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Articles 1 - 30 of 46
Full-Text Articles in Medicine and Health Sciences
Bridging Language Barriers In Clinical Screening: Leveraging Large Language Models (Llms) To Generate Bilingual Screening Surveys For Patients With Limited English Proficiency (Plep), Tyler Vandyk
Family Medicine Clerkship Student Projects
This study addresses the critical need for accessible clinical screening in communities with a high incidence of Patients with Limited English Proficiency (PLEP). Recognizing the limitations of existing interpreter services and the scarcity of validated translations for standard clinical surveys like PHQ-9 and GAD-7, we developed a novel approach leveraging Large Language Models (LLMs). Our method utilizes GPT-4 to create bilingual versions of these surveys, which are then formatted into printable PDFs via a Python script and LuaLaTeX compiler. The resulting surveys, validated for translation accuracy and cultural competency, are made accessible through a Google repository. Preliminary results demonstrate that …
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 …
Pamphlet Of Preventative Immunization And Screening Recommendations For Adult Women, Annie Glessner-Fischer
Pamphlet Of Preventative Immunization And Screening Recommendations For Adult Women, Annie Glessner-Fischer
Family Medicine Clerkship Student Projects
This project seeks to consolidate common immunization recommendations and preventative screening recommendations for adult women 18 years and older, based on the U.S. Preventative Services Task Force and Centers for Disease Control and Prevention recommendations. This resource should be offered to patients of the primary care office, with the goal of providing information in a concise and approachable manner that allows patients to review general recommendations on their own, generate questions or express concerns about their health, and encourage patients to advocate for their own health and well-being. With this intervention, the broader goal is to increase immunization rates and …
Improving Retinopathy Screening For Patients With Diabetes: Optometrists Accepting New Patients On Medicaid +/- Interpreter Services, Kassondra M. Little
Improving Retinopathy Screening For Patients With Diabetes: Optometrists Accepting New Patients On Medicaid +/- Interpreter Services, Kassondra M. Little
Family Medicine Clerkship Student Projects
For patients with diabetes, screening for microvascular complications like retinopathy requires annual retinal photography or dilated fundoscopy to identify and mitigate processes that can cause preventable blindness. Yet, by measures at the state and federal level, the percent of patients achieving this care is below target. At the Community Health Centers of Burlington (CHCB), the barriers responsible for this include uncertainty among patients and providers about which local optometry offices accept Medicaid, are scheduling new patients and have interpreter services available. This project aimed to improve retinopathy counseling, the achievement of retinopathy screening and the time burden placed on providers …
Screening For Areca (Betel) Nut & Quid Use, Gabriela Sarriera Valentin Ms
Screening For Areca (Betel) Nut & Quid Use, Gabriela Sarriera Valentin Ms
Family Medicine Clerkship Student Projects
Standardized screening tools for patients who use betel quit and areca nut products do not currently exist. Given the increased risk of oral and oropharynx cancer development in this patient population, increasing awareness of this practice could result in decreased morbidity and mortality. The purpose of this project is to (1) increase provider awareness of this cultural practice and its associated health consequences, (2) to develop a screening tool, and (3) to propose suggested follow-up when concerning lesions are identified.
Keep An Eye On Your Ocular Health: The Importance Of Routine Eye Exams, Kiana Heredia
Keep An Eye On Your Ocular Health: The Importance Of Routine Eye Exams, Kiana Heredia
Family Medicine Clerkship Student Projects
When it comes to scheduling preventive health screening exams, eye exams are often overlooked. Individuals may not understand the importance of their ocular health, and many assume a basic vision screening is comprehensive. However, that is not the case and eye diseases are common and can go undetected for a long period of time before symptoms appear. Seeing a licensed optometrist or ophthalmologist for comprehensive eye exams is important for detecting eye disease in the early stages when treatment is available to prevent vision loss is most effective.
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.
Preventive Medicine Screening Measures, Isaac Adams
Preventive Medicine Screening Measures, Isaac Adams
Family Medicine Clerkship Student Projects
In order to make progress towards long-term health on a community level, it is imperative to address health needs on a population basis and using a preventive strategy to prevent the development of more serious illness. With this in mind, this project aimed to create a poster providing easy to understand information to patients with regard to health screenings. Specifically, it addressed screenings for diabetes and pre diabetes, colon cancer, lung cancer, and breast cancer.
Implementing A Screening Tool For Insurance Coverage To Improve Cost-Related Medication Nonadherence Among Medicare Beneficiaries, Jennifer Lor
Family Medicine Clerkship Student Projects
No abstract provided.
Anxiety Screening In Pediatric Populations, Shubhankar Joshi
Anxiety Screening In Pediatric Populations, Shubhankar Joshi
Family Medicine Clerkship Student Projects
This project is aimed to elucidate guidelines for addressing newly changed recommendations for pediatric anxiety. Similar to the depression screening PHQ2, we hope to establish/develop a similar questionnaire that would serve as a quick screening tool and then further steps for treatment and recommendations on anxiety diagnosis.
