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Understanding of T2DM Risk Factors and Prevention/Screening Resources
Nicolas Hutt
Survey of how patients with a diagnosis of T2DM understand the disease and their knowledge of prevention and screening resources prior to their diagnosis.
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Utilization of a Pamphlet for Properly Measuring At-Home Blood Pressures
Kevin Ito
This project explores the potential benefits that educational pamphlet distribution might have on the quality of home blood pressure measurements in patients with hypertension. This presentation discusses key information regarding hypertension at county, state, and national levels, providing statistics on diagnoses, treatment compliance, public health costs, and more. The project aims to determine whether an educational pamphlet can be used as a supplemental tool to improve patient compliance with regularly and correctly checking their blood pressures.
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Resources for Fall Prevention
Kimberly Michelle Jones
Falls are the number one cause of injury in older adults and as the population grows older the number of falls per year will only increase. This project aims to spread awareness of the various resources available to those at risk of falling in the Burlington area. This was done by creating an easily accessed standardized handout that can be shared with any patients that providers think are at risk.
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Injectable medications for weight loss
Christine Kahla
Weight loss injectable drugs have become a hot topic in the community and on social media. The main goal of this project is to provide an easy-to-comprehend guide about these medications, offer the most up-to-date information, and set appropriate expectations for the patients.
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Extended Release Buprenorphine (Sublocade) Prescribing in Primary Care
Heather Kettlewell
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.
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Empowering Patients: Understanding Risks of Smoking and Strategies for Cessation
Angela Khadka
In the US, cigarette smoking continues to be a significant contributor to preventable diseases and fatalities each year. According to the New York State Department of Health, the smoking rate among adults in Clinton County (which includes Plattsburgh) was 19.9% in 2021. In the state of NY, over 22,000 people lose their lives due to smoking and secondhand smoke exposure. During my rotation at CVPH, I encountered many patients who were smokers and had chronic health conditions such as COPD and expressed a desire to quit smoking but faced challenges in doing so.
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Screening for LUTS in Patients of Perimenopausal Age
Sarah Kohl
Underscore the importance of standardized screening for lower urinary tract symptoms in patients in perimenopause and menopause. Describe standardized screening tool to identify LUTS in at risk patient population.
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A Pamphlet on Housing and Food Insecurity Resources in Burlington
Zachary Kramer
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.
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Expanding Awareness of TBI Resources in the North Country
Nicholas W. Krant
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.
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Preconception Care Quick Facts
Aathmika Krishnan
The number of unintended pregnancies in the United States is about 50%. In 2020 the US had a maternal mortality rate greater than three times the rate of other high-income countries. Given these trends, preconception care should be an integral part of primary care for people of reproductive age to allow for frequent monitoring and follow-up. An informational pamphlet about preconception care was developed and made available to community members considering pregnancy soon.
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Optimization of Rhinosinusitis Care in a Resource-Limited Setting
Christopher Peter Kruglik and Michelle Dorwart
This study evaluated strategies to optimize rhinosinusitis management in a resource-limited federally qualified health center in Burlington, Vermont. Key challenges identified included the discontinuation of Medicaid coverage for over-the-counter (OTC) medications critical to rhinosinusitis treatment and limited access to otolaryngology specialists, necessitating enhanced primary care provider (PCP) competency in outpatient management and patient navigation of socioeconomic barriers. Semi-structured interviews were conducted with a clinical pharmacist and a community member to assess care barriers and patient perspectives. Interventions comprised (1) an evidence-based clinical decision-support flowchart for PCPs to guide acute and chronic rhinosinusitis management, and (2) a comparative cost analysis tool for OTC therapies. While Costco offered the lowest medication prices, its membership requirement posed an accessibility barrier for low-income patients. The study underscores the need for interdisciplinary collaboration between primary care and community pharmacies to mitigate cost-related disparities. Future efforts should prioritize partnerships with local pharmacies to subsidize OTC access and advocate for policy reforms to reinstate Medicaid coverage for essential therapies.
