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Full-Text Articles in Medicine and Health Sciences
Movement Matters: Encouraging Activity In Preventive Medicine, Stefanie Geiger Kelsey
Movement Matters: Encouraging Activity In Preventive Medicine, Stefanie Geiger Kelsey
Family Medicine Clerkship Student Projects
No abstract provided.
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.
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 Advance Directive Participation In Primary Care, Rhys Niedecker
Increasing Advance Directive Participation In Primary Care, Rhys Niedecker
Family Medicine Clerkship Student Projects
Advance directives are a critical part of patient management and care, yet the majority of adults have not completed the documentation. Using fliers in exam rooms and encouraging provider engagement can help increase the proportion of patients who complete advance care documents in Family Medicine settings.
Increasing Screening For Barriers To Transportation At A Family Medicine Clinic In Rural Upstate Ny, Noah Sorkow
Increasing Screening For Barriers To Transportation At A Family Medicine Clinic In Rural Upstate Ny, Noah Sorkow
Family Medicine Clerkship Student Projects
Inconsistent access to reliable transportation is a significant barrier to medical care in rural New York. Lack of transportation results in missed medical appointments, poor management of chronic conditions, and increased preventable emergency room visits. Increasing routine screening for this social determinant of health can reveal underlying barriers to care, promote referrals to case workers and increase resource allocation. This project sought to increase routine screening via the promotion of smart phrases to be included in routine wellness documentation in the EMR, in conjunction with a didactic session for current family medicine residents.
Covid-19 Vaccine Hesitancy Resources In Northern New York, Cyrus Neal Thomas-Walker, Maegan Cabrera Md
Covid-19 Vaccine Hesitancy Resources In Northern New York, Cyrus Neal Thomas-Walker, Maegan Cabrera Md
Family Medicine Clerkship Student Projects
COVID-19 continues to be a significant health threat and has caused significant disease and mortality in the fall 2021 wave largely driven by the Delta Variant and complicated by unvaccinated patients. In the state of NY, approximately 40 patients died per day (7 day moving average) from serious COVID-19 illness during this time period. During this time, approximately 35% of Clinton County’s population is not vaccinated for COVID-19 and is subsequently unprotected from serious COVID-19 illness. This work discusses reasons for non-vaccination and strategies to combat vaccine hesitancy. Additionally, it includes a pamphlet for local distribution as well as a …
The Preventative Health Care Shortage: A Look At The Vt And Ct Community Perspectives And Medical Student Interest, Brittany Botticelli, Jenna Elkhoury, Michael L. Lawler
The Preventative Health Care Shortage: A Look At The Vt And Ct Community Perspectives And Medical Student Interest, Brittany Botticelli, Jenna Elkhoury, Michael L. Lawler
Family Medicine Clerkship Student Projects
With the permission of Kenneth Palanza et al, we adapted and modified a previously generated survey that allowed us to better understand the motivations and barriers of medical students to enter primary care. The survey was dispersed to all medical students at LCOM as well as third and fourth year medical students at Ross University and American University of the Caribbean (AUC). We analyzed preliminary data from 100 respondents.
The Preventative Healthcare Shortage: A Look At The Vt And Ct Community Perspectives And Medical Student Interest, Michael J. Lawler
The Preventative Healthcare Shortage: A Look At The Vt And Ct Community Perspectives And Medical Student Interest, Michael J. Lawler
Family Medicine Clerkship Student Projects
We adapted and modified a previously generated survey to better understand the motivations and barriers of medical students to enter primary care. The survey was dispersed to all medical students at LCOM as well as third and fourth year medical students at Ross University and American University of the Caribbean (AUC). We analyzed preliminary data from 100 respondents. Notable barriers identified included cost of medical school, stigma associated with primary care, and inadequate time spent with patients. Recommendations for possible intervention were discussed.
