Open Access. Powered by Scholars. Published by Universities.®
- Institution
- Keyword
-
- Vermont (435)
- Connecticut (94)
- Maine (61)
- Screening (45)
- Diabetes (44)
-
- Obesity (42)
- Primary care (42)
- Education (39)
- Exercise (36)
- Depression (30)
- Mental health (29)
- New York (29)
- Patient education (28)
- Nutrition (26)
- Prevention (26)
- Rural (25)
- Opioid (23)
- Diet (22)
- COVID-19 (21)
- Primary Care (21)
- Vaccine (21)
- Anxiety (20)
- Elderly (20)
- Health (19)
- Suboxone (19)
- Addiction (18)
- Mental Health (18)
- Family Medicine (16)
- Children (15)
- Food insecurity (15)
- Publication Year
- Publication
-
- Family Medicine Clerkship Student Projects (938)
- Posters (4)
- Physician Assistant Scholarly Project Posters (3)
- Providence Pharmacy PGY2 Program at Providence Medical Group 2023 (2)
- 0064: Marshall University Oral History Collection (1)
-
- Books (1)
- Costas T. Lambrew Research Retreat 2021 (1)
- Costas T. Lambrew Research Retreat 2023 (1)
- Poster Presentations (1)
- Providence Pharmacy PGY1 Program at Providence Portland and Providence St. Vincent Medical Centers 2023 (1)
- REACH: Research Evidence-to-Action for Community Health (1)
- Spring 2022 Virtual OTD Capstone Symposium (1)
Articles 91 - 120 of 955
Full-Text Articles in Medicine and Health Sciences
Community Doula Resources In Vermont, Grace Merritt
Community Doula Resources In Vermont, Grace Merritt
Family Medicine Clerkship Student Projects
Doulas are an important but underutilized resource in the perinatal period. This project explores the benefits of doula care and provides resources for patients and providers at the UVMMC Family Medicine - South Burlington clinic. The result of this project was to produce an Epic dot phrase that providers can use and share with patients. This project concludes by addressing limitations of doula care and provides suggestions for follow-up and future projects.
Assisting Rural Mat Patients Through Peer Social Support, Anthony Plochocki
Assisting Rural Mat Patients Through Peer Social Support, Anthony Plochocki
Family Medicine Clerkship Student Projects
Throughout the COVID19 Pandemic, there has been a spike in opioid relapse and opioid overdose related death. This problem, though multifactorial, can be attributed to lack of social outlets for MAT patients. Now that different social support groups are reopening, there is a greater emphasis placed on groups for patients suffering with alcoholism rather than those suffering from opioid addiction. This project hopes to plant the seeds for group therapy for MAT patients, giving them a social outlet with the hopeful outcome assisting patients with forming non-user networks.
Affordable Housing In The Northeast Kingdom, Alayna M. Westcom
Affordable Housing In The Northeast Kingdom, Alayna M. Westcom
Family Medicine Clerkship Student Projects
Housing is an important social determinant of health for each patient. Affordable housing can be hard to find in many rural areas across the state of Vermont. North Country Hospital identified affordable housing as one of the top community and social needs during the 2021 Community Needs Assessment.
Obtaining A Gender-Affirming Sexual History With Gender Nonconforming And Transgender Patients, Gabriela Bosmenier Cruz
Obtaining A Gender-Affirming Sexual History With Gender Nonconforming And Transgender Patients, Gabriela Bosmenier Cruz
Family Medicine Clerkship Student Projects
This project introduces a methodology to change how providers ask the 5 P's of a sexual history using gender-affirming language. Obtaining a gender-affirming sexual history will improve sexual health care, especially with gender nonconforming and transgender patients. Taking time to discuss sexual health and function can lead to prompt identification of sexual problems, risk-taking behaviors, and infection prevention. Using appropriate language to communicate with all patients can lead to better doctor-patient relationship.
