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Addiction Recovery Support: Connecting Primary Care Providers And Community Resources, Amber J. Meservey Jan 2017

Addiction Recovery Support: Connecting Primary Care Providers And Community Resources, Amber J. Meservey

Family Medicine Clerkship Student Projects

Addiction to drugs and alcohol is a pervasive problem throughout Vermont and the U.S., and only a fraction of those needing help receive it. The vast majority of admissions to substance abuse treatment programs do not come from healthcare providers, who report a lack of preparedness in managing addiction screening and referrals. Recognizing that Family Medicine Providers are likely to be caring for many patients struggling with substance abuse, this project aims to improve provider familiarity with local resources. In particular, this project focuses on promoting long-term retention in self-help group programs, as these have been demonstrated to be the …


Primary Care To The Rescue, Again! Autopsy And The Death Certificate, Emily E. Ryan Jan 2017

Primary Care To The Rescue, Again! Autopsy And The Death Certificate, Emily E. Ryan

Family Medicine Clerkship Student Projects

An pre and post testing, an educational module, a presentation, and a dot phrase were developed to improve providers' knowledge of the hospital autopsy and the correct completion of death certificates.


Vermont Food Insecurity: Implementing Screening Tools And Interventional Assistance At Thomas Chittenden Health Center, Quinn Self Jan 2017

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 …


Barriers To Affordable Prescriptions In Rural Vermont, Niketu P. Patel Jan 2017

Barriers To Affordable Prescriptions In Rural Vermont, Niketu P. Patel

Family Medicine Clerkship Student Projects

This project aimed at understanding why people in Rutland County, Vermont struggle with buying medications for their health. The project implemented and proposed several methods to help the population of Rutland area better adapt to the growing cost of prescriptions via $4 medication lists, rebates, samples, etc.


Improving Community Health With Affordable Internet Access, Joshua Jeremy Pothen Jan 2016

Improving Community Health With Affordable Internet Access, Joshua Jeremy Pothen

Family Medicine Clerkship Student Projects

Internet access is associated with increases in health information seeking and benefits in health statuses. However, many individuals of low socioeconomic status (SES) lack Internet access, thereby creating significant disadvantages from a health perspective. In this project, we describe a potential project for providing affordable Internet access to a neighborhood of Newport, VT containing many SES individuals. This network includes a splash page that provides regular health event promotion and health information dissemination to everyone connecting the network. We then discuss how to determine the impacts of the Internet on multiple aspects of health within the community.


Attitudes Toward Influenza Vaccination, Miles W. Grunvald Jan 2016

Attitudes Toward Influenza Vaccination, Miles W. Grunvald

Family Medicine Clerkship Student Projects

Influenza contributes to millions of dollars in healthcare expenses, lost economic productivity and morbidity and mortality of the Chittenden County, VT population. Despite the dire costs of influenza illness, yearly vaccination rates remain low in Vermont and Chittenden County. This study utilized a survey that aimed to gauge the attitudes toward influenza vaccination of patients at the Hinesburg Family Practice. Results of this study suggest that patients under 35 have lower attitude scores (p= 0.035) and that patients with high school level education or bachelor’s level education are more likely to have a negative attitude towards influenza vaccination. Only 60 …


Introducing Opiate Addicts To The Hub And Spoke Treatment System In Vermont, Richard T. Carrick Jan 2016

Introducing Opiate Addicts To The Hub And Spoke Treatment System In Vermont, Richard T. Carrick

Family Medicine Clerkship Student Projects

Opiate abuse and addiction is an epidemic in the state of Vermont. Brandon Medical Center has recently become involved in Vermont's "Hub and Spoke" system of medically assisted opiate addiction treatment. This project involved the development of a pamphlet for safe, low-threshold transmission of information regarding opiate addiction and entrance into this system for patient's who may be suffering from this disease.


Abortion Resources Patient Handout Smartphrase, Andre A. Robinson Jan 2016

Abortion Resources Patient Handout Smartphrase, Andre A. Robinson

Family Medicine Clerkship Student Projects

Many patients in Vermont need to seek abortion care outside of their regular doctors office. When a patient discovers that she is pregnant there should be a non-biased conversation about options as part of The Patient Centered Medical Home. This resource includes: where to go for an abortion, how to pay for it, who to call for support, and advice on how to avoid biased institutions.


Determining Barriers To Oral Health Care In Bennington County, Taylor Goller Ms-3 Jan 2015

Determining Barriers To Oral Health Care In Bennington County, Taylor Goller Ms-3

Family Medicine Clerkship Student Projects

Bennington County has some of the worst oral health outcomes in the state of Vermont. A survey was designed to assess current oral health problems, maintenance habits, and barriers to oral health services access. Results are preliminary.


Community Perception Of Electronic Cigarettes And Their Role As Smoking Cessation Aids, Alejandro Velez Jan 2015

Community Perception Of Electronic Cigarettes And Their Role As Smoking Cessation Aids, Alejandro Velez

Family Medicine Clerkship Student Projects

The popularity of electronic cigarettes is increasing, yet the research is lagging behind. In an effort to better understand, and therefore better advice our patients, a small number of current daily cigarette smokers were surveyed on their understanding of electronic cigarettes and their usage. Two smoking cessation counselors were also interviewed to better contextualize the role of electronic cigarettes as possible smoking cessation aids. Finally, a review of the available research was done to produce a poster, and possibly a handout, in hopes to educate all patients (regardless of their current smoking habits) regarding electronic cigarettes.


Pediatric Lipid Screening Guidelines: Information For Patients And Families, Erin R. Pichiotino, Mph Jan 2015

Pediatric Lipid Screening Guidelines: Information For Patients And Families, Erin R. Pichiotino, Mph

Family Medicine Clerkship Student Projects

Universal Pediatric Lipid Screening Guidelines are currently based on expert opinion only. Bright Futures/American Academy of Pediatrics currently recommends screening all patients ages 9-11 and again at ages 17-21. The US Preventive Services Task Force (USPSTF), however, concludes the evidence is insufficient to recommend for or against routine screening. This discordance leaves ambiguity for implementation in Family Medicine practices in Vermont. A survey of providers at Milton Family Practice showed that only 14% of providers at Milton Family Practice regularly perform lipid screening on their pediatric patients.