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Division of General Internal Medicine & Health Services Research
Monthly Newsletter
December 2019
UCLA Division of GIM-HSR Monthly Newsletter
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DMPG Annual Meeting Report

The 2019 DMPG Annual Meeting was held at Covel Commons on the Westwood Campus on Friday, November 22nd.  300 DMPG faculty and lead administrators attended.  Dr. Alan Fogelman, Chair of the Department of Medicine, described progress toward UCLA Health’s goal of  creating an integrated health system providing care to 1,000,000 residents of Southern California.  Currently, over 400,000 people identify UCLA Health as their source of primary care, and care is provided in over 180 locations stretching from San Luis Obispo to Irvine.  Of 17 clinical departments at UCLA, the Department of Medicine is the largest in terms of faculty, patient visits, and clinical income. 

Dr. Jodi Friedman described the strength of our teaching programs, including highly competitive subspecialty fellowship and residency programs.  From a general internal medicine perspective, primary care residencies which combine experience in community practices with practice at the VA or Olive View continue to attract outstanding diverse applicants.  Health services research fellowships in the Division are producing national leaders.  

George Yen, MDThis is the inaugural year of the UCLA LGBTQ Healthcare fellowship, and a fellowship in Extensivist Medicine, directed by Drs. George Yen and Sun Yoo respectively, has been approved.  Dr. Friedman reviewed plans for curricular change in the medical school, which will transition to a model consisting of one year of basic science foundational Sun Yoo, MDwork, a second year of “required clerkships”, a third year of discovery allowing for significant time for research, community work, and longitudinal clinical work, and a fourth year similar to the current model.  The Department will be heavily involved in providing clinical sites for “early authentic clinical experience” which will imbed students longitudinally in healthcare teams.  Details of the plan are being worked out now, and should be available next year.


Photos: Dr. Yen, Assistant Clinical Professor GIM/HSR, Co-director, UCLA LGBTQ Healthcare Fellowship, Santa Monica 16th Street and Internal Medicine Suite offices; Dr. Yoo, Assistant Clinical Professor, GIM/HSR, Director, UCLA Extensivist Program, Internal Medicine Suite office

New GIM Appointments

Keith Norris, MDDr. Keith Norris was recently appointed to be the  Executive Vice Chair, Department of Medicine – for Equity, Diversity and Inclusion.

Dr. Norris’ goal is for us to become the exemplar Department of Medicine program in the nation for advancing diversity, equity and inclusion for residents, fellows and faculty in the context of scientific excellence, outstanding scholarship and the highest level of compassionate, high quality care for our patients.
 
This new EDI program will be the home for the Diversity Equity and Inclusion Committee and will continue the committee’s work to create a diverse biomedical and clinical work force, and an inclusive patient care, training and work environment within the department of medicine. These and other new efforts will complement existing DGSOM diversity initiatives and will integrate into the various DOM divisional strategies, while working with the School of Medicine office for Equity Diversity and Inclusion.
 
In this role Dr. Norris looks forward to working with the many individuals who already have and continue to make huge efforts in DOM toward these goals as well as to support others who are willing to assist to achieve this goal. We should all thank Dr. Fogelman and the DOM leadership, as well as Dr. Christina Harris and the DOM Diversity Equity and Inclusion Committee for their commitment to this vision and confidence in Dr. Norris to lead this initiative.
 
Dr. Norris looks forward to getting input from GIM and the entire DOM community as the office develops its strategic plan and priorities.

Joann Elmore, MDDr. Joann Elmore was appointed to the Rosalinde and Arthur Gilbert Foundation Endowed Chair in Health Care Delivery Professorship. 

The honor was shared by Chancellor Block in recognition of her achievements as a distinguished scholar and teacher.


Carol Mangione notes, “Dr. Elmore joined our faculty in November of 2017 as the Director of the UCLA National Clinician Scholars Program and as one of the leading NIH funded researchers who focuses on diagnostic uncertainty for breast cancer and melanoma, it is absolutely wonderful to see this level of recognition for her scholarship here at UCLA.” 

GIM in the Community
The DGSOM/UCLA Health Community Engagement Program led by Dr. Carol Mangione assisted in the coordination of medical student and faculty volunteer recruitment for the annual Care Harbor LA free clinic event November 15th-17th, 2019 at the Reef in Downtown Los Angeles.