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 …
Non-Medical Cannabis Use Screening And Advising, William Dean Brown
Non-Medical Cannabis Use Screening And Advising, William Dean Brown
Family Medicine Clerkship Student Projects
No abstract provided.
Improving Identification Of Ldct Lung Cancer Screening Eligible Patients, Mckenna L. Schimmel
Improving Identification Of Ldct Lung Cancer Screening Eligible Patients, Mckenna L. Schimmel
Family Medicine Clerkship Student Projects
USPSTF updated lung cancer screening guidelines this year to include all patients 50-80 years old who have 20+ pack years of smoking history and are active smokers or who have quit within the last 15 years. While providers and patients both support lung cancer screening efforts, only a small fraction of eligible patients end up getting screened annually. One way we can improve this metric is by making sure we are correctly identifying which patients meet screening criteria.
Assessing Patient Perceptions Of Pre-Visit Methods To Reduce Wait Time And Provider Burden, Vinh H. Le
Assessing Patient Perceptions Of Pre-Visit Methods To Reduce Wait Time And Provider Burden, Vinh H. Le
Family Medicine Clerkship Student Projects
Due to multiple factors, patients at ambulatory settings tend to experience long appointment wait times, negatively impacting patient satisfaction and overall well-being. One proposed solution is to use pre-visit data collection to simplify check-in and screening processes at the office. This project surveyed patients at Brookfield Primary Care & Pediatrics regarding quantitative wait time data and qualitative perceptions on the proposed solution. It was found that a majority of patients are open to using pre-visit online forms to reduce wait times.
Psa Screening - Patient Decision Aid, Michael Brown
Psa Screening - Patient Decision Aid, Michael Brown
Family Medicine Clerkship Student Projects
PSA screening decision aid
Screening For Disordered Eating Among High-Risk Groups, Julia B. Purks
Screening For Disordered Eating Among High-Risk Groups, Julia B. Purks
Family Medicine Clerkship Student Projects
Many patients with disordered eating will not present with objective manifestations such as low BMI, physical exam findings, or electrolyte abnormalities. Among patients that meet DSM-V criteria for an eating disorder, the majority do not fit criteria for anorexia nervosa or bulimia nervosa, but instead fall into a category known as "Otherwise specified feeding and eating disorders." As such, it can be difficult to identify these patients. This project proposes adding 2 validated screening questions to outpatient intake forms, or incorporating them into patient visits, to identify disordered eating among high-risk groups.
Dietary Health Screening, Luke Hallgarth
Dietary Health Screening, Luke Hallgarth
Family Medicine Clerkship Student Projects
Dietary recall by patients is time consuming & inefficient. This project aims to develop a screening tool to accurately and efficiently track patient's diets over the course of multiple healthcare visits.
Screening And Monitoring Social Determinants Of Health For Migrant Workers In Vermont, Richard Brach
Screening And Monitoring Social Determinants Of Health For Migrant Workers In Vermont, Richard Brach
Family Medicine Clerkship Student Projects
No abstract provided.
Connecticut Anemia Screening Guidelines, Amelia Anderson
Connecticut Anemia Screening Guidelines, Amelia Anderson
Family Medicine Clerkship Student Projects
This handout serves to educate clinicians and other providers as to when anemia screening should be done. It contains a summary of the recommendations made by several national organizations as well as Connecticut-specific requirements.
Intimate Partner Violence: Improving Screening Rates In The Primary Care Setting, Alexandra E. Churchill
Intimate Partner Violence: Improving Screening Rates In The Primary Care Setting, Alexandra E. Churchill
Family Medicine Clerkship Student Projects
The high prevalence of intimate partner violence (IPV) has led to recommended screening for all women of child-bearing age. Implementing validated screening tools within routine wellness visits at primary care offices facilitates awareness and patient support through identification and resource referral.
Screening For Developmental Delays During The Well-Child Visit, Ellen Walker Seyller
Screening For Developmental Delays During The Well-Child Visit, Ellen Walker Seyller
Family Medicine Clerkship Student Projects
Due to recent staffing transitions, family medicine physicians at Newtown Primary Care in Danbury, CT are now managing the care of an increasing number of pediatric patients. The goal of this project was to develop a screening tool to allow practitioners to assess for developmental delays during well-child visits. The tool includes 10-question surveys for ages 1mo, 2mo, 4mo, 6mo, 12mo, 15mo, 2yo, 3yo, or 4yo with a scoring guide and a list of some concerning signs at each stage.
What's In Your Cup? Increasing Transparency And Confidence In Alcohol Use Screening And Brief Intervention, Dylan C. Koundakjian
What's In Your Cup? Increasing Transparency And Confidence In Alcohol Use Screening And Brief Intervention, Dylan C. Koundakjian
Family Medicine Clerkship Student Projects
19% of Vermonters report drinking alcohol at levels which puts their health at risk, but many healthcare providers do not feel confident in addressing their patients' usage. This can stem from lack of experience with alcohol use, worries about stigma, and time constraints. However, data has shown that even 5-15 minute interventional conversations can significantly reduce a patient's risky drinking. This project aims to provide real-world, practical advice for having conversations around alcohol, and provides a conversion chart converting popular alcoholic beverages into standard drink equivalents.
