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  Sandra Moody is in Japan!
Jun 14, 2013 Dr. Sandra Moody , Associate Clinical Professor of Medicine, has been living and working in Japan since July 2011 and continues as voluntary faculty in the UCSF/SFVAMC Division of Geriatrics. As the Professor-in-Residence at the Kameda Medical Center in Chiba prefecture, she has been active in addressing issues of aging and promoting geriatrics education in Japan. In this regard, Dr. Moody has been invited as a plenary speaker at the 54th Annual Meeting of the Japan Geriatrics Society (JGS, 2012) and Tokyo University’s Society of Medical Sciences Educational Seminar speaking on “Geriatrics Education: Implications for Japan.” Additionally, she was recently invited by the JGS and National Center of Gerontology and Geriatrics to write a brief in the Medical View Point (Vol. 34, No.5, 2013) on “The Issue of Medical Care for Elderly People in Japan: An International Perspective.”

  GRACE program featured of SFVAMC website!
Jun 14, 2013 The new Geriatric Resources for Assessment and Care of Elders (GRACE) program at the San Francisco VA was featured on the SFVAMC website and in the June issue of Veteran Updates. GRACE has enrolled 22 veterans and is designed to expand and provide services to 200 of the most frail and vulnerable older veterans in the San Francisco area.

  Mike Steinman won the Award for Excellence in Faculty Advising
Jun 14, 2013 Mike Steinman won the Award for Excellence in Faculty Advising in UCSF’s university-wide Master’s Degree Program in Clinical Research.

  UCSF Geriatrics is awarded $1M Reynolds Grant!
Jun 14, 2013 The Donald W. Reynolds Foundation announced that its board of trustees has approved 10 grants, totaling $9,998,731, to strengthen physicians’ geriatrics training at medical schools across the United States. Twenty-one academic health centers applied for grants in response to a call for proposals issued by the Foundation in 2012. With the assistance of a set of expert advisors, 10 were chosen. UCSF Geriatrics was one of the 10 chosen and we received a grant of $1,000,000!

  UCSF held it's 3rd annual Bechtel Award Summit
Jun 19, 2013 UCSF held it's 3rd annual Bechtel Award Summit this past week. The goal of the Summit is to stimulate interest in a career in academic geriatrics by recognizing residents’ scholarly or research achievements in aging or geriatrics. Our awardees this year included interns and residents form the University of Arizona, Montefiore Medical Center, Cambridge Health Alliance, Massachusetts General Hospital, George Washington University, UCSF, Kaiser Permanente Oakland Medical Center, and Yale University.

  Geriatrics faculty mentor junior faculty in other divisions who are having great success
Jun 19, 2013 Geriatrics faculty mentor junior faculty in other divisions who are having great success:

Caroline Stephens PhD in the School of Nursing (primary mentor: Sei Lee ) recently received a UCSF CTSI KL2 Award to reduce avoidable ED visits from nursing homes.

Salomeh Keyhani MD in VA General Internal Medicine (primary mentor: Louise Walter ) recently had her R01 application funded by NHLBI to study comparative effectiveness of carotid endarterectomy. She also is a UCSF Pepper Center Pilot Awardee.

Jennifer Lai, MD in Gastroenterology (Geriatrics mentor: Ken Covinsky ) recently received an outstanding score of 12 on her GEMSTAR R03, an NIA program that supports outstanding subspecialty faculty who are focusing on Geriatric aspects of their speciality. She also received the T Franklin Williams Scholar Award for her research applying geriatric assessment to liver transplant evaluation

Emily Finlayson, MD in General Surgery (primary mentors: Louise Walter and Ken Covinsky) recently received an excellent score on her R01 application. She also is a UCSF Pepper Center Pilot Awardee.

Ryan Greysen MD in Hospital Medicine (Geriatrics mentor: Ken Covinsky) recently received a UCSF CTSI KL2 award to improve post-acute care in older patients.

  Dr. Smith and Dr. Sudore published a paper in JAMA: Internal Medicine
Jun 21, 2013 Alex Smith and Rebecca Sudore of the Division of Geriatrics published a paper in JAMA: Internal Medicine called “When Previously Expressed Wishes Conflict with Best Interests” . This paper was the subject of a GeriPal post by the Division’s Eric Widera that was reposted on the HealthCareBlog, generating considerable discussion.

  Appointment of Chief, Division of Geriatrics: Louise Walter
Jun 21, 2013 Dear Colleagues,

We are very pleased to announce that Louise Walter, M.D has been appointed the Chief, Division of Geriatrics within the Department of Medicine (DOM), effective July 1, 2013. Dr. Walter has been the interim division chief since the departure of Dr. Seth Landefeld last fall.

Dr. Walter is a clinician-researcher and a national leader in evaluating the real-world risks and benefits of cancer screening in older patients. Dr. Walter received her MD from Stanford University in 1995. She completed a residency in internal medicine and a fellowship in geriatrics at UCSF. Dr. Walter joined the UCSF faculty in July 2001, and she is a geriatrician at the San Francisco VA Medical Center.

Dr. Walter’s research has transformed our approach to cancer screening in older adults. She has developed novel methodology demonstrating the fundamental importance of life expectancy rather than age in determining benefits and risks of screening. Virtually every cancer screening guideline cites her research. Further, her studies of older adults in poor health documented the extent to which screening can lead to clinical harm. This research changed national VA quality indicators and convinced California state auditors to abandon their mandatory cancer screening policy for health plans that care for frail elders. Dr. Walter was elected to the American Society for Clinical Investigation in 2012.

Dr. Walter is strongly committed to mentoring trainees and junior faculty as evidenced by her receipt of the 2010 UCSF Academic Senate Distinction in Faculty Mentoring Award and her receipt of the Society of General Internal Medicine’s Outstanding Research Mentor of the Year Award in 2013. Dr. Walter is the Associate Director of the UCSF Clinical and Translational Science Institute Career Development (KL2) Program, an Associate Editor for the JAMA series, "Care of the Aging Patient: From Evidence to Action," and Director of the San Francisco VA's Health Services Research and Development Program to Improve Care for Veterans with Complex Comorbid Conditions.

The Division of Geriatrics is a multisite division within the Department of Medicine. The San Francisco VA serves as the primary center of clinical and research activities. The division’s vision is to expand aging services across the university to elevate our academic missions of excellence in research, education, and clinical care in geriatrics and palliative care. The division currently includes ~30 faculty members on 3 UCSF campuses, 19 staff, and annual budgets over $6 million for faculty and UCSF staff and over $10 million for VA staff and services. In addition to the Hartford-UCSF Center of Excellence, the Geriatrics Education Center, a T32 Research Training Program and the VA Quality Scholars Program, recently, the Division received a Reynold’s Foundation “Next-Steps in Physicians’ Training in Geriatrics” Grant and a NIA-funded Pepper Center for Aging Research. Also, the Division founded the Program for the Aging Century, funded by the S.D. Bechtel, Jr. Foundation, to catalyze the transformation of health care for older Americans and their families.

We thank the search committee (chaired by Steven A. Schroeder, M.D. Distinguished Professor of Health and Health Care, DOM) for conducting this successful recruitment.

We thank Louise for taking on this important responsibility. Sincerely, Talmadge E. King, Jr., M.D. Professor & Chair, Department of Medicine

C. Diana Nicoll, M.D., Ph.D., M.P.A. Professor & Acting Medical Center Director San Francisco VA Medical Center (SFVAMC)

Rina Shah, MD Professor & Acting Chief of Staff San Francisco VA Medical Center (SFVAMC)

Kenneth McQuaid, MD Professor and Interim Chief of Medical Service San Francisco VA Medical Center (SFVAMC)

  Anna Chodos won The Institute for Incentives in Health Care Award
Jun 21, 2013 Anna Chodos won The Institute for Incentives in Health Care Award for her extraordinary vision, dedication, collegiality, and commitment to excellence in starting a Geriatrics Clinic at the San Francisco General Hospital

The Institute for Incentives in Health Care Award is given annually at the Geriatrics Fellows' Graduation Dinner to a person who has made "an exceptional contribution either by 'making things work' for a patient or by scholarship to change the system by recognizing the incentives that make it work or those that make it fail."

  Eric Widera's VA proposal was funded to expand outpatient palliative care for veterans
Jun 21, 2013 The San Francisco VA Medical Center and the Geriatrics Palliative and Extended Care Service (GPEC) received an award from the Department of Veterans Affairs to create a fully integrated outpatient Palliative Specialty Care Pathway (PSCP) for Veterans with advanced cancer. The outpatient Palliative Care team will address the full spectrum of quality of life needs for Veterans, including symptom management needs, emotional and psychological problems, family support, advance care planning, and spiritual well-being. The project will be lead by Barbara Drye, Sharon Ezekiel, Eric Widera , and Patrice Villars.

  The VA Geriatrics Palliative and Extended Care Service team was funded to significantly increase in-home services for veterans
Jun 24, 2013 The VA Geriatrics Palliative and Extended Care Service team submitted a proposal to significantly increase in-home services to our most vulnerable veterans who are living in the community. Our proposal was accepted enthusiastically by the San Francisco Veterans Affairs Medical Center leaders. The $7.2 million expansion next year will enable growth in infrastructure to support these programs (In Home Respite, Homemaker Home Health Aid, Home Based Primary Care and Adult Day Health, etc).

  Louise Aronson was awarded the Gold Professorship to promote humanistic medicine
Jun 24, 2013 Louise Aronson MD MFA won one of three “Gold Professorships” awarded nationally by the Arnold P. Gold Foundation to promote the importance of humanistic medicine and the values of professionalism in medical education. The three-year award honors and supports faculty who, through clinical practice, teaching, and scholarship including research and curriculum development, embody respect for patients’ concerns and values and compassionate care for patients’ physical and emotional well-being. Dr. Aronson will explore educational strategies which support self-reflection and expand her narrative advocacy program to encourage physicians to become active change agents for improving health outcomes and care.

  “AAMC” Q and A with Dr. Aronson
Jun 24, 2013 The “Association of American Medical Colleges (AAMC)” newsletter and website is currently featuring a Q and A with Louise Aronson , Associate Professor in the Division of Geriatrics, discussing the need for medical training to increase the time and attention devoted to cultural competency, communication skills, and the knowledge and skills to provide optimal care to older patients.

  Dr. Anna Chang was lead author on an article in the Journal of General Internal Medicine
Jun 24, 2013 Dr. Anna Chang was lead author on an article in the Journal of General Internal Medicine titled “Transforming Primary Care Training—Patient-Centered Medical Home Entrustable Professional Activities for Internal Medicine Residents"” which describes the new educational competencies internal medicine residents will need to be taught in preparation for the Patient-Centered Medical Home.

  Alex Smith published a Perspective in the New England Journal of Medicine
Jun 26, 2013 Alex Smith of the UCSF Division of Geriatrics published a Perspective in the New England Journal of Medicine titled, ““Uncertainty – the other side of prognosis.”” Co-authors were Doug White and Bob Arnold, from the University of Pittsburgh, PA.

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