Smoking Cessation Associated Weight Gain: The Role of Diet and Exercise Counseling in Quitting Smoking
Benjamin D. KaganShort-term Project
Weight gain is a common unintended consequence of quitting smoking due to a combination of physiologic and behavioral factors. Counseling focused on diet and exercise reduces weight gain associated with smoking cessation. Reduction of weight gain related to smoking cessation maximizes the health benefit of quitting tobacco.
Assessing perspectives and targeting education about the COVID-19 Vaccine within the Hudson Headwaters Health Network
Malla K. KeefeShort-term Project
Prasanna KumarShort-term Project
Seasonal Affective Disorder (SAD) is a cyclical pattern of depression-like symptoms that occur during the winter months. In Vermont, SAD is estimated to affect up to 10% of individuals. An informational flyer was developed that explained the symptoms of SAD, what the treatment options are, and then linked individuals with local resources for wellness activities in Chittenden County using QR codes in order to prevent SAD. The flyer was distributed at the Community Health Care Centers of Burlington South End office. The flyer was met with enthusiasm and will be given out to patients at the end of this season and into the fall.
Elizabeth P. LanataShort-term Project
Emma C. Levine and Taylor D. MarquisShort-term Project
The goal of this study was to look at health care providers perspectives on what the nutritional barriers patients with diabetes faced and compare that with the patient's perspectives. We also assessed patients knowledge on certain foods and if they have carbohydrates. We used this information to create a Notecard that could be given to patients.
Jeanie LinShort-term Project
Transgender individuals face disproportionate levels of discrimination in healthcare settings and have worse health than their cisgender peers. One major barrier to healthcare reported by transgender individuals is a lack of providers who are sufficiently knowledgeable on the topic. The 2011 National Transgender Discrimination Survey found that half of respondents reported having to teach their providers about their own healthcare. To address this problem in Vermont, transgender healthcare resources were compiled into a single document to be distributed to primary care practices around Vermont.
Tierra LynchShort-term Project
Oral health is a key component of overall systemic health. However, dental care remains a severely under met need in healthcare today, especially in rural settings. Thus, the primary care physician may find herself presented with a variety dental pathology and may feel underprepared for this challenge.
The purpose of this project is to develop concise, evidence based resources regarding the identification, stabilization, and management of common dental pathologies for the primary care physician. Additionally, a database of local resources for patients including basic oral care and local dental clinics for those without insurance will be compiled. This project will seek collaboration with local dental offices to provide expertise and feedback, and to foster an inter-professional dialogue. Preliminary responses from clinic staff has been overwhelmingly positive.
COVID-19 Vaccination: Educating Patients on Vaccine Availability and Distribution Plans in Lewiston, ME
Erick MacLeanShort-term Project
In December 2020, the U.S. Food and Drug Administration issued emergency use authorizations for two COVID-19 vaccines. Many patients at the Central Maine Medical Center Family Medicine Residency clinic had questions related to the vaccines and the plans for vaccine distribution in Maine. With the prevalence of misinformation related to the COVID-19 vaccines on the internet, there existed a need for accurate, easily understandable information to assist with patient education about the vaccines.
Liana K. MathiasShort-term Project
Food insecurity is defined as a lack of consistent access to enough food for an active, healthy life. Litchfield county, home to New Milford, CT, suffered severe economic changes over the Covid-19 pandemic. The number of food insecure households, represented by those requesting food from local food pantries, skyrocketed. This study demonstrates the importance of screening for food insecurity in primary care. A 3-part screen is implemented in a primary care setting to better assess those at risk and connect them to resources and local food services.
Micheal MikhealShort-term Project
This project was done to assess the attitudes towards COVID vaccination in Berlin, Vermont. A survey was utilized to inquire if participants have received or were willing to receive the COVID vaccine. It also gathered details regarding which sources participants received their information regarding the vaccine.
Alexis B. MillerShort-term Project
This project evaluates patient and provider preferences and perspective on the future of telemedicine use in primary care as we emerge from the COVID-19 pandemic. As our healthcare system adapted to the COVID-19 pandemic, use of telemedicine surged practically overnight. The pandemic created a necessity for rapid innovation in telemedicine, including accessibility and insurance coverage. As we begin to emerge from the COVID-19 pandemic and more events move back to in-person, what does this mean for the future of telemedicine? This project surveyed patients attending both in-person and telemedicine primary care appointments to assess their satisfaction, preferences for in-person versus telemedicine, and if this changes for them based on the type of visit. This project also interviewed primary care providers about their perspective on the future of telemedicine as we begin to emerge from the COVID-19 pandemic.
Collin B. MontgomeryShort-term Project
The COVID-19 pandemic has interrupted daily life in an innumerable amount of ways. Through gym closures and overcrowded, unsafe public spaces, maintaining exercise routines and reaching physical activity recommendations is increasingly difficult for many people. As a result of this, there has been an increasing emphasis on at home exercise and routines people can do at home. However, many of these resources are not inclusive of populations such as the elderly, people with disabilities, and the otherwise deconditioned as the exercises can be too strenuous or require specific equipment. The goal of this project was to compile a list of online and local resources in the Greater Burlington Area to help facilitate physical activity for all populations during the COVID-19 pandemic, and to include a short, intuitive walkthrough of a few exercises that can be done from the home in a chair.
