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Articles 1 - 30 of 35
Full-Text Articles in Medical Specialties
Perceptions Of Teleophthalmology, Kisha Kalra
Perceptions Of Teleophthalmology, Kisha Kalra
Family Medicine Clerkship Student Projects
One of the greatest burdens facing patients with eye-related pathologies is access to ophthalmologists in the area. Teleophthalmology is a way for eye examinations to be conducted in the easily-accessible primary care setting, with images sent to ophthalmologists for interpretation. This project addresses the perceptions of this model amongst patients and primary care physicians.
Stratifying Back Pain In Primary Care With The Start Screening Tool, Patrick Mcclurg
Stratifying Back Pain In Primary Care With The Start Screening Tool, Patrick Mcclurg
Family Medicine Clerkship Student Projects
No abstract provided.
Improving Patient Education Surrounding Imaging Modalities, Tayler Drake
Improving Patient Education Surrounding Imaging Modalities, Tayler Drake
Family Medicine Clerkship Student Projects
Musculoskeletal complaints are among the most common problems seen in family medicine clinics. Patients may expect that every musculoskeletal complaint requires imaging, however, they may leave the clinic without a referral to radiology. This discrepancy between reality and expectation may strain the patient-provider relationship. The goal of this project is to educate patients regarding imaging modalities and when it is appropriate for imaging to be ordered in the workup of a musculoskeletal complaint.
Supporting Patient Education During Infant Formula Shortage: Washington County, Vt, Rachel A. Wayne
Supporting Patient Education During Infant Formula Shortage: Washington County, Vt, Rachel A. Wayne
Family Medicine Clerkship Student Projects
The infant formula shortage is a current national public health concern. Many guardians of formula-fed infants are struggling to find appropriate nutrition for their babies. Families of low socioeconomic status are being disproportionately affected because many of them rely on the Women, Infants, and Children program (WIC) to obtain formula, and their formula options through this program are limited. This project aims to provide Vermont families who have formula-fed infants with education and resources to navigate the formula shortage and keep their children healthy and fed.
Increasing Awareness Of Pharmacologic Interventions For Smoking Cessation, Jeremy Frank
Increasing Awareness Of Pharmacologic Interventions For Smoking Cessation, Jeremy Frank
Family Medicine Clerkship Student Projects
Smoking is a large cause of morbidity and mortality in the healthcare system. Many patients are interested in quitting smoking but have not found an effective strategy that works for them. There have been times when patients have been receptive to a discussion regarding medication assisted cessation but ultimately were not prescribed any medications from their provider. Despite the fact that it has been proven that pharmacotherapy increases the chances of smoking cessation. The goal of this community health project is to create a change within the healthcare system by providing evidenced based recommendations regarding pharmacologic treatment in smoking cessation …
Pelvic Floor Exercises & Pelvic Physical Therapy Directory For Pregnant & Postpartum Individuals, Matthew Breseman
Pelvic Floor Exercises & Pelvic Physical Therapy Directory For Pregnant & Postpartum Individuals, Matthew Breseman
Family Medicine Clerkship Student Projects
No abstract provided.
Differentiating Annual Wellness Visits And Health Maintenance Visits, Benjamin N. Price
Differentiating Annual Wellness Visits And Health Maintenance Visits, Benjamin N. Price
Family Medicine Clerkship Student Projects
Due to recent changes in workflow at the office, many visits that should be Medicare Annual Wellness Visits are incorrectly scheduled as health maintenance visits (yearly physical). These mistakes are not always identified leading to confusion for both patients and providers and unnecessary bills for the patient
Improving Housing-Insecurity Screening In A Rural Primary Care Setting, Heather G. Giguere
Improving Housing-Insecurity Screening In A Rural Primary Care Setting, Heather G. Giguere
Family Medicine Clerkship Student Projects
Housing-insecurity and homelessness have a direct impact on individual health, and are well established causes of premature morbidity and mortality (6). Screening for housing-insecurity leads to earlier identification, and more extensive engagement of services, which can help to mitigate the individual and public health ramifications of these social determinants of health (8). The aim of this project was to improve the screening process for housing-insecurity within an rural primary care setting.
911 Or Primary Care - Who Should I Call?, Jack F. Mangn
911 Or Primary Care - Who Should I Call?, Jack F. Mangn
Family Medicine Clerkship Student Projects
US emergency departments (EDs) are overcrowded & overwhelmed - especially in Vermont. An estimated 37% of all ED visits are for non-urgent complaints. Factors associated with frequent ED use for non-urgent complaints include overestimation of disease severity and lack of understanding of services provided.
Hiv Pre-Exposure Prophylaxis (Prep): Increasing Awareness In Primary Care, Carl W. Brasch
Hiv Pre-Exposure Prophylaxis (Prep): Increasing Awareness In Primary Care, Carl W. Brasch
Family Medicine Clerkship Student Projects
Primary care is a setting that has great potential for screening and reducing the rate of HIV transmission.
