Healthcare Workers, Nektarios Konstantinopoulos 2018 Larner College of Medicine

Ace’S Contextualization For Healthcare Workers, Nektarios Konstantinopoulos

Family Medicine Clerkship Student Projects

There is a well-established causative relationship between Adverse Childhood Experiences (ACE’s) and pathology. Despite strong supporting evidence, some healthcare workers are unaware of how deep this relationship is. I conducted an educational session surrounding ACEs targeting healthcare workers in an attempt to contextualize the relationship between ACE’s and consequent disease.


Advantages Of Point Of Care Ultrasound Over Traditional Imaging, Khaled H. Al Tawil 2018 University of Vermont, School of Meidicine

Advantages Of Point Of Care Ultrasound Over Traditional Imaging, Khaled H. Al Tawil

Family Medicine Clerkship Student Projects

Ultrasound has been found to be a valuable diagnostic tool for ruling in or out serious and common medical conditions. The advent of Point of Care Ultrasound (POCUS) provides trained primary care providers the technology to gather immediate data for clinical decision making and to move patient care down the correct clinical pathway in a timely and more cost effective manner. This tool has been shown to assist in motivational interviewing by giving real time evidence to the patient. This technology has the potential to significantly enhance access for patients in rural communities where diagnostic centers and specialty care can ...


Combatting Opioid-Related Deaths In Rural Vermont Through Community Partnership, Brianna F. Waller 2018 Larner College of Medicine

Combatting Opioid-Related Deaths In Rural Vermont Through Community Partnership, Brianna F. Waller

Family Medicine Clerkship Student Projects

Substance abuse continues to be a public health crisis. With legislative changes and creation of MAT programming in Vermont, access to behavioral health services for substance abuse treatment has shifted community response and perceptions. As Little Rivers Health Care houses both a MAT program and is a naloxone distribution site, a community event was organized to help train community leaders on how to administer naloxone and provide an avenue to form community partnerships.


Provider Opinion: Should We Screen And Counsel Parents Of Teen Drivers Regarding Texting/Distracted Driving?, Daniel Lambert 2018 University of Vermont

Provider Opinion: Should We Screen And Counsel Parents Of Teen Drivers Regarding Texting/Distracted Driving?, Daniel Lambert

Family Medicine Clerkship Student Projects

Adolescent texting and driving has been directly responsible for the deaths of 11 teenagers every day. 33% of teenagers in Vermont admit to texting and driving making it one of the most prevalent risky behaviors in their age group. Currently there is no routine screening recommendation for parents with adolescent drivers addressing texting and driving. Mobile application information can improve parental monitoring and prevent texting and driving habits from forming in adolescents.


Psa Screening In Lewiston Maine, Francis G. Gause IV 2018 University of Vermont

Psa Screening In Lewiston Maine, Francis G. Gause Iv

Family Medicine Clerkship Student Projects

PSA Screening Patient Information for 2017 guidelines


Out-Of-Pocket Cost For Individuals Being Treated For Opioid Dependence In Rutland County, Vermont, Christopher T. Veal 2018 University of Vermont Larner College of Medicine

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.


Effect Of A Clinical Evidence Technology On Patient Skin Disease Outcomes In Primary Care: A Cluster-Randomized Controlled Trial, Marianne Burke, Benjamin Littenberg MD 2018 University of Vermont Dana Medical Library

Effect Of A Clinical Evidence Technology On Patient Skin Disease Outcomes In Primary Care: A Cluster-Randomized Controlled Trial, Marianne Burke, Benjamin Littenberg Md

University Libraries Faculty and Staff Publications

Objective: Providers’ use of clinical evidence technologies (CETs) improves their diagnosis and treatment decisions. Despite these benefits, few studies have evaluated the impact of CETs on patient outcomes. Investigators evaluated the effect of one CET, VisualDx, on skin problem outcomes in primary care.

Methods: The cluster-randomized controlled pragmatic trial was set in outpatient clinics at an academic medical center in the Northeast. Participants were Primary Care Providers (PCPs) and adult patients seen for skin problems. The intervention was VisualDx as used by PCPs. Outcomes were patient-reported time from index clinic visit to problem resolution, and the number of follow-up visits ...


Promoting Bone Health Through Weight-Bearing, Resistance Training, And Balance Exercises, Kinjal Thakor 2018 The University of Vermont

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 ...


Caregiver Stress And Resources For Support, Alex DiSciullo 2018 University of Vermont

Caregiver Stress And Resources For Support, Alex Disciullo

Family Medicine Clerkship Student Projects

Caregiver stress is a major problem which can increase morbidity and mortality rates. Caregiver stress is often overlooked and underadvertised. Making individuals aware of resources that can help them provide care can mitigate their stress and improve quality of life for themselves and their loved one.