Increasing The Use Of Probiotics Concurrently With Acute Antibiotic Treatment: A Community Perspective In Newtown, Ct, John Vandenberge
Increasing The Use Of Probiotics Concurrently With Acute Antibiotic Treatment: A Community Perspective In Newtown, Ct, John Vandenberge
Family Medicine Clerkship Student Projects
Acute antibiotic courses are known to cause gastrointestinal side effects including nausea, bloating, and diarrhea. Patients at Newtown Primary Care in Newtown, CT being treated with antibiotics for upper and lower respiratory infection often present with these side effects. These symptoms may deter patients from taking the full course and promote bacterial resistance, delayed recovery, and increased patient healthcare costs. Safely tolerating antibiotic regimens is important especially in those at high risk for Clostridium difficile colitis. Probiotics have been shown to prevent antibiotic associated diarrhea and effectively balance bacterial species within the gut microbiome. An educational, easy-to-read handout was developed …
Lyme Disease In Fairfield County, Connecticut: The Need To Know, Jack Chen
Lyme Disease In Fairfield County, Connecticut: The Need To Know, Jack Chen
Family Medicine Clerkship Student Projects
There has been a steady rise in number of cases reported of Lyme disease in the past 25 years. In fact, it is the 7th most common reportable infectious disease in US with an estimated over 300,000 people diagnosed and treated each year. The total medical cost attributable to Lyme disease has been estimated to be as much as $1.3 billion a year with the total cost of Lyme disease testing estimated to be $492 million. Moreover, Lyme disease is associated with higher total health care cost and more outpatient visits over a 12-month period. According to the Connecticut Department …
Counseling Pregnant Women On Marijuana Use, Theresa B. Flanagan
Counseling Pregnant Women On Marijuana Use, Theresa B. Flanagan
Family Medicine Clerkship Student Projects
Marijuana is the most commonly used illicit substance for pregnant women nationwide, with rates of use trending upward. Marijuana use in Penobscot County is elevated well above the national average, and is likely to continue to rise with the legalization of recreational marijuana in the state of Maine. Though the American Congress of Obstetricians and Gynecologists (ACOG) discourages marijuana use during pregnancy and breastfeeding, studies have shown that providers do not emphasize counseling pregnant patients on marijuana use. This project looked at provider practices and perceptions regarding marijuana use during pregnancy at the Center for Family Medicine at Eastern Maine …
Strategies For Clinical Management Of Hypertension: Understanding Community Perspectives, Patrick Cruden
Strategies For Clinical Management Of Hypertension: Understanding Community Perspectives, Patrick Cruden
Family Medicine Clerkship Student Projects
Survey analysis of hypertensive patients in an outpatient family medicine practice aimed at efficiently improving clinical management and health literacy.
Transportation Is A Barrier To Healthcare In Central Vermont, Apoorva Trivedi
Transportation Is A Barrier To Healthcare In Central Vermont, Apoorva Trivedi
Family Medicine Clerkship Student Projects
Transportation is a significant barrier to healthcare access in Central Vermont due to a variety of reasons that include low income households, poor access to public transportation, elderly populations, and populations with disabilities. Improving access to transportation is a goal for both the local public transportation authority and the UVMHN-Central Vermont Medical Center in Berlin, VT. The purpose of this project was twofold. The first goal was to find an underutilized transportation resource in the community by heavily researching the area's transportation system and coordinating the distribution of informational sheets regarding this resource with my family medicine clerkship site members. …
The Importance Of Collecting An Accurate Family Medical History, Danielle T. Leahy
The Importance Of Collecting An Accurate Family Medical History, Danielle T. Leahy
Family Medicine Clerkship Student Projects
Family medical history has been recognized as an important non-modifiable risk factor for many chronic diseases including cardiovascular disease, diabetes, and even several types of cancer. However, a number of studies have shown that patients’ recall of their family history is often inaccurate and missing important information such as family members’ age at onset or diagnosis of a disease. Additionally, there is substantial variation regarding how often family physicians are actually obtaining FMH during visits. Patients’ understanding of the importance of obtaining an accurate FMH and even their perception of familial risk of common chronic diseases is also highly variable …
Resource Guide To Empower Walkers In The Newbury Community, Kishan Patel
Resource Guide To Empower Walkers In The Newbury Community, Kishan Patel
Family Medicine Clerkship Student Projects
The project identified the need and barriers to healthy and accessible forms of exercise in the Newbury community of VT. Surrounding areas of Groton, Ryegate, Wells River, and Haverhill in New Hampshire are also covered. Walking trails were identified as the most accessible form of exercise in the region for patients with metabolic syndrome visiting doctors at Little River Health Care in Wells River, VT,
Hpv Education And Prevention Amongst Danbury High School Students, Elizabeth Cochrane
Hpv Education And Prevention Amongst Danbury High School Students, Elizabeth Cochrane
Family Medicine Clerkship Student Projects
Human Papillomavirus (HPV) is currently the most prevalent sexually transmitted infection in the United States with an estimated 79 million people infected. In the state of Connecticut, HPV vaccination is not required for entrance into the 9th grade and because of this, there is less awareness of the importance of HPV prevention and immunization among high school students. As of 2013, 37.7-49.9% of females ages 13-17 living in Connecticut completed the HPV vaccine regimen. My objective for this project was to promote awareness about HPV infection and HPV vaccination among high school students.