Family Medicine Clerkship Student Projects

Follow

• 

  Mapping Pediatric Vaccination Schedule

  Mialovena C. Exume

  Short-term Project

  Taking care of a child can be daunting and parents/guardians/families often report not being sure of what vaccinations their child might need and when. This project aims to provide a map of the pediatric vaccination schedule from birth to 18 months. This project also provides a booklet to help families track vaccination in the hopes of increasing vaccination adherence and providing education on routine recommended childhood vaccines.

• 

  Referred by your PCP

  Lud H. Eyasu

  Short-term Project

  A complication of a small or new primary care office is difficulty in providing additional support for patients outside of the office visit. Some referral center do not assist patients referrals for mental health providers and services. This project set out to create a list of in-network psychiatrists that can be distributed to patients at a New Canaan, CT primary care office to facilitate these patients' quest to find a mental health provider.

• 

  Colorectal Cancer Screening Options

  Juwairiyyah Fatima

  Short-term Project

  Colorectal cancer is a leading cause of mortality in the United States. The USPTF recommends screening starting at age 45. Many options exist for colorectal cancer screening. This project explores the use of a handout explaining the various screening tests available to patients as a means of improving screening rate in one primary care clinic population.

• 

  Barriers to Implementation of Point-Of-Care Ultrasound in Primary Care: Interval Change

  Joel Feier

  Short-term Project
• 

  Supporting Caregivers of Patient with Dementia

  John E. Fernan

  Short-term Project

  Being a caregiver for an adult with dementia can be a demanding job. In 2021, an estimated 11 million family members provided 16 billion hours worth of care to people with Alzheimer’s and other dementia. Beyond the financial burden, the strain of caregiving also increases risk for emotional stress and can take a toll on physical and mental health. The goal of this project was to help reduce caregiver stress by increasing awareness of support resources. A template in the EMR was created to compile a list of these resources along with general caregiving tips. This template was made available to family medicine providers to share with patients who care for someone with dementia.

• 

  Listen to Her Heart: Bridging the Gap in Recognizing, Preventing, & Treating ASCVD in Women

  Stephen J. Foley

  Short-term Project

  Atherosclerotic cardiovascular disease (ASCVD) is traditionally considered a male disease, yet it is the leading cause of death in women. This may be associated with the significant lack of research of ASCVD in women, leading to poor recognition, diagnosis, prevention, and treatment. The American Heart Association reports that a majority of women experience prodromal symptoms more than one month before a heart attack or stroke, and these symptoms are often underestimated. This project intends to help address the question: How can earlier detection of ASCVD risk in women reduce missed signs of acute myocardial infarction/stroke and thereby reduce preventable ASCVD hospitalizations? This project also hopes to increase physician and patient awareness of and engagement with the VT Dept. of Health's "You First" program to provide supplemental heart health screens and services for women.

• 

  ADHD Evaluation and Diagnosis in the Primary Care Setting

  Sean R. Fox

  Short-term Project

  Our goal was to develop a comprehensive Epic template for the initial evaluation of ADHD in the primary care setting.

• 

  Increasing Awareness of Pharmacologic Interventions for Smoking Cessation

  Jeremy Frank

  Short-term Project

  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 for both providers and patients to ultimately decrease the burden of smoking within this community.

• 

  Improving IPV Screening & Access to Resources for Patients in Primary Care

  Daniel J. Fried

  Short-term Project

  Primary care providers can improve their screening protocols for intimate partner violence (IPV) and how they connect resources to their patients.

• 

  Improving Housing-Insecurity Screening In A Rural Primary Care Setting

  Heather G. Giguere

  Short-term Project

  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.

• 

  The File of Life: A Lifeline for First Responders in Fairfield County, CT

  Brittany Gilmore

  Short-term Project

  During a medical emergency, it can be difficult for first responders to obtain crucial medical information about their patients for a variety of reasons. The patient may be unconscious, have an altered mental status, or simply not know their medical history. This project aimed to increase awareness of the File of Life program, which many local Fire and EMS departments are implementing to improve their ability to deliver life-saving care.

• 

  Tackling Access to a Healthier Life

  Edom Alemayehu Girma

  Short-term Project

  Obesity is a known risk factor for complications during childhood and later in adult life. While numerous factors play a role in the prevalence of obesity, this project focused on better intervention for obesity management in the family medicine clinic located in Plattsburgh, NY. Interviews and literature searches were conducted to determine possible strategies to better assist patients in attaining their sustainable weight loss goals and an overall healthier lifestyle.

• 

  Primary Care and The Housing Insecure in Central Vermont

  Hunter Goldsmith

  Short-term Project

  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.

• 

  Increasing Access to Advanced Care Planning Documentation

  Amy B. Golinker

  Short-term Project

  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 and chronic care visits. Overall, in this practice approximately 14% of adult patients were found to have completed advanced care planning documentation which is less than the national average of approximately 33% of all adults. Discussion of further research on how to increase this percentage is ongoing.

