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Articles 1 - 30 of 37
Full-Text Articles in Medicine and Health Sciences
Vermont State Association Of Osteopathic Physician And Surgeons Inc.: Correspondence Soliciting New D.O.S To Vermont, Vermont State Association Of Osteopathic Physicians And Surgeons Inc.
Vermont State Association Of Osteopathic Physician And Surgeons Inc.: Correspondence Soliciting New D.O.S To Vermont, Vermont State Association Of Osteopathic Physicians And Surgeons Inc.
John McPartland, D.O. Collection
A letter from the Vermont State Association of Osteopathic Physicians and Surgeons, Inc. soliciting D.O.s to move to Vermont.
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 …
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.
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.
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.
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 …
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.
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.
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.
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 Cardiovascular Health In Low Socioeconomic Status Women Through The Vermont You First Program, Bradley M. Anair
Improving Cardiovascular Health In Low Socioeconomic Status Women Through The Vermont You First Program, Bradley M. Anair
Family Medicine Clerkship Student Projects
Cardiovascular disease is the leading cause of death in men and women in the United States. Low socioeconomic status women are in a unique position because cardiovascular disease morbidity and mortality is higher in lower socioeconomic status groups, and the risks of cardiovascular disease are often underappreciated in women. This project aimed to improve cardiovascular health in low socioeconomic status women through increasing awareness of the Vermont You First program. This program covers the cost of screenings for cervical cancer, breast cancer, and heart disease for low socioeconomic status women. They also offer lifestyle perks to improve cardiovascular health. This …
Using Narrative Medicine To Address Healthcare Stigma In Washington County, Vermont, Finlay Pilcher
Using Narrative Medicine To Address Healthcare Stigma In Washington County, Vermont, Finlay Pilcher
Family Medicine Clerkship Student Projects
Stigma is a barrier to good health for people with certain medical conditions and non-medical circumstances. The purpose of this project is to use stories from members of the Washington County Community to advocate for the use of narrative medicine to mitigate healthcare stigma. A 10-minute recording was shared of an interview with someone with opioid use disorder during the presentation. Afterwards, healthcare professionals were asked whether the presentation, including the recording, impacted their percetion of narrative medicine and its clinical utility.
Is There An App For That? Introducing Self-Guided Therapy-Based Mental Health Apps In A Primary Care Setting, Althea Jem Darbin Tapales
Is There An App For That? Introducing Self-Guided Therapy-Based Mental Health Apps In A Primary Care Setting, Althea Jem Darbin Tapales
Family Medicine Clerkship Student Projects
The prevalence of mental health disorders in Vermont continues to be an economic burden, especially in Addison County. The Addison County, VT Community Health Improvement Plan 2022-2025 identified “Access to Mental Health Services” as the top priority with a general concern regarding the affordability and demand of such services, and shortage of providers in the general community. Consequently, the shortage of mental health services along with the coronavirus pandemic resulted in a mental illness epidemic which led to an accelerated growth of self-guided therapy-based mental health apps. Most apps are affordable, accessible, and prioritize patient privacy which overcomes barriers to …
Assessing Adherence With Naloxone Prescription Guidelines For Chronic Pain Patients: Recommendations For Improvement, Elizabeth O'Neill
Assessing Adherence With Naloxone Prescription Guidelines For Chronic Pain Patients: Recommendations For Improvement, Elizabeth O'Neill
Family Medicine Clerkship Student Projects
Although the Vermont statute governing prescription of opioids for chronic pain states that patients taking over 90 morphine milliequivalents daily or opioids with a benzodiazepine should receive a naloxone prescription, there is no mechanism within the Chronic Opioid Protocol report at Colchester Family Medicine to assess adherence to that policy. This project sought to determine if there is a gap between patients who should receive a prescription and patients who have a prescription to see if there is a need to alter the Chronic Opioid Protocol or provide greater monitoring to ensure patient safety while on opioids for chronic pain.
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
PTSD is a prevalent mental health disorder that is especially prominent in the veteran population. Often veterans go without diagnosis and subsequently without treatment due to lack of awareness, screening, and a stigma they will loose benefits from the VA. This project aimed to identify the number of veterans with PTSD and provide alternative treatment methods for symptom management.
Addressing Non-Emergent Medical Transportation Barriers For Rural Vermont Patients, Casey D. Krueger
Addressing Non-Emergent Medical Transportation Barriers For Rural Vermont Patients, Casey D. Krueger
Family Medicine Clerkship Student Projects
Access to transportation is a Social Determinant of Health, yet many rural Vermonters face barriers to adequate transportation. Consequently, patients face difficulties accessing primary care and completing recommended health screenings. Destigmatizing ride programs and effective communication are key components of connecting patients with transportation resources. This project sought to develop a reference tool for clinic staff to improve communication about transportation barriers with patients and ultimately improve health outcomes.
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 …