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Full-Text Articles in Medicine and Health Sciences
Confronting Barriers To Exercise In Patients With Chronic Health: Community Health Improvement Project In The Lewiston/Auburn Area Concerns, Marie R. Lemay
Confronting Barriers To Exercise In Patients With Chronic Health: Community Health Improvement Project In The Lewiston/Auburn Area Concerns, Marie R. Lemay
Family Medicine Clerkship Student Projects
The CDC recommends at least 150 minutes of moderate-intensity aerobic activity every week, but most individuals with chronic disease do not reach this goal despite its numerous health benefits. Research has shown that scheduled exercise programs and exercise partners help individuals to sustain their exercise goals. Using this premise of group mentality individuals affected from cancer at the Dempsey center and patients attending CMMC’s diabetes group in Lewiston ME were polled about exercise self –efficacy and barriers to exercise. Subsequently, a one-time walking event was offered to the diabetes group and a phone-tree was introduced to one yoga class at …
Evaluating Access And Barriers To Mindfulness Among Opioid-Dependent Patients In Bangor, Maine, Gwendolyn E. Warren, Jia Xin Jessica Huang
Evaluating Access And Barriers To Mindfulness Among Opioid-Dependent Patients In Bangor, Maine, Gwendolyn E. Warren, Jia Xin Jessica Huang
Family Medicine Clerkship Student Projects
Mindfulness has been shown to aid in addiction recovery and can help prevent relapse. The Family Medicine Center & Residency Program at Eastern Maine Medical Center (EMMC) in Bangor, Maine has provided mindfulness resources to their opioid-dependent patients; however, the center has no quantitative data on the current understanding and utilization of mindfulness techniques among this patient population. A survey tool was created and distributed to opioid-dependent patients in the clinic to identify barriers to practicing mindfulness. The collected data was submitted by one of the clinic providers in a grant proposal. Grant funding could go toward addressing these barriers.
Understanding Opioid Addiction And Relpase Risks For Patients In An Office Based Buprenorphine Treatment Program, Rachel E. Carlson
Understanding Opioid Addiction And Relpase Risks For Patients In An Office Based Buprenorphine Treatment Program, Rachel E. Carlson
Family Medicine Clerkship Student Projects
Opioid abuse is a serious problem in Maine with a societal cost of 1.4 billion dollars. Buprenorphine has been used as an office based treatment for addiction management. In Maine there is a provider shortage for substance abuse and a large need in the community for treatment. In fact there were 272 deaths in 2015 attributed to overdose. It is important that once patients begin treatment they remain in treatment without relapse. At EMMC Center for Family Medicine we explored risks for relapse from the provider perspective, patient perspective, and retrospective chart analysis in order to guide future interventions at …
Evaluating Relapse Risks For Patients In An Office Based Buprenorphine Treatment Program, Brianna Spencer
Evaluating Relapse Risks For Patients In An Office Based Buprenorphine Treatment Program, Brianna Spencer
Family Medicine Clerkship Student Projects
Opioid abuse is a serious problem in Maine with a societal cost of 1.4 billion dollars. Buprenorphine has been used as an office based treatment for addiction management. In Maine there is a provider shortage for substance abuse and a large need in the community for treatment. In fact, there were 272 deaths in 2015 attributed to overdose. It is important that once patients begin treatment they remain in treatment without relapse. At EMMC Center for Family Medicine we explored the risks for relapse from the provider perspective, patient perspective and retrospective chart analysis in order to guide future interventions …
Transportation As A Barrier To Access To Care In Bangor And The Surrounding Penobscot County Area, David A. Leon, David A. Leon
Transportation As A Barrier To Access To Care In Bangor And The Surrounding Penobscot County Area, David A. Leon, David A. Leon
Family Medicine Clerkship Student Projects
The focus of this project was to assess issue with transportation as a potential barrier to accessing health care in Bangor, Maine. This pilot project involved interviews with community members and providers, as well as evaluated the needs in terms of transportation for accessing primary care. Research regarding this need was conducted through anonymous patient surveys, conducted by the author, and was used to guide the recommendations for future interventions that would address transportation issues in Bangor and the Penobscot County area.
Pap Smear Compliance Study At Emmc, Bangor Maine, Do Gwak
Pap Smear Compliance Study At Emmc, Bangor Maine, Do Gwak
Family Medicine Clerkship Student Projects
Many factors contribute to the accurate reporting of pap smear compliance in patients population. The factors identified during the study are system failure of EMR to track pap smear records and lack of communication among different clinics.