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Dreaming Wisely: Improving Awareness of Age-Related Sleep Changes and Risks of Ambien
Angelina Kuzina
This project involves an educational handout designed to inform patients 65+ about the normal changes in sleep associated with aging, while also highlighting the potential risks linked to long-term use of Ambien (zolpidem). A dot phrase was created in Epic for providers to attach the infographic to end of visit summaries. This initiative aims to empower older adults with knowledge about their sleep health and encourage discussions with their healthcare providers regarding medication use, with the goal of promoting safer medication use and improved quality of life.
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Cholesterol Awareness in Colchester: the good, the bad, and the ugly
Maisie Laud
Awareness and education surrounding the health impacts of high cholesterol is crucial for young adults. Elevated cholesterol is a major risk factor in the development of cardiovascular disease. Education about cholesterol could empower young adults to engage in proactive health monitoring and management. Promoting awareness through targeted health education and awareness can lead to better outcomes, encouraging a generation to prioritize heart health. Ultimately, early intervention and lifestyle modifications can mitigate the potential consequences of high cholesterol, enhancing overall well-being and quality of life.
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Increasing Advance Directive Completion
Briana M. Leger
Advance directive completion is a key component of primary care. Advance directive completion is associated with greater healthcare satisfaction and lack of completion may lead to unnecessary care. This project sought to increase awareness/completion of the advance directive by increasing patient education with a single-page, easy to read pamphlet.
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Beating Diabetes: Somali Way of Cooking
Shani S. Legore
Diabetes, particularly Type 2 diabetes, has increasingly become more prevalent in Black and Brown communities. More specifically, African descent groups, such as Somalis, who migrate to the U.S. face numerous health challenges, diabetes being one of the most common. Many research points to food insecurity, acculturation, and/or traditional eating behaviors as the main driving forces that lead to poorer health outcomes for Somalis; yet, very few have explored nutritional health interventions to curb or reverse diabetes. To address this gap, Somali cuisine was explored and culturally-centered and diabetes-friendly guidelines were provided.
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Towards the elimination of Viral Hepatitis in Clinton County, New York
Michael H. Le
Chronic viral hepatitis is a major public health issue, affecting approximately 300 million persons globally. In Clinton County, New York, chronic viral hepatitis remains a major concern, with incidence rates for hepatitis C virus infection (HCV) in the top quartile and hepatitis B virus infection (HBV) in the 3rd quartile for the state in 2022. This current study aimed to identify the trends in incidence and prevalence of chronic viral hepatitis in Clinton County, rates of HBV birth dose vaccination, and to reflect on the experiences in treatment and prevention of chronic viral hepatitis at a community health clinic in Plattsburgh, New York.
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Being Physically Active in Addison County
Adam M. Lewis
This project looked to address the barriers to physically activities for patients in Addison County with obesity related chronic illness. A handout was produced that can be given to patients during conversations on lifestyle modification, providing functional movements that can be performed in the home.
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Resources for Caregiver Fatigue
Ashley Lucero
This project seeks identify the barriers that caregivers experience when seeking help for burnout, to conceptualize the burden that family caregiving has on both the country and Vermont, and to provide a simple handout that physicians can provide patients when they ask about resources.
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Community Resources to Test Private Drinking Water for Potential Floodwater Contamination in Vermont
Jason Ludlow
Community health research project about local resources available to patients to test their private well and spring water sources for potential contamination from floodwaters in Hinesburg, Vermont, and other municipalities throughout the state.
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Addressing Covid Vaccine Frequently Asked Questions: New Canaan, CT
David Makaj and Alexandra Schieber
This project aimed to address the frequent questions patients posed to healthcare staff regarding the COVID-19 vaccine. Through interviews with New Canaan pharmacists and Nuvance Family Medicine clinic staff, a Frequently Asked Questions (FAQ) document was developed to provide accurate, up-to-date answers. The initiative emphasized interprofessional education and the need for a streamlined, easily accessible resource to empower staff in effectively educating patients, especially in an aging community with unique health concerns
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Improving Vaccine Compliance in Children and Families in Primary Care
Mikaela Joy Mari
Vaccine Hesitancy is rising public health problem world-wide, especially after the COVID-19 pandemic. The most non-compliant individuals in the US are of pediatric-age. Primary care clinicians deal with increasing rates of families declining vaccinations for their children for non-medical reasons. Navigating vaccine hesitancy and understanding it’s underlying causes while bridging knowledge gaps in the community are important in achieving optimal local and nationwide health and safety.
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