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Block Clerkship Projects

 
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  • Integrating Artificial Intelligence into the Mental Health Landscape by Luke Giangregorio

    Integrating Artificial Intelligence into the Mental Health Landscape

    Luke Giangregorio

    The capabilities of the mental healthcare system have been vastly outpaced by present mental health demands. Chatbots are an innovative, self-engaging, adjunctive solution that might help mitigate system-wide implementation failures in access and offer real-time support instead of just being stuck on a long provider waitlist.

  • Pamphlet of Preventative Immunization and Screening Recommendations for Adult Women by Annie Glessner-Fischer

    Pamphlet of Preventative Immunization and Screening Recommendations for Adult Women

    Annie Glessner-Fischer

    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 adherence to recommended screenings in order to catch and address preventable health conditions sooner.

  • Promoting Music Therapy Referrals for Neurodivergent Children by Benjamin M. Glickman

    Promoting Music Therapy Referrals for Neurodivergent Children

    Benjamin M. Glickman

    Music therapy is perhaps an underutilized, underfunded, and undervalued part of the tool kit available to physicians, parents and children with ASD and other developmental disabilities within Clinton County. There are opportunities to increase referrals for music therapy for children receiving care at the CVPH Family Medicine Center and within the county.

  • Provider Education on Annual B12 Levels in Patients on Metformin by Callan Gravel-Pucillo MMS

    Provider Education on Annual B12 Levels in Patients on Metformin

    Callan Gravel-Pucillo MMS

    Education of primary care providers about the current recommendations, guidelines, and caveats surrounding obtaining annual B12 levels in patients on metformin to screen for deficiency. Education was based off of informal survey results assessing providers' current practices and the preferred medium through which they wanted to recieve educational content. Educational content was presented in a flowchart format for ease of use and distributed at both practice sites for providers to hang at their workstations.

  • Addressing Distinct Health Needs of People with Disabilities by Tyler A. Harkness BS

    Addressing Distinct Health Needs of People with Disabilities

    Tyler A. Harkness BS

    One in five adults (21%) in the state of Connecticut is living with a disability of some kind, whether it be intellectual or physical. When compared to people without disabilities, people with disabilities are at increased risk for adverse health outcomes such as diabetes, cardiovascular disease, and depression; are more likely not to be able to see a physician due to cost; and have worse self-rated health. Barriers to addressing these disparities are two-fold: primary care physicians lack sufficient guidance on health needs of people with disabilities, and caretakers, who are often either family members or conservators, find themselves stretched thin with responsibilities. To address these two groups of individuals, an interactive infographic was created using the online tool called Venngage. Infographics have been shown to be an effective way to communicate health information to wide populations of people. The infographic features introductory text, key statistics on disability health in the state of Connecticut, and hyperlinks to resources for health care providers and caregivers. Qualitative interviews confirmed the need for such an infographic as a way to close equity gaps and improve health education. The infographic is published online and available to local healthcare providers and community organizations. Next steps include validating the infographic via surveys and focus groups.

  • Contraceptive Education and Resource Provision in Male-dominated Rural Family Medicine Clinic by Christine E. Horn

    Contraceptive Education and Resource Provision in Male-dominated Rural Family Medicine Clinic

    Christine E. Horn

    Many women, particularly adolescent women, are uncomfortable discussing sexual health and contraception options with male providers and prefer to see female providers; however, in rural areas, there are barriers to seeing female providers including low physician density, long travel distances to clinics, and long waitlists. The project's primary goal was to bridge the knowledge gap surrounding contraception among adolescents in a rural area of Vermont, the Mad River Valley, while ensuring that healthcare providers at the local male-dominated family medicine office, CVMC Mad River, are equipped with up-to-date information regarding contraception prescribing recommendations. The project entailed 1) creation of a handout for patients with easily comprehendible information regarding contraceptive options as well as additional educational resources, 2) presentation of the current recommendations regarding contraceptive prescribing practices to the physicians at CVMC Mad River to increase their comfort as well as the quality of their recommendations for patients. Special attention was given to ensuring that the content was age-appropriate, inclusive, and culturally sensitive, catering to the diverse needs of the target demographic.

  • Travel Medicine in Primary Care by Morgan Howlett

    Travel Medicine in Primary Care

    Morgan Howlett

    Many people will choose to travel at some point in their life. Primary care providers can be well suited to care for patients prior to travel, however this is often a less common component of their day-to-day work so they may be less familiar with travel related resources. This project aimed to evaluate available resources and create an informational handout and an EPIC dot phrase for providers to utilize when providing travel related care.

