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  Daphne Lo Named New VA Site Director for UCSF School of Medicine Bridges Curriculum Clinical Microsystems Clerkship
Sep 08, 2017 Daphne Lo, MD, MAEd, was named the new VA Site Director for the UCSF School of Medicine Bridges Curriculum Clinical Microsystems Clerkship. In her new role, Dr. Lo will oversee first and second year medical student education in health systems science, interprofessional teamwork, and clinical skills at the San Francisco VA and San Bruno clinic. Dr. Lo is excited to join a team of highly experienced, innovative, and creative educators (including many from our division) in this new endeavor.
 


  Five Geriatrics Faculty Receive AME Excellence In Teaching Awards
Sep 08, 2017 Congratulations to Brook Calton, MD, MHS , Pei Chen, MD, Kathryn Eubank, MD, Daphne Lo, MD, MAEd , and Edgar Pierluissi, MD for being awarded the Academy of Medical Educators 2017 Excellence in Teaching Award! These peer-nominated awards for teaching faculty highlight outstanding front-line teachers of medical students, residents, and fellows at all UCSF teaching sites who often go unrecognized.
 


  Welcome Natalie Young!
Sep 12, 2017 We are delighted to welcome Dr. Natalie Young to the UCSF Division of Geriatrics faculty. Dr. Young received her MD from UCSF and completed a Primary Care residency at UCSF before going to Mt Sinai to complete a combined Geriatrics and Palliative Medicine fellowship. Dr. Young joined the faculty at Mt Sinai and was an attending physician on the Mt Sinai Hospital-at-Home program to provide high-quality acute care in the home. She also is an outstanding educator who developed a curriculum for geriatric fellows to supplement the “Hospital at Home” clinical rotation. Dr. Young decided to return to the Bay Area and we are so lucky to have her join us as of September 1st. Dr. Young will be an attending physician in the UCSF Housecalls program and in the UCSF Symptom Management Service and will also provide geriatrics and palliative medicine expertise in the UCSF Thoracic Oncology Clinic. Please welcome her when you see her!
 


  UCSF Parnassus ACE Unit and New Hip Fracture Co-Management Services Interdisciplinary Rounds Start This Week
Sep 12, 2017 The UCSF Parnassus ACE unit and new Hip Fracture Co-management service started interdisciplinary rounds this week! There is a lot of excitement and so much we can offer our patients!
 


  The Hartford Foundation and AGS Give Hip Fracture Co-Management Workshop
Sep 12, 2017 The Hartford Foundation and representatives from the American Geriatrics Society (led by Daniel Mendelsen from University of Rochester) gave an all-day hip fracture co-management workshop last Friday at UCSF. Sponsored by the Office of Population Health, representatives from Orthopedics, anesthesia, emergency medicine, geriatrics, medicine, nursing, rehab and the Care Support Team learned best practices for hip fracture patients across all sites of care. Our interdisciplinary team set goals for the upcoming year including improving communication between teams and site of care.
 


  Stephanie Rogers Publish on the Network for Investigation of Delirium
Sep 12, 2017 Stephanie Rogers, MD published a blog post with UCSF Neurologist Vanja Douglas on the NIDUS (Network for Investigation of Delirium) blog site: https://deliriumnetwork.org/delirium-and-hospital-quality/. They reviewed current hospital quality standards for delirium screening and risk prediction and highlighted current challenges with the standardization of quality metrics.
 


  Drs. Newman and Verdin Publish Mouse Aging Study Results in Cell Metabolism
Sep 20, 2017 John Newman, MD, PhD and his mentor Eric Verdin, MD published the results of a multi-year mouse aging study in Cell Metabolism, "Ketogenic Diet Reduces Midlife Mortality and Improves Memory in Aging Mice". The article was published alongside related studies from researchers at UC Davis and UC Irvine, as well as a commentary piece.

Altogether, the works provide new insight into the biological mechanisms of energy metabolism that could be developed into targeted therapies for age-related diseases. The research received wide attention, including in The Guardian, Popular Science, Wired, Mercury News, and AlzForum. Dr. Newman is a Beeson Scholar and AFAR grantee.
 


  Anne Fabiny Participated in a National Meeting to Modernize VA Health Care System
Sep 21, 2017 Anne Fabiny, MD recently participated in a meeting at the VA Geriatrics and Extended Care national Program Office to modernize and re-design geriatrics care across the entire VA health care system.
 


  Alex Smith Elected President of the UCSF School of Medicine Alumni Board
Sep 21, 2017 Alex Smith, MD, MPH was elected President of the UCSF School of Medicine Alumni Board this summer. In this capacity, Dr. Smith represented UCSF Alumni at the White Coat Ceremony in August. In the wake of the Federal Administrations decision to end DACA, he is organizing the Alumni to apply pressure to residency programs across the country to implement a "citizenship-blind" admissions process. Residents may be the most vulnerable trainees, as they are considered employees, not students, and are often paid with federal funds.

