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Outpatient Anticoagulation Management, Anne du Breuil, MD 2021 Thomas Jefferson University

Outpatient Anticoagulation Management, Anne Du Breuil, Md

Department of Family & Community Medicine Presentations and Grand Rounds

Objectives

  • Warfarin Management
  • Anticoagulation Module in Epic
  • Brief summary of Direct Oral Anticoagulants (DOACs)
  • Brief Perioperative Anticoagulation Tips


Chronic Kidney Disease For The Pcp, Lilli Flink, MD 2021 Thomas Jefferson University

Chronic Kidney Disease For The Pcp, Lilli Flink, Md

Department of Family & Community Medicine Presentations and Grand Rounds

Learning Objectives

  • Define CKD
  • Review screening guidelines for CKD
  • Review staging of CKD
  • Outline diagnostic approach
  • Review primary care management
  • Understand indications for referral to specialty care


The Ways In Which Women’S Suffrage Affected Healthcare, Madison M. Weber 2021 St. John Fisher College

The Ways In Which Women’S Suffrage Affected Healthcare, Madison M. Weber

The Review: A Journal of Undergraduate Student Research

The 19th Amendment had and continues to have a major impact on women’s healthcare in the United States. Prior to suffrage, women had little to no ability to voice their thoughts on and change policies that regarded their own health. This essay addresses the way in which the vote both directly and indirectly impacted healthcare; including workplace conditions, maternal and reproductive rights, racial disparities, political advocacy and healthcare, the different waves of feminism, and how this has all affected modern healthcare for women. From progressive articles being published in women's magazines, to the establishment of marital rape, to ...


Team-Based Outreach To Improve Colorectal Cancer Screening Rates In An Urban Family Medicine Practice, Alexa Waters, MD, Olivia Seecof, MD, Graham Stratton, MD, Caitlyn Haines, MD, Brittany Hozick, MD, Jose Medina, MD, Kathryn Topalis, MD, Hannah Facey, MD, Chelsea Salas-Tam, MD, David Peters, MD 2021 Thomas Jefferson University

Team-Based Outreach To Improve Colorectal Cancer Screening Rates In An Urban Family Medicine Practice, Alexa Waters, Md, Olivia Seecof, Md, Graham Stratton, Md, Caitlyn Haines, Md, Brittany Hozick, Md, Jose Medina, Md, Kathryn Topalis, Md, Hannah Facey, Md, Chelsea Salas-Tam, Md, David Peters, Md

House Staff Quality Improvement and Patient Safety Conference (2020-)

Aims for Improvement

  • Aim to increase CRCS rates for our resident team patients by 5% by May, 2021
  • Target Population (n=99): Age 50-74, due for CRCS, office visit within last 2 years, team resident listed as PCP, active on MyChart, and speak English


Improving Practice Accessibility Through Mychart Utilization, G. Bires, M. Taskier, P. Padgaonkar, L. Flink, R. Wiley, S. Newsom, J. Mitchell, S. Cokenakes, J. Schutzman, A. Nwaobasi, T. Huang 2021 Thomas Jefferson University

Improving Practice Accessibility Through Mychart Utilization, G. Bires, M. Taskier, P. Padgaonkar, L. Flink, R. Wiley, S. Newsom, J. Mitchell, S. Cokenakes, J. Schutzman, A. Nwaobasi, T. Huang

House Staff Quality Improvement and Patient Safety Conference (2020-)

Aims for Improvement

  • Increase patient portal MyChart activation for a cohort of approximately 2,000 patients at JFMA by 1% from February to April 2021.
  • Demonstrate evidence of utilization including appointment scheduling, results review, and communication with providers through MyChart after activation.


Get America Talking: Implementing Advanced Care Planning In Primary Care, Sasha Recht 2021 University of San Diego

Get America Talking: Implementing Advanced Care Planning In Primary Care, Sasha Recht

Doctor of Nursing Practice Final Manuscripts

Advanced Care Planning (ACP) is an essential part of providing adequate care in the primary care setting. Discussing end of life with patients can be a tedious and uncomfortable conversation for many providers, however, its continued avoidance contributes to the stigma of end of life care and may also result in significant healthcare cost expenditure with the use of unwanted invasive treatments. All providers should engage in consistent advanced care planning in order to improve patient and provider communication, improve patient satisfaction, increase advanced directives on file, reduce the stigma of the topic, and improve quality of life.


Identifying Opportunities For Implementing Home Blood Pressure Monitoring In Newly Diagnosed Or Worsening Hypertension At A Family Health Clinic, Catherine Liikala 2021 University of San Diego

Identifying Opportunities For Implementing Home Blood Pressure Monitoring In Newly Diagnosed Or Worsening Hypertension At A Family Health Clinic, Catherine Liikala

Doctor of Nursing Practice Final Manuscripts

Abstract

The literature is clear that the diagnosis, treatment, and plan of care for hypertension in adults should rely, at least in part, on ambulatory blood pressure. Using in-office blood pressures alone risks inaccurate measurements and can result in inappropriate treatments. Many clinics, however, do not adhere to this recommendation and will fall back on clinic readings which puts the patient at risk of mismanaged hypertension and polypharmacy. This project was formulated to identify the extent to which hypertensive patients were diagnosed and managed without the use of home blood pressure monitoring in a small local community clinic. This project ...


How Can The Department Of Family Medicine Benefit From The Laboratory Physicians, Abidemi Emmanuel Omonisi 2021 Yale University

How Can The Department Of Family Medicine Benefit From The Laboratory Physicians, Abidemi Emmanuel Omonisi

PEER Liberia Project

This presentation is a part of the PEER Liberia Pathology Lecture Series. It provides an overview of pathology for family physicians, including: Definition of Pathology; Departments in Pathology/Laboratory Medicine; Pathology as a Career in Medicine; Evolution of Pathology; Common Terminology in Pathology; Sub-Divisions in Anatomic Pathology; Takeaway Points; Recommendations and Way Forward.


Delivery Of Bad/Difficult News, Elizabeth C. Dykhouse 2021 University of Massachusetts Medical School

Delivery Of Bad/Difficult News, Elizabeth C. Dykhouse

PEER Liberia Project

This presentation is a part of the PEER Liberia Behavioral Health Lecture Series. It provides an overview for physicians about how to deliver bad or difficult news to patients, with examples and discussion of the SPIKES approach and the GUIDE approach.


Polycystic Ovarian Syndrome For The Pcp, Madeline Taskier, MD 2021 Thomas Jefferson University

Polycystic Ovarian Syndrome For The Pcp, Madeline Taskier, Md

Department of Family & Community Medicine Presentations and Grand Rounds

Objectives

  • Define PCOS
  • Outline varying diagnostic criteria
  • Briefly review pathophysiology and diagnostic approach
  • Review primary care management of PCOS symptoms
  • Summarize role of PCP for clinical monitoring
  • Explore influence of PCOS on fertility and pregnancy


Mindset, Medicine And You, Gregory A. Jaffe, MD, MSEd 2021 Thomas Jefferson University

Mindset, Medicine And You, Gregory A. Jaffe, Md, Msed

Department of Family & Community Medicine Presentations and Grand Rounds

Objectives

  • Describe the differences between a fixed and growth mindset
  • State phrases that encourage growth mindset
  • Apply growth mindset techniques to medical education


Sports Medicine Update For The Pcp, Jeremy D. Close, MD 2021 Thomas Jefferson University

Sports Medicine Update For The Pcp, Jeremy D. Close, Md

Department of Family & Community Medicine Presentations and Grand Rounds

No abstract provided.


Implementation Of A Cost-Effective Treatment Algorithm For The Management Of Acne Vulgaris In College Students, Cristina Borsilli 2021 Valparaiso University

Implementation Of A Cost-Effective Treatment Algorithm For The Management Of Acne Vulgaris In College Students, Cristina Borsilli

Evidence-Based Practice Project Reports

Acne is one of the most common skin disorders in the United States, occuring in over 5.1 million Americans. Of those with acne, 53.8% are adults between the ages of 18 and 44 years old (American Academy of Dermatology [AAD], 2017). Acne can lead to multiple issues such as scarring, poor self-esteem, anxiety, and depression (Zaenglein et al., 2016). Acne can also negatively impact quality of life (Cengiz & Gurel, 2020). The purpose of this evidence-based project was to develop a cost-effective treatment algorithm for the management of acne vulgaris in adult college students. A literature search determined the ...


Critical Conversations: Improving Goals Of Care Conversations At Southeast Family Medicine, Elizabeth Deyo, Michael Dirks, Tyler Nelson, Katherine Cobb, Nicholas Wolfgang, Hannah Kadavy, Ben Pederson 2021 Providence Milwaukie Family Medicine

Critical Conversations: Improving Goals Of Care Conversations At Southeast Family Medicine, Elizabeth Deyo, Michael Dirks, Tyler Nelson, Katherine Cobb, Nicholas Wolfgang, Hannah Kadavy, Ben Pederson

Milwaukie Family Medicine 2021

Quality Improvement Project - Background

Introduction Goals of care (GOC) conversations are an essential element of high quality patient care across care contexts. At our residency clinic site, Southeast Family Medicine, there currently is not a standardized workflow that encourages and reminds providers to complete and document GOC discussions with their patients. Currently, end of life planning is tracked and monitored primarily through two tools: patient completion of advanced directives and POLST forms. Although these two documents are important, their use and application is at times to general or specific to truly reflect a patient’s perspective on their goals of ...


Increasing Hpv Vaccination Rates At Pmg Milwaukie Family Medicine, Sean Brachvogel, Justin Ferley, Jessica Hu, Lauren Moore, Sebastian Reeve, Tyler Reimann, John Yates, Daniel Ruegg 2021 Providence Milwaukie Family Medicine

Increasing Hpv Vaccination Rates At Pmg Milwaukie Family Medicine, Sean Brachvogel, Justin Ferley, Jessica Hu, Lauren Moore, Sebastian Reeve, Tyler Reimann, John Yates, Daniel Ruegg

Milwaukie Family Medicine 2021

Background

Introduction • Between 2013 and 2017 about 45 000 HPV related cancers were diagnosed in the US per year • Of these, cervical cancer is the most common and is almost exclusively caused by HPV • About two thirds of vulvar/vaginal and penile cancers are the result of HPV infection • Vaccination has potential to dramatically reduce incidence of these cancers, and nearly eliminate cervical cancer Nationally, only 51 of teens are fully vaccinated against HPV and Oregon averages 58 59 Background Research and Literature Review Many interventions to improve HPV vaccination rates have been undertaken and studied Interventions we found include ...


Mr. Watson, Come Here-I Want To See You: One Rural Residency Program’S Rapid Pivot To Telemedicine During The Pandemic, William J. Crump, Diana M. Nims, Douglas J. Hatler 2021 Associate Dean, University of Louisville School of Medicine Trover Campus at Baptist Health Madisonville

Mr. Watson, Come Here-I Want To See You: One Rural Residency Program’S Rapid Pivot To Telemedicine During The Pandemic, William J. Crump, Diana M. Nims, Douglas J. Hatler

Marshall Journal of Medicine

Telemedicine has been used for over a generation, but application has been limited in rural areas by lack of payment, licensure issues, cumbersome video equipment, and challenges with digital communications. Early in the COVID-19 pandemic, our rural family medicine residency made a rapid shift to all telemedicine services for our patients.

We collected data on a 4-week period in April 2020 as we transitioned to 100% telemedicine consultations. We compare that to a 4-week period prior to mid-March when activities were normal for us. We collected detailed visit summaries, patient feedback, and physician feedback and compared these two periods.

Early ...


