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Division of General Internal Medicine & Health Services Research
Monthly Newsletter
September 2019
UCLA Division of GIM-HSR Monthly Newsletter
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Remembering Dr. Matt Dinolfo
Matt Dinolfo, MDWe are saddened to write that Matt Dinolfo passed away on Thursday August 29, 2019. Dr. Dinolfo was a member of our UCLA community for over 4 decades, but is best known by so many GIM division members because of the critical role that he has played in the expansion of our UCLA Health community practices.  As noted by Dr. Fogelman, “in 1994, the year that UCLA acquired Santa Monica Hospital, Dr. Dinolfo was the Chief of Staff of Santa Monica Hospital, a position that he held through 1996. During this period he was instrumental in helping UCLA to transition this hospital from a private community hospital to a UC owned hospital.

In 2000 he joined the faculty at UCLA as an Assistant Clinical Professor (Compensated) in the Department of Medicine. From 2004 – 2010, he continued to be employed by UCLA as a staff physician in the Community Physician Network (CPN), and held a voluntary faculty teaching position at UCLA. From 2001 – 2006 he was member of the UCLA-Santa Monica Medical Center Board of Advisors, and from 2005 – 2010 he served on the Executive Committee of the CPN. He returned to a full-time faculty position in 2010 as a Health Sciences Associate Clinical Professor of Medicine, and as member of the Department of Medicine Executive Committee. In 2011 he was appointed as the Medical Director of the Department of Medicine Community Offices. In this capacity, he helped to recruit the primary care physicians for the Department of Medicine’s expansion into communities beyond Westwood and Santa Monica. In 2016, he was promoted to Health Sciences Clinical Professor of Medicine. In 2017, he was appointed to the position of Vice Chair of the Department of Medicine Community Practices.

Dr. Dinolfo was instrumental in the success of the expansion of the Department of Medicine’s non-oncology practices into communities beyond Westwood and Santa Monica. His efforts have been a key success factor in UCLA Health becoming one of the largest and most sophisticated academic integrated health systems in the nation. Matt will be greatly missed, but his legacy will endure. In recognition of Dr. Dinolfo’s service to UCLA Health and its communities, President Napolitano, Chancellor Block, Vice Chancellor Mazziotta and UCLA Health President Spisso have approved naming the UCLA Health ambulatory clinic in Thousand Oaks located at 100 Moody Court, Los Angeles as the Matteo Dinolfo, M.D. Medical Building.”
 
September 27: 3rd Annual
Martin F. Shapiro HSR Symposium

An Annual Health Services Research Symposium
i
n honor of the leadership, inspiration and scholarship of

 Martin F. Shapiro, MD, PhD
Professor Emeritus, Division of General Internal Medicine &
Health Services Research, UCLA Department of Medicine and 
Professor of Medicine Division of General Medicine, Weill Cornell Medical School 

Agenda

8:00-9:00 Continental Breakfast
9:00-9:15 Welcome
Alan M. Fogelman, MD, Castera Professor & Executive Chair, Department of Medicine
9:15-9:45 Personalized Risk/Benefit Profiles in Shared Decision Making for Diabetes Prevention
O. Kenrik Duru, MD, MSHS, Professor
9:45-10:15 Racial/Ethnic Disparities in Specialty Behavioral Health Care Treatment
Kimberly Narain, MD, PhD, MPH, Assistant Professor in Residence
10:15-10:45 Mental and behavioral health risks among adolescents/young adults with chronic physical conditions
Lauren Wisk, PhD, Assistant Professor
10:45-11:00 Break
11:00-12:00 --Overview of the National Clinician Scholars Program
--Whole Person Care—Los Angeles (WPC-LA): Community Stakeholders’ Perspectives to Improve Partnerships to Address the Unmet Social Needs of High-Risk Medicaid Patients

Etsemaye Agonafer, MD, MPH, National Clinician Scholar
--Out-of-pocket Spending by Surgical Patients Following Implementation of the Affordable Care Act Insurance Marketplaces 
Charles Liu, MD, National Clinician Scholar