Over 350 UCLA volunteers contributed their time and expertise for this event, including 44 medical students, 39 MDs (Internal Med, Family Med) 42 Vision (Ophthalmologists, Opticians, Techs, Students), 51 Nursing (NPs, RNs, LVNs, CNAs, students), 112 Dental (Dentists, surgeons, hygienists, students) and 62 General Volunteers. Together, we provided over 16,000 healthcare services to 2,500+ patients, and had the largest UCLA volunteer presence to date.

The Community Engagement Team also worked in partnership with UCLA Marketing to create a Community Resource Guide with over 450 free or low cost medical, dental, vision services and 20+ substance abuse and behavioral health hotline listings.



David Rincon at Care Harbor

David Rincon, Coordinator for Community Engagement, distributing Community Engagement Resource guides. David has been an amazing GIM/HSR staff member who has focused on recruitment of community members for research and advocacy since 2001.  Thank you, David!


Care Harbor 2019

Dr. Mina Ma and 3rd Year resident Jayasree Sundaram, along with Medical Students, volunteering at Care Harbor LA, the weekend of November 15.
GIM Faculty Position Openings

Search for Associate Dean for Admissions, DGSOM

Faculty are invited to apply for this 40% time Dean’s Office position, which oversees medical student admissions for DGSOM. GIM/HSR division members are also encouraged to circulate information about this job position to qualified colleagues at other institutions. Key responsibilities include oversight of the admissions process in collaboration with the Vice Dean for Education and Executive Director of Admissions, as well as operational planning and development, on-going quality improvement processes, and strategy related to marketing and public relations activities that impact effective representation of the medical school on local and national levels.  In addition, the ADOA will provide communication with applicants, faculty, alumni and other interested parties, actively participate in the interview process and recruitment functions related to admissions, and will have oversight of outreach and pipeline programs.
 


Search for Associate Dean for Curricular Development, DGSOM
 
Faculty are invited to apply for this 75% time Dean’s Office position, which oversees curricular development and implementation. GIM/HSR division members are also encouraged to circulate information about this job position to qualified colleagues at other institutions. The ADCA works collaboratively with course and clerkship directors, faculty, and deans to lead and evaluate modifications to the curriculum and will be instrumental in the current 4-year curriculum redesign efforts.  In addition, the incumbent will be responsible for ensuring consistency with the Liaison Committee on Medical Education (LCME) accreditation standards and will provide mentoring, training and support to faculty to improve instruction across the curriculum.
 

Confidential inquiries, nominations, or submissions of interest (a curriculum vitae, informative personal letter that highlights relevant experience and describes your educational philosophy, as well as an EDI statement) for both positions are invited and will be considered until an appointment is made. Direct to:
 
Kate Perkins, MD, PhD, Search Committee Chair
Associate Dean and DIO, Graduate Medical Education
c/o Bridget Hough
Director of Academic & Executive Search
UCLA Health
adadmissions@mednet.ucla.edu

 
Providers & Researchers: Update Your Profiles
Update Your Profile!A reminder to Faculty:  Please make sure your online UCLA Health & DGSOM profiles are up to date. It is quick and easy to do so.

Clinical providers visit the UCLA Health Marketing update page at: mdprofile.uclahealth.org.

Research Faculty can also update their DGSOM profile at: people.healthsciences.ucla.edu.

 
GIM in the News
UCLA's U News featured a nice profile of our National Clinician Scholars Program in this month's edition.

NCSP program

Photo from this year's NCSP National Meeting in Philadelphia.
New GIM Funding Awards
William Cunningham, MD, MPHPI – William Cunningham, MD, MPH 

Granting agency –  Gilead Sciences 

Title – Adaptation and Testing of a Navigation Intervention for Hepatitis C and HIV co-infected Persons Leaving LA County Jail

Dates - 07/25/19 - 01/25/22

 
Upcoming GIM Events & Seminars
GIM Friday Noon Seminar Series 

Jose Escarce, MD, PhDFriday, December 6, 12pm  - Jose Escarce, MD, PhD
"Effects of the ACA Medicaid Expansion on the Redistribution of New Physicians Across States"

