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Articles 1 - 30 of 47
Full-Text Articles in Medicine and Health Sciences
The Importance Of Continued Compliance With Completing Advance Directives In An Outpatient Setting, Maegan R. Neilson
The Importance Of Continued Compliance With Completing Advance Directives In An Outpatient Setting, Maegan R. Neilson
Family Medicine Clerkship Student Projects
Despite continued efforts with conversation, guidelines, and even law, studies still show that the compliance with completing advance directives amongst a global patient population remains around 3 in 100. Those in compliance are more often chronically ill, over 65, or in an acute or terminal care setting. The COVID-19 pandemic is evidence that anything can happen and that helping patients adhere to medical wishes should be a top priority for primary care providers and their patients of all ages and health. Because previous studies have proven to be effective in increasing AD compliance when highlighted, this project aims to reignite …
Transgender Healthcare Resources For Clinicians In Vermont, Jeanie Lin
Transgender Healthcare Resources For Clinicians In Vermont, Jeanie Lin
Family Medicine Clerkship Student Projects
Transgender individuals face disproportionate levels of discrimination in healthcare settings and have worse health than their cisgender peers. One major barrier to healthcare reported by transgender individuals is a lack of providers who are sufficiently knowledgeable on the topic. The 2011 National Transgender Discrimination Survey found that half of respondents reported having to teach their providers about their own healthcare. To address this problem in Vermont, transgender healthcare resources were compiled into a single document to be distributed to primary care practices around Vermont.
Follow-Up With New Sga Prescriptions In Burlington, Vt, Obhijit D. Hazarika
Follow-Up With New Sga Prescriptions In Burlington, Vt, Obhijit D. Hazarika
Family Medicine Clerkship Student Projects
No abstract provided.
Improving Communication In Patient Visits Requiring Medical Interpreters, Daniel J. Moroney
Improving Communication In Patient Visits Requiring Medical Interpreters, Daniel J. Moroney
Family Medicine Clerkship Student Projects
Handout for effectively using medical interpreting services.
Motivation For Mat, Jacob Bernknopf
Motivation For Mat, Jacob Bernknopf
Family Medicine Clerkship Student Projects
The goal of this project was to discover a commonality in why patients begin the MAT program. This will hopefully make it easier for future providers to help future patients articulate why they need to make the change in their life. This can be especially beneficial in patients dealing with concurrent stimulant or alcohol use.
Frequently Asked Questions By Patients About Exercise, Julie Evans
Frequently Asked Questions By Patients About Exercise, Julie Evans
Family Medicine Clerkship Student Projects
A significant portion of patient visits at Milton Family Practice are related to one or multiple aspects of metabolic syndrome. Exercise is a common topic during these visits either brought up by patients or providers. This project focused on creating a handout for patient education with answers to commonly asked questions pertaining to exercise and resources in the community.
Opportunities For Patient Self-Reflection During Acute Phase Of Depression Treatment, Millen Abselab
Opportunities For Patient Self-Reflection During Acute Phase Of Depression Treatment, Millen Abselab
Family Medicine Clerkship Student Projects
This project for UVMMC Family Medicine at Hinesburg investigates the acute phase of depression treatment for adult patients and introduces opportunities for patient empowerment during this 4-to-6-week window through de-identified automated text surveys for self-reflection about treatment and pattern tracking contributory to mood. Sample text survey built on Beck Depression Inventory (BDI-II) and deployment of text surveys is based on Mosio. Future interventions can utilize mobile phone apps based on patient response to surveys.
Remaining Active In Vermont Winters, Sarah Kendrick
Remaining Active In Vermont Winters, Sarah Kendrick
Family Medicine Clerkship Student Projects
This project explored the challenges of remaining active during Vermont winter for patients with chronic disease. It further complies resources in the community for maintaining activity levels over the winter months.
Community Resources Addressing Peripartum Depression, Tiffany L. Lao
Community Resources Addressing Peripartum Depression, Tiffany L. Lao
Family Medicine Clerkship Student Projects
Peripartum mood disorders affect a large proportion of new mothers as well as their families, partners, and support systems. This project aims to provide patients with information about peripartum mood disorders as part of their initial prenatal packet. Also included are a list of local community resources specifically addressing peripartum mood disorders for patients seeking additional support outside of their primary care office.