  • Pamphlet for identifying anxiety and initial coping strategies by William Hsu

    Pamphlet for identifying anxiety and initial coping strategies

    William Hsu

    Anxiety affects up to 1/3 of the population in their lifetime. The geriatric population is especially susceptible to anxiety due to comorbid conditions and limitations in mobility. Anxiety is also difficult to identify, with mental health literacy with regards to anxiety being limited. This project aims to education patients on common symptoms of anxiety and at home interventions that can be initiated with helping to manage anxiety.

  • Weighty Words: Addressing Weight Bias in Primary Care by Jharna Jahnavi

    Weighty Words: Addressing Weight Bias in Primary Care

    Jharna Jahnavi

    Weight bias in healthcare impacts a great proportion of patients. ­In some ways, weight bias often goes unaddressed compared to other forms of discrimination and spans across diverse groups of people resulting a double burden of bias in patients with intersecting marginalized identities. It is essential that providers and healthcare workers are better trained in building inclusivity for patients of all weights and body types to improve healthcare access and acceptance. Patients who experience weight bias in the office are less likely to return for routine preventative care and less likely to feel safe and comfortable with their providers. This project addresses issues in cultural competency as well as medical practice transformation (AHEC scholars core topics)

  • Promoting Safe Sex Practices and Sexually Transmitted Infection Prevention in the Adolescent Population in Ridgefield, CT by Gina Jin

    Promoting Safe Sex Practices and Sexually Transmitted Infection Prevention in the Adolescent Population in Ridgefield, CT

    Gina Jin

    Adolescents are a uniquely at-risk population for the spread of preventable sexually-transmitted infections. Direct lifetime medical costs of sexually transmitted infections (per CDC) is nearly $16 billion in the United States. Nearly half (46%) of all new STIs in the country occur among young people (ages 15-24). Because of this, effective STI prevention in the adolescent population is important and should be further investigated.

  • Expanding Awareness of Penicillin Skin Testing and Downstream Effects from Reported Penicillin Allergies by Alia Johnson

    Expanding Awareness of Penicillin Skin Testing and Downstream Effects from Reported Penicillin Allergies

    Alia Johnson

  • Healthy Food Access and Education by Elizabeth Kelley

    Healthy Food Access and Education

    Elizabeth Kelley

    Providing resources and educational materials to families about healthy foods

  • Access to PrEP in Plattsburgh, New York (CVPH Family Medicine) by Kelly Knight

    Access to PrEP in Plattsburgh, New York (CVPH Family Medicine)

    Kelly Knight

    This project examines ways to increase access to HIV pre-exposure prophylaxis (PrEP) in Plattsburgh, New York (located in Clinton County). After a review of the current literature on the subject and interviews with community members, an intervention was conducted at CVPH Family Medicine. EHR tools were generated and distributed to providers in the practice, with the goal of increasing the distribution of patient education materials about PrEP.

  • Anti-fat Bias in Primary Care by Dana Kramer

    Anti-fat Bias in Primary Care

    Dana Kramer

  • Addressing Non-Emergent Medical Transportation Barriers For Rural Vermont Patients by Casey D. Krueger

    Addressing Non-Emergent Medical Transportation Barriers For Rural Vermont Patients

    Casey D. Krueger

    Access to transportation is a Social Determinant of Health, yet many rural Vermonters face barriers to adequate transportation. Consequently, patients face difficulties accessing primary care and completing recommended health screenings. Destigmatizing ride programs and effective communication are key components of connecting patients with transportation resources. This project sought to develop a reference tool for clinic staff to improve communication about transportation barriers with patients and ultimately improve health outcomes.

  • Empowering Providers to Treat Menopause by Aranshi Kumar

    Empowering Providers to Treat Menopause

    Aranshi Kumar

    This project created a brochure designed to empower providers to sift through the myths surrounding prescribing for the treatment of menopause.

  • Improving Retinopathy Screening for Patients with Diabetes: Optometrists Accepting New Patients On Medicaid 
+/- Interpreter Services by Kassondra M. Little

    Improving Retinopathy Screening for Patients with Diabetes: Optometrists Accepting New Patients On Medicaid +/- Interpreter Services

    Kassondra M. Little

    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 and other CHCB staff by creating a list of optometrists in Chittenden County that are currently providing diabetic retinopathy screening, accepting new patients on Medicaid, and whether or not interpreter services are available on site. This list was then distributed to CHCB providers and practice managers to reference in counseling patients.

