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Full-Text Articles in Medicine and Health Sciences
Peri-Operative Optimization: Social Determinants Of Health, Adam F. Kohutnicki
Peri-Operative Optimization: Social Determinants Of Health, Adam F. Kohutnicki
Family Medicine Clerkship Student Projects
This project investigated how clinicians at a rural Vermont family medicine practice observed various social determinants of health (SDOH) of their patient population affected patients' preparedness for surgery. Two clinicians involved in the community, a practicing family medicine physician and a practicing social worker, were interviewed to collect qualitative data on how various SDOH they have observed through their clinical practice have influenced patients' preparedness for surgery. This information was then utilized to create a "dot-phrase" that clinicians can use as part of a patient's pre-operative visit in the outpatient setting to assess SDOH and plan subsequent targeted interventions to …
Family Medicine Resident Education On Perioperative Management Of Patients On Anticoagulation, Hanna Mathers
Family Medicine Resident Education On Perioperative Management Of Patients On Anticoagulation, Hanna Mathers
Family Medicine Clerkship Student Projects
Family Medicine residents at CMMC in Lewiston, Maine manage patients in an outpatient clinic as well as on an inpatient family medicine teaching service. Many patients in the community are anticoagulated for native valve atrial fibrillation and undergo surgical procedures both in the inpatient and outpatient setting. Residents are often asked on to determine the necessity and timing of anticoagulation discontinuation for patients that they see. With patients on newer oral anticoagulants and various degrees of risk, it can be a challenge to make an informed choice. Residents have found that they would feel more confident in perioperative management of …
Vermont Food Insecurity: Implementing Screening Tools And Interventional Assistance At Thomas Chittenden Health Center, Quinn Self
Family Medicine Clerkship Student Projects
Hunger Free Vermont estimates that over 11% of Vermonters experience Food insecurity defined as a lack or access to adequate nutritious food due to lack of money or other resources. Food insecurity has been linked with numerous health problems including obesity, depression, poor school performance, heart disease, anemia and increased number of hospitalizations. Despite the adverse health outcomes associated with food insecurity, primary care providers don't usually screen for it. There are short validate tools to screen with high sensitivity and specificity for food insecurity. The goal of this project was to generate a screening poster for waiting rooms and …