List Of Local Resources For Substance Abuse Disorders In Burlington, Vt, Gesca Borchardt 2018 University of Vermont

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.


Hpv Vaccine, alejandra vivas 2018 University of Vermont

Hpv Vaccine, Alejandra Vivas

Family Medicine Clerkship Student Projects

Human Papilloma virus has been related not only to 98% of cervical cancers but also to mouth and throat cancers. There is a vaccine that prevents contraction of this virus: HPV vaccine. This vaccine although proven effective and safe there are still children who have not received the vaccine, mainly due to myths and misconceptions that parents have about the vaccine. The purpose of this project was to demystify the myths and provide parents with real knowledge about the vaccine.


Improving Access To Mental Health Care For Trauma Patients, Kassandra Gibbs 2018 University of Vermont

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 ...


Establishing A Pediatric Prenatal Visit At The Health Center (Thc) In Plainfield, Vt, Katherine Price 2018 The University of Vermont

Establishing A Pediatric Prenatal Visit At The Health Center (Thc) In Plainfield, Vt, Katherine Price

Family Medicine Clerkship Student Projects

The AAP has long recommended a prenatal visit as part of the continuum of well-child care. However, this visit is underutilized by new families. Most prenatal education focuses on labor and childbirth with little to no information about parenting and the postpartum period. The PRAMS VT Survey 2012-2014 identified “a class for new parents (parenting, not childbirth)” as a requested resource by respondents. The pediatric prenatal visit provides infant care guidance and can connect families with community organizations that provide postpartum education. The Health Center (THC) does not currently have an established pediatric prenatal visit for expecting parents.


Understanding Dual Energy X-Ray Absorptiometry (Dexa) Bone Scan Results And Treatments, Jennifer C. Morris 2018 University of Vermont

Understanding Dual Energy X-Ray Absorptiometry (Dexa) Bone Scan Results And Treatments, Jennifer C. Morris

Family Medicine Clerkship Student Projects

Patients come into the St. Albans NOTCH primary care office for a follow-up to their DEXA scan to learn about what their results mean and discuss any questions/concerns. This brochure will help to standardize the information presented by providers about the results.


The Association Of Hormonal Contraception With Depression, Pamela Derickson 2018 Larner College of Medicine at the University of Vermont

The Association Of Hormonal Contraception With Depression, Pamela Derickson

Family Medicine Clerkship Student Projects

Hormonal contraceptives are widely used by women during their reproductive years. Currently, over 100 million women worldwide use the pill, and 82% of sexually active women in the USA will use oral contraceptive pills at some time during their reproductive years (Carrol, 2017). Oral contraceptive use, especially among adolescents, is associated with subsequent use of antidepressants and a first diagnosis of depression, suggesting depression may be a potential adverse effect of hormonal contraceptive use (Skovlund, 2016). This project focused on educating health care providers at the Community Health Center of Burlington, VT (CHCB) about the association of depression and oral ...


Tips For Successfully Managing Your Type 2 Diabetes, Allison Reeder 2018 University of Vermont

Tips For Successfully Managing Your Type 2 Diabetes, Allison Reeder

Family Medicine Clerkship Student Projects

Type 2 diabetes is a disease that is all too common in our country. There are a variety of lifestyle modifications that can have a positive impact on disease control, such as watching sugars and fats in the diet and getting consistent exercise to decrease weight. Patients should receive better education on how to control their disease without medications so that the cost of diabetes in the United States does not continue to rise.


Using Relief From Mental Health Symptoms As Motivation For Exercise And Lifestyle Changes. Brookfield Family Medicine, Ct, Nicholas Selig 2018 University of Vermont

Using Relief From Mental Health Symptoms As Motivation For Exercise And Lifestyle Changes. Brookfield Family Medicine, Ct, Nicholas Selig

Family Medicine Clerkship Student Projects

There is a high prevalence of mental illness in the Brookfield CT community mostly anxiety, depression and insomnia. These are often comorbid with other chronic disease. There is a lack of knowledge about exercise's benefits on mental health symptoms as well as chronic disease.


Patient Education About Influenza Vaccination, Michael Rodriguez 2018 University of Vermont

Patient Education About Influenza Vaccination, Michael Rodriguez

Family Medicine Clerkship Student Projects

Only 37% of adults in the US received the influenza vaccine in 2017-18. Clearly there is a gap between the known benefits of the influenza vaccine, the risks of influenza, and the number of patients obtaining influenza vaccine. An educational flyer was created to address common concerns or myths about the influenza vaccine in order to encourage vaccination at Brookfield Family Practice.


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