About

Michelle J Larzelere, MD, is an assistant professor at the University of Florida Department of Obstetrics and Gynecology and serves as the Associate Residency Program Director. She earned her medical degree from the University of Virginia and completed her residency in obstetrics and gynecology at UF, where she served as chief resident and volunteered at the UF College of Medicine Equal Access Clinic for women’s services. Dr. Larzelere has obtained certifications in laparoscopic and robotic surgery as well as Nexplanon and IUD placement. Her clinical interests include robotic and laparoscopic surgery, contraception management, low-risk obstetrics, and adolescent gynecology. She is dedicated to providing compassionate and evidence-based care to all patients.

Research topics

• Computer Science
• Artificial Intelligence
• Medical physics
• Family medicine
• Medicine
• Pedagogy
• Medical education
• Psychology

Selected publications

• EP02.19: Successful implementation of the four‐year AIUM obstetrics and gynecology residency curriculum

  Ultrasound in Obstetrics and Gynecology · 2023

  • Computer Science
  • Artificial Intelligence
  • Medicine

  In 2018, the AIUM led a multisociety task force and issued a consensus report on the constituents of an ultrasound curriculum and competency assessment for obstetrics and gynecology residency programs. We hereby report on its successful implementation. This is a proof-of-concept descriptive feasibility study. Commencing with the class of 2023, we have sequentially implemented the components of the AIUM curriculum for our residents. The theoretical component is spread out over 8, 6, 10 and 2 hours of didactic lectures for PGY 1-4 respectively. Lectures are covered by 8 core faculty members during the resident weekly educational sessions utilising the ISUOG Basic Training lecture series, the AIUM CREOG lecture series and faculty-created material. Residents are evaluated utilising MCQ for the theoretical component. For the practical component, residents collect the required images for each PGY (11, 7, 16 and 2 images respectively, plus 5 extras) in accordance with the AIUM image criteria as they rotate through ultrasound, scan patients in the outpatient setting, on L&D and in ED, in addition to utilising a simulator. The deidentified images are shared over a WhatsApp group for each PGY level where a faculty member comments on and grades them. In addition, a faculty member directly observes hands-on scanning. With a passionate dedicated team, we have implemented the AIUM ultrasound curriculum across all PGYs at UF. To our knowledge, our graduating class of 2023 will be amongst the first in the nation to have completed this curriculum. Our faculty and residents place extremely high value on the positive educational impact of this essential addition to our curriculum as it provides trainees with necessary ultrasonography skills which directly impacts patient safety and care, particularly with the ever-expanding use of ultrasound, and its portability. This has become an integral component of our training program and we encourage all obstetrics and gynecology residency programs to consider its implementation.

  PublisherOA PDFDOI

• The Impact of Physician Demographic Characteristics on Perceptions of Their Attire

  Family Medicine · 2019-08-26 · 19 citations

  articleOpen access

  BACKGROUND AND OBJECTIVES: Few studies address the impact of physician attire on ratings of personality characteristics in the presence of varied physician demographic characteristics (gender, racial/ethnic background). Even fewer have examined the boundaries of acceptable physician attire, given recent loosening of societal standards of dress. METHODS: Using an online survey methodology, adult participants (N=505; 45% medical professionals) were recruited. Participants rated target photos depicting a male and female individual from three ethnic/racial categories each dressed in business casual (with and without a white coat) or in professional attire (with and without a white coat) on a number of personality characteristics. General willingness to have physicians wear certain apparel items was also queried, as was the importance/acceptability of specific clothing items and appearance choices. Responses were analyzed by gender, age, ethnicity, and profession of respondent. RESULTS: Both business casual and professional attire were rated highly. A name tag had the highest ratings for importance of wear. The results for wearing a white coat were not as consistent as earlier studies as physicians were perceived as warmer and kinder when not wearing a lab coat, particularly with professional attire. However, female Caucasian physicians were rated most positively when wearing a lab coat. Consistent with previous studies, attire that was too casual (jeans, t-shirts) was rated negatively. CONCLUSIONS: The current study supports the notion that rules of attire are changing, even in the physician's office. Name tags were perceived to be crucial in medical settings, and casual clothing should be avoided. Despite often being considered a defining component of a physician's "uniform," the white lab coat may not be a universal positive and perhaps even a negative for some physicians.

  PublisherOA PDFDOI

• Disordered Sleep

  2015-09-01

  book-chapter1st authorCorresponding
  PublisherDOI

• Behavioral interventions for office-based care: behavior change.

  PubMed · 2014-03-01

  articleSenior author

  Family physicians play an important role in identifying and treating the behavioral etiologies of morbidity and mortality. Changing behavior is a challenging process that begins with identifying a patient's readiness to change. Interventions, such as motivational interviewing, are used to increase a patient's desire to change, and cognitive behavioral therapy can be initiated to increase a patient's likelihood of change, particularly if barriers are identified. After patients embark on change, family physicians are uniquely positioned to connect them to self-help programs, more intensive psychotherapy, and newer technology-based support programs, and to provide repeated, brief, positive reinforcement. Specific behavioral interventions that can be effective include computerized smoking cessation programs; electronic reminders and support delivered by family physicians or other clinicians for weight loss; linkage to community-based programs for seniors; increased length and demands of in-school programs to support exercise participation by children; and access reduction education to prevent firearm injury.

  Publisher

• Behavioral interventions for office-based care: stress and anxiety disorders.

  PubMed · 2014-03-01 · 1 citations

  articleSenior author

  Numerous behavioral therapies have been investigated in the management of anxiety- and stress-related disorders. There is strong evidence to support cognitive behavioral therapy (CBT) in the management of generalized anxiety disorder (GAD), posttraumatic stress disorder, obsessive-compulsive disorder, panic disorder, and social phobias. Adjunctive behavioral sleep intervention may enhance results for GAD, and initiation of a selective serotonin reuptake inhibitor for GAD before CBT also may enhance response. Several randomized clinical trials showed benefit of Internet-based CBT for GAD, but additional studies are needed before conclusions can be drawn regarding its effectiveness for posttraumatic stress disorder. Although outcome data are limited, family physicians can offer patients screening for anxiety disorders, psychological first aid (ie, listening to and comforting patients, teaching about emotional and physiologic responses to traumatic incidents, and encouraging engagement with social supports and coping) after trauma, education about anxiety disorders, and referral to evidence-based self-help resources. Family physicians also can ensure linkage with behavioral health care physicians and encourage adherence to self-help protocols.

  Publisher

• Behavioral interventions for office-based care: interventions in the family medicine setting.

  PubMed · 2014-03-01

  article1st authorCorresponding

  The practice of family medicine includes the care of many patients with mental health or behavior change needs. Patients in mild to moderate distress may benefit from brief interventions performed in the family physician's office. Patients in more extreme distress may be helped by referral to behavioral health clinicians for short-term or open-ended therapies. Electronic therapy programs and bibliotherapy are also useful resources. The transition to the patient-centered medical home model may allow for more widespread integration of behavioral health care clinicians into primary care, in person and through telemental health care. Integrated care holds the promise of improved access, greater effectiveness of behavioral health service provision, and enhanced efficiency of primary care for patients with behavioral health care needs.

  Publisher

• eMedRef (April 2013)

  MOspace Institutional Repository (University of Missouri) · 2013-07-30

  articleSenior author

  eMedRef is FPIN's electronic Medical Reference, and we are excited to share with you portions of these clinical topic reviews as they are completed or updated each month.

  Publisher

• Abdominal migraine

  Evidence-Based Practice · 2013-04-01

  articleSenior author
  PublisherDOI

• Psychosocial Factors in Aging

  Clinics in Geriatric Medicine · 2011-09-23 · 12 citations

  review1st authorCorresponding
  PublisherDOI

• Complementary and Alternative Medicine Usage for Behavioral Health Indications

  Primary Care Clinics in Office Practice · 2010-05-20 · 21 citations

  review1st authorCorresponding
  PublisherDOI

Frequent coauthors

• James S. Campbell

  University of British Columbia

  6 shared

• Matthew Delfino

  Southeastern Louisiana University

  6 shared

• Robert E. Post

  5 shared

• Mosanda M. Mvula

  Louisiana State Department of Health and Hospitals

  5 shared

• Shalinder Gupta

  Southeastern Louisiana University

  4 shared

• Jackie Alexander

  University of the Cumberlands

  4 shared

• Jackson E. Hatfield

  Louisiana State University

  4 shared

• Kaly Solek

  Louisiana State University

  4 shared

Education

• B.S.

  University of Pittsburgh

• M.D.

  University of Virginia

• Other, Residency in Obstetrics and Gynecology

  University of Florida

Awards & honors

• Outstanding Performance on Fundamentals of Laparoscopic Trai…
• UF Department of Obstetrics and Gynecology Golden Apple Teac…
• Gibbon’s Award (2012)