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Full-Text Articles in Medicine and Health Sciences

Building Point Of Care Ultrasound Experience In A Rural Primary Care Network, Jamie A. Cyr Jan 2023

Building Point Of Care Ultrasound Experience In A Rural Primary Care Network, Jamie A. Cyr

Family Medicine Clerkship Student Projects

Point-of-care ultrasonography (POCUS) is a safe, noninvasive and accessible diagnostic technique. In the outpatient setting POCUS enables improve access to timely care, raises patient satisfaction, and reduces the need for costly tests. While application of POCUS is well established in the emergency department and intensive care unit, its use in ambulatory medicine is still emerging. Prior literature has shown that while many rural care offices have access to POCUS equipment, however, the technology is not being used to its full potential. Prior family medicine projects have identified barriers to the use of ultrasound in rural Vermont outpatient clinics. A lack …


Benign Vs. Malignant: Improving Prevention And Detection Of Cancerous Vs. Non-Cancerous Skin Lesions Through Inclusive Patient Education, Simran Kalsi, Sam Afshari Jan 2022

Benign Vs. Malignant: Improving Prevention And Detection Of Cancerous Vs. Non-Cancerous Skin Lesions Through Inclusive Patient Education, Simran Kalsi, Sam Afshari

Family Medicine Clerkship Student Projects

Vermont consistently has one of the highest annual rates of melanoma in the United States. This is likely due to a range of factors including population demographics (predominantly white, aging population), active outdoor lifestyles, intense seasonal bursts of sun exposure, and inadequate Winter sun protection. The COVID-19 pandemic and its associated shutdowns have caused significant delays in healthcare delivery, further exacerbating the incidence and severity of melanoma. Primary care providers are therefore an increasingly essential first line of defense in detecting suspicious skin lesions and expediting treatment of skin cancer, but patients should be aware of when to seek evaluation. …


Improving Identification Of Dermatological Conditions In Skin Of Color, Sam Afshari B.S., Simran Kalsi M.S. Jan 2022

Improving Identification Of Dermatological Conditions In Skin Of Color, Sam Afshari B.S., Simran Kalsi M.S.

Family Medicine Clerkship Student Projects

Vermont primary care practitioners are less likely to have experience diagnosing dark skin tones given that the state population is 94.2% white. Only 4.5% of images in general medicine textbooks and 4-19% of images in dermatology textbooks depicted darker skin. Black patients are significantly less likely to see a dermatologist, which highlights the importance of diagnosis at the primary care office.


Advantages Of Point Of Care Ultrasound Over Traditional Imaging, Khaled H. Al Tawil Jan 2018

Advantages Of Point Of Care Ultrasound Over Traditional Imaging, Khaled H. Al Tawil

Family Medicine Clerkship Student Projects

Ultrasound has been found to be a valuable diagnostic tool for ruling in or out serious and common medical conditions. The advent of Point of Care Ultrasound (POCUS) provides trained primary care providers the technology to gather immediate data for clinical decision making and to move patient care down the correct clinical pathway in a timely and more cost effective manner. This tool has been shown to assist in motivational interviewing by giving real time evidence to the patient. This technology has the potential to significantly enhance access for patients in rural communities where diagnostic centers and specialty care can …


Optimizing Inhaler Technique, Ruby L. Russell Jan 2018

Optimizing Inhaler Technique, Ruby L. Russell

Family Medicine Clerkship Student Projects

Studies show that correct patient technique using inhalers is correlated to the number of times they are taught and reminded by a health care professional. As a step toward addressing this problem, I propose increasing inhaler use teaching, utilizing EMR tools as well as online modules, and increasing the comfort of providers with teaching inhaler use. This may be achieved through the use of PRISM dot phrases titled .INHALERNAME, accessing teaching videos during a patient visit, and having patients demonstrate technique at each visit.


The Implementation Of Telehealth At Brookfield Family Practice In Brookfield, Ct, Taylor Wolfgang Jan 2016

The Implementation Of Telehealth At Brookfield Family Practice In Brookfield, Ct, Taylor Wolfgang

Family Medicine Clerkship Student Projects

Brookfield Family Practice recently implemented the use of TeleHealth into their practice. One of the identified limitations was patient interest and participation. This project examines the perceived barriers preventing patients from using the service, as well as the perceived benefits, and patient satisfaction.