Friday, December 13 - Special seminar - See below
Friday, December 20 - No seminar (Winter Break)

Friday, December 27- No seminar (Winter Break)
Special Faculty Candidate Seminars

Starting in December, several exceptional faculty candidates will be visiting our division and giving a research talk. As chair of the 2019-2020 faculty search committee, I highly encourage you to come to these seminars. Your presence will greatly help our recruitment effort and allow candidates to experience our vibrant community of researchers. -Mitchell Wong

Friday, December 13, 12pm - Dan P. Ly, MD, MPP
Adjunct Instructor, Boston University School of Medicine Staff Physician, VA Boston Healthcare System
“Biases in Physician Decision-Making”


Thursday, December 19, 12pm - Danielle Fine, MD
Clinical and Research Fellow, Massachusetts General Hospital Research Assistant in Medicine, Harvard Medical School
“Access, Outcomes, and Equity in Addiction Care”

 
Seminars are held at 1100 Glendon, 7th floor, Suite 710, Conference Room 725.  Lunch is served.  Live streaming webinar and conference line at: https://uclahs.zoom.us/j/588355752 | (669) 900-6833, Meeting ID 588 355 752
New Article of General Interest

JAMAHow to Read Articles That Use Machine Learning: Users’ Guides to the Medical Literature.

Liu Y, Chen PC, Krause J, Peng L.  JAMA. 2019;322(18):1806–1816. 
New GIM-HSR Publications

Coping and Management Techniques Used by Chronic Low Back Pain Patients Receiving Treatment From Chiropractors. Sherbourne CD, Ryan GW, Whitley MD, Gutierrez CI, Hays RD, Herman PM, Coulter ID. J Manipulative Physiol Ther. 2019 Nov 23. pii: S0161-4754(19)30096-X. [Epub ahead of print] PMID: 31771833

Cost-Effectiveness of Sequential Teriparatide/Alendronate Versus Alendronate-Alone Strategies in High-Risk Osteoporotic Women in the US: Analyzing the Impact of Generic/Biosimilar Teriparatide. Mori T, Crandall CJ, Ganz DA. JBMR Plus. 2019 Nov 13;3(11):e10233. eCollection 2019 Nov. PMID: 31768491

What Do the European Breast Cancer Screening Guidelines Portend for U.S. Practice? Elmore JG, Lee CI. Ann Intern Med. 2019 Nov 26.  [Epub ahead of print] No abstract available. PMID: 31766056

A Review of Literature on Health-Related Quality of Life of Retinoblastoma Survivors. Belson PJ, Eastwood JA, Brecht ML, Hays RD, Pike NA. J Pediatr Oncol Nurs. 2019 Nov 25:1043454219888805.  [Epub ahead of print] PMID: 31762375

Evidence for and Against ACC/AHA 2017 Guideline for Target Systolic Blood Pressure of < 130 mmHg in Persons with Type 2 Diabetes. Shen JI, Nicholas SB, Williams S, Norris KC. Curr Cardiol Rep. 2019 Nov 23;21(11):149.  Review. PMID: 31760494

Postoperative respiratory failure: An update on the validity of the Agency for Healthcare Research and Quality Patient Safety Indicator 11 in an era of clinical documentation improvement programs. Stocking JC, Utter GH, Drake C, Aldrich JM, Ong MK, Amin A, Marmor RA, Godat L, Cannesson M, Gropper MA, Romano PS. Am J Surg. 2019 Nov 14. pii: S0002-9610(19)31064-5. [Epub ahead of print] PMID: 31757440

Implementing Geographic Information Systems (GIS) into VHA Home Based Primary Care. Lind JD, Fickel J, Cotner BA, Katzburg JR, Cowper-Ripley D, Fleming M, Ong MK, Bergman AA, Bradley SE, Tubbesing SA. Geriatr Nurs. 2019 Nov 19. pii: S0197-4572(19)30537-3.  [Epub ahead of print] PMID: 31757414

Rationale and design of a multicenter Chronic Kidney Disease (CKD) and at-risk for CKD electronic health records-based registry: CURE-CKD. Norris KC, Duru OK, Alicic RZ, Daratha KB, Nicholas SB, McPherson SM, Bell DS, Shen JI, Jones CR, Moin T, Waterman AD, Neumiller JJ, Vargas RB, Bui AAT, Mangione CM, Tuttle KR; CURE-CKD investigators. BMC Nephrol. 2019 Nov 20;20(1):416.  PMID: 31747918