Pediatric Anxiety - A Guide For Parents, Paul Mccleary
Pediatric Anxiety - A Guide For Parents, Paul Mccleary
Family Medicine Clerkship Student Projects
As of April 2022, the United States Preventive Services Task Force (USPSTF) recommends that all children age 8-18 be screened for anxiety. Whether this recommendation is due to the many changes and stress stemming from Covid-19, the community was left with a need for insight into properly addressing this issue. Whether it be for parents at home or physicians in the clinic, clear educational pamphlets identifying alarm signs and home recommendations will benefit the community.
Improving Dental Health Screening In The Primary Care Setting, Kali Amoah
Improving Dental Health Screening In The Primary Care Setting, Kali Amoah
Family Medicine Clerkship Student Projects
Oral health is an important part of systemic health that is often overlooked by patients due to various barriers to dental care. Dental caries is a public health crisis and one of the most common chronic diseases globally. Poor oral health and the resulting inflammation caused by oral bacteria is associated with cardiovascular disease, pregnancy complications, poor glycemic control in diabetes mellitus, and many more conditions. The goal of this project is to increase dental health screening in the primary care setting and to provide a list of affordable dental clinics in Vermont that take Medicaid/ Medicare and offer sliding …
Circumcision For The Male Infant: Patient Education And Cultural Humility, Grace E. Eisenbiegler
Circumcision For The Male Infant: Patient Education And Cultural Humility, Grace E. Eisenbiegler
Family Medicine Clerkship Student Projects
Male circumcision is a religious and cultural decision that has become increasingly medicalized. Many families make decisions about circumcision based on culture and family without true informed consent. There is a need for unbiased information, prior to delivery, about circumcision, so that families may make an informed decision that is right for them. A one page document was created as an addition to the clinic's pregnancy guide with information on risks and benefits of circumcision, complications associated with the uncircumcised penis, cultural significance, and care of the uncircumcised penis.
Peri-Operative Optimization: Social Determinants Of Health, Adam F. Kohutnicki
Peri-Operative Optimization: Social Determinants Of Health, Adam F. Kohutnicki
Family Medicine Clerkship Student Projects
This project investigated how clinicians at a rural Vermont family medicine practice observed various social determinants of health (SDOH) of their patient population affected patients' preparedness for surgery. Two clinicians involved in the community, a practicing family medicine physician and a practicing social worker, were interviewed to collect qualitative data on how various SDOH they have observed through their clinical practice have influenced patients' preparedness for surgery. This information was then utilized to create a "dot-phrase" that clinicians can use as part of a patient's pre-operative visit in the outpatient setting to assess SDOH and plan subsequent targeted interventions to …
Improving Identification Of Dermatological Conditions In Skin Of Color, Sam Afshari B.S., Simran Kalsi M.S.
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.
Evaluating The Awareness Of Medical Staff In Regards To The Environmental Effects Of Single-Use, Disposable Medical Gloves, Nathaniel Moore
Evaluating The Awareness Of Medical Staff In Regards To The Environmental Effects Of Single-Use, Disposable Medical Gloves, Nathaniel Moore
Family Medicine Clerkship Student Projects
This study was performed to evaluate the awareness of medical staff in regards to the environmental effects of single-use, disposable medical gloves. The volume and cost surrounding medical glove usage, waste production, and environmental effects require further attention. This research project outlines awareness as the first step in the right direction with future hopes to find a more sustainable solution.
Healthy Affordable Food In Milton, Vt, Nicholas D. Brunette
Healthy Affordable Food In Milton, Vt, Nicholas D. Brunette
Family Medicine Clerkship Student Projects
Food insecurity disproportionately affects those of lower socioeconomic status and ultimately leads to poorer health and excess healthcare expenditures. Providing local and online resources for healthy affordable eating to patients of Milton Family Practice may help address some of these concerns.
Covid-19, Cold, Flu? What To Know And What To Do, Ryan Cournoyer
Covid-19, Cold, Flu? What To Know And What To Do, Ryan Cournoyer
Family Medicine Clerkship Student Projects
A review of Covid-19 symptoms vs the common cold and influenza. Discusses what to do if you think you are sick and when to seek medical care. Helping prevent community Covid-19 transmission and influx of mildly symptomatic patients into primary care clinic and emergency rooms.
Increasing Access To Advanced Care Planning Documentation, Amy B. Golinker
Increasing Access To Advanced Care Planning Documentation, Amy B. Golinker
Family Medicine Clerkship Student Projects
The purpose of this project was to determine the percent of the adult patient population at one family practice in Vermont with completed advanced care planning documentation available to health care providers and work to increase that percentage. The majority of this project was spent completing a chart review to find the advanced care planning documentation present in the current electronic health record, Epic, the previous electronic health record, ECW, or registered with the Vermont Advance Directive Registry. Efforts were also made to increase the percent of adult patients with advanced care planning documentation through conversations with patients during wellness …
Primary Care And The Housing Insecure In Central Vermont, Hunter Goldsmith
Primary Care And The Housing Insecure In Central Vermont, Hunter Goldsmith
Family Medicine Clerkship Student Projects
In this project, I performed a literature review of the research regarding the benefits of primary care on population health. I also looked at healthcare utilization and interviewed community members. I then surveyed individuals suffering from housing insecurity to determine if they were connected to primary care homes and if not the reasons they have not been able to be connected. Finally, I attempted to link interested individuals with local primary care offices to establish care.
