Health Policy Analysis

Statement of issue:  School meals are required to meet specific nutrition standards to operate the school meal programs. However, meat served in U.S. schools wouldn’t meet the quality or safety standards of fast-food restaurants. In addition, a vast majority of vegetables being consumed by the children as French fries. Even though there have been some improvements in school meal programs, we have a long way to go. With the childhood diabetes and obesity on the rise, necessity for a change in how children eat is obvious. As Dr. O.Robbins says, “As long as tens of millions of families depend on …

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Ethics Reflection Essay

       This essay is a reflection on the Ethics course, a part of York PA program curriculum, and it includes aspects I foresee as central to my clinical practice as well as ethical frameworks I am looking to implement to achieve their accomplishment.         My desire to become a Physician Assistant stemmed from interactions with a few very inspiring people who dedicated themselves to helping others, not only at their workplace, but everywhere they went, without expecting anything in return. I believe it is the ultimate higher purpose that I want to dedicate myself to and becoming a Physician Assistant …

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Ambulatory Medicine Rotation Reflection

      Urgent Care was a perfect specialty for a first rotation. At Centers, I was allowed to do everything the providers did and eventually saw patients on my own, as well as came up with Diagnosis and Treatment plan. What was different from the didactic year is documenting and the way we actually performed the visits. My Center was seeing between 200 and 300 patients a day so visits had to be brief, focused, but still deliver the optimal patient care and customer service. Documentation had to also cover medicolegal issues such as patient education to seek emergent medical help …

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PICO/CAT Table

PICO/CAT table Rotation # and Type Week # PICO/Mini-CAT Question RT 1 – Urgent Care WK 1 PICO Does vitamin D supplementation affect the risk or severity of SARS-CoV-19 in patient population over 65?     WK 2 PICO Does packing of a drained abscess affect pain scores and healing time?     WK 4 PICO How effective is switching to e-cigarettes from smoking actual cigarettes in prevention of lung cancer and decreasing oxidative stress on a lung?   RT 2 – Emergency Medicine WK 2 PICO Does intensity of anticoagulation for Covid patients affect patient outcomes such as D-dimer …

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Urgent Care H&P

MEDICAL HISTORY                                             Date:       02/10/21                    Time: 11:00am IDENTIFICATION:     E.M.                                 Sex:  F            Race:  n/a             Nationality:     US       Age:  19                Marital status: Single Address:          n/a                             Religion: n/a PCD: Informant          self                          Reliability            reliable                  Referral none CHIEF COMPLAINT      S/P MVA Neck Pain x 2 days                                                                                             HPI 19 y/o F w s/p MVA presents to CUC w a c/o neck pain x 2 days. Patient reports she was a driver wearing a seatbelt on a highway when stopped and her car was hit from behind by a truck on an unknown speed. On the day of the accident patient went to ED where no imaging was …

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Journal Article Summary

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249245/ Manual acupuncture versus sham acupuncture and usual care for prophylaxis of episodic migraine without aura: multicentre, randomised clinical trial The latest Global Burden of Disease Study showed that 1.25 billion people had migraine in 2017. In the 15-49 year age group, migraine was the top cause of life lived with disability. Although according to current guidelines Sumatriptan is considered an extremely effective migraine-abortive medication with minimal side effects. It is effective for approximately 70% of patients and since many patients refuse to take any medication, studies show that only 13% of patients reported current use of preventive drugs. From …

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