Identifying Barriers To Healthcare Access For The Somali Population At Cmmc, Matteen Hakim
Identifying Barriers To Healthcare Access For The Somali Population At Cmmc, Matteen Hakim
Family Medicine Clerkship Student Projects
The city of Lewiston has a significant Somali population, but that population is very poorly represented in the patient population at CMMC and the Family Medicine Residency (FMR). This project was meant to elucidate the Somali perspective on this discrepancy in order to share it with physicians at the FMR as a first step towards fixing the divide.
Human Trafficking: Promoting Awareness And Facilitating Partnership, Stefan Kale Wheat
Human Trafficking: Promoting Awareness And Facilitating Partnership, Stefan Kale Wheat
Family Medicine Clerkship Student Projects
Human trafficking represents a problem that remains largely overlooked, including within the healthcare community. However, healthcare providers represent an important first point of contact for potential victims of trafficking. Therefore, it is critical that healthcare providers, particularly in primary care, receive formal training on the subject to improve rates of identification. New screening tools that reduce the burden of knowledge for providers are being developed to bridge the gap until sufficient levels of provider education are achieved, but these tools will never take the place of direct provider education. Beyond education, healthcare institutions must seek to develop comprehensive policies and …
Increasing Patient Understanding & Provider Awareness Of Pap Smears, Stephanie Alexis Brooks
Increasing Patient Understanding & Provider Awareness Of Pap Smears, Stephanie Alexis Brooks
Family Medicine Clerkship Student Projects
Pap smear rates are lower than perceived by many primary care providers, and women refuse or miss pap smears for a variety of reasons. This project investigated both reasons for which women miss or refuse pap smears and ways in which physicians can increase pap smear rates, create a more positive environment during the pap smear experience, and more effectively communicate with patients about pap smears. Intervention consisted of an informational flyer about pap smears for female patients.
Screening For Domestic Violence Against Women: A Public Health Crisis In Maine, Clare Park
Screening For Domestic Violence Against Women: A Public Health Crisis In Maine, Clare Park
Family Medicine Clerkship Student Projects
The role of healthcare providers in stopping domestic violence against women, a public health crisis, through promoting a culture of universal screening and community education.
Identifying The No Shows, Ryan M. Sofka
Identifying The No Shows, Ryan M. Sofka
Family Medicine Clerkship Student Projects
Missed clinic appointments have negative effects on the patients who skip those appointments, the clinic itself and the entire clinic population as a whole. Simply discharging those patients with flagrant absenteeism is not an option at clinics that are their only option. The targeting of strategies to those who frequently miss visits first requires their identification. This project sought to identify and characterize the "no show cohort" at the EMMC Family Medicine Center and Residency in Bangor, ME.
Tdap Vaccination In Pregnancy, Melissa N. Rafferty
Tdap Vaccination In Pregnancy, Melissa N. Rafferty
Family Medicine Clerkship Student Projects
Since Maine's incidence of pertussis is higher than the national average, primary prevention through vaccination is important to protect vulnerable populations such as newborns in the state. Maternal Tdap vaccination between 27 to 36 weeks of pregnancy is recommended by ACIP to boost placental IgG transmission to the fetus and prevent newborn morbidity and mortality. For quality improvement, maternal Tdap vaccination rates were examined at Eastern Maine Medical Center Family Medicine Center and Residency and an educational handout was developed.
Improving Awareness Of Low Health Literacy And Strategies To Overcome It, Sherilyn Destefano
Improving Awareness Of Low Health Literacy And Strategies To Overcome It, Sherilyn Destefano
Family Medicine Clerkship Student Projects
This project outlines an intervention delivered at a family medicine residency program in Bangor, ME to increase residents' knowledge of the impact of low health literacy and supply them with communication techniques to help improve patient understanding. Over 36% of U.S. adults have basic or below basic health literacy skills and low health literacy has been shown to lead to poorer health outcomes, increased health disparities, and increased cost. Our presentation focused on communication techniques like Teach-Back, an evidence-based strategy that assesses patient understanding by asking patients to repeat back healthcare instructions in their own words, that has been shown …
Development Of Guidelines For Refugee Screening At Cmmc Family Medicine Residency, Lewiston, Maine, Catherine Hayes
Development Of Guidelines For Refugee Screening At Cmmc Family Medicine Residency, Lewiston, Maine, Catherine Hayes
Family Medicine Clerkship Student Projects
Lewiston Maine has the second highest number of refugees in the state of Maine, with 191 total intakes in 2015. Refugee populations face unique health concerns, and providing care for refugees requires education and development of a specialized skill set. This project provided a reference for clinic providers to assist with medical intake screening visits for refugees.