Associations of Mail Survey Length and Layout With Response Rates. Burkhart Q, Orr N, Brown JA, Hays RD, Cleary PD, Beckett MK, Perry SE, Gaillot S, Elliott MN. Med Care Res Rev. 2019 Nov 20:1077558719888407.  [Epub ahead of print] PMID: 31747849

The Veterans Affairs Neuropathy Scale: A Reliable, Remote Polyneuropathy Exam. Wilson AM, Ong MK, Saliba D, Jamal NI. Front Neurol. 2019 Nov 1;10:1050.  eCollection 2019. PMID: 31736844

Associations of Partner Support and Acculturation With Physical Activity in Mexican American Women. Congello NC, Koniak-Griffin D, Brecht ML, Hays RD, Heilemann MV, Nyamathi AM. Hisp Health Care Int. 2019 Nov 13:1540415319886797. [Epub ahead of print] PMID: 31722557

Local Failure and Survival After Definitive Radiotherapy for Aggressive Prostate Cancer: An Individual Patient-level Meta-analysis of Six Randomized Trials. Kishan AU, Chu FI, King CR, ... , Elashoff D, et al. Eur Urol. 2019 Nov 9. pii: S0302-2838(19)30774-2.  [Epub ahead of print] PMID: 31718822

Long term surgical outcomes for infective endocarditis in people who inject drugs: a systematic review and meta-analysis. Goodman-Meza D, Weiss RE, Gamboa S, Gallegos A, Bui AAT, Goetz MB, Shoptaw S, Landovitz RJ. BMC Infect Dis. 2019 Nov 8;19(1):918.  PMID: 31699053

Are Cardiac Biomarkers to Predict Cardiovascular Outcomes in Patients with Chronic Kidney Disease Ready for Prime Time? Shen JI, Norris KC. Mayo Clin Proc. 2019 Nov;94(11):2158-2160.  No abstract available. PMID: 31685144

Screening for Colorectal Cancer in Asymptomatic Average-Risk Adults: A Guidance Statement From the American College of Physicians. Qaseem A, Crandall CJ, Mustafa RA, Hicks LA, Wilt TJ; Clinical Guidelines Committee of the American College of Physicians. Ann Intern Med. 2019 Nov 5;171(9):643-654.  PMID: 31683290

Researcher perspectives on embedding community stakeholders in T1-T2 research: A potential new model for full-spectrum translational research - ADDENDUM. George S, Vassar SD, Norris K, Coleman B, Gonzalez C, Ishimori M, Morris D, Mtume N, Shapiro MF, Lucas-Wright A, Brown AF. J Clin Transl Sci. 2019 Oct 2;3(5):290.  eCollection 2019 Oct.  PMID: 31680693.

Teleneurology clinics for polyneuropathy: a pilot study. Wilson AM, Jamal NI, Cheng EM, Inkelas M, Saliba D, Hanssen A, Torres JA, Ong MK. J Neurol. 2019 Nov 3.  [Epub ahead of print] PMID: 31680185

Population-Based Osteoporosis Primary Prevention and Screening for Quality of Care in Osteoporosis, Current Osteoporosis Reports. Leslie WD, Crandall CJ. Curr Osteoporos Rep. 2019 Oct 31.  [Epub ahead of print] Review. PMID: 31673933

A laser-engraved wearable sensor for sensitive detection of uric acid and tyrosine in sweat. Yang Y, Song Y, Bo X, Min J, Pak OS, Zhu L, Wang M, Tu J, Kogan A, Zhang H, Hsiai TK, Li Z, Gao W. Nat Biotechnol. 2019 Nov 25. [Epub ahead of print] PMID: 31768044

Reporting of adverse drug events in the Veterans Health Administration for patients whose treatment with empagliflozin or apixaban was discontinued. Fina PM, Cunningham FE, Zhao X, Glassman PA, Moore VR, Au A, Aspinall SL. Am J Health Syst Pharm. 2019 Nov 22. pii: zxz261.  [Epub ahead of print] PMID: 31756249

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