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Division of General Internal Medicine & Health Services Research
Monthly Newsletter
April 2019
UCLA Division of GIM-HSR Monthly Newsletter
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April 8: GIM-HSR Quarterly Meeting

The next UCLA GIM-HSR Quarterly Meeting will be Monday, April 8th from 12:00-1:00 pm in RRMC Room 3102 (take East elevators to 3rd floor), and at GIM sites in the North Valley, Santa Monica, South Bay, and West Los Angeles VA by teleconference.

Lunch will be served at all sites.  Please RSVP here: https://doodle.com/poll/qpua5udtr38vxchs

The Feedback Initiative in DOM Medical Education will be on the agenda:

The medical education community is well aware of the “Feedback Paradox.” Although teachers consistently report providing feedback, learners do not perceive that they have received meaningful formative feedback. The DOM Med-Ed community is entering its second year of an initiative to share best practices for providing effective feedback and developing practical hands on skills for front-line preceptors. Participants from RRMC, SMH, and VAMC will describe experiences across inpatient and outpatient settings.

A Letter from Dr. Jodi Friedman

Lisa Skinner, MDSun Yoo, MDI am thrilled to share with you that the Department of Medicine will propose to the UCLA GMEC and the ACGME that Dr. Lisa Skinner become the Program Director for our core internal medicine residency program effective June 24, 2019.  In addition to her many years of experience as a leader in our program and in GME, Lisa brings her enormous passion and excellence as an educator to this role.  I couldn’t be happier that she has accepted this position.  

Dr. Sun Yoo will assume the role of residency continuity clinic site director at IMS, also effective June 24, 2019.  I will continue in my role as Vice Chair for Education for the Department of Medicine.  
 
It has been an incredible honor and the highlight of my professional career to serve as Program Director since 2003.  I am so proud of the work we have accomplished together over the past sixteen years, including overseeing tremendous growth while maintaining the collegial and close-knit culture that makes our program so special. 
 
In my role as Vice Chair for Education, I plan to devote my time to our educational strategy and collaboration efforts across all DOM training programs.  I will stay closely connected to the residency program, and Lisa and I will work together throughout the next academic year to ensure a smooth leadership transition.  
 
With gratitude,
Jodi
 
Dr. Jodi FriedmanJodi Friedman, MD, FACP
Clinical Professor, Department of Medicine
Program Director, Internal Medicine Training Program
Vice Chair for Education
UCLA Department of Medicine



The Division thanks Dr. Friedman for her over a decade of service as Internal Medicine residency Program Director!
 

New Funding Awards in GIM
"Financial incentive strategies for smoking cessation in high-risk, hospitalized patients"
PI  – Joseph Ladapo
NIH/NIDA
R01, with subcontracts to Olive View-UCLA (PI Soma Wali) & NYU
2/15/2019 - 12/31/2023Kenrik Duru, MD


"Using Personalized Risk/Benefit Profiles in SDM for Diabetes Prevention"
PIs - Kenrik Duru & Carol Mangione
PCORI 
Implementation of Effective Shared Decision Making Approaches Project
6/2019-5/2022
GIM in the News
Dr. John MafiDr. John Mafi will be lead evaluator on a new Virginia Center for Health Innovation (VCHI) grant to launch a statewide pilot to reduce the provision of low value health care in Virginia.

The $2.2 million award from Arnold Ventures in partnership with Michigan’s Center for Value-Based Insurance Design, the American Board of Internal Medicine, Virginia Health Information, and Milliman MedInsight Health Waste Calculator targets tests and procedures that research has proven add no value in particular clinical circumstances and can lead to potential patient harm and a higher total cost of care.
New GIM Honors & Awards
Dr. Annie WallingDr. Annie Walling has been named a Fellow of the American Academy of Hospice and Palliative Medicine Annual Assembly.  

This honor is achieved by physicians whose professional activity is devoted to the practice of hospice and palliative medicine. Fellows of the Academy are board certified, members of AAHPM for 5 consecutive years, and active within the Academy.

These individuals invite an evaluation of their practice by their peers of their personal integrity, knowledge of the field, professional accomplishment, and demonstrated scholarship. 
 


Dr. Amar Nawathe We are delighted to announce that Dr. Amar Nawathe is the 2019 recipient of the UCLA Exceptional Physician Award. Dr. Nawathe joined UCLA in 2012. He is part of our South Bay Hospitalist cohort and attends at Torrance Memorial Hospital and Providence Little Company of Mary Medical Center.

Dr. Nawathe epitomizes patient centeredness. He receives commendations for his patient care on a regular basis from patients, family members and Staff. Dr. Nawathe is described as “The ultimate role model for bedside manner” and “The most caring doctor we have ever met!”

Dr. Nawathe will receive his award at the Nursing Awards Ceremony on Thursday, May 9 at 2:00 pm in the RRMC Tamkin Auditorium. 

Funding Opportunities
Disparities Elimination through Coordinated Interventions to Prevent and Control Heart and Lung Disease Risk (DECIPHeR)
This FOA invites applications for projects that propose to test late-stage (T4) implementation research strategies for optimally and sustainably delivering proven-effective, evidence-based multi--level interventions to reduce or eliminate cardiovascular and/or pulmonary health disparities, and that promote and improve population health in high-burden communities.  Due dates May 17 & October 1.

Disparities Elimination through Coordinated Interventions to Prevent and Control Heart and Lung Disease Risk (DECIPHeR) - Research Coordinating Center
The National Heart, Lung, and Blood Institute invites applications for a Research Coordinating Center (RCC) to support projects from the above FOA. Due dates May 17 & October 1.
Upcoming GIM Events & Seminars
GIM-HSR Friday Noon Seminar SeriesGIM Seminars

April 5 - Neil Wenger, MD, MPH
April 12 - Nanibaa’ A. Garrison, PhD (U. Wash)
April 19 - Corrina Moucheraud, ScD, MPH (UCLA CHPR)
April 26 - William Cunningham, MD, MPH
 
1100 Glendon Avenue, 7th floor, Suite 710, Conference Room 725.  Lunch served. 

Live streaming webinar and conference phone line at: https://uclahs.zoom.us/j/588355752.
SGIM Annual Meeting Key Dates
SGIM 2019SGIM Annual Meeting
May 8-11, 2019
Washington, DC


Hotel reservation deadline April 19 

The GIM-HSR group dinner at SGIM will be on Thursday, May 9.  Contact Sara Delgado at sedelgado@mednet.ucla.edu for details.
New GIM-HSR Publications
Featured New Publications

Dr. Emily MartinBearing Witness and Finding Meaning by GIM hospitalist Dr. Emily J. Martin. JAMA. 2019; 321(11):1051-1052

Congrats to Dr. Martin on the publication of her editorial
!
 

 



Evaluation of an Intervention to Reduce Low-Value Preoperative Care for Patients Undergoing Cataract Surgery at a Safety-Net Health System. JAMA Intern Med.  Published online March 25, 2019


John N. Mafi, MD, MPH; Patricia Godoy-Travieso, MSN, MHA, RN; Eric Wei, MD;  Malvin Anders, MD; Rodolfo Amaya, MD; Carmen A. Carrillo, MA, MHS; Jesse L. Berry, MD; Laura Sarff, MSN, RN, MBA; Lauren Daskivich, MD, MSHS; Sitaram Vangala, MS; Joseph Ladapo, MD, PhD; Emmett Keeler, PhD; Cheryl L. Damberg, PhD; Catherine Sarkisian, MD, MSPH 

In this study at 2 academic safety-net medical centers in California, the quality improvement initiative was associated with reduced preoperative testing compared with the control health system. Also, 3-year projections estimated a modest amount of cost savings associated with the initiative; simulating fee-for-service health system perspective estimated losses and a societal perspective estimated savings.



Performance of FRAX and FRAX-Based Treatment Thresholds in Women Aged 40 and Older: The Manitoba BMD Registry. Crandall CJ, Schousboe JT, Morin SN, Lix LM, Leslie W. J Bone Miner Res. 2019 Mar 28. [Epub ahead of print] PMID: 30920022

Comparison of nylon-flocked swab and Dacron swab cytology for anal HSIL detection in transgender women and gay, bