Cases From A Community Hospital…Jchimp Series #2: 66-Year-Old Man With Recurrent Painful Rashes And Oral Ulcerations,
2024
Johns Hopkins Bayview Medical Center
Cases From A Community Hospital…Jchimp Series #2: 66-Year-Old Man With Recurrent Painful Rashes And Oral Ulcerations, Fatima Halilu, Jing Wu, Joseph Fuscaldo, Nathan Dunsmore, Zain Syed, Pauline Daley
Journal of Community Hospital Internal Medicine Perspectives
This is part of a series of case reports detailing scenarios from our community hospital. The cases are selected to feature clinical dilemmas, provide a review on what is currently known about the topic with expert perspective. A 66-year-old black man presented to the primary care clinic with his fourth episode of generalized painful rash and oral ulcerations without a diagnosis despite two emergency room (ED) visits alongside doxycycline treatment. Symptoms interfered with daily activities with skin exam notable for widespread erythematous patches and plaques. In office biopsies were obtained with final diagnosis of erythema multiforme. Etiologic workup revealed positive …
Comparison Of Pre And Post Foley Catheter Bishop’S Score: A Retrospective Record Review At Aga Khan University Hospital Karachi, Pakistan,
2024
Aga Khan University
Comparison Of Pre And Post Foley Catheter Bishop’S Score: A Retrospective Record Review At Aga Khan University Hospital Karachi, Pakistan, Ayesha Malik, Sheikh Irfan Ahmed, Farheen Yousuf, Azra Amerjee, Sumaira Naz, Safna Naozer Virji Safna Naozer Virji
Department of Obstetrics & Gynaecology
Objective: To compare pre and post Foley's catheter Bishop Score during labour induction.
Methods: This study was a retrospective study conducted at the Aga Khan University Hospital Karachi, Pakistan after approval from ethical review board. All women who underwent induction of labour with Foley's Catheter at gestation of 37 weeks or more from September 2014-October 2015 were included. Data was entered and analyzed in Statistical Package for Social Sciences (SPSS) version 19.0. The comparison between pre and post Foley's catheter Bishop Score during labour induction will be calculated by Wilcoxon sign test.
Results: There were 981 cases of inductions of …
Expanding Awareness Of Tbi Resources In The North Country,
2024
University of Vermont
Expanding Awareness Of Tbi Resources In The North Country, Nicholas W. Krant
Family Medicine Clerkship Student Projects
Disability, emotional dysregulation and financial stress are only some of the issues that many patients who suffer TBI encounter. While resources are available to alleviate some of these burdens on patients who suffer TBI in New York's North Country, patients often struggle to find these resources. This project endeavors to create a resource for patients, family members and practitioners to find available resources.
Promoting Spine Health For Adolescent Athletes,
2024
The University of Vermont
Promoting Spine Health For Adolescent Athletes, Taylor R. Walker
Family Medicine Clerkship Student Projects
Based on interviews with local stakeholders in public health and literature review, developed an informational brochure for high school athletes containing prevention and management strategies and resources for low back pain. The aim of this project is to help young athletes stay healthy and live well as they age by promoting spine health.
Common Skin Rashes,
2024
University of Vermont
Common Skin Rashes, Jennifer Chen
Family Medicine Clerkship Student Projects
Common Skin rashes
Improving Care For Lgbtq+ Patients,
2024
University of Massachusetts - Amherst
Improving Care For Lgbtq+ Patients, Justin Henningsen
Family Medicine Clerkship Student Projects
LGBTQ+ patients are at higher risks for many health conditions. Providers and staff are not always comfortable supporting conversations about gender and sexuality. In this project, I provided training to staff members of Hardwick Area Health Center on risks and best practices.
Increasing Patient Awareness And Education Surrounding Prescription Weight Loss Medications,
2024
University of Vermont
Increasing Patient Awareness And Education Surrounding Prescription Weight Loss Medications, Anirudh A. Hirve
Family Medicine Clerkship Student Projects
Obesity is a growing problem in the United States. While it remains important for clinicians to emphasize health supportive behaviors including dietary modification and exercise when counseling patients, the advent of new weight loss medications has created a need for patient education materials regarding these interventions for a growing number of patients who request them at primary care visits. This project created a smart phrase in the electronic medical record summarizing weight loss medications currently available on the market to transform patient counseling and enable better shared decision making between patients and providers.