Quality Improvement: Cervical Cancer Screening Rates Within Hudson Headwaters Health Network, Dylon K. Gookin
Quality Improvement: Cervical Cancer Screening Rates Within Hudson Headwaters Health Network, Dylon K. Gookin
Family Medicine Clerkship Student Projects
Nearly 8 out of every 100,000 people are diagnosed with cervical cancer each year. However, powerful screening tools exist that enable us to detect and manage cervical changes before they develop into cervical cancer. In spite of this, cervical cancer screening rates remain low for many providers. This public health project sought to identify and address a cause for low cervical cancer screening rates within the Hudson Headwaters Health Network. A literature review determined that education and mailed invitation letters were proven methods for improving cervical cancer screening rates. Following a review of the local population demographics, West Mountain Health …
Intimate Partner Violence: Updated Screening Tool And Approach To Screen Positive Patients, Michael J. Hall
Intimate Partner Violence: Updated Screening Tool And Approach To Screen Positive Patients, Michael J. Hall
Family Medicine Clerkship Student Projects
Intimate partner violence screening is recommended in all women of child-bearing age. Ensuring validated screening tool utilization and employing strategies to identify risk while providing non-judgmental support is critical to identifying patients and optimizing appropriate resource referral.
Getting Ahead Of The Curve: Screening And Early Detection Of Scoliosis In Adolescents To Prevent Progression Of Spinal Deformity, Patrick Saunders
Getting Ahead Of The Curve: Screening And Early Detection Of Scoliosis In Adolescents To Prevent Progression Of Spinal Deformity, Patrick Saunders
Family Medicine Clerkship Student Projects
Scoliosis is a spinal deformity that affects approximately 7 million people in United States. The most common age of onset of idiopathic scoliosis is between 10-15 years old. If left untreated, there is a possibility that scoliosis can progress to a severity that requires surgery to correct spinal curvatures. However, if detected early enough, scoliosis can be managed via noninvasive techniques, which research has shown to be extremely effective in halting the progression of curvatures and preventing the possible need for surgery. In order to detect scoliosis early enough to begin noninvasive treatment, screening programs are essential. Screening for scoliosis …
A Patient Centered Intervention To Promote Primary Care Based Screening For Diabetic Retinopathy, William B. Earle
A Patient Centered Intervention To Promote Primary Care Based Screening For Diabetic Retinopathy, William B. Earle
Family Medicine Clerkship Student Projects
Diabetic Retinopathy is the leading cause of blindness in patient's age 25-74 in the world. Onset of disease is insidious and early intervention is the only way to reduce morbidity. On average only 60% of diabetic's get an annual eye exam, but in the Western Connecticut Health Network (WCHN) that number is closer to 32%. This project sought to educate and encourage patients to take advantage of a new tele-medicine, primary care based diabetic retinopathy screening program starting at Brookfield Family Medicine (part of the WCHN).
Prostate Cancer Screening Guidelines: Providing Patient Education, Michael Burton
Prostate Cancer Screening Guidelines: Providing Patient Education, Michael Burton
Family Medicine Clerkship Student Projects
The United States Preventative Services Task Force (USPSTF) is planning to update their prostate cancer PSA screening guidelines to a category C from category D grade. This could potentially lead to confusion among both providers and patients as they have become accustomed to the previous guidelines and there has always been much discussion among providers about whether to offer the test. This project seeks to provide information to patients about the upcoming change so that they are more informed and able to better participate in discussion with their doctor about the pros and cons of PSA testing.
Evaluation Of A Cancer Risk Assessment Questionnaire To Guide Cancer Screening Decision-Making In Primary Care, Anita Li
Family Medicine Clerkship Student Projects
No abstract provided.
Breast Density Notification: A Primary Care Summary, Nicole Lin Mendelson
Breast Density Notification: A Primary Care Summary, Nicole Lin Mendelson
Family Medicine Clerkship Student Projects
On January 15th, 2017 Vermont Senate Bill 157 took effect requiring healthcare facilities that perform mammography to provide patients information that identifies their individual breast tissue classification. 40-50% of women fall into the category of having increased breast density. Increased breast density reduces the sensitivity of mammography and increases the chance that cancer will not be detected. Additionally, women who have dense breasts are at an increased risk for developing breast cancer. Supplemental screening provides an opportunity to increase detection of breast cancer, but comes with an increased rate of false positives. With this new law in place, …
Hepatitis C Screening In The Baby Boomer Cohort, Peter Hyson
Hepatitis C Screening In The Baby Boomer Cohort, Peter Hyson
Family Medicine Clerkship Student Projects
The USPSTF recommends a one-time screening for Hepatitis C, irrespective of prior risk factors, for individuals born between 1945-1965. Many patients in this group may not be aware of this recommendation or understand very much about Hepatitis C infection. This project sought to educate and promote screening among the "Baby Boomer" cohort at Hinesburg Family Medicine Clinic. A literature review on HCV screening in the age group cohort was carried out and a poster was created.