Perceptions of Rural Primary Care Providers in Caring for Infants Exposed to Opioids in Utero: A Qualitative Study
Adessa M. MoranoShort-term Project
Vermont has one of the highest rates of substance use throughout pregnancy in the country, however there is limited research on the pediatric primary care of infants under one year of age who were exposed to opioids in utero. This project used qualitative interviewing and thematic coding to identify core themes in pediatric primary care for these infants. Core themes and their corresponding targeted areas of improvement and future directions were identifies.
Adam MoreheadShort-term Project
Participation in physical activities remains low among much of the older adult population, particularly during the winter months. Many individuals who are active during warmer times of the year become more sedentary during the winter, and this physical inactivity can contribute to declining health. This project sought to develop a simple brochure outlining several simple exercises that can be performed safely at home without equipment to be distributed to patients at wellness visits to encourage indoor exercise.
Daniel J. MoroneyShort-term Project
Handout for effectively using medical interpreting services.
Cinduja NathanShort-term Project
The ongoing COVID-19 pandemic has had a tremendous impact on many individual's lives and their families. It has caused many people to change their lifestyles and daily routines. This project focuses on how diet has changed during the COVID pandemic and explores the reasons for these diet changes. 23 patients from the Central Vermont Medical Center were given surveys and their responses were analyzed and recorded. Out of the 23 patients, 20 patients reported that they noticed a change in their diet as a result of COVID 19. Of the 20 patients who noticed a change in their diet, 5 reported that their diet was more healthy, 11 reported that their diet was less healthy and 4 noted a balance of healthy and unhealthy changes during the pandemic. The two most frequently cited reasons for diet changes included going to the grocery store less often and engaging in compulsive eating. Understanding how diet is being affected during this pandemic is extremely important. The impact of temporary changes in diet due to the pandemic can result in permanent lifestyle changes that can result in health consequences and a number of chronic diseases, including coronary heart disease, stroke, diabetes, and some cancers.
Improving Access to Meditation and Mindfulness for the Management of Anxiety, Stress, and other Chronic Diseases of Chronic
Jesse Naumann and Alex CohenShort-term Project
Chronic diseases can have an enormous burden on not only an individual’s quality of life, but their economic output as well. The challenge is that many patients with a chronic disease are not fully treated despite many different medications and doctor’s appointments. Mindfulness is an extremely beneficial tool that can be used as an adjunctive treatment for different chronic health diseases including anxiety, depression, insomnia, chronic pain, and many others. An enormous barrier is that many patients are unsure about what mindfulness truly is, and where one can go about accessing mindfulness resources. Our goal was to create a quick and easy smart phrase that providers can add to any after-visit summary that provides basic information about mindfulness, different resources to access free mindfulness meditations, and our own unique 8 minute mindfulness meditation for patients to try free of charge.
John P. O'KeefeShort-term Project
Vaccination is a very valuable tool in combating the public health crisis of COVID-19 and will be essential in reducing transmission rates and deaths due to the pandemic. Public willingness to receive the vaccination in large polls has stayed well below the ~95% of the population needed to achieve herd immunity against the virus. Here were survey Vermonters to determine their attitudes towards receiving the vaccine and what sources of information patients use to inform themselves about the different vaccines available.
Kaitlyn PeperShort-term Project
Millions of Americans misuse prescription drugs each year and over half of these people obtained a prescription from friends or family. Additionally, medications that are disposed of improperly lead to contamination of the environment. This project aimed to assess awareness of proper medication disposal amongst patients at Hinesburg Family Practice and to increase communication with patients regarding options for prescription drug disposal in Hinesburg, Vermont.
Anna G. QuinlanShort-term Project
Claudia E. RussellShort-term Project
With COVID-19 cases and deaths on the rise in Vermont and nationally, it will be important for as many people who are able to receive the COVID-19 vaccines when available. The WHO considers vaccine hesitancy to be a major threat to public health. This study aims to examine patient attitudes and concerns regarding the COVID-19 vaccine. An informational brochure about the recently approved Pfizer and Moderna vaccines was then distributed to all participants.
Diana A. SalamaShort-term Project
This project is investigating the patient knowledge and barriers that may be present which may contribute to a lack of effective care of their Type II Diabetes condition. This project is also investigating key components which may improve patient-centered care.
Michela Salusti SimpsonShort-term Project
This project aimed to develop a better understanding of patient and provider needs at all UVMMC family medicine and urgent care offices in regards to the new Cures Act. Data was gathered via a 8 question multiple choice survey and we had 24 provider responses. Most providers have found that they are receiving more phone calls from patients with questions in regards to their medical notes or results since the enactment of the Cures Act. Providers mentioned common patient questions are about imaging results, CBC, and electrolytes. Nearly half of providers noted they have changed the way in which they write notes since the Cures Act and all providers felt that a handout with tips to interpret lab results would be helpful.
McKenna L. SchimmelShort-term Project
USPSTF updated lung cancer screening guidelines this year to include all patients 50-80 years old who have 20+ pack years of smoking history and are active smokers or who have quit within the last 15 years. While providers and patients both support lung cancer screening efforts, only a small fraction of eligible patients end up getting screened annually. One way we can improve this metric is by making sure we are correctly identifying which patients meet screening criteria.
Justin G. SchulzShort-term Project
Improving health outcomes for infants and parent-provider communication at FQHCs by designing patient/parent focused health education literature.
These projects were completed by students in the University of Vermont Family Medicine Clerkship. Block Clerkship Projects were completed during a five-week period, while Longitudinal Clerkship Projects were completed over the course of a 12-month longitudinal clerkship.
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