Colorectal Cancer Screening In The Primary Care Setting: Community Outreach To Improve Screening Rates, Liberty J. Dupuis
Colorectal Cancer Screening In The Primary Care Setting: Community Outreach To Improve Screening Rates, Liberty J. Dupuis
Family Medicine Clerkship Student Projects
Colorectal cancer remains a leading cause of death from cancer in men and women in the U.S. and worldwide. Screening for colorectal cancer beginning at age 45 offers the opportunity for early intervention and decisive treatment for precancerous colon polyps as well as the early identification of cancer. This project aims to assess preferences around recommendations for colorectal cancer screening tests amongst a group of primary care providers as well as barriers that are commonly cited to those providers by patients who do not undergo or complete screening. The results of the provider survey were used to make recommendations for …
Addressing Distinct Health Needs Of People With Disabilities, Tyler A. Harkness Bs
Addressing Distinct Health Needs Of People With Disabilities, Tyler A. Harkness Bs
Family Medicine Clerkship Student Projects
One in five adults (21%) in the state of Connecticut is living with a disability of some kind, whether it be intellectual or physical. When compared to people without disabilities, people with disabilities are at increased risk for adverse health outcomes such as diabetes, cardiovascular disease, and depression; are more likely not to be able to see a physician due to cost; and have worse self-rated health. Barriers to addressing these disparities are two-fold: primary care physicians lack sufficient guidance on health needs of people with disabilities, and caretakers, who are often either family members or conservators, find themselves stretched …
Increasing Narcan Distribution In A Primary Care Setting, Charlotte Evans
Increasing Narcan Distribution In A Primary Care Setting, Charlotte Evans
Family Medicine Clerkship Student Projects
Opioid use and overdoses are an ongoing health issue in Maine, especially in the Lewiston/Auburn metropolitan area. While Maine has a robust Narcan distribution system, it is not frequently given out in primary care settings. Though interviews and an anonymous survey, it seems the reason behind this is multifaceted, so multiple interventions were created to target both patient awareness and education and provider screening and prescription, with the goal of increasing distribution in this setting.
Provider Education On Annual B12 Levels In Patients On Metformin, Callan Gravel-Pucillo Mms
Provider Education On Annual B12 Levels In Patients On Metformin, Callan Gravel-Pucillo Mms
Family Medicine Clerkship Student Projects
Education of primary care providers about the current recommendations, guidelines, and caveats surrounding obtaining annual B12 levels in patients on metformin to screen for deficiency. Education was based off of informal survey results assessing providers' current practices and the preferred medium through which they wanted to recieve educational content. Educational content was presented in a flowchart format for ease of use and distributed at both practice sites for providers to hang at their workstations.
Transitioning To Asq Online At Colchester Family Medicine, Katie Barker
Transitioning To Asq Online At Colchester Family Medicine, Katie Barker
Family Medicine Clerkship Student Projects
Development screenings are an important part of well-child visits for early identification of a developmental delay. Early identification and appropriate intervention allow for better functional outcomes for patients, preventing the worsening of a delay. Currently, only 38% of these screenings are completed at Colchester Family Medicine. With the aid of Help Me Grow, a national organization dedicated to connecting families to community resources to allow children to reach their full potential, Colchester Family Medicine should transition to ASQ online, an online version of its current screening tool. This would increase completion rates, improve accuracy of results and allow for a …
Utilization Of Pocus In Family Medicine At Cmmc, Jacob P. Cappiello
Utilization Of Pocus In Family Medicine At Cmmc, Jacob P. Cappiello
Family Medicine Clerkship Student Projects
Maine has a significant portion of patients who live in a rural area far from doctor’s offices and medical centers. Combined with a low SES population where transportation issues are common, POCUS can be an invaluable tool in an FM practice to reduce the number of appointments, and travel needed, for patients in need of healthcare. Access to Care was the number two health priority in the Franklin County community health needs assessment. This project surveyed family medicine practitioners at CMMC about their experience with, clinical use of, and willingness to continue education in POCUS. This survey had few respondents …
Managing Constipation: A Community-Level Intervention In Newtown, Ct, Weida Ma
Managing Constipation: A Community-Level Intervention In Newtown, Ct, Weida Ma
Family Medicine Clerkship Student Projects
The prevalence of chronic constipation in adults is 10-15%. Constipation is associated with a lower quality of life and poorer psychological well-being. This goal of this project was to perform a community-level intervention by creating a pamphlet detailing first-line lifestyle modification and over-the-counter laxatives for the treatment of consitpation to be handed out at a primary care office in Newtown, CT.