Moderator, Joann Elmore, MD, MPH, Professor
12:00-1:30 Lunch, Networking and Keynote:
The Rapidly Changing Future: Will it Alter the Health Services Research Environment?
Robert H. Brook, MD, ScD, Professor Emeritus
1:30-2:15 Methodological Challenges for US Preventive Services Task Force Recommendations: How the Sausage is Made
Carol Mangione, MD, MSPH, FACP, Professor & Chief, Division of GIM-HSR
2:15-3:00 Eliminating Low-Value Care
John Mafi, MD, MPH, Assistant Professor
3:00-3:15 Break
3:15-4:00 Fostering Mentors to Meet the Advanced Needs of Clinical Educator Faculty
Keith Norris, MD, PhD, Professor
4:00-4:30 Reflections on the Day
Martin F. Shapiro, MD, PhD
4:30-6:00 Reception
 
Friday, September 27, 2019
8:00 am – 6:00 pm

Including Breakfast, Lunch, and
End of day reception
Partial day participants welcome
UCLA Faculty Center
California Room

480 Charles E. Young Dr. E., Los Angeles
Parking available
 

RSVP to Victor Gonzalez at vgonzalez@mednet.ucla.edu or 310-794-2288
GIM Honors & Awards

Dr. Keith NorrisDr. Keith Norris was awarded the 2019 NMA Inaugural Mentor of the Year Award.

This award highlights Dr. Norris's genuine enthusiasm to the success of physicians and dedication to mentoring early career physicians in the field of Internal Medicine. The award was announced at the NMA Annual Convention and Scientific Assembly in Honolulu, HI.

Congratulations, Dr. Norris!

GIM in the Media

Dr. Joanne ElmoreDr. Joanne Elmore was interviewed for a University of Washington News article regarding a newly published study on which she was a co-author, "Assessment of Machine Learning of Breast Pathology Structures for Automated Differentiation of Breast Cancer and High-Risk Proliferative Lesions," newly published in JAMA Network Open.  She notes, “Medical images of breast biopsies contain a great deal of complex data, and interpreting them can be very subjective... Distinguishing breast atypia from ductal carcinoma in situ is important clinically, but very challenging for pathologists..."
 



Dr. Carol MangioneDr. Carol Mangione spoke with the New York Times about new guidelines from the United States Preventive Services Task Force, on which she serves, that doctors screen all adult patients for illicit drug use, including improper use of prescription medications.  The USPSTF recommends that primary care doctors and other providers ask patients about drug use either in brief written questionnaires or in private conversation during the office visit. “These are hard topics for patients to bring up,” she said, “but when their doctor does, patients sometimes feel relieved, especially when we make it clear that we are asking because we have treatments that can help them.”

Upcoming GIM Events & Seminars
GIM Staff Ground Rounds 

GIM Grand RoundsToday! Wednesday, September 4, 1:30 pm
Suite 710, Conference room 725

Casey Covarrubias & NCSP Team:
National Clinician Scholars Program


For staff by staff. Meet and greet, hear about projects and other staff-relevant topics. All are welcome. 

Every 1st Wednesday of the month at 1:30 pm.


Next month: October 2 - Nancy Calderon & Team: Coordination and Evaluation Center - Diversifying the Biomedical Workforce

 



GIM Friday Noon Seminar Series 

Dr. JoAnn MansonJoAnn E. Manson, MD, DrPH

Chief, Division of Preventive Medicine
Brigham and Women's Hospital
Professor of Medicine and the
Michael and Lee Bell Professor of Women's Health
Harvard Medical School
Professor, Department of Epidemiology
Harvard T.H. Chan School of Public Health




"The VITamin D and OmegA-3 TriaL (VITAL):  Results for Cardiovascular Disease and Cancer"

Friday, September 6, 12:00 pm 
First Friday noon seminar of the new academic year!

