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Pico’s

Family Medicine rotation Specific Pico 1-3

  1. In obese adult patients with type 2 diabetes, does the implementation of intermittent fasting promote better outcomes for weight loss compared to other non-pharmacological methods?
  2. In adults diagnosed with hyperlipidemia, does the use of omega-3 fatty acids compared to a placebo result in significant reductions in triglyceride levels?
  3. In adults aged 45-70 with average risk of colon cancer, is fecal immunochemical testing (FIT) more accurate compared to guaiac fecal occult blood testing (gFOBT) in detecting colon cancer?

Ambulatory Medicine rotation Specific Pico 4-6

  1. In higher risk adults with comorbidities such as DMII or HTN aged 18-70, is the consistent use of daily vitamin D3 intake beneficial in preventing upper respiratory infections like that of influenza compared to a placebo?
  2. In adult individuals diagnosed with moderate to severe community-acquired pneumonia, does the administration of a short dose of adjunctive corticosteroids, such as prednisone, compared to placebo contribute to a reduction in morbidity and better clinical outcomes?
  3. In healthy young adults with a suspected sexually transmitted Chlamydia trachomatis, is the use of a one-time dose of Azithromycin 1 GM superior to Doxycycline 100 mg for 7 days in terms of achieving bacterial clearance and resolution of symptoms?

Women’s Health rotation Specific Pico 7-9

  1. In pregnant women aged 18-40 with a risk for preeclampsia, does the administration of low-dose aspirin (81 mg daily) compared to placebo decrease the incidence of preeclampsia?
  2. In adult women with primary dysmenorrhea, does engaging in 30-60 minutes of weekly low intensity exercise (2-3 times a week) when compared to no exercise lead to a reduction in menstrual pain?
  3. In first-time mothers aged 18-35, does engaging in light intensity aerobic exercise compared to no exercise help reduce the incidence of developing postpartum depression?

Surgery Rotation Specific Pico 10-13

  1. In adult patients with non-metastatic colon cancer, does surgical intervention with the use of robotic assisted colectomy lead to better outcomes (shorter recovery time, fewer complications, better survival rates) when compared to a general laparoscopic colectomy approach?
  2. In adults with mild to moderate carotid artery stenosis, does treatment with a carotid endarterectomy decrease the chances of developing a stroke when compared to carotid artery stenting?
  3. In patients who had or are undergoing colorectal surgery, does the use of enhanced recovery after surgery “ERAS” protocols when compared to standard post-operative care, lead to decreased hospital cost and improved patient outcomes?