Kangaroo Care In The Community: Creating Antenatal Informational Resources For Providers And Expectant Parents, Emma Dunne
Family Medicine Clerkship Student Projects
Obstetric care providers at the Community Health Centers of Burlington create, implement, and coordinate resources to help support parents through pregnancy, delivery, and child rearing. The COVID-19 pandemic has altered the accessibility of existing resources, exacerbating the need for creative support of prenatal learning, breastfeeding, and postpartum socialization. Regular skin-to-skin contact between newborn infants and their parents is a low-cost, low-risk intervention with demonstrated benefits to breastfeeding, infant and parent physiology, emotional health, and bonding. This project aimed to establish antenatal informational resources for providers and expectant parents about the potential benefits of skin-to-skin care in the community setting.
How Prepped Are Our Providers?: Assessing Vermont Primary Care Providers’ Knowledge And Awareness Of Pre-Exposure Prophylaxis (Prep) Options For Hiv Prevention, Christopher Flynn
How Prepped Are Our Providers?: Assessing Vermont Primary Care Providers’ Knowledge And Awareness Of Pre-Exposure Prophylaxis (Prep) Options For Hiv Prevention, Christopher Flynn
Family Medicine Clerkship Student Projects
In recent years, a number of pre-exposure prophylaxis (PrEP) medications and dosing strategies have become available to patients to help prevent human immunodeficiency virus (HIV) infection. The primary objective of this research was to assess current PrEP awareness and prescribing practices of family medicine providers at the Hinesburg Family Medicine practice in Hinesburg, VT.
Devoloping A Primary Care Screening Protocol For Post-Miscarriage Depression, Sean Muniz
Devoloping A Primary Care Screening Protocol For Post-Miscarriage Depression, Sean Muniz
Family Medicine Clerkship Student Projects
Spontaneous abortions occur in 20-33% of pregnancies, and 10-30% of these women have clinically significant depression. These women are often unscreened by either PCPs or OBs for depressive symptoms. We developed a screening protocol using the PHQ-2 to assess for depression in patients who have had a spontaneous abortion. The protocol utilizes a nursing care manager to follow up with patients who either were seen in the ED or self report spontaneous abortions to the PCP office. Follow up phone calls should be made within 2 weeks and at 6 weeks post spontaneous abortion, with offers for in-person follow-up given …
Family Medicine Community Project, Daniel Castro
Family Medicine Community Project, Daniel Castro
Family Medicine Clerkship Student Projects
The goal of this project is to improve diet and nutrition literacy in the community. Though Vermont ranks low in the US in terms of obesity, it is still estimated the 60% of Vermonters are either overweight or obese. This represents an area of need in terms of improving diet and nutrition education to combat obesity, the health issues it produces, and the subsequent strain on the medical system
Addressing Exercise And Physical Therapy In Older Patients In Colchester, Vt, Adam Morehead
Addressing Exercise And Physical Therapy In Older Patients In Colchester, Vt, Adam Morehead
Family Medicine Clerkship Student Projects
Participation in physical activities remains low among much of the older adult population, particularly during the winter months. Many individuals who are active during warmer times of the year become more sedentary during the winter, and this physical inactivity can contribute to declining health. This project sought to develop a simple brochure outlining several simple exercises that can be performed safely at home without equipment to be distributed to patients at wellness visits to encourage indoor exercise.
The State Of Sleep: What Keeps Vermont Up At Night?, Magalie Carey
The State Of Sleep: What Keeps Vermont Up At Night?, Magalie Carey
Family Medicine Clerkship Student Projects
No abstract provided.