Transgender Care Within Family Medicine: Focusing On Feminizing Hormone Therapy, Stellar Levy
Transgender Care Within Family Medicine: Focusing On Feminizing Hormone Therapy, Stellar Levy
Family Medicine Clerkship Student Projects
Transgender populations experience health disparities and barriers related to gender identity or expression. Many people who identify as transgender avoid or delay care because of perceived or real transphobia and discrimination by health care providers and institutions. Providers may benefit from easy access to information about people who identify as transgender and their health needs.
Dietary Effects Of Vitamin K On Inrs, Michael A. Lawson
Dietary Effects Of Vitamin K On Inrs, Michael A. Lawson
Family Medicine Clerkship Student Projects
INR monitoring can be difficult for patients. Vitamin K plays a major role in the regulation of INR control and warfarin efficacy. Fluctuations in daily vitamin K intake can alter INR values, leading to coagulopathic adverse events. Consistent daily vitamin K intake may help patients improve INR control.
Let's Talk Menopause: A Brochure Educating And Empowering Women In Menopause, Delaney Sztraicher
Let's Talk Menopause: A Brochure Educating And Empowering Women In Menopause, Delaney Sztraicher
Family Medicine Clerkship Student Projects
More than 6 million women in the United States experience menopausal and postmenopausal symptoms annually. Although up to 80% of women experience vasomotor symptoms, there continues to be stigma surrounding conversations of menopause and its associated symptoms. Due to this pervasive taboo, women often dismiss or ignore their symptoms. This neglect leads to greater utilization of healthcare resources and increased productivity losses with an ultimate economic burden of more than $810 billion in the US. Studies have shown that when empowered with education women feel better prepared to manage their symptoms. This project aims to dismantle the stigma by providing …
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.
Adhd Evaluation And Diagnosis In The Primary Care Setting, Sean R. Fox
Adhd Evaluation And Diagnosis In The Primary Care Setting, Sean R. Fox
Family Medicine Clerkship Student Projects
Our goal was to develop a comprehensive Epic template for the initial evaluation of ADHD in the primary care setting.
Anticipatory Guidance On Breastfeeding Support In Vermont, Ian Guertin
Anticipatory Guidance On Breastfeeding Support In Vermont, Ian Guertin
Family Medicine Clerkship Student Projects
Breastfeeding is an optimal source of nutrition for babies and has health benefits. Vermont strives to support families in meeting their breastfeeding goals. This project developed anticipatory guidance that can be given to prenatal patients about breastfeeding support resources in Vermont.
Tickborne Disease Prevention And Education, Clara Berard
Tickborne Disease Prevention And Education, Clara Berard
Family Medicine Clerkship Student Projects
Over the last decade, the incidence of tickborne disease has been increasing in Vermont and across the United States. Many people have questions and concerns about tickborne diseases that their healthcare providers don't have the time or knowledge to answer. By designing a way to efficiently distribute educational materials on tickborne diseases to patients, their questions and concerns can be more easily addressed.
When Patients Re-Engage, Timothy L. Long
When Patients Re-Engage, Timothy L. Long
Family Medicine Clerkship Student Projects
Patients can often feel overwhelmed or intimidated by a trip to the doctor's office. But when a patient has not seen a doctor in several years, those feelings can contribute to avoidance of the healthcare system in general. This project seeks to help assuage concerns and empower patients during their first visit back to a primary care physician.
Trust Your Gut: Promoting Gut Health Through Updated Nutrition Education, Christina Cobb
Trust Your Gut: Promoting Gut Health Through Updated Nutrition Education, Christina Cobb
Family Medicine Clerkship Student Projects
Physician time and nutrition education are limited, yet lifestyle changes, including healthy eating, are often the primary intervention for both preventing & managing chronic conditions, such as cardiovascular disease, hypertension, and type 2 diabetes. There is growing evidence of the importance of gut health & the microbiome’s link to several aspects of health, including the immune system, mental health, and metabolic syndrome. Through collaboration with two dietitians, a "promoting gut health" patient handout was created and existing nutrition handouts were updated to reflect current dietary recommendations.
Healthy Affordable Food In Milton, Vt, Nicholas D. Brunette
Healthy Affordable Food In Milton, Vt, Nicholas D. Brunette
Family Medicine Clerkship Student Projects
Access to healthy affordable food is a common issue in nationally and in Vermont. This project aims to provide resources for patients and families at Milton Family Practice who need access to healthy food options.