1100 Glendon, 7th floor, Suite 710, Conference Room 725. 

 
Lunch served
Live streaming webinar and conference line at: https://uclahs.zoom.us/j/588355752
(669) 900-6833, Meeting ID: 588 355 752
 

UCLA CTSI Biostatistics Seminar

Nick Jackson PhDNicholas Jackson, PhD, MPH
Principal Statistician
UCLA Division of General Internal Medicine and Health Services Research

"Accelerated Longitudinal Designs: Methods for studying longitudinal change in outcomes sensitive to generational differences"

Thursday, September 19, 12:00 pm
1100 Glendon Avenue, Suite 710, Conference Room 725

 
Lunch served
Live streaming webinar and conference line at: https://uclahs.zoom.us/j/366612232
(669) 900-6833, meeting ID: 366 612 232
2020 SGIM Meeting Submissions Now Open

SGIM 2920Round One submissions for proposals for Workshops, Updates, and Interest Groups the 2020 SGIM Annual Meeting in Birmingham are now open

Submissions for creative proposals that address this year’s meeting theme are invited - Just Care: Addressing the Social Determinants for Better Health.

New GIM&HSR Administrative Website
GIM&HSR websiteGIM&HSR has developed an administrative website that provides documents, links and information about day to day operations of our Division.  From the HR process to finance to parking and other useful info, this is a resource to answer basic questions and access commonly used forms.  It also houses our most updated contact list and our calendar for staff grand rounds, a monthly meeting where research/program groups present their projects.  It is also a place we can share best practices, reach out to each other to brainstorm a project challenge, or perhaps get a new set of eyes on your IRB protocol to find and resolve red flags before submission. 

Please send suggestions and corrections to cpunzalan@mednet.ucla.edu.
   
GIM Photo Album
August Journal Club
Residents Drs. Brian Hagan, Shirin Poustchi, Minori Ohashi and Jamie Yao present at the August Journal Club with Faculty Drs. Adam Richards, Sae Takada and Bobak Ziaeian in attendance.

The articles discussed were Application of High-Sensitivity Troponin in Suspected Myocardial Infarction & Lung ultrasound integrated with clinical assessment for the diagnosis of acute decompensated heart failure in the emergency department: a randomized controlled trial.
 

NCSP in Sacramento
Our National Clinician Scholars on an August policy & legislative trip to the Sacramento capitol.
New Articles of General Interest

Excess Antibiotic Treatment Duration and Adverse Events in Patients Hospitalized With Pneumonia: A Multihospital Cohort Study
Ann Intern Med. 2019;171(3):153-163.

New England Journal of MedicineStatewide Implementation of Postoperative Opioid Prescribing Guidelines
N Engl J Med 2019; 381:680-682

The BMJHospital revisits within 30 days after discharge for medical conditions targeted by the Hospital Readmissions Reduction Program in the United States: national retrospective analysisBMJ 2019;366:l4563 

New GIM-HSR Publications

Su salud a la mano (your health at hand): patient perceptions about a bilingual patient portal in the Los Angeles safety net. Casillas A, Perez-Aguilar G, Abhat A, Gutierrez G, Olmos-Ochoa  T, Mendez C, Mahajan A, Brown A, Moreno G. J Am Med Inform Assoc. 2019 Aug 2. pii: ocz115. [Epub ahead of print] PMID: 31373362

Examining the association of changes in minimum wage with health across race/ethnicity and gender in the United States. Narain KDC, Zimmerman FJ. BMC Public Health. 2019 Aug 8;19(1):1069. PMID:31395043

Impact of improved price transparency on patients' demand of healthcare services. Kobayashi D, Goto R, Tsugawa Y. Soc Sci Med. 2019 Aug;235:112390. Epub 2019 Jul 9. PMID: 31325901

Characterizing Palliative Radiotherapy Education in Hospice and Palliative Medicine Fellowship: A Survey of Fellowship Program Directors. Martin EJ, Jones JA. J Palliat Med. 2019 Aug 2. [Epub ahead of print] PMID: 31373879

