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Articles 1 - 30 of 93
Full-Text Articles in Medicine and Health Sciences
Current Landscape Of Screening For Abdominal Aortic Aneurysms In Females, Maxwell T. Tulimieri, John G. King
Current Landscape Of Screening For Abdominal Aortic Aneurysms In Females, Maxwell T. Tulimieri, John G. King
Family Medicine Clerkship Student Projects
There is some controversy over if females are under-screened for abdominal aortic aneurysms (AAAs). The USPSTF 2019 AAA screening guidelines give an I recommendation for females 65-75 who smoke, yet the Society for Vascular Surgery (SVS) highly recommends with strong evidence a 1-time screening ultrasound for men or women age 65-75 with a tobacco history. This project entails a 10-minute recorded PowerPoint educational session for Milton Family Practice providers on the current landscape of AAA screening in females including differing practice guidelines and their histories, cause of said discrepancies, associated cost and insurance coverage, and suggested creative solutions to billing …
Expanding Awareness Of Penicillin Skin Testing And Downstream Effects From Reported Penicillin Allergies, Alia Johnson
Expanding Awareness Of Penicillin Skin Testing And Downstream Effects From Reported Penicillin Allergies, Alia Johnson
Family Medicine Clerkship Student Projects
No abstract provided.
Ordering Urgent Imaging In Outpatient Primary Care, Amanda Galenkamp
Ordering Urgent Imaging In Outpatient Primary Care, Amanda Galenkamp
Family Medicine Clerkship Student Projects
Current imaging order sets in EPIC allow for STAT (<48 hours) or routine (4-6 weeks) radiology scheduling. Patients requiring urgent imaging often are not scheduled in a timely fashion and either re-present to the office or the ED. The goal of this project was to provide a standard operating procedure to providers and staff for patients requiring urgent imaging.
Pamphlet To Promote Patient Education On Htn, John J. Braidt, Matthew Lippel
Pamphlet To Promote Patient Education On Htn, John J. Braidt, Matthew Lippel
Family Medicine Clerkship Student Projects
No abstract provided.
Hazardous Materials In Firefighting: Educating The Exposed, Gregory J. Williams
Hazardous Materials In Firefighting: Educating The Exposed, Gregory J. Williams
Family Medicine Clerkship Student Projects
This project interviewed volunteer firefighters at the Warren Fire Department to gain a better understanding of their concerns regarding exposure to chemicals while firefighting. It aims to provide information on mitigating the health risks posed by hazardous chemicals via a brochure.
Travel Medicine In Primary Care, Morgan Howlett
Travel Medicine In Primary Care, Morgan Howlett
Family Medicine Clerkship Student Projects
Many people will choose to travel at some point in their life. Primary care providers can be well suited to care for patients prior to travel, however this is often a less common component of their day-to-day work so they may be less familiar with travel related resources. This project aimed to evaluate available resources and create an informational handout and an EPIC dot phrase for providers to utilize when providing travel related care.
Increasing Provider Awareness Around Siblings Of Individuals With Intellectual And/Or Developmental Disability (Idd), Louisa Moore
Increasing Provider Awareness Around Siblings Of Individuals With Intellectual And/Or Developmental Disability (Idd), Louisa Moore
Family Medicine Clerkship Student Projects
Siblings of individuals with intellectual and/or developmental disabilities (IDD) are not often thought of as a group that needs support in the primary care setting. However, the literature on siblings demonstrates that they have a variety of needs, including support with future planning, caregiving, and their mental and physical health. This project aims to increase awareness of the unique experiences of siblings as well as suggest changes that can be implemented in primary care to provide better support.
Continuity Of Care In Rural Surgical Patients, Sydney M. Cardozo
Continuity Of Care In Rural Surgical Patients, Sydney M. Cardozo
Family Medicine Clerkship Student Projects
Continuity of care is an integral part of patient care and is important for reducing morbidity and mortality following hospitalizations. Medical errors are common during transitions of care, and are most frequently caused by lack of suitable discharge planning and poor communication between surgical teams, patients, and primary care physicians. This project aims to create a new standardized note template for surgery teams to use when discharging patients, with the goal of augmenting communication and efficiency during transitions of care within and outside the UVM Health Network.