Over-The-Counter Approval Of Progestin-Only Pills, Hannah Grace Donovan
Over-The-Counter Approval Of Progestin-Only Pills, Hannah Grace Donovan
Family Medicine Clerkship Student Projects
Most women in the United States use contraception at some point in their life. While there are many types of short- and long-acting reversible birth control options available via prescription, the oral contraceptive pill (OCP) remains the most used reversible contraceptive agent. The proportion of those using an OCP is inversely proportional with age; more specifically, people who can get pregnant between the ages of 15 and 29 use OCPs most frequently. However, people in this age range may face increased barriers to obtaining contraception, such as cost, insurance, social and familial factors, policy, transportation, and access to healthcare. In …
Expanding Awareness Of Air Quality And Health Impacts In The Clinical Setting, Caitlin Early
Expanding Awareness Of Air Quality And Health Impacts In The Clinical Setting, Caitlin Early
Family Medicine Clerkship Student Projects
Smoke from Canadian wildfires has greatly impacted the air quality in Vermont this year, 2023. Poor air quality can lead to an increase in inflammatory reactions in the body, for example increasing asthma and COPD exacerbations and causing symptoms in those with cardiovascular disease. This project aimed to improve awareness of the negative health impacts of poor air quality, particularly for those patients with existing lung and heart disease, those of older age, and children. This intervention sparked conversation between patients and providers to discuss symptoms, medication refills, and recommendations for poor air quality days. With lines of communication open …
Transportation To Little Rivers Health Clinic In Wells River, Vermont, Anupama Balasubramanian
Transportation To Little Rivers Health Clinic In Wells River, Vermont, Anupama Balasubramanian
Family Medicine Clerkship Student Projects
Transportation to healthcare appointments is one of the biggest challenges that rural patients face. Currently, there are no resources available to patients at Little Rivers Health Care that can help them with transportation-related knowledge. This project aims to create a guide that improves patients' understanding of the options they have available in getting to their appointments.
Contraceptive Education And Resource Provision In Male-Dominated Rural Family Medicine Clinic, Christine E. Horn
Contraceptive Education And Resource Provision In Male-Dominated Rural Family Medicine Clinic, Christine E. Horn
Family Medicine Clerkship Student Projects
Many women, particularly adolescent women, are uncomfortable discussing sexual health and contraception options with male providers and prefer to see female providers; however, in rural areas, there are barriers to seeing female providers including low physician density, long travel distances to clinics, and long waitlists. The project's primary goal was to bridge the knowledge gap surrounding contraception among adolescents in a rural area of Vermont, the Mad River Valley, while ensuring that healthcare providers at the local male-dominated family medicine office, CVMC Mad River, are equipped with up-to-date information regarding contraception prescribing recommendations. The project entailed 1) creation of a …
Pamphlet Of Preventative Immunization And Screening Recommendations For Adult Women, Annie Glessner-Fischer
Pamphlet Of Preventative Immunization And Screening Recommendations For Adult Women, Annie Glessner-Fischer
Family Medicine Clerkship Student Projects
This project seeks to consolidate common immunization recommendations and preventative screening recommendations for adult women 18 years and older, based on the U.S. Preventative Services Task Force and Centers for Disease Control and Prevention recommendations. This resource should be offered to patients of the primary care office, with the goal of providing information in a concise and approachable manner that allows patients to review general recommendations on their own, generate questions or express concerns about their health, and encourage patients to advocate for their own health and well-being. With this intervention, the broader goal is to increase immunization rates and …
Naloxone Community Engagement Project, Olivia E. Domingue
Naloxone Community Engagement Project, Olivia E. Domingue
Family Medicine Clerkship Student Projects
This abstract focuses on the distribution of naloxone from Milton Family Medicine, a family medicine practice in rural Vermont. By interviewing representatives involved in the distribution of naloxone throughout the state, I pinpointed ways to best advertise naloxone to the patient community in Milton, provide information around harm reduction practices and naloxone administration and simultaneously dispel stigma regarding overdose prevention.