Palliative Radiotherapy Education for Hospice and Palliative Medicine Fellows: A National Needs Assessment. Martin EJ, Jones JA. J Palliat Med. 2019 Aug 2. [Epub ahead of print] PMID: 31373870

Effectiveness of Shared Decision-making for Diabetes Prevention: 12-Month Results from the Prediabetes Informed Decision and Education (PRIDE) Trial. Moin T, Duru OK, Turk N, Chon JS, Frosch DL, Martin JM, Jeffers KS, Castellon-Lopez Y, Tseng CH, Norris K, Mangione CM. J Gen Intern Med. 2019 Aug 30. [Epub ahead of print]

Risk Estimation, Anxiety and Breast Cancer Worry in Women at Risk for Breast Cancer: A Single-Arm Trial of Personalized Risk Communication. Xie Z, Wenger N, Stanton A, Sepucha K, Kaplan C, Madlensky L, Elashoff D, Trent J, Petruse A, Johansen L, Layton T, Naeim A. Psychooncology. 2019 Aug 28. doi: 10.1002/pon.5211. [Epub ahead of print] PMID: 31461546

High-Value Care Culture Among the Future Physician Workforce in Internal Medicine. Gupta R, Steers N, Moriates C, Wali S, Braddock CH 3rd, Ong M. Acad Med. 2019 Sep;94(9):1347-1354. PMID:  31460932

The Population Health Value Framework: Creating Value by Reducing Costs of Care for Patient Subpopulations With Chronic Conditions. Gupta R, Roh L, Lee C, Reuben D, Naeim A, Wilson J, Skootsky SA. Acad Med. 2019 Sep;94(9):1337-1342. PMID: 31460929

Aligning Delivery System and Training Missions in Academic Medical Centers to Promote High-Value Care. Gupta R, Sehgal N, Arora VM. Acad Med. 2019 Sep;94(9):1289-1292. PMID:  31460917

Variation in Intraoperative and Postoperative Utilization for 3 Common General Surgery Procedures. Childers CP, Ettner SL, Hays RD, Kominski G, Maggard-Gibbons M, Alban RF. Ann Surg. 2019 Aug 23. [Epub ahead of print] PMID: 31460881

Trends in the Use of Skilled Nursing Facility and Home Health Care under the Hospital Readmissions Reduction Program: An Interrupted Time-Series Analysis. Popescu I, Sood N, Joshi S, Huckfeldt P, Escarce J, Nuckols TK. Med Care. 2019 Aug 23. [Epub ahead of print] PMID:  31453891

Estradiol and follicle stimulating hormone as predictors of onset of menopause transition-related bone loss in pre- and perimenopausal women. Shieh A, Greendale GA, Cauley JA, Karvonen-Gutierrez C, Crandall CJ, Karlamangla AS. J Bone Miner Res. 2019 Aug 23. [Epub ahead of print] PMID: 31442329

Effect of dietary omega-3 fatty acids on castrate-resistant prostate cancer and tumor-associated macrophages. Liang P, Henning SM, Guan J, Grogan T, Elashoff D, Cohen P, Aronson WJ. Prostate Cancer Prostatic Dis. 2019 Aug 22. [Epub ahead of print] PMID:  31439889

The Juntos Pilot Study: A Diabetes Management Intervention for Latino Caregiving Dyads. Mendez-Luck CA, Miranda J, Mangione CM, Yoon J, VanGarde A. Diabetes Educ. 2019 Aug 21:145721719866619. [Epub ahead of print] PMID: 31434551

Linking primary care and community organizations to increase colorectal cancer screening rates: the HAPPI project. Bravo RL, Kietzman KG, Toy P, Duru OK, Wallace SP. Salud Publica Mex. 2019 Jul-Ago;61(4):427-435. PMID: 31430085

Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer: US Preventive Services Task Force Recommendation Statement. US Preventive Services Task Force, Owens DK, Davidson KW, ... , Mangione CM, et al. JAMA. 2019 Aug 20;322(7):652-665. PMID: 31429903

Identifying risk factors associated with worse outcomes in adolescents and young adults undergoing hematopoietic stem cell transplantation. Friend BD, Tang K, Markovic D, Elashoff D, Moore TB, Schiller GJ. Pediatr Blood Cancer. 2019 Aug 20:e27940. [Epub ahead of print] PMID: 31429528

Kidney disease and poverty in disadvantaged populations. Norris KC, Prabhakar KS, Agodoa L, García-García G. Clin Nephrol. 2019 Aug 20. [Epub ahead of print] No abstract available. PMID: 31426907

Engaging Parents to Prevent Adolescent Substance Use: A Randomized Controlled Trial. Bergman P, Dudovitz RN, Dosanjh KK, Wong MD. Am J Public Health. 2019 Aug 15:e1-e7. Epub ahead of print] PMID: 31415193

Usefulness of Trends in Continuous Electrocardiographic Telemetry Monitoring to Predict In-Hospital Cardiac Arrest. Do DH, Kuo A, Lee ES, Mortara D, Elashoff D, Hu X, Boyle NG. Am J Cardiol. 2019 Jul 17. pii: S0002-9149(19)30784-2. [Epub ahead of print] PMID: 31405547

Defining Serious Illness Among Adult Surgical Patients. Lee KC, Walling AM, Senglaub SS, Kelley AS, Cooper Z. J Pain Symptom Manage. 2019 Aug 9. pii: S0885-3924(19)30445-2. [Epub ahead of print] PMID: 31404642

Life Chaos is Associated with Reduced HIV Testing, Engagement in Care, and ART Adherence Among Cisgender Men and Transgender Women upon Entry into Jail. Takada S, Ettner SL, Harawa NT, Garland WH, Shoptaw SJ, Cunningham WE. AIDS Behav. 2019 Aug 8. doi: 10.1007/s10461-019-02570-0. [Epub ahead of print] PMID: 31396766

Comparison of 3 Safety-Net Hospital Definitions and Association With Hospital Characteristics. Popescu I, Fingar KR, Cutler E, Guo J, Jiang HJ. JAMA Netw Open. 2019 Aug 2;2(8):e198577. doi: 10.1001/jamanetworkopen.2019.8577. PMID: 31390034

Screening for Pancreatic Cancer: US Preventive Services Task Force Reaffirmation Recommendation Statement. US Preventive Services Task Force, Owens DK, Davidson KW, Krist AH, Barry MJ, ... , Mangione CM, et al. JAMA. 2019 Aug 6;322(5):438-444. doi: 10.1001/jama.2019.10232. PMID: 31386141

Use of alcohol as a sleep aid, unhealthy drinking behaviors, and sleeping pill use among women veterans. Schweizer CA, Hoggatt KJ, Washington DL, Bean-Mayberry B, Yano EM, Mitchell MN, Alessi CA, Martin JL. Sleep Health. 2019 Aug 12. pii: S2352-7218(19)30117-2. [Epub ahead of print] PMID: 31416799

Race, Poverty, and Mental Health Drive Colorectal Cancer Screening Disparities in the Veterans Health Administration. May FP, Yano EM, Provenzale D, Steers WN, Washington DL. Med Care. 2019 Aug 14. [Epub ahead of print] PMID: 31415338

Evidence Map of Art Therapy [Internet]. Miake-Lye IM, Apaydin EA, Mak SS, Begashaw MM, Beroes-Severin JM, Shekelle PG. Washington (DC): Department of Veterans Affairs (US); 2019 Jul. PMID: 31386318

Association Between Newsweek's Global Hospital Ranking and Patient Outcomes in the USA. Miyawaki A, Tsugawa Y. J Gen Intern Med. 2019 Jul 31. pub ahead of print] No abstract available. PMID: 31367865

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