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Articles 1 - 30 of 46
Full-Text Articles in Medicine and Health Sciences
Prevalence Of Chronic Disease In Older Adults In Multitier Eye-Care Facilities In South India: Electronic Medical Records-Driven Big Data Analytics Report, Umesh Chandra Behera, Brooke Salzman, Anthony Vipin Das, Gumpili Sai Prashanthi, Parth Lalakia, Richard Derman, Bharat Panigrahy
Prevalence Of Chronic Disease In Older Adults In Multitier Eye-Care Facilities In South India: Electronic Medical Records-Driven Big Data Analytics Report, Umesh Chandra Behera, Brooke Salzman, Anthony Vipin Das, Gumpili Sai Prashanthi, Parth Lalakia, Richard Derman, Bharat Panigrahy
Department of Family & Community Medicine Faculty Papers
Purpose: To study the prevalence of systemic conditions in older adults, either self-reported or discovered during routine eye examinations, at multitier eye-care facilities over the past decade, and to explore their association with vision and common ocular disorders, including cataract, glaucoma, and retinopathy.
Methods: Retrospective review of a large data set compiled from the electronic medical records of patients older than 60 years who presented to an eye facility of a multitier ophthalmology network located in 200 different geographical locations that included urban and rural eye-care centers spread across four states in India over a 10-year period.
Results: 618,096 subjects …
Depression In Black Men: Disparities In Diagnosis And Treatment, Amy Nwaobasi, Md
Depression In Black Men: Disparities In Diagnosis And Treatment, Amy Nwaobasi, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Objectives
- Review epidemiology
- Review risk factors and protective factors that are associated with depression in black men
- Understand causes of disparities in diagnosis
- Understand barriers to treatments
- Explore ways physicians can address these disparities
Down Syndrome And Dementia:: A Patient And Care-Giver Centered Approach, Mary M. Stephens, E. Adel Herge, Charmaine Wright
Down Syndrome And Dementia:: A Patient And Care-Giver Centered Approach, Mary M. Stephens, E. Adel Herge, Charmaine Wright
Department of Occupational Therapy Faculty Papers
No abstract provided.
Integrated Behavioral Health (Ibh) Program Updates And Evidence For Ibh In Sud, Rachelle Rene, Phd, Bcb, Hsmi
Integrated Behavioral Health (Ibh) Program Updates And Evidence For Ibh In Sud, Rachelle Rene, Phd, Bcb, Hsmi
Department of Family & Community Medicine Presentations and Grand Rounds
Learning Objectives
At the end of this presentation, the participant will be able to:
- Describe core components of the Primary Care Behavioral Health Model
- Identify IBH Program implementation highlights and challenges
- Discuss at least one intervention to address SUD in primary care
Management Of Recurrent Bacterial Vaginosis, Barbara Cymring, Md
Management Of Recurrent Bacterial Vaginosis, Barbara Cymring, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Objectives
- Review the importance of appropriate management of recurrent BV (rBV)
- Review the appropriate diagnosis of rBV
- Review the causes and risk factors for BV and rBV
- Review the current literature on treatment for rBV
- Discuss some preventative measures for decreasing risk of BV infection
Teratogenic Medication Usage In Primary Care Of Women Of Reproductive Age, Krys Foster, Md, Mph, Faafp
Teratogenic Medication Usage In Primary Care Of Women Of Reproductive Age, Krys Foster, Md, Mph, Faafp
Department of Family & Community Medicine Presentations and Grand Rounds
Introduction
- Teratogenic medications are commonly prescribed to individuals with pregnancy potential
- Despite knowledge of potential teratogenic effects, data suggest that effective communication regarding the risks and benefits of medication use in the context of the patient’s fertility goals remains inadequate
- We will discuss recommendations for changes in education and healthcare delivery to facilitate thoughtful prescribing in this population
Learning Objectives
- To review a common scenario faced by primary care physicians caring for individuals at risk of pregnancy
- To recognize factors that might place certain patients at increased risk of teratogenic exposure in early pregnancy
- To gain competence in assessing fertility …
A Qualitative Analysis Of Third-Year Medical Students' Reflection Essays Regarding The Impact Of Covid-19 On Their Education., Erin L. Kelly, Allison R. Casola, Kelsey Smith, Samantha Kelly, Maria Syl D. De La Cruz
A Qualitative Analysis Of Third-Year Medical Students' Reflection Essays Regarding The Impact Of Covid-19 On Their Education., Erin L. Kelly, Allison R. Casola, Kelsey Smith, Samantha Kelly, Maria Syl D. De La Cruz
Department of Family & Community Medicine Faculty Papers
BACKGROUND: The COVID-19 pandemic fundamentally changed every aspect of healthcare delivery and training. Few studies have reported on the impact of these changes on the experiences, skill development, and career expectations of medical students.
METHOD: Using 59 responses to a short reflection essay prompt, 3rd year medical students in Philadelphia described how the COVID-19 pandemic affected their education in mid-2020. Using conventional content analysis, six main themes were identified across 14 codes.
RESULTS: Students reported concerns regarding their decreased clinical skill training and specialty exposure on their career development due to the loss of in-person experience during their family medicine …
Osteoporosis, Susan Mockus Parks, Md
Osteoporosis, Susan Mockus Parks, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Objectives
Review importance of bone health
Define and identify osteopenia and osteoporosis
Learn treatment options for osteopenia
- How to counsel patients
- How to use FRAX calculator to assist with treatment decisions
Learn treatment options for osteoporosis
- Become familiar with treatment guidelines and options
An Approach To Faculty Development For Underrepresented Minorities In Medicine., Juan Robles, Tanya Anim, Maria Harsha Wusu, Krys E. Foster, Yury Parra, Octavia Amaechi, Kari-Claudia Allen, Jose E. Rodríguez, Kendall M. Campbell, Dmitry Tumin, Judy Washington
An Approach To Faculty Development For Underrepresented Minorities In Medicine., Juan Robles, Tanya Anim, Maria Harsha Wusu, Krys E. Foster, Yury Parra, Octavia Amaechi, Kari-Claudia Allen, Jose E. Rodríguez, Kendall M. Campbell, Dmitry Tumin, Judy Washington
Department of Family & Community Medicine Faculty Papers
OBJECTIVES: The diversity of the US physician workforce lags significantly behind the population, and the disparities in academic medicine are even greater, with underrepresented in medicine (URM) physicians accounting for only 6.8% of all US medical school faculty. We describe a "for URM by URM" pilot approach to faculty development for junior URM Family Medicine physicians that targets unique challenges faced by URM faculty.
METHODS: A year-long fellowship was created for junior URM academic clinician faculty with funding through the Society of Teachers of Family Medicine Project Fund. Seven junior faculty applied and were accepted to participate in the fellowship, …
Management And Diagnosis Of Hypothyroidism, Catherine Guariglia, Md
Management And Diagnosis Of Hypothyroidism, Catherine Guariglia, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Goals
- Recognize the different etiologies of hypothyroidism
- Identify signs and symptoms of hypothyroidism
- Feel comfortable diagnosing and treating primary hypothyroidism
- Define subclinical hypothyroidism and when/if it is necessary to treat
- Recognize how pregnancy influences hypothyroidism management
- Be able to counsel patients on treatment for hypothyroidism
Adhd In Adolescents And Adults, Hannah Facey, Md
Adhd In Adolescents And Adults, Hannah Facey, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Objectives
- Understand the concept of neurodiversity
- Define ADHD
- Review the diagnostic criteria and challenges with diagnosis for ADHD in adults
- Explore our role as family medicine physicians in diagnosis and treatment
- Discover the prevalence of comorbid conditions associated with ADHD
- Obtain a general understanding of the categories of medical treatments available for adults with ADHD
- Gain a deeper appreciation for the role that biases play in the under- and misdiagnosis of women and BIPOC
Heart Failure Transitions Of Care Program, Samantha Macko, Pharmd
Heart Failure Transitions Of Care Program, Samantha Macko, Pharmd
Department of Family & Community Medicine Presentations and Grand Rounds
Objectives
- Heart failure overview; statistics, risk factors, signs and symptoms
- List heart failure therapeutic treatment options
- Explain importance of continuation of care for heart failure patients after initial hospital discharge
- Discuss importance of multidisciplinary approach to treatment of heart failure (HF) patients
- Discuss components of heart failure transitions of care (HFTOC) program at Thomas Jefferson University Hospital
Pharmaceutical Management Of Weight Loss, Jake Schutzman, Md
Pharmaceutical Management Of Weight Loss, Jake Schutzman, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Objectives
- Briefly review some context & consequences of the US obesity epidemic
- Review available prescription anti-obesity medications
- Discuss details specific to each of these medications
- Review other medications affecting weight
After this lecture, I hope you will:
- Have a greater understanding of available anti-obesity medications
- Be more comfortable in patient discussions & management of obesity
Copd Topic Discussion, Clarice Resso, Pharmd, Farzana Tarannum, Pharmd
Copd Topic Discussion, Clarice Resso, Pharmd, Farzana Tarannum, Pharmd
Department of Family & Community Medicine Presentations and Grand Rounds
No abstract provided.
Contraception For Pcps 2021, Krys Foster, Md, Mph, Faafp
Contraception For Pcps 2021, Krys Foster, Md, Mph, Faafp
Department of Family & Community Medicine Presentations and Grand Rounds
Objectives:
- Review evidence-based, flexible and patient-centered approaches to contraceptive management in individuals with reproductive potential
- Discuss updates in contraceptive prescribing and management
- Highlight considerations for management of contraception in the time of COVID-19 and in special populations
Outline
- Introduction
- Approach to initiation of contraception
- Overview of methods of contraception
- Special Considerations
- Resources (Medical Eligibility and Special Practice Recommendations; Contraception App)
- Summary
- References
Qualitative Research Methods, Erin Kelly, Md
Qualitative Research Methods, Erin Kelly, Md
Department of Family & Community Medicine Presentations and Grand Rounds
No abstract provided.
Global Initiative For Asthma (Gina): What’S New In Gina 2021?, Christopher Chambers, Md
Global Initiative For Asthma (Gina): What’S New In Gina 2021?, Christopher Chambers, Md
Department of Family & Community Medicine Presentations and Grand Rounds
No abstract provided.
Medical Nutrition Therapy For Diabetes, Cheryl Marco, Rd, Cde
Medical Nutrition Therapy For Diabetes, Cheryl Marco, Rd, Cde
Department of Family & Community Medicine Presentations and Grand Rounds
No abstract provided.
What Children Learn About Death From Film, Elissa Miller, Md
What Children Learn About Death From Film, Elissa Miller, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Objectives
- Discuss popular films and how they affect what children know about death
- Discuss child development and development-related concepts of death and dying
- Discuss using films to help discuss death and dying with children
The Evolution Of Breast Imaging, Susanna M. Nazarian, Md, Phd, Facs
The Evolution Of Breast Imaging, Susanna M. Nazarian, Md, Phd, Facs
Department of Family & Community Medicine Presentations and Grand Rounds
Overview
- A brief overview of the evolution of breast imaging
- Screening and Detection versus Intraoperative Guidance
- Emerging technologies
- Local research opportunities
Amplified Pain Syndrome In Children, Catherine Soprano, Md, Katherine S. Salamon, Phd
Amplified Pain Syndrome In Children, Catherine Soprano, Md, Katherine S. Salamon, Phd
Department of Family & Community Medicine Presentations and Grand Rounds
Objectives
- Describe chronic pain conditions
- Define chronic pain from biopsychosocial perspective
- Learn ways to describe treatment philosophy of pediatric chronic pain to families
Outpatient Anticoagulation Management, Anne Du Breuil, Md
Outpatient Anticoagulation Management, Anne Du Breuil, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Objectives
- Warfarin Management
- Anticoagulation Module in Epic
- Brief summary of Direct Oral Anticoagulants (DOACs)
- Brief Perioperative Anticoagulation Tips
Chronic Kidney Disease For The Pcp, Lilli Flink, Md
Chronic Kidney Disease For The Pcp, Lilli Flink, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Learning Objectives
- Define CKD
- Review screening guidelines for CKD
- Review staging of CKD
- Outline diagnostic approach
- Review primary care management
- Understand indications for referral to specialty care
Improving Practice Accessibility Through Mychart Utilization, G. Bires, M. Taskier, P. Padgaonkar, L. Flink, R. Wiley, S. Newsom, J. Mitchell, S. Cokenakes, J. Schutzman, A. Nwaobasi, T. Huang
Improving Practice Accessibility Through Mychart Utilization, G. Bires, M. Taskier, P. Padgaonkar, L. Flink, R. Wiley, S. Newsom, J. Mitchell, S. Cokenakes, J. Schutzman, A. Nwaobasi, T. Huang
House Staff Quality Improvement and Patient Safety Conference (2020-)
Aims for Improvement
- Increase patient portal MyChart activation for a cohort of approximately 2,000 patients at JFMA by 1% from February to April 2021.
- Demonstrate evidence of utilization including appointment scheduling, results review, and communication with providers through MyChart after activation.
Team-Based Outreach To Improve Colorectal Cancer Screening Rates In An Urban Family Medicine Practice, Alexa Waters, Md, Olivia Seecof, Md, Graham Stratton, Md, Caitlyn Haines, Md, Brittany Hozick, Md, Jose Medina, Md, Kathryn Topalis, Md, Hannah Facey, Md, Chelsea Salas-Tam, Md, David Peters, Md
Team-Based Outreach To Improve Colorectal Cancer Screening Rates In An Urban Family Medicine Practice, Alexa Waters, Md, Olivia Seecof, Md, Graham Stratton, Md, Caitlyn Haines, Md, Brittany Hozick, Md, Jose Medina, Md, Kathryn Topalis, Md, Hannah Facey, Md, Chelsea Salas-Tam, Md, David Peters, Md
House Staff Quality Improvement and Patient Safety Conference (2020-)
Aims for Improvement
- Aim to increase CRCS rates for our resident team patients by 5% by May, 2021
- Target Population (n=99): Age 50-74, due for CRCS, office visit within last 2 years, team resident listed as PCP, active on MyChart, and speak English
Polycystic Ovarian Syndrome For The Pcp, Madeline Taskier, Md
Polycystic Ovarian Syndrome For The Pcp, Madeline Taskier, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Objectives
- Define PCOS
- Outline varying diagnostic criteria
- Briefly review pathophysiology and diagnostic approach
- Review primary care management of PCOS symptoms
- Summarize role of PCP for clinical monitoring
- Explore influence of PCOS on fertility and pregnancy
Mindset, Medicine And You, Gregory A. Jaffe, Md, Msed
Mindset, Medicine And You, Gregory A. Jaffe, Md, Msed
Department of Family & Community Medicine Presentations and Grand Rounds
Objectives
- Describe the differences between a fixed and growth mindset
- State phrases that encourage growth mindset
- Apply growth mindset techniques to medical education
Sports Medicine Update For The Pcp, Jeremy D. Close, Md
Sports Medicine Update For The Pcp, Jeremy D. Close, Md
Department of Family & Community Medicine Presentations and Grand Rounds
No abstract provided.
Acupuncture For Pain, Julita Mitchell, Md
Acupuncture For Pain, Julita Mitchell, Md
Department of Family & Community Medicine Presentations and Grand Rounds
Objectives
➢ To introduce basic acupuncture theory and proposed mechanisms.
➢ To describe a typical acupuncture encounter.
➢ To outline the indications for acupuncture.
➢ To explore clinical evidence behind acupuncture for pain
○ Knee osteoarthritis, low back pain, headache
➢ Review AAFP Clinical Recommendations for acupuncture.
➢ To discuss logistical aspects of acupuncture referral.
Service Use By Medicaid Recipients With Serious Mental Illness During An Rct Of The Bridge Peer Health Navigator Intervention, Erin L Kelly, Benjamin Hong, Lei Duan, Laura Pancake, Heather Cohen, John S Brekke
Service Use By Medicaid Recipients With Serious Mental Illness During An Rct Of The Bridge Peer Health Navigator Intervention, Erin L Kelly, Benjamin Hong, Lei Duan, Laura Pancake, Heather Cohen, John S Brekke
Department of Family & Community Medicine Faculty Papers
OBJECTIVE: Integration of general medical care and mental health care is a high priority for individuals with serious mental illnesses because of their high risk of morbidity and early mortality. The Bridge is a peer-led, health navigator intervention designed to improve access to and use of health care and self-management of medical services by individuals with serious mental illnesses. This study expands on a previous study in which the authors examined participants' self-reported outcomes from a 12-month randomized controlled trial of the Bridge. In the study reported here, Medicaid data were used to assess the impact of the intervention on …