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Articles 31 - 60 of 440
Full-Text Articles in Medicine and Health Sciences
Increasing Access Of Outpatient Therapeutic Services For Adolescents With Persistent Symptoms After Sport-Related Traumatic Brain Injury, Natalie J. Bales
Increasing Access Of Outpatient Therapeutic Services For Adolescents With Persistent Symptoms After Sport-Related Traumatic Brain Injury, Natalie J. Bales
Family Medicine Clerkship Student Projects
Persistent symptoms lasting at least 21 days after initial traumatic brain injury occur in about 15-20% of adolescents. Initial assessment of concussions can be done using the SCAT5 and a wide variety of other standardized assessment tools. However, there are striking gaps in standard clinical procedure for follow-up care for athletes who have persistent symptoms. Furthermore, there are many issues with accessibility to therapeutic services including long wait times that prevent timely referral to those services. This pilot intervention was implemented at the University of Vermont to address those issues by providing a hotline resource for families to use and …
Adolescent Substance Use: Standardizing Screening Methods In Clinical Practice, Bryan D. Shin
Adolescent Substance Use: Standardizing Screening Methods In Clinical Practice, Bryan D. Shin
Family Medicine Clerkship Student Projects
Adolescent substance use is a highly pervasive issue that strongly correlates with increasing depression and anxiety rates. Standardized screening tools for substance use, such as the CRAFFT or the Screening to Brief Intervention Tool, are freely available but not widely utilized for every patient encounter in clinical practice. This project aimed to improve standardization of substance use screening at a primary care clinic located in Castleton, Vermont through implementation of the CRAFFT tool as an automatically-loaded form in each adolescent encounter note. The goal was to improve substance use detection rates by facilitating efficient incorporation of standardized screening into the …
Healthy Food Access And Education, Elizabeth Kelley
Healthy Food Access And Education, Elizabeth Kelley
Family Medicine Clerkship Student Projects
Providing resources and educational materials to families about healthy foods
Advance Care Planning Documentation At Mad River Family Practice, Nicole A. Walch
Advance Care Planning Documentation At Mad River Family Practice, Nicole A. Walch
Family Medicine Clerkship Student Projects
Advance care planning is a powerful tool that helps to guide clinicians and family members to make care decisions that align with a patients values when that patient is unable to speak for themselves. Advance care planning documents such as advance directives are the primary tool used to put these patient preferences in writing, but there is little information about the true rates of document completion in Vermont. This project was focused on determining how many patients at the Mad River Family Practice had advance care planning documents, developing a tracking tool in the electronic medical record to see trends …
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.
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 …
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 …
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 …
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.
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.
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.
Screening For Ptsd In Veterans And Expanding Awareness Of Ptsd Resources, Audree S. Baroni, Bradford Clark
Screening For Ptsd In Veterans And Expanding Awareness Of Ptsd Resources, Audree S. Baroni, Bradford Clark
Family Medicine Clerkship Student Projects
Veterans are at an increased risk for PTSD however widespread screening is currently not being done, so disease is going unrecognized and untreated. There are many reasons for this, including stigmatization within the military, access to care, and unknown resources. We looked at PTSD screening within the veteran population in Berlin, VT and provided resources to local providers.
Caring For Patients At Risk Of Suicide In Vermont, Lindsay R. Aldrich
Caring For Patients At Risk Of Suicide In Vermont, Lindsay R. Aldrich
Family Medicine Clerkship Student Projects
Suicide is the 9th leading cause of death in Vermont among all age groups. 34% of people who died by suicide had a primary care visit for their mental health within the last year. As a response to this statewide issue, I assisted Richmond Family Medicine’s application for this year’s Suicide-Safer Care Mini-Grant.
Perceptions Of Teleophthalmology, Kisha Kalra
Perceptions Of Teleophthalmology, Kisha Kalra
Family Medicine Clerkship Student Projects
One of the greatest burdens facing patients with eye-related pathologies is access to ophthalmologists in the area. Teleophthalmology is a way for eye examinations to be conducted in the easily-accessible primary care setting, with images sent to ophthalmologists for interpretation. This project addresses the perceptions of this model amongst patients and primary care physicians.
Stratifying Back Pain In Primary Care With The Start Screening Tool, Patrick Mcclurg
Stratifying Back Pain In Primary Care With The Start Screening Tool, Patrick Mcclurg
Family Medicine Clerkship Student Projects
No abstract provided.
Improving Patient Education Surrounding Imaging Modalities, Tayler Drake
Improving Patient Education Surrounding Imaging Modalities, Tayler Drake
Family Medicine Clerkship Student Projects
Musculoskeletal complaints are among the most common problems seen in family medicine clinics. Patients may expect that every musculoskeletal complaint requires imaging, however, they may leave the clinic without a referral to radiology. This discrepancy between reality and expectation may strain the patient-provider relationship. The goal of this project is to educate patients regarding imaging modalities and when it is appropriate for imaging to be ordered in the workup of a musculoskeletal complaint.
Supporting Patient Education During Infant Formula Shortage: Washington County, Vt, Rachel A. Wayne
Supporting Patient Education During Infant Formula Shortage: Washington County, Vt, Rachel A. Wayne
Family Medicine Clerkship Student Projects
The infant formula shortage is a current national public health concern. Many guardians of formula-fed infants are struggling to find appropriate nutrition for their babies. Families of low socioeconomic status are being disproportionately affected because many of them rely on the Women, Infants, and Children program (WIC) to obtain formula, and their formula options through this program are limited. This project aims to provide Vermont families who have formula-fed infants with education and resources to navigate the formula shortage and keep their children healthy and fed.
Increasing Awareness Of Pharmacologic Interventions For Smoking Cessation, Jeremy Frank
Increasing Awareness Of Pharmacologic Interventions For Smoking Cessation, Jeremy Frank
Family Medicine Clerkship Student Projects
Smoking is a large cause of morbidity and mortality in the healthcare system. Many patients are interested in quitting smoking but have not found an effective strategy that works for them. There have been times when patients have been receptive to a discussion regarding medication assisted cessation but ultimately were not prescribed any medications from their provider. Despite the fact that it has been proven that pharmacotherapy increases the chances of smoking cessation. The goal of this community health project is to create a change within the healthcare system by providing evidenced based recommendations regarding pharmacologic treatment in smoking cessation …
Pelvic Floor Exercises & Pelvic Physical Therapy Directory For Pregnant & Postpartum Individuals, Matthew Breseman
Pelvic Floor Exercises & Pelvic Physical Therapy Directory For Pregnant & Postpartum Individuals, Matthew Breseman
Family Medicine Clerkship Student Projects
No abstract provided.
Differentiating Annual Wellness Visits And Health Maintenance Visits, Benjamin N. Price
Differentiating Annual Wellness Visits And Health Maintenance Visits, Benjamin N. Price
Family Medicine Clerkship Student Projects
Due to recent changes in workflow at the office, many visits that should be Medicare Annual Wellness Visits are incorrectly scheduled as health maintenance visits (yearly physical). These mistakes are not always identified leading to confusion for both patients and providers and unnecessary bills for the patient
Improving Housing-Insecurity Screening In A Rural Primary Care Setting, Heather G. Giguere
Improving Housing-Insecurity Screening In A Rural Primary Care Setting, Heather G. Giguere
Family Medicine Clerkship Student Projects
Housing-insecurity and homelessness have a direct impact on individual health, and are well established causes of premature morbidity and mortality (6). Screening for housing-insecurity leads to earlier identification, and more extensive engagement of services, which can help to mitigate the individual and public health ramifications of these social determinants of health (8). The aim of this project was to improve the screening process for housing-insecurity within an rural primary care setting.
911 Or Primary Care - Who Should I Call?, Jack F. Mangn
911 Or Primary Care - Who Should I Call?, Jack F. Mangn
Family Medicine Clerkship Student Projects
US emergency departments (EDs) are overcrowded & overwhelmed - especially in Vermont. An estimated 37% of all ED visits are for non-urgent complaints. Factors associated with frequent ED use for non-urgent complaints include overestimation of disease severity and lack of understanding of services provided.
Hiv Pre-Exposure Prophylaxis (Prep): Increasing Awareness In Primary Care, Carl W. Brasch
Hiv Pre-Exposure Prophylaxis (Prep): Increasing Awareness In Primary Care, Carl W. Brasch
Family Medicine Clerkship Student Projects
Primary care is a setting that has great potential for screening and reducing the rate of HIV transmission.
Pediatric Anxiety - A Guide For Parents, Paul Mccleary
Pediatric Anxiety - A Guide For Parents, Paul Mccleary
Family Medicine Clerkship Student Projects
As of April 2022, the United States Preventive Services Task Force (USPSTF) recommends that all children age 8-18 be screened for anxiety. Whether this recommendation is due to the many changes and stress stemming from Covid-19, the community was left with a need for insight into properly addressing this issue. Whether it be for parents at home or physicians in the clinic, clear educational pamphlets identifying alarm signs and home recommendations will benefit the community.
Improving Dental Health Screening In The Primary Care Setting, Kali Amoah
Improving Dental Health Screening In The Primary Care Setting, Kali Amoah
Family Medicine Clerkship Student Projects
Oral health is an important part of systemic health that is often overlooked by patients due to various barriers to dental care. Dental caries is a public health crisis and one of the most common chronic diseases globally. Poor oral health and the resulting inflammation caused by oral bacteria is associated with cardiovascular disease, pregnancy complications, poor glycemic control in diabetes mellitus, and many more conditions. The goal of this project is to increase dental health screening in the primary care setting and to provide a list of affordable dental clinics in Vermont that take Medicaid/ Medicare and offer sliding …
Circumcision For The Male Infant: Patient Education And Cultural Humility, Grace E. Eisenbiegler
Circumcision For The Male Infant: Patient Education And Cultural Humility, Grace E. Eisenbiegler
Family Medicine Clerkship Student Projects
Male circumcision is a religious and cultural decision that has become increasingly medicalized. Many families make decisions about circumcision based on culture and family without true informed consent. There is a need for unbiased information, prior to delivery, about circumcision, so that families may make an informed decision that is right for them. A one page document was created as an addition to the clinic's pregnancy guide with information on risks and benefits of circumcision, complications associated with the uncircumcised penis, cultural significance, and care of the uncircumcised penis.