Improving Identification Of Peripheral Arterial Disease In The Outpatient Setting, William Robinson
Improving Identification Of Peripheral Arterial Disease In The Outpatient Setting, William Robinson
Family Medicine Clerkship Student Projects
Over 7 million Americans are known to have peripheral arterial disease (PAD). However, it is well established that many more live with the disease and are simply undiagnosed, often due to variations in presentation. Presence of PAD is associated with significant morbidity and mortality, but when caught in its early stages, progression can be slowed with simple conservative measures. Therefore, a more targeted screening program with in-office ankle-brachial index capability (sensitivity and specificity >90% for diagnosing PAD) could identify a debilitating disease much earlier in its course regardless of symptom presentation, and create an opportunity to significantly improve preventative health …
Safer Prescription Opioid Use In The Greater Danbury Area, Ying K. Loo
Safer Prescription Opioid Use In The Greater Danbury Area, Ying K. Loo
Family Medicine Clerkship Student Projects
Opioid use disorder continues to be a major public health concern worldwide, with over 16 million people affected, and is associated with increased health care costs, reduced quality of life, lost productivity, and loss of life due to opioid overdose deaths. The neurobiology and susceptibility for opioid dependence and addiction is not well-understood by patients, and the lack of understanding of the safe use of prescription opioid regarding its intended effect of pain-relief versus other potential side effects and withdrawal symptoms may lead to misuse. This community health improvement project aims to empower patients and their family members to better …
Dinner Table Talks: How Healthy Eating Behavior And Body Positivity Start At Home, Megala Loganathan
Dinner Table Talks: How Healthy Eating Behavior And Body Positivity Start At Home, Megala Loganathan
Family Medicine Clerkship Student Projects
Body dysmorphia, eating disorders, and unhealthy eating behaviors all share a large sociocultural component. A family medicine practice is the perfect place to start educating patients about their attitudes surrounding food and how the effects of their relationship with food and their bodies can be felt in the home environment. Hearing many patients share that their mental and physical health struggles stemmed from how they learned to perceive things as children inspired me to take advantage of the trickle down effects of patient education. The goal of this project is to make and distribute a pamphlet that addresses ways to …
Consent Education For Adolescents, Paige T. Song
Consent Education For Adolescents, Paige T. Song
Family Medicine Clerkship Student Projects
In primary care practices, prevention and early intervention is key. Educating adolescent patients about consent and reinforcing the topic early on may help to decrease the downstream prevalence of sexual violence.
Patient Rights To Prescription Glasses, Louis Briones
Patient Rights To Prescription Glasses, Louis Briones
Family Medicine Clerkship Student Projects
Uncorrected Refractive Error (URE) accounts for vision loss in millions of Americans. Eyeglasses are the simplest and safest way to correct refractive errors. Prescription eyewear coverage is not universally covered across most health insurance policies. This project details Medicare and Vermont Medicaid coverage for Prescription Glasses. Also included is information outlining where to buy affordable frames and organizations in Vermont that can help acquire prescriptions not covered by insurance.
Promoting Music Therapy Referrals For Neurodivergent Children, Benjamin M. Glickman
Promoting Music Therapy Referrals For Neurodivergent Children, Benjamin M. Glickman
Family Medicine Clerkship Student Projects
Music therapy is perhaps an underutilized, underfunded, and undervalued part of the tool kit available to physicians, parents and children with ASD and other developmental disabilities within Clinton County. There are opportunities to increase referrals for music therapy for children receiving care at the CVPH Family Medicine Center and within the county.
Cyanobacteria Blooms: Raising Awareness In A Primary Care Setting, Eliza A. Bradley
Cyanobacteria Blooms: Raising Awareness In A Primary Care Setting, Eliza A. Bradley
Family Medicine Clerkship Student Projects
No abstract provided.