Medication-Assisted Withdrawal And Alcohol Use Disorder Treatment In The Ambulatory Setting, Jacob Okie Weiss, Javad Mashkuri Md, Marissa Patrick Aprn
Medication-Assisted Withdrawal And Alcohol Use Disorder Treatment In The Ambulatory Setting, Jacob Okie Weiss, Javad Mashkuri Md, Marissa Patrick Aprn
Family Medicine Clerkship Student Projects
Alcohol use disorder (AUD) represents a significant burden of disease in central Vermont, but receives little attention and resources compared to other drivers of morbidity and mortality. As part of a community health improvement project, primary care providers in central Vermont were surveyed regarding current practices and perceived barriers related to the effective treatment of AUD. 69% of respondents reported treating alcohol withdrawal syndrome (AWS) and 83% reported treating AUD. Respondents indicated concern about the safety and efficacy of the medications they currently prescribe and expressed interest in learning about other evidence-based treatments for AWS and AUD. The most frequently …
Setting Expectations For Mental Healthcare Referral, Emily Bennett
Setting Expectations For Mental Healthcare Referral, Emily Bennett
Family Medicine Clerkship Student Projects
Patients are referred to mental health care by their primary care providers, but there is often a misunderstanding of what that process looks like. This project aimed to understand the referral process and create improvements that will help patients stay engaged to improve their mental wellbeing.
Promoting Measles Prevention And Awareness, Elizabeth P. Lanata
Promoting Measles Prevention And Awareness, Elizabeth P. Lanata
Family Medicine Clerkship Student Projects
No abstract provided.
Patient Perceptions On The Covid-19 Vaccine, Claudia E. Russell
Patient Perceptions On The Covid-19 Vaccine, Claudia E. Russell
Family Medicine Clerkship Student Projects
With COVID-19 cases and deaths on the rise in Vermont and nationally, it will be important for as many people who are able to receive the COVID-19 vaccines when available. The WHO considers vaccine hesitancy to be a major threat to public health. This study aims to examine patient attitudes and concerns regarding the COVID-19 vaccine. An informational brochure about the recently approved Pfizer and Moderna vaccines was then distributed to all participants.
Increasing Patient Access To Lgbtq+ Healthcare Through Expanding The Vermont Diversity Health Project, Rachel Harrison
Increasing Patient Access To Lgbtq+ Healthcare Through Expanding The Vermont Diversity Health Project, Rachel Harrison
Family Medicine Clerkship Student Projects
Numerous studies have documented various disparities in health outcomes and barriers to healthcare access for LGBTQ+ individuals. One major way to combat this is to increase access to healthcare for LGBTQ+ patients and increase provider knowledge of how to best care for them. Through expanding the Vermont Diversity Health Project database of providers and having providers participate in LGBTQ+ Best Practices trainings (both hosted by Pride Center of Vermont), we may reduce LGBTQ+ health disparities in our local community.
Nutritional Barriers For Patients With Diabetes: A Quality Improvement Project, Emma C. Levine, Taylor D. Marquis
Nutritional Barriers For Patients With Diabetes: A Quality Improvement Project, Emma C. Levine, Taylor D. Marquis
Family Medicine Clerkship Student Projects
The goal of this study was to look at health care providers perspectives on what the nutritional barriers patients with diabetes faced and compare that with the patient's perspectives. We also assessed patients knowledge on certain foods and if they have carbohydrates. We used this information to create a Notecard that could be given to patients.
Patient Attitudes And Education About The Covid-19 Vaccine, Zeynep Tek, Faith Wilson, Claudia Russell
Patient Attitudes And Education About The Covid-19 Vaccine, Zeynep Tek, Faith Wilson, Claudia Russell
Family Medicine Clerkship Student Projects
We gave patients a survey about if they were interested in receiving the COVID-19 vaccine and if not why across three different sites in Vermont and Connecticut. We also made and handed out a pamphlet about commonly asked questions about the vaccine and what the state's distribution plan was. A majority of patients were interested in the getting the vaccine, and those who were unsure were worried about the long term side effects.
Covid-19 Vaccine Information And Patient Opinions, Faith E. Wilson, Zeynep Tek, Claudia Russell
Covid-19 Vaccine Information And Patient Opinions, Faith E. Wilson, Zeynep Tek, Claudia Russell
Family Medicine Clerkship Student Projects
As the COVID-19 vaccine becomes available in Vermont, many patients have questions about the safety and efficacy, who it will be available for, when they can expect to get the vaccine, if their doctor would recommend it for them. These important questions are taking valuable time during already short patient visits, and as information is constantly evolving it is difficult to give a concise answer to many questions. This project outlined the basics of the vaccine and answered many FAQs.