  • Dinner Table Talks: How healthy eating behavior and body positivity start at home by Megala Loganathan

    Dinner Table Talks: How healthy eating behavior and body positivity start at home

    Megala Loganathan

    Body dysmorphia, eating disorders, and unhealthy eating behaviors all share a large sociocultural component. A family medicine practice is the perfect place to start educating patients about their attitudes surrounding food and how the effects of their relationship with food and their bodies can be felt in the home environment. Hearing many patients share that their mental and physical health struggles stemmed from how they learned to perceive things as children inspired me to take advantage of the trickle down effects of patient education. The goal of this project is to make and distribute a pamphlet that addresses ways to improve eating culture and body image and to recognize and separate nutrition and emotional eating. I hope that this intervention not only educates patients but promotes a healthier home environment for the rest of the members in a household/community.

  • Safer Prescription Opioid Use in the Greater Danbury Area by Ying K. Loo

    Safer Prescription Opioid Use in the Greater Danbury Area

    Ying K. Loo

    Opioid use disorder continues to be a major public health concern worldwide, with over 16 million people affected, and is associated with increased health care costs, reduced quality of life, lost productivity, and loss of life due to opioid overdose deaths. The neurobiology and susceptibility for opioid dependence and addiction is not well-understood by patients, and the lack of understanding of the safe use of prescription opioid regarding its intended effect of pain-relief versus other potential side effects and withdrawal symptoms may lead to misuse. This community health improvement project aims to empower patients and their family members to better understand indications for opioid use, improve awareness of potential for addiction, how to recognize signs and symptoms of misuse, and how to manage their opioid use through safe storage and disposal practices.

  • Patient Education for Proper Inhaler Administration in Richmond, VT by Jessica M. Lucas

    Patient Education for Proper Inhaler Administration in Richmond, VT

    Jessica M. Lucas

  • Improving the Assessment of Patient Dietary Choices by Jiayi Luo

    Improving the Assessment of Patient Dietary Choices

    Jiayi Luo

    Asking about a patient's diet has always been a critical part of primary care wellness visits, as well as in managing chronic medical problems like hypertension, obesity, and diabetes. However, patient responses when asked to recall their diet is time-consuming, subjective, and can even be uncomfortable. This project aims to create a qualitative and objective tool for patients to report back their dietary habits. This project will 1) create a short dietary questionnaire for patients in Newtown Primary care and 2) assess for patient receptiveness to sharing dietary habits through said questionnaire.

  • Improving Polypharmacy and Medication Review in the Elderly by Caleb P. Maness

    Improving Polypharmacy and Medication Review in the Elderly

    Caleb P. Maness

    Polypharmacy in elderly patients increases risk of adverse drug events, which can cause health and functional impairment, necessitating considerate medication review. Many patients do not remember the names or doses of their medications when asked in the office. To successfully deprescribe and avoid adverse drug events, we need accurate medication information. By asking elderly patients to bring all of their medications to each visit, we can ensure the most accurate information possible.

  • Discussing Firearm Safety with New Parents: Utilizing major life events to positively impact a polarizing public health challenge by Caitlin E. Marassi

    Discussing Firearm Safety with New Parents: Utilizing major life events to positively impact a polarizing public health challenge

    Caitlin E. Marassi

    Childhood deaths from firearms have increased in recent years. Those living in more rural areas are more likely to own a firearm. Only 49% of Vermont households store a weapon locked and unloaded in their home, though that number is slightly higher for households with children (63%). This project discusses the issue of broaching the topic of firearm safety with parents of young children.

  • Managing Constipation: A Community-Level Intervention in Newtown, CT by Weida Ma

    Managing Constipation: A Community-Level Intervention in Newtown, CT

    Weida Ma

    The prevalence of chronic constipation in adults is 10-15%. Constipation is associated with a lower quality of life and poorer psychological well-being. This goal of this project was to perform a community-level intervention by creating a pamphlet detailing first-line lifestyle modification and over-the-counter laxatives for the treatment of consitpation to be handed out at a primary care office in Newtown, CT.

  • Community Doula Resources in Vermont by Grace Merritt

    Community Doula Resources in Vermont

    Grace Merritt

    Doulas are an important but underutilized resource in the perinatal period. This project explores the benefits of doula care and provides resources for patients and providers at the UVMMC Family Medicine - South Burlington clinic. The result of this project was to produce an Epic dot phrase that providers can use and share with patients. This project concludes by addressing limitations of doula care and provides suggestions for follow-up and future projects.

 

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