Guide2labs: Integrated Patient Education In Epic, Jared Stone
Guide2labs: Integrated Patient Education In Epic, Jared Stone
Family Medicine Clerkship Student Projects
This project aimed to build on a prior family medicine clerkship project which designed a pamphlet containing high-yield facts to help patients interpret common lab results. An Epic SmartPhrase was created from this information and made available for all users at Colchester Family Medicine. Fewer messages from patients inquiring about lab values would be expected to be routed to providers if this intervention were successful upon further evaluation. Future projects could create SmartPhrases which cover other frequently ordered tests, such as complete blood counts with differential, thryoid cascade, iron studies and urinalysis.
Community Resilience In Vermont After The 2023 Flooding Event, Alex Poniz
Community Resilience In Vermont After The 2023 Flooding Event, Alex Poniz
Family Medicine Clerkship Student Projects
Between July 10th-11th 2023 Vermont experienced catastrophic flooding after receiving prolonged heavy rainfall of up to 9” over 48 hrs. Damage from the 2023 event rivals the historic destruction of Hurricane Irene in 2011 and is exceeded only by the Great Vermont Flood of 1927, an event predating modern flood controls. We collected oral histories from Vermonters to better understand their lived experience of the flood and its impacts, and identifed common themes related to community and individual resilience.
Weighty Words: Addressing Weight Bias In Primary Care, Jharna Jahnavi
Weighty Words: Addressing Weight Bias In Primary Care, Jharna Jahnavi
Family Medicine Clerkship Student Projects
Weight bias in healthcare impacts a great proportion of patients. In some ways, weight bias often goes unaddressed compared to other forms of discrimination and spans across diverse groups of people resulting a double burden of bias in patients with intersecting marginalized identities. It is essential that providers and healthcare workers are better trained in building inclusivity for patients of all weights and body types to improve healthcare access and acceptance. Patients who experience weight bias in the office are less likely to return for routine preventative care and less likely to feel safe and comfortable with their providers. This …
Diabetic Foot Wound Care, Richard Q. Vuong
Diabetic Foot Wound Care, Richard Q. Vuong
Family Medicine Clerkship Student Projects
Diabetic foot wound care educational pamphlet developed during the family medicine rotation for 3rd-year medical students. This project was developed in Brookfield, CT.
Attention Deficit Hyperactivity Disorder: What Caregivers Should Know, Linda L. Cui
Attention Deficit Hyperactivity Disorder: What Caregivers Should Know, Linda L. Cui
Family Medicine Clerkship Student Projects
ADHD is a common neurodevelopmental disorder. Caregivers of children recently diagnosed with ADHD often have many questions about ADHD and how to best support their children. This project aims to provide educational materials that can be distributed to patients during or after a clinical visit.
Promoting Safe Sex Practices And Sexually Transmitted Infection Prevention In The Adolescent Population In Ridgefield, Ct, Gina Jin
Family Medicine Clerkship Student Projects
Adolescents are a uniquely at-risk population for the spread of preventable sexually-transmitted infections. Direct lifetime medical costs of sexually transmitted infections (per CDC) is nearly $16 billion in the United States. Nearly half (46%) of all new STIs in the country occur among young people (ages 15-24). Because of this, effective STI prevention in the adolescent population is important and should be further investigated.
Road Program Educational Case Series, Clifford A. Reilly
Road Program Educational Case Series, Clifford A. Reilly
Family Medicine Clerkship Student Projects
This project was done in conjunction with the Refocus on Alcohol Dependence (ROAD) program, which has been working to create low barrier treatment options for alcohol use disorder (AUD) in the Central Vermont community. This project was a series of educational cases designed to help primary care providers feel more comfortable with the medications and associated dosages used in the treatment of AUD, raise awareness about community resources in treating AUD, and provide the most current overall treatment recommendations.
Improving Depression Screening Protocol And Subsequent Sbirt Referrals, Mclaine S. Rich
Improving Depression Screening Protocol And Subsequent Sbirt Referrals, Mclaine S. Rich
Family Medicine Clerkship Student Projects
As a federally qualified health center, Lamoille Health Family Medicine receives annual data evaluating their performance in a number of categories. They exceeded expectations in screening eligible patients for depression, yet did not see the same success in referrals following a positive screening. After discussing with nursing and physician staff it became clear that there were discrepancies regarding office workflow/specific responsibilities. Moreover, some physicians expressed that they were unsure exactly how to handle positive screening results. This flowsheet developed will alleviate confusion in who is responsible for each step of screening, and uses evidence based guidelines for when to refer …
Nutritional Literacy: Enhancing Community Health Through Pamphlet Education, Jordan Franco
Nutritional Literacy: Enhancing Community Health Through Pamphlet Education, Jordan Franco
Family Medicine Clerkship Student Projects
Research suggests that individuals with limited nutritional literacy may struggle to make informed decisions about their food choices. Such individuals could derive benefits from targeted interventions aimed at enhancing their comprehension and utilization of nutrition label information. This project addresses this issue by enhancing the nutritional literacy of local food pantry clients through the distribution of an informative pamphlet designed to improve their understanding of nutrition.
Ambulance Service Coverage In Rural Coventry, Vermont, Katelynn Briere
Ambulance Service Coverage In Rural Coventry, Vermont, Katelynn Briere
Family Medicine Clerkship Student Projects
Ambulance service coverage is made difficult by the rural landscape of many Vermont towns. Discrepancies in quality and cost of ambulance service providers can make it difficult for town administrators to decide which service would be best for their town. This decision is even more important in towns like Coventry, Vermont where there is no in-town ambulance service. Providing town administrators with informative documents is one way to assist them in the decision making process.
Improving Healthcare For Coptic Egyptian Migrants, Lorena Ayoub
Improving Healthcare For Coptic Egyptian Migrants, Lorena Ayoub
Family Medicine Clerkship Student Projects
There is very little known about Coptic Egyptian migrant health in the current literature. Exploring health beliefs and behaviors in regard to seeking medical care is important. Additionally, understanding how the Coptic church plays a role in healthcare is essential as many Coptic individuals believe spirituality influences physical health.
Improving Access To And Quality Of Self-Guided Physical Therapy Exercises At Home For Patients Residing In Regions With Limited Resources, Matthew R. Rzemien
Improving Access To And Quality Of Self-Guided Physical Therapy Exercises At Home For Patients Residing In Regions With Limited Resources, Matthew R. Rzemien
Family Medicine Clerkship Student Projects
Access to physical therapy can be a challenge for those residing in resource-limited settings such as a rural area like Essex County, New York. Nonetheless, musculoskeletal complaints are some of the most common reasons patients seek care in primary care clinics. In areas that lack the availability of formal physical therapy, clinicians often provide patients with instructions on how to perform exercises at home to help improve their pain. This project sought to bolster the resources available to distribute to patients to improve the quality of self-guided physical therapy exercises at home.
Patient Pamphlet For Basic Lab Values, Robert A. Adamian
Patient Pamphlet For Basic Lab Values, Robert A. Adamian
Family Medicine Clerkship Student Projects
As a result of lab results being immediately available to patients online, many patients experience unnecessary anxiety when viewing their results before speaking with their physician. Misleading lab values and increased patient concerns lead to more time spent by physicians answering messages on EPIC, which adds to the burden of public health costs. To combat this, a double-sided pamphlet was made with quick high yield facts about lab data that patients can use for information in the time between seeing their results and communicating with their doctor.
Suicide Screening At Tchc, William J. Yakubik Iii
Suicide Screening At Tchc, William J. Yakubik Iii
Family Medicine Clerkship Student Projects
Vermont is currently battling with a mental health epidemic and one of the consequences of mental illness is suicide and self-harm. According to the Vermont Department of Health Vermont’s suicide rate is higher than the national average and suicide is the 8th leading cause of death in the state. Every part of medicine especially primary care is struggling with providing adequate resources for the demand needed to provide quality mental health care. Thomas Chittenden Health Center (TCHC) is no stranger to these demands and is working on ways to ensure each patient has access to the care they need. The …
Improving Primary Care Competency In Gender Affirming Care, Kae Luci Ravichandran
Improving Primary Care Competency In Gender Affirming Care, Kae Luci Ravichandran
Family Medicine Clerkship Student Projects
No abstract provided.