Improving Retinopathy Screening For Patients With Diabetes: Optometrists Accepting New Patients On Medicaid +/- Interpreter Services, Kassondra M. Little
Improving Retinopathy Screening For Patients With Diabetes: Optometrists Accepting New Patients On Medicaid +/- Interpreter Services, Kassondra M. Little
Family Medicine Clerkship Student Projects
For patients with diabetes, screening for microvascular complications like retinopathy requires annual retinal photography or dilated fundoscopy to identify and mitigate processes that can cause preventable blindness. Yet, by measures at the state and federal level, the percent of patients achieving this care is below target. At the Community Health Centers of Burlington (CHCB), the barriers responsible for this include uncertainty among patients and providers about which local optometry offices accept Medicaid, are scheduling new patients and have interpreter services available. This project aimed to improve retinopathy counseling, the achievement of retinopathy screening and the time burden placed on providers …
Interpreting Your Cholesterol Panel – A Patient-Centered Infographic, Kadi Nguyen
Interpreting Your Cholesterol Panel – A Patient-Centered Infographic, Kadi Nguyen
Family Medicine Clerkship Student Projects
While lipid panels are a staple of lab work for patients receiving annual wellness exams, many patients struggle to interpret their results and understand how cholesterol levels play a major role in their health. This project will center upon the creation of an easily accessible, straightforward infographic/guide designed to educate patients on the purpose of a cholesterol panel, the meaning of the results they receive, and recommended lifestyle modifications to optimize lipid levels.
Patient Education: How Air Quality Can Impact Health, Michelle Falcone
Patient Education: How Air Quality Can Impact Health, Michelle Falcone
Family Medicine Clerkship Student Projects
No abstract provided.
Caring For Caregivers, Lily Deng
Caring For Caregivers, Lily Deng
Family Medicine Clerkship Student Projects
Aging populations and chronic conditions have shifted care from hospital settings to community and family settings, caregiver burden is increasing. This project was focused on understanding the factors that impact the wellbeing of caregivers of patients with chronic conditions/cancer. Focus is also on identifying barriers to accessing support and increasing awareness of available community support resources.
Screening For Ptsd In Veterans And Expanding Awareness Of Ptsd Resources, Bradford R. Clark, Audree S. Baroni
Screening For Ptsd In Veterans And Expanding Awareness Of Ptsd Resources, Bradford R. Clark, Audree S. Baroni
Family Medicine Clerkship Student Projects
The prevalence of veterans with PTSD not known in Hinesburg, Vermont. Primary care providers should be aware of available resources for veterans in the state of Vermont for alternative therapeutic modalities.
Increasing Patient Education On Proper Antibiotic Stewardship, Arif S. Ahsan
Increasing Patient Education On Proper Antibiotic Stewardship, Arif S. Ahsan
Family Medicine Clerkship Student Projects
Antibiotic resistance is a growing public health issue in the United States. Coinciding with this, patients often inappropriately self-treat infections using antibiotics. Locally, this causes complications in treating patients in an outpatient setting, and nationally, this causes an increased economic burden on the United States healthcare system. A handout was developed for distribution at pharmacies in order to better educate patients on proper antibiotic stewardship, based on information that providers believed to be most important for patients to know.