Evaluating Patient And Provider Knowledge Of Safe Pharmaceutical Disposal Procedures In Vermont Through A Public Health And Environmental Lens, Emily R. Straley
Evaluating Patient And Provider Knowledge Of Safe Pharmaceutical Disposal Procedures In Vermont Through A Public Health And Environmental Lens, Emily R. Straley
Family Medicine Clerkship Student Projects
Patient and provider knowledge of safe pharmaceutical disposal procedures is crucial from both a public health and environmental standpoint. Unfortunately, studies have shown that Vermont residents are largely unaware of safe drug disposal programs in their communities. This project evaluated patient knowledge of drug disposal practices and awareness of safe pharmaceutical disposal procedures at Hinesburg Family Medicine. A short phrase was created to better disseminate information about safe drug disposal in Hinesburg, which can be added to a patient’s after visit summary. Many patients report never discussing medication disposal with their physician. Therefore, increased provider communication regarding leftover and unused …
Streamlining Teledermatology In Primary Care, Hakeem Yousef
Streamlining Teledermatology In Primary Care, Hakeem Yousef
Family Medicine Clerkship Student Projects
The use of telemedicine as a tool to aid in seeing patients has increased dramatically since the onset of the COVID-19 Pandemic. Skin problems are one of the many medical issues seen via telemedicine, and many patients and providers may find some difficulty maneuvering through this new age of technology
Smoking Cessation Associated Weight Gain: The Role Of Diet And Exercise Counseling In Quitting Smoking, Benjamin D. Kagan
Smoking Cessation Associated Weight Gain: The Role Of Diet And Exercise Counseling In Quitting Smoking, Benjamin D. Kagan
Family Medicine Clerkship Student Projects
Weight gain is a common unintended consequence of quitting smoking due to a combination of physiologic and behavioral factors. Counseling focused on diet and exercise reduces weight gain associated with smoking cessation. Reduction of weight gain related to smoking cessation maximizes the health benefit of quitting tobacco.
Assessing And Improving Awareness Of Safe Prescription Drug Disposal In Hinesburg, Vermont, Kaitlyn Peper
Assessing And Improving Awareness Of Safe Prescription Drug Disposal In Hinesburg, Vermont, Kaitlyn Peper
Family Medicine Clerkship Student Projects
Millions of Americans misuse prescription drugs each year and over half of these people obtained a prescription from friends or family. Additionally, medications that are disposed of improperly lead to contamination of the environment. This project aimed to assess awareness of proper medication disposal amongst patients at Hinesburg Family Practice and to increase communication with patients regarding options for prescription drug disposal in Hinesburg, Vermont.
Improving Sleep: Patient Education On Sleep Hygiene Techniques, Anya Srikureja
Improving Sleep: Patient Education On Sleep Hygiene Techniques, Anya Srikureja
Family Medicine Clerkship Student Projects
Approximately one third of adults in the United States sleep less than the recommended 7 hours a night. Insufficient sleep is associated with increase risk of chronic diseases and all-cause mortality. While pharmacologic sleep aids are available, cognitive behavioral therapy is recommended as an effective, first line treatment for insomnia. This project aimed to create patient education materials on sleep hygiene techniques that could be easily distributed by providers through the electronic medical record in order to help improve sleep for the patient population in Vergennes, Vermont.
Low-Cost At-Home Cardio Solutions For Patients During The Covid-19 Pandemic, Anna G. Quinlan
Low-Cost At-Home Cardio Solutions For Patients During The Covid-19 Pandemic, Anna G. Quinlan
Family Medicine Clerkship Student Projects
No abstract provided.
Helping People Overcome Barriers To Exercise Through In-Office Pt Exercise Evaluation Referrals, Matthew Charles Hill Brandt
Helping People Overcome Barriers To Exercise Through In-Office Pt Exercise Evaluation Referrals, Matthew Charles Hill Brandt
Family Medicine Clerkship Student Projects
Utilization of a poster in a primary care exam room advertising Physical Therapy Exercise Evaluations in an effort to help patients overcome barriers to exercising. The goal of the project is to capture people in the contemplative/preparatory stage of behavior change and help them reach the action and maintenance phases to improve health.