Click here to view Dr. Smith's letter in the UCSF School of Medicine Alumni eNewsletter.
 


  Drs. Willham, Covinsky, and Widera Publish Review in the Journal of the American Geriatrics Society
Sep 21, 2017 Kaitlin Willham, MD, Ken Covinsky, MD, MPH and Eric Widera, MD published a review of ten high-impact articles in geriatrics and palliative medicine from 2016. The review can be found in the Journal of the American Geriatrics Society.
 


  Rebecca Sudore Publishes Paper in Journal of Pain and Symptom Management
Sep 21, 2017 Rebecca Sudore, MD recently published a paper entitled "Outcomes that Define Successful Advance Care Planning: A Delphi Panel Consensus" in the Journal of Pain and Symptom Management. Please see paper here.
 


  Welcome Maureen Barrientos!
Sep 22, 2017 Please join me in welcoming Maureen Barrientos, our new Clinical Research Coordinator, working with Dr. Janice Schwartz and Dr. Rebecca Brown! Maureen comes to us from the Stress and Health Research Program at UCSF and the San Francisco VA Medical Center, where she worked as a Research Coordinator. Prior to that, she held the role of Research Assistant for the same program (obviously, she was very successful in that role!) Maureen has research management, as well as research administration experience as she was in charge of hiring, supervising, and training staff in subject recruitment, study procedures, and data management, and assisted Principal Investigators with grant and budget submissions in her previous role. With a Bachelor of Arts degree in Psychology from the University of San Francisco, Maureen also garnered community outreach and grants submission experience as an intern at Swords to Plowshares in 2014. Last but not least, Maureen co-authored a publication on the “Gender differences in subjective sleep related to post-traumatic stress disorder symptoms in trauma-exposed adults.”

Maureen will be stationed at Laurel Heights (Suite 435G-5) as well as the VA (Bldg 2, Room 142) and working closely with Drs. Schwartz and Brown on their research. She can be reached at Maureen.Barrientos@ucsf.edu or her LH phone 415-502-3797. We are very excited to have her join our team. If you have a chance to meet her, please give her your warmest welcome!
 


  Nancy Dudley and Team Publish Paper in the Journal of Pain and Symptom Management
Sep 22, 2017 Nancy Dudley, MA, BSN, Christine Ritchie, MD, MSPH, FACP, FAAHPM, Meg Wallhagen, RN, PhD, FAAN, Ken Covinsky, MD, MPH , Bruce Cooper, PhD, Kanan Patel, MBBS, MPH, Irena Stijacic-Cenzer, and Susan Chapman, RN, PhD, FAAN published a paper in the Journal of Pain and Symptom Management, entitled: "Characteristics of Older Adults in Primary Care who May Benefit from Primary Palliative Care in the United States." Research results found that advanced illness visits to U.S. primary care settings were most common among older adults most likely to be socioeconomically vulnerable and highlight the need to focus efforts for high quality palliative care for these populations.
 


  Home-Based Primary Care Training for Clinicians and Practice Managers: October 30 – 31, 2017
Sep 25, 2017 The University of California, San Francisco, in partnership with the Home Centered Care Institute, is proud to offer a program featuring a first-of-its-kind home-based primary care curriculum. The program is designed for health care professionals who are interested in sharpening their clinical and practice management skills in home-based primary care, including physicians, nurse practitioners, physician assistants, practice managers and support staff in a practice focused on providing home-based primary care.

Providing clinicians and practice managers with this kind of education is more important now than ever before. Home-based primary care has enormous potential to improve the lives of aging, medically complex and homebound individuals, from enhancing coordination of care to improving medical outcomes to lowering medical costs, and will play a critical role in addressing future pressures on the health care system as America’s aging population grows.

The program consists of classroom training, mentorship, hands-on fellowship and online learning opportunities. A sample agenda is available here.

Our first classroom training, will take place October 30 – 31, 2017. If you are interested in attending, I invite you to visit the HCCI website to register. Limited spots are available.

Christine Ritchie, MD, MSPH, FACP, FAAHPM
Christine.Ritchie@ucsf.edu

Carla Perissinotto, MD, MHS
Carla.Perissinotto@ucsf.edu

Accreditation and Designation Statements

HCCI Essential Elements of Home-Based Primary Care™

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Pierpont Medical Education Institute and the Home Centered Care Institute. PeerPoint Medical Education Institute is accredited by the ACCME to provide continuing medical education for physicians.

PeerPoint Medical Education Institute designates this live activity for a maximum of 12 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

 


  Michi Yukawa Led CLC to Receive Spectacular Unannounced Survey Results
Sep 26, 2017 Michi Yukawa, MD, MPH , the CLC medical director, helped to lead the CLC to an almost deficiency-free unannounced Survey from the Long Term Care Institute, the organization the VA has hired to inspect and certify their nursing homes. The committed staff of the CLC received a spectacular review and were informed that some of their work will be put forth as best practices for the nation! (Division members Laura Collins, MD, Abdi Ghazinouri, MD, Dr. Jennifer Morris, Daphne Lo, MD, MAEd and Lynn Flint, MD are the physician staff.)
 


  Victoria Tang and Team to Help Launch New Veterans Integrated Perioperative (VIP) Clinic
Sep 26, 2017 Victoria Tang, MD, MAS, Jessica Eng, MD, MS , Kaitlin Willham, MD and Anne Fabiny, MD are helping to launch the new Veterans Integrated Perioperative (VIP) Clinic. The team that includes hospitalists, social work, PT/OT and pharmacy is going to start seeing patients later this month. Vicky acted as expert consult; the VA hospitalist service is leading the clinic with social work, PT/OT and geriatrics support.
 


  The PACT Intensive Management Team, Now Renamed the Intensive Management for PACT Receives Funding for 2 More Years
Sep 26, 2017 Jessica Eng, MD, MS and the psychology, social work and nurse members of the PACT Intensive Management (PIM) Team were funded for another 2 years. The team has renamed itself Intensive Management for PACT (IMPACT). During this second round of funding they will expand their role to provide mentoring and support to primary care teams in their care of complex patients in addition to increasing the number of veterans with complex needs and high costs they manage themselves.
 


  Kathryn Eubank Leads VA ACE Unit Reorganization
Sep 26, 2017 Led by Kathryn Eubank, MD the VA ACE unit has reorganized itself and now runs both the ACE unit and a geriatric consult service to veterans over 85 years old across the entire hospital. The initial response of hospital staff to the work of the consult team has been enthusiastic.
 


  Kaitlin Willham Launching New VA Geriatrics VTEL Clinic
Sep 26, 2017 Kaitlin Willham, MD is launching a new VA Geriatrics VTEL clinic to provide expert geriatrics consultative care to rural veterans and their providers. This method of telehealth includes video conferencing to clinics.
 


  Helen Kao Appointed on the Residential Ombudsman and Public Guardian Advisory Board
Sep 26, 2017 Helen Kao, MD was confirmed by the Oregon State Senate for a governor appointed position with the residential ombudsmen and public guardian advisory board. The board is tasked with advising the legislature and Office of Aging and Adults with Disabilities on matters relating to residential care facilities and Oregon's new public guardian program (which was established in 2014).
 


  Malena Spar Publish Paper in Federal Practitioner
Sep 27, 2017 Malena Spar recently published a paper in Federal Practitioner entitled, "Current Approaches to Measuring Functional Status Among Older Adults in VA Primary Care Clinics." Co-authors include Francesca Nicosia, PhD, Michael Steinman, MD, and Rebecca Brown, MD, MPH (PI). Paper can be viewed here.
 


  Tideswell at UCSF/AGS/ADGAP Emerging Leaders in Aging Program is Accepting Applications for 2018-2019
Sep 27, 2017 The Tideswell at UCSF/AGS/ADGAP Emerging Leaders in Aging Program is excited to announce the opening of its “Call for Applications” for 2018 – 2019. This will be the fourth interprofessional cohort of national scholars working in clinical, research, education and policy settings who seek to transform care for older adults and lead the next generation of health professionals. Applications are due January 8th, 2018. For more information go to http://www.tideswellucsf.org/tideswell-ags-adgap-national-leadership-development-program/.
 


  OAC Awarded 2017 Excellence in Partnership Award for Education and Training
Sep 27, 2017 The Optimizing Aging Collaborative at UCSF (OAC) has been selected to receive the 2017 Excellence in Partnership Award for Education and Training by the UCSF Center for Community Engagement. The Co-Principal Investigators, Louise Walter, MD and Anna Chodos, MD, MPH , Director Alicia Neumann, PhD, MPA, and OAC's community partners will receive the award at a celebration on Oct 19th. This acknowledges OAC's work as a citywide partnership of community organizations, social service agencies, and primary care health systems collaborating to provide geriatrics education, primary care-geriatrics integration,, and patient, family and caregiver education and engagement. The OAC's success is due to the work of the following UCSF faculty and staff and our partners:

UCSF Faculty and Staff
Louise Walter, MD
Anna Chodos, MD, MPH
Alicia Neumann, PhD, MPA
Jack Anderson
Kate Radcliffe
Pei Chen, MD
Miranda Dunlop, MD
Helen Kao, MD
Eric Widera, MD
Brooke Hollister, PhD
Helen Horvath, RN, MS, ANP
Lynda Mackin, RN, PhD, ANP
Carla Perissinotto, MD, MHS
Josette Rivera, MD
Brie Williams, MD, MS
Louise Aronson, MD, MFA
Elaine Chow
Caroline Sou
Janet Myers, PhD
Remi Frazier

Partners
Alzheimer’s Association – Northern Nevada and Northern California Chapter
Homebridge
Little Brothers-Friends of the Elderly-San Francisco
Openhouse
San Francisco Department of Aging and Adult Services
San Francisco Health Network/Department of Public Health
UC Hastings College of the Law
San Francisco VA Medical Center
 


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