Pamphlet To Promote Patient Education On Hypertension And Diabetes, John J. Braidt
Pamphlet To Promote Patient Education On Hypertension And Diabetes, John J. Braidt
Family Medicine Clerkship Student Projects
Diabetes and hypertension are prevalent in the United States, and are among the most common reasons for office visits. Control rates for hypertension have dropped in the past 5 years owing, in part, to medication non-compliance, perceptions of poor locus of control and self-efficacy, limited health care literacy and knowledge. Concerns regarding adverse effects of medications are also prevalent. This project seeks to improve patient knowledge of hypertension and present an argument for medication compliance.
Integrating Artificial Intelligence Into The Mental Health Landscape, Luke Giangregorio
Integrating Artificial Intelligence Into The Mental Health Landscape, Luke Giangregorio
Family Medicine Clerkship Student Projects
The capabilities of the mental healthcare system have been vastly outpaced by present mental health demands. Chatbots are an innovative, self-engaging, adjunctive solution that might help mitigate system-wide implementation failures in access and offer real-time support instead of just being stuck on a long provider waitlist.
Promoting Fluoride Varnish In Non-Fluoridated Communities, Greenfield Ma, Leland Nguyen
Promoting Fluoride Varnish In Non-Fluoridated Communities, Greenfield Ma, Leland Nguyen
Family Medicine Clerkship Student Projects
Community water fluoridation has been shown to save money, both for families and the health care system. Fluoride benefits children and adults throughout their lives; leading to fewer and less severe cavities, fewer fillings and extractions, less pain and suffering from tooth decay. This project looks into the public sentiment in Greenfield, MA surrounding fluoride and works to promote fluoride varnish treatment at doctors visits for children ages 6 months to 5 years of age. Also included is an information sheet with an oral health questionnaire that would help guide patients and physicians towards better oral health.
Screening For Areca (Betel) Nut & Quid Use, Gabriela Sarriera Valentin Ms
Screening For Areca (Betel) Nut & Quid Use, Gabriela Sarriera Valentin Ms
Family Medicine Clerkship Student Projects
Standardized screening tools for patients who use betel quit and areca nut products do not currently exist. Given the increased risk of oral and oropharynx cancer development in this patient population, increasing awareness of this practice could result in decreased morbidity and mortality. The purpose of this project is to (1) increase provider awareness of this cultural practice and its associated health consequences, (2) to develop a screening tool, and (3) to propose suggested follow-up when concerning lesions are identified.
Pediatric Firearm Safety: Education For Caregivers, Brittney Palermo
Pediatric Firearm Safety: Education For Caregivers, Brittney Palermo
Family Medicine Clerkship Student Projects
No abstract provided.
Improving Knowledge Of Contraceptive Options In Teenage Male Populations, Anthony Quach
Improving Knowledge Of Contraceptive Options In Teenage Male Populations, Anthony Quach
Family Medicine Clerkship Student Projects
Despite a plethora of contraception available on the market, nearly 50% of pregnancies in Vermont are unintended. Currently, most educational initiatives aimed at improving contraceptive usage are targeted towards individuals with uteruses, and not their partners with penises. Both qualitative and quantitative data suggest that there are significant gaps in this latter population’s knowledge about contraception for various reasons like limited contraceptive education within formal sexual education in schools, lack of parental and/or physician discussions about contraception, and various complex social and cultural factors. This intervention aims to bridge the knowledge gap in this population by using an educational pamphlet. …
Bridging Cultural Barriers To Perinatal Mental Health Care In New Americans, Madeline Yvette Powell
Bridging Cultural Barriers To Perinatal Mental Health Care In New Americans, Madeline Yvette Powell
Family Medicine Clerkship Student Projects
Perinatal mental health outcomes are worse in New Americans, particularly in refugee patients. Mental health stigma and cultural differences in views on mental illness impact New Americans’ willingness to discuss mental health concerns with healthcare workers. This is in addition to language barriers, time constraints, financial barriers, and general mistrust of medical professionals.