Medical Care of Vulnerable and Underserved PopulationsrnPublicly insured and uninsured patients make up about half of all outpatient visits in the US, and millions more previously uninsured patients have gained access to health care through the Affordable Care Act. Becoming an expert in caring for the complicated medical and social needs of vulnerable and underserved patients is crucial to every healthcare provider.rn rnWorld-class experts from the UCSF Division of General Internal Medicine and colleagues at the Zuckerberg San Francisco General Hospital and the UCSF Center for Vulnerable Populations will present approaches to mitigate the challenges in caring for vulnerable populations and enhance the profound joy clinicians can experience when engaging with patients in greatest need.rn rnTopics to be covered include updates in a broad range of diseases that disproportionately affect vulnerable patients, such as diabetes, hepatitis C, HIV, depression, PTSD, heart failure, and hypertension. In addition, we discuss how clinicians can address social factors that complicate the management of medical illness such as low health literacy, intimate partner violence, and food insecurity, to name but a few. We will also tackle how best to integrate behavioral health care for patients with chronic pain, severe mental illness, substance use and complex post-traumatic stress. Each course day will also feature a nationally renowned figure in the field of the care of vulnerable populations, who will deliver pearls and impart wisdom with respect to how to stay engaged, connected and inspired in this work.
Holiday Inn Golden Gateway 1500 Van Ness Avenue San Francisco CA 94109
Too Much of a Good Thing: Implications for Public Health, Modern Medicine and US Presidential Elections
Lee Goldman, MD, MPH
Harold and Margaret Hatch Professor
Executive Vice President and Dean of the Faculties of Health Sciences and Medicine
Chief Executive, Columbia University Medical Center
*Why U.S. life expectancy is declining
*How human traits and man-made problems are contributing to that decline
*How the 2016 U.S. presidential election was related to these problems
*How modern medicine might help
Lee Goldman, M.D., M.P.H., is the Harold and Margaret Hatch Professor, Executive Vice President and Dean of the Faculties of Health Sciences and Medicine, and Chief Executive of Columbia University Medical Center. He received his B.A., M.D., and M.P.H. degrees from Yale University. He did his internal medicine training at the University of California, San Francisco (UCSF) and Massachusetts General Hospital, and his cardiology training at Yale.
From 1978 to 1995, positions at Harvard included Professor of Medicine and Professor of Epidemiology, while positions at Brigham and Women’s Hospital included Vice Chair of the Department of Medicine and Chief Medical Officer.
From 1995 to 2006, he was the Julius R. Krevans Professor, Chair of Medicine, and Associate Dean for Clinical Affairs at UCSF. Dr. Goldman’s research focuses on cardiac risk in non-cardiac surgery, determining which patients with chest pain require hospital admission, establishing priorities for the prevention and treatment of coronary disease, and the scientific basis for the now ubiquitous chest-pain evaluation units and the first academic hospitalist program. More than 45 trainees first-authored peer-reviewed publications under his mentorship.
Dr. Goldman is a member of the American Society for Clinical Investigation; past President of the Association of American Physicians, the Society of General Internal Medicine, and the Association of Professors of Medicine; a fellow of the American Association for the Advancement of Science; and a member of the National Academy of Medicine. He received the highest awards of the Society of General Internal Medicine (the Glaser Award), the American College of Physicians (the John Phillips Award), and the Association of Professors of Medicine (the Williams Award). Dr. Goldman is the lead editor of Goldman-Cecil Medicine, the longest continuously published medical textbook in the United States. His most recent book, Too Much of a Good Thing: How Four Key Survival Traits Are Now Killing Us, was published in 2015.
He holds an honorary M.A. degree from Harvard University and an honorary Doctor of Science degree from the University of Glasgow. The University of California, San Francisco created the Lee Goldman M.D. Endowed Chair in Medicine in his name.
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Molecular Basis of Lupus Pathogenesis
Julie Zikherman, MD
Division of Rheumatology, Department of Medicine, UCSF
*To understand the role of BCR signaling, TLR signaling, and type I interferons in lupus pathogenesis
*To understand how understanding molecular basis of lupus pathogenesis informs novel therapeutic approaches.
Julie Zikherman received her M.D from Cornell, completed her internal medicine residency at Brigham and Women’s Hospital, and split her rheumatology fellowship training between Brigham and Women’s and UCSF. She has been on the faculty of the UCSF Division of Rheumatology since 2008. Her post-doctoral training was in molecular immunology with Dr. Art Weiss, and started her independent laboratory at UCSF in 2013.
Her laboratory is interested in understanding how self-reactive B cells, despite chronic antigen engagement of the B cell receptor, are restrained from inappropriate activation and differentiation. She is interested in how this process is disrupted in autoimmune disease, and how tolerance mechanisms can be harnessed to treat autoimmunity. To address these questions, her lab takes advantage of novel reporter mice in which self-reactive B cells are fluorescently marked (Nur77-eGFP BAC transgenic line). Current projects include dissecting the distinct roles of the IgM and IgD B cell receptor isotypes in regulating immune responses by self-reactive B cells. More recent work is focused on defining how Nur77 and related orphan nuclear hormone receptors function selectively to restrain activation of self-reactive B cells.
HSW 300+ Add to calendar
As part of Patient Safety Awareness Week, Sirisha Narayana will facilitate this week's Schwartz Rounds: Confronting the Suicide of a Patient. Schwartz Rounds is a facilitated discussion among a multidisciplinary panel of care team members who reflect on the impact of a particular patient case or theme.
HSW-301+ Add to calendar
Daniel J. Rader, MD: Seymour Gray Professor of Molecular Medicine, Chair Dept. of Genetics, Chief, Division of Translational Medicine & Human Genetics, Dept. Of Medicine, Perelman School of Medicine at the University of Pennsylvania
Parnassus, Langley Porter #190+ Add to calendar
Behavioral Economics and Health
Kevin Volpp*, M.D., Ph.D.
Director, Center for Health Incentives and Behavioral Economics
Health Policy Division Chief, Department of Medical Ethics and Health Policy
Founders President’s Distinguished Professor, Perelman School of Medicine and the Wharton School, University of Pennsylvania
This presentation will be live-streamed but not recorded for later viewing - http://tiny.ucsf.edu/MGR18stream
*To teach listeners how to define behavioral economics
*For listeners to understand at least 3 ways in which behavioral economics contributes to unhealthy behavior
Dr. Volpp is the founding Director of the Center for Health Incentives and Behavioral Economics, Division Chief of Health Policy for the Department of Medical Ethics and Policy, and the Founders President’s Distinguished Professor of Medicine at the Perelman School of Medicine and Health Care Management at the Wharton School of the University of Pennsylvania.
Dr. Volpp’s work focuses on developing and testing innovative ways of applying insights from behavioral economics in improving patient health behavior and affecting provider performance. He has competitively been awarded more than $60 million to lead projects with a variety of employers, insurers, health systems, and consumer companies in testing the impact of different behavioral economic strategies on behavior.
Dr. Volpp has published more than 200 articles, book chapters, and commentaries, and his work has served as the foundation for numerous widely implemented programs such as benefit design initiatives using financial incentives for smoking cessation among GE and CVS employees, a prescription refill synchronization program for Humana members, a simple health insurance plan called “Humana Simplicity”, and an ‘enhanced active choice’ approach to increase medication refills among CVS members.
Dr. Volpp’s work has been recognized by a number of awards including the Matilda White Riley Award for career achievement by the Office of Social and Behavioral Science at NIH and the Association for Clinical and Translational Science Distinguished Investigator Award for Clinical and Translational Science. Volpp is an elected member of the National Academy of Medicine and is the Patient Engagement Theme leader for the NEJM Catalyst.
*Financial Disclosures for Kevin Volpp, M.D., Ph.D.: Part owner - VAL Health, Research Grant Funding – Humana, Discovery/Vitality, Hawaii Medical Service Association, Research Grant and Consultant - CVS Health
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Patient Safety Week: Advance Screening of To Err is Human
To Err is Human
To Err Is Human is an in-depth documentary about our healthcarernsystem's ongoing effort to reduce preventable harm and those working quietly behind the scenes to advance the field of patient safety. rnrnThis film features interviews with leaders in patient safety, including Drs. Don Berwick, Tejal Gandhi, Bob Wachter, and traces the story of a family's firsthand experience with patient safety issues.rnrnJoin us for what promises to be a thought-provoking evening. A reception with light food and refreshments will begin at 5:30PM with the film and facilitated discussion to follow.rnrnKindly contact Paige Porter (Paige.Porter@ucsf.edu) if you plan to attend this event.
Cole Hall, 513 Parnassus+ Add to calendar
Walking the Talk: Shifting from Diversity to Inclusion in Medicine
Sarah Schaeffer, MD, MPH
Assistant Clinical Professor of Medicine, UCSF
Director, GME Diversity for the Department of Medicine
* To examine the resident training climate at UCSF and within the Department of Medicine, based on results of the UCSF Housestaff Diversity Climate Survey
*To explore institutional and interpersonal best practices for creating an equitable and inclusive training environment
Sarah Schaeffer, MD, MPH, Assistant Clinical Professor of Medicine, Department of Medicine, Division of Hospital Medicine. Dr. Sarah Schaeffer is an academic hospitalist at UCSF Medical Center and Director of GME Diversity for the Department of Medicine. Within the department of medicine, Dr. Schaeffer leads the Residency Diversity Committee and conducts seminars for residents, faculty mentors, and intern selection committee members on topics of unconscious bias, microaggressions, stereotype threat, and mentoring across differences. Dr. Schaeffer is also a recipient of the John A. Watson Faculty Scholarship and a member of the School of Medicine's Difference Matter action group on resident diversity.
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Come see our advanced fellows present from their current research projects! Outside reviewer and keynote speaker will be Dr. Carlos del Rio from Emory University Genentech Hall at Mission Bay, Room N-114+ Add to calendar
Perspectives from a Policy Maker, Venture Capitalist, and Physician: How We Can Make Our Crazy, Fascinating, Uneven, and Amazing Healthcare System Better Faster
Robert Kocher, MD
Adjunct Professor of Medicine, Stanford University School of Medicine
Senior Fellow, Schaeffer Center for Healthcare Policy, University of Southern California
>>>This presentation will not be recorded or available to stream<<<
*Gain an understanding about how Medicare policy is likely to evolve over the next 3 years
*Learn about areas of venture capital investor interest in healthcare services and information technology
*Learn about implications of new payment models on primary care and specialist physicians
Bob Kocher, MD is a Partner at Venrock and focuses on healthcare IT investments. He is also an Adjunct Professor of Medicine at Stanford University School of Medicine and Senior Fellow at the USC Schaeffer Center for Health Policy. He currently serves on the Boards of Devoted Health, Virta, Aledade, Lyra Health, where he is also a co-founder, and Premera. He is a Board Observer at Grand Rounds, Stride, Renew and Doctor on Demand. He is a former Director at Castlight Health (CSLT).
Prior to Venrock, Bob served in the Obama Administration as Special Assistant to the President for Healthcare and Economic Policy on the National Economic Council.
Bob received undergraduate degrees from the University of Washington and a medical degree from George Washington University. He completed a research fellowship with the Howard Hughes Medical Institute and the National Institutes of Health, and went on to complete his internal medicine residency training at the Beth Israel Deaconess Medical Center and the Harvard Medical School.
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