A Pamphlet On Housing And Food Insecurity Resources In Burlington,
2024
The University of Vermont
A Pamphlet On Housing And Food Insecurity Resources In Burlington, Zachary Kramer
Family Medicine Clerkship Student Projects
A pamphlet consolidating the most used and current resources for housing and food insecurity in Burlington Vermont in the spring of 2024. I collected the list from social workers at my clinic, as well as several unhoused members of the Burlington community. I also corresponded with a provider at the Community Health Center of Burlington who said that information on safe sharps disposal would be useful, so I created instructions on how to safely dispose sharps on the street.
Quality Improvement Of X-Ray Imaging For Unspecified Chronic Knee Pain And Suspected Knee Osteoarthritis In The Primary Care Setting,
2024
The Robert Larner, M.D. College of Medicine at The University of Vermont
Quality Improvement Of X-Ray Imaging For Unspecified Chronic Knee Pain And Suspected Knee Osteoarthritis In The Primary Care Setting, Ty E. Bever
Family Medicine Clerkship Student Projects
Although a comprehensive history and physical exam are the mainstays of initial evaluation, plain X-rays are clinically indicated for chronic knee pain of greater than 6 weeks duration and acute traumatic pain in patients who meet specific evidence-based criteria, according to the American Academy of Family Physicians (AAFP). However, there remains significant variation in what radiographic protocols are used in clinical practice, specifically in terms of what radiographic views are ordered and whether the imaging is performed with the patient weight-bearing (WB) or non-weight-bearing (NWB). In fact, several studies have shown that non-weight-bearing knee radiographs are frequently ordered by general …
Bridging Language Barriers In Clinical Screening: Leveraging Large Language Models (Llms) To Generate Bilingual Screening Surveys For Patients With Limited English Proficiency (Plep),
2024
University of Vermont
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 …
Cigarette Smoking Cessation Tool,
2024
University of Vermont
Cigarette Smoking Cessation Tool, Pavan K. Anant
Family Medicine Clerkship Student Projects
In Vermont, tobacco use disorder is a pervasive problem that closely rivals national averages. The Cigarette Smoking Cessation Tool seeks to identify patients with significant motivation to quit smoking cigarettes' and aims to connect them with appropriate local resources and clinic advocates.
Improving Nutrition Education And Access To Healthy Food For Low-Income Mainers,
2024
University of Vermont
Improving Nutrition Education And Access To Healthy Food For Low-Income Mainers, Jessica Wyn
Family Medicine Clerkship Student Projects
Many people in Androscoggin county are not able to consistently achieve a diet with the recommended food variety for improving health. Adequate nutrition for improving health outcomes requires access to healthy food at affordable prices, health literacy regarding diet and nutrition concepts, and the skills and access to equipment required to prepare and store food. A lack of resources in any one of these areas can limit a person’s ability to engage in a healthy diet, which increases their risk of developing preventable non-communicable diseases later in life.