Hydrogen Peroxide Colitis: The Accidental Enema, Ramin Karimi, Ashish Sharma, Kevin Tran, Sebastian Montgomery 2021 Coliseum Medical Center

Hydrogen Peroxide Colitis: The Accidental Enema, Ramin Karimi, Ashish Sharma, Kevin Tran, Sebastian Montgomery

HCA Healthcare Journal of Medicine

Chemical colitis is defined as inflammation of the large intestine or colon as a result of exposure from a harsh chemical through an enema or other procedure. In this case, the chemical is hydrogen peroxide, which is commonly used as an antiseptic for minor abrasions. Hydrogen peroxide enemas were once popular for difficult to treat constipation. However, resultant colitis and proctitis limited its use. When administered rectally in a high enough concentration, intense abdominal pain and transient bloody diarrhea can occur, with the majority of affected patients making a full recovery with supportive management. Here we discuss a case of ...


Erythema Ab Igne: Toasted Skin Syndrome, Vincent Ly, James E. Vandruff, Julia Fashner 2021 University of Central Florida

Erythema Ab Igne: Toasted Skin Syndrome, Vincent Ly, James E. Vandruff, Julia Fashner

HCA Healthcare Journal of Medicine

Introduction

Erythema ab igne is a benign skin condition caused by long-term exposure to infrared radiation and/or heat. Erythema ab igne begins as a mild erythema over the previously exposed areas and develops into an erythematous reticulated hyperpigmentation with scaling and telangiectasias.

Clinical Findings

A 55-year-old female presented to the primary care clinic with concerns due to the development of a rash on her lower back in the previous 1 to 2 weeks. She had a history of chronic back pain and was using conservative treatment for pain management, including daily use of a heating pad for 15 minutes ...


Prevalence And Risk Factors Of Drug-Induced Gingival Overgrowth In Hypertensive Patients, Haslina Taib, Muhammad Haziq Mohd Radzwan, Muhammad Annurdin Sabaruddin, Wan Majdiah Wan Mohamad, Noraini Mohamad 2021 Unit of Periodontics, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia

Prevalence And Risk Factors Of Drug-Induced Gingival Overgrowth In Hypertensive Patients, Haslina Taib, Muhammad Haziq Mohd Radzwan, Muhammad Annurdin Sabaruddin, Wan Majdiah Wan Mohamad, Noraini Mohamad

Journal of Dentistry Indonesia

Gingival overgrowth (GO) or enlargement is an unwanted effect occurring on the gingiva that commonly associated with medications. Hypertension is a global burden systemic conditions and showed high prevalent and more patients are taking antihypertensive drugs. Objective: This study aimed to assess the prevalence of drug-induced gingival overgrowth (DIGO) and its associated risk factors among hypertensive patients attending Hospital Universiti Sains Malaysia, Kelantan, Malaysia. Methods: A total of 42 patients with the mean age of 57.1 (SD=9.3) years had participated in this cross-sectional study. They were recruited if they had consumed anti-hypertensive agents for at least 6 ...


Predictive Factors For Early Breastmilk Discontinuation In Premature Infants: A Retrospective Study, Smiti Gupta, Darah Yuhas, Janet Wasylyshen-Valesco, Adrienne Stolfi 2021 Wright State University - Main Campus

Predictive Factors For Early Breastmilk Discontinuation In Premature Infants: A Retrospective Study, Smiti Gupta, Darah Yuhas, Janet Wasylyshen-Valesco, Adrienne Stolfi

Medical Student Research Symposium Abstracts and Posters

The AAP recommends exclusive breastfeeding for 6 months, followed by continuation of breastfeeding with introduction of complimentary foods for at least 1 year (1). There has been considerable success initiating breastfeeding in birth hospitals. This can largely be attributed to many beneficial programs, including the WHO/UNICEF Baby-Friendly Hospital Initiative and “10 Steps to Successful Breastfeeding” (2, 3). Despite the success with increasing breastfeeding rates in birth hospitals, only 58.3% of US infants received breast milk at 6 months of age and only 25.6% of US infants were exclusively breastfed at 6 months in 2019 (4).This discrepancy ...


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