• 

  Long Phone Wait Times at Newtown Primary Care

  Krystal Gopaul

  Short-term Project

  Getting an appointment with a PCP has historically always been challenging but at Newtown Primary Care long wait times on the phone when booking an appointment is also frequently cited as a local challenge. This project explores phone wait times as well as patient, staff and provider perspectives on challenges accessing primary care appointments at Newtown Primary Care.

• 

  Improving Mental Health Access in a Rural Setting via Telehealth

  Timothy W. Greenfield

  Short-term Project

  There are several barriers patients face when accessing mental healthcare in rural areas including: lack of internet, lack of resources, and stigma.

  Local options are limited, and patients face barriers such as access to transportation.

  These factors position telehealth as a unique, tangible solution for patients in the community.

• 

  Improving access to medication assisted treatment for opioid use disorder in a rural Emergency Department

  Warren Grunvald

  Short-term Project

  Opioid Use Disorder (OUD) is a growing epidemic throughout the United States and Maine has not been sparred by this. As the Emergency Department is a frequent location for people with OUD to interact with physicians it has been targeted as an opportunity to initiate Medication-Assisted Treatment (MAT) with Suboxone. This project details an effort to streamline this process and improve outcomes for patients interested in MAT.

• 

  Improving Access to Medication Assisted Treatment for Opioid Use Disorder in a Rural Emergency Department

  Warren Grunvald

  Short-term Project

  Opioid Use Disorder (OUD) is a growing epidemic throughout the United States and Maine has not been sparred by this. As the Emergency Department is a frequent location for people with OUD to interact with physicians it has been targeted as an opportunity to initiate Medication-Assisted Treatment (MAT) with Suboxone. This project details an effort to streamline this process and improve outcomes for patients interested in MAT.

  Improving access to medication assisted treatment for opioid use disorder in a rural Emergency Department

• 

  Anticipatory Guidance on Breastfeeding Support in Vermont

  Ian Guertin

  Short-term Project

  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.

• 

  Addressing Diabetes Education in Chittenden County

  Varun Gupta

  Short-term Project

  The percent of adults in Chittenden County with diabetes who have received diabetes education was short of national goals. To gather more information about the problem, a NP and 2 diabetic patients were interviewed. A educational handout was created to address some of the concerns brought up that reflect some of the unmet educational needs.

• 

  Polypharmacy And Fall Risk Education In Elderly Adults

  Mohamad K. Hamze

  Short-term Project

  The primary care office is often the setting for medication management and risk-reduction and PCPs frequently reconcile and manage the prescriptions of numerous specialists who see a patient separately. For patients >65, one must consider the necessity of prescribed medications that may contribute to increased fall risk in this age group. Patients themselves may be uncertain of the types of medications they may be taking that potentially put them at increased risk for falls or adverse outcomes of falls. Thus, they may benefit from easily accessible educational materials on commonly-prescribed medications in these categories so that they may work with their physician to make informed decisions on their medication regimens.

• 

  Addressing Maladaptive Coping Mechanisms in Response to External Stressors and Negative Affective States in Primary Care Settings

  Matthew C. Hanna

  Short-term Project

  Individuals respond to negative affective states, including depression and bipolar disorder, and external stressful events with a wide variety of adaptive and maladaptive coping mechanisms or a mixture of both. Maladaptive coping mechanisms include substance use and binge eating, as well as avoidance or withdrawal behaviors. Understanding how patients respond to external stressors and adapt to negative affective states, including depression and hypomania, via questionnaires seeking to elucidate coping mechanisms is of utmost importance to recognize patients at risk of substance use, binge-eating, and other maladaptive behaviors. Only through explicit identification of these mechanisms can providers work with patients to take steps to mitigate negative health effects of maladaptive coping behaviors via targeted patient education and formation of collaborative partnerships with patients.

• 

  Keep an Eye On Your Ocular Health: The Importance of Routine Eye Exams

  Kiana Heredia

  Short-term Project

  When it comes to scheduling preventive health screening exams, eye exams are often overlooked. Individuals may not understand the importance of their ocular health, and many assume a basic vision screening is comprehensive. However, that is not the case and eye diseases are common and can go undetected for a long period of time before symptoms appear. Seeing a licensed optometrist or ophthalmologist for comprehensive eye exams is important for detecting eye disease in the early stages when treatment is available to prevent vision loss is most effective.

• 

  Overcoming Barriers to Care in the Treatment of Opioid Use Disorder

  Max C. HoddWells

  Short-term Project

  There are many barriers to care when it comes to the treatment of opioid use disorder (OUD), and patients often require significant resources to achieve success. Patients requiring treatment for OUD at Central Maine Medical Center in Lewiston, Maine are often enrolled in an intensive outpatient clinic (IOP), which requires access to certain technology, transportation to appointments, and time-intensive counseling, among other things. The demands of IOP are important for successful and holistic treatment, but it presents unique challenges to socioeconomically disadvantaged patients who have limited resources.

• 

  Anxiety Screening in Pediatric Populations

  Shubhankar Joshi

  Short-term Project

  This project is aimed to elucidate guidelines for addressing newly changed recommendations for pediatric anxiety. Similar to the depression screening PHQ2, we hope to establish/develop a similar questionnaire that would serve as a quick screening tool and then further steps for treatment and recommendations on anxiety diagnosis.