Nutritional Support For Oncology Patients: Role For The Pcp,
2024
The University of Vermont
Nutritional Support For Oncology Patients: Role For The Pcp, Annabelle S. Feist
Family Medicine Clerkship Student Projects
Adequate nutrition is a key prognostic factor in the treatment outcomes of patients with cancer diagnoses. Despite the increased morbidity and mortality of malnutrition, the importance of nutrition for oncology patients is often not well communicated and not well understood by patients. Part of this issue stems from the limited information most patient can absorb at any given doctors appointment, especially regarding their cancer. Primary care providers hold a unique position to fill this gap and have the information be heard and retained given their usual role in addressing overall health. This project compiles resources in an easily accessible and …
Modernizing Patient Outreach & Analytics,
2024
Larner College of Medicine
Modernizing Patient Outreach & Analytics, Laceyahna Munroe
Family Medicine Clerkship Student Projects
It is challenging for providers to understand how patient's engage with different types of communications from their primary care clinic, particularly on a site-to-site basis. This project leverages a simple link-hosting platform, LinkTree, to direct patients to free publicly funded workshops in Diabetes Management. The platform allows simple data to be collected about engagement with the links that are provided to the patients and gives the host clinic an easier way to understand and hone their communication style to best reach different patient populations. In this project we chose a panel of diabetic patients with A1c's >7% to receive a …
Provider Perspectives On Implementation Of Cdc Guidelines For Opioid Maintenance Therapy,
2024
The University of Vermont
Provider Perspectives On Implementation Of Cdc Guidelines For Opioid Maintenance Therapy, Anayis M. Antanesian
Family Medicine Clerkship Student Projects
The opioid epidemic remains a complex and significant public health crisis in the United States, impacting millions with opioid use disorder (OUD). Despite efforts to raise awareness and address individual risks, high rates of opioid overdose persist, underscoring the need for more extensive and integrated prevention and management approaches. Primary care providers play a pivotal role in lowering opioid-related mortality and improving patient outcomes through office-based treatments; however they face numerous challenges in prescribing opioids. To explore these barriers, a survey was distributed to providers, aiming to assess their views, comfort levels in prescribing opioids for chronic pain, and perceived …
Increasing Equitable Cardiovascular Disease Screening And Prevention For Women Of Low Socioeconomic Status: You First,
2024
University of Vermont
Increasing Equitable Cardiovascular Disease Screening And Prevention For Women Of Low Socioeconomic Status: You First, Isabel N. Martinez Daniel
Family Medicine Clerkship Student Projects
Cardiovascular disease (CVD) continues to be the leading cause of death in females of all ages and races. Given the potential reduction in risk of coronary events with modifiable behaviors, primary care physicians are in a unique position to be able to use shared decision making and patient education to help dramatically reduce the potential burden of cardiovascular disease. Consideration for social determinants of health, such SES, should not be forgotten when aiming to provide adequate and accessible healthcare. Furthermore, the incorporation of unique programs, such as You First, into primary care offices can increase equitable care for patients and …
Extended Release Buprenorphine (Sublocade) Prescribing In Primary Care,
2024
Larner College of Medicine at the University of Vermont
Extended Release Buprenorphine (Sublocade) Prescribing In Primary Care, Heather Kettlewell
Family Medicine Clerkship Student Projects
There are many barriers to accessing opioid use disorder (OUD) treatment, especially for rural communities that may be far away from healthcare providers. There is a need for interventions to increase accessibility of OUD treatment. Extended release injectable buprenorphine (Sublocade) provides an option for patients to receive treatment via once a month injections. This could make OUD treatment more accessible to rural and socioeconomically disadvantaged patients by reducing the number of times they would need to travel to the clinic. Our intervention is to create a protocol for prescribing extended release buprenorphine at Family Medicine Hinesburg.
Empowering Burlington's Unhoused: Discovering Community Resources And Insights,
2024
The University of Vermont
Empowering Burlington's Unhoused: Discovering Community Resources And Insights, Dario Vanegas
Family Medicine Clerkship Student Projects
No abstract provided.
Planetary Health: Helping Providers And Patients Prepare For Climate Change,
2024
University of Vermont Larner College of Medicine
Planetary Health: Helping Providers And Patients Prepare For Climate Change, Chellam Nayar
Family Medicine Clerkship Student Projects
Climate change has been called the greatest global health threat of the 21st century. The effects of changing temperatures and increasing pollution have been shown to increase the incidence and mortality of cardiovascular diseases, affect respiratory health, increase the risk of new infectious disease outbreaks, affect mental health, and exacerbate inequities between those with means and those without. In Vermont, climate change is leading to an increase in average temperatures, more extreme heat events, shorter winters, more storms, poor air quality due to wildfire smoke, an increase in cyanobacteria blooms, and a longer tick season, among others. This project will …
Empowering Patients Undergoing Speculum Exam,
2024
University of Vermont
Empowering Patients Undergoing Speculum Exam, Sarah Caffry
Family Medicine Clerkship Student Projects
No abstract provided.
