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Lifestyle Changes In Covid-19 Pandemic And Impact On Modifiable Stroke Risk Factors, Kelly J. Chan Jan 2021

Lifestyle Changes In Covid-19 Pandemic And Impact On Modifiable Stroke Risk Factors, Kelly J. Chan

Family Medicine Clerkship Student Projects

Stroke is one of the leading causes of mortality and disability in the USA. Underlying conditions such as hypertension, diabetes and cardiovascular disease predispose an individual to increased risk of stroke. In addition, the Covid-19 pandemic presents many challenges to these patients in terms of active health management and maintenance. A screening tool was developed to assess patient patterns of lifestyle behavioral changes measured by modifiable risk factors for stroke (medical condition management, diet, exercise, and smoking habits).


Community Attitudes Towards Covid-19 Vaccination, John P. O'Keefe Jan 2021

Community Attitudes Towards Covid-19 Vaccination, John P. O'Keefe

Family Medicine Clerkship Student Projects

Vaccination is a very valuable tool in combating the public health crisis of COVID-19 and will be essential in reducing transmission rates and deaths due to the pandemic. Public willingness to receive the vaccination in large polls has stayed well below the ~95% of the population needed to achieve herd immunity against the virus. Here were survey Vermonters to determine their attitudes towards receiving the vaccine and what sources of information patients use to inform themselves about the different vaccines available.


Emergency Medicine Super Utilizers And The Role Of Targeted Community Paramedicine, Nathan E. Dow Jan 2021

Emergency Medicine Super Utilizers And The Role Of Targeted Community Paramedicine, Nathan E. Dow

Family Medicine Clerkship Student Projects

Frequent emergency department (ED) users, colloquially known as “frequent fliers,” are a small population that account for a disproportionately large number of ED visits. Depending on the criteria used, ED super users may constitute as little as 1% of the individuals seen through the department, while accounting for up to 60% of the visit volume. There is an associated stress on the 911 system and a public health concern with burdening of already busy emergency departments. Unsurprisingly, ED super users have an associated financial cost. A 2015 Milwaukee area pilot program provided community outreach to only 39 of their well-known …


The State Of Sleep: What Keeps Vermont Up At Night?, Magalie Carey Jan 2021

The State Of Sleep: What Keeps Vermont Up At Night?, Magalie Carey

Family Medicine Clerkship Student Projects

No abstract provided.


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 …


Community Health Interventions To Reduce The Burden Of Radon-Related Lung Cancer, Benjamin Weaver Jan 2021

Community Health Interventions To Reduce The Burden Of Radon-Related Lung Cancer, Benjamin Weaver

Family Medicine Clerkship Student Projects

Exposure to radon is the second leading cause of lung cancer in the United States. One in seven homes in Vermont has elevated levels of radon, but most patients are unaware of radon as a risk factor for lung cancer or that radon testing and mitigation services are available to them. To promote increased testing and mitigation of radon we screened patients presenting to a Family Medicine practice in Vermont about whether they had had these services done in their home. We also developed a patient education resource for providers to give to patients who had more questions about radon …


Increasing Patient Access To Lgbtq+ Healthcare Through Expanding The Vermont Diversity Health Project, Rachel Harrison Jan 2021

Increasing Patient Access To Lgbtq+ Healthcare Through Expanding The Vermont Diversity Health Project, Rachel Harrison

Family Medicine Clerkship Student Projects

Numerous studies have documented various disparities in health outcomes and barriers to healthcare access for LGBTQ+ individuals. One major way to combat this is to increase access to healthcare for LGBTQ+ patients and increase provider knowledge of how to best care for them. Through expanding the Vermont Diversity Health Project database of providers and having providers participate in LGBTQ+ Best Practices trainings (both hosted by Pride Center of Vermont), we may reduce LGBTQ+ health disparities in our local community.


Covid-19 Vaccination: Educating Patients On Vaccine Availability And Distribution Plans In Lewiston, Me, Erick Maclean Jan 2021

Covid-19 Vaccination: Educating Patients On Vaccine Availability And Distribution Plans In Lewiston, Me, Erick Maclean

Family Medicine Clerkship Student Projects

In December 2020, the U.S. Food and Drug Administration issued emergency use authorizations for two COVID-19 vaccines. Many patients at the Central Maine Medical Center Family Medicine Residency clinic had questions related to the vaccines and the plans for vaccine distribution in Maine. With the prevalence of misinformation related to the COVID-19 vaccines on the internet, there existed a need for accurate, easily understandable information to assist with patient education about the vaccines.


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 …


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 …


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.


Supporting Patient Education On Bladder Cancer And Risk Factors Specific To Vermont, Evan Gaston Jan 2021

Supporting Patient Education On Bladder Cancer And Risk Factors Specific To Vermont, Evan Gaston

Family Medicine Clerkship Student Projects

Physician and patient education materials regarding the incidence of bladder cancer in Vermont, the absence of recommended screening, and discussion of risks of bladder cancer with emphasis on private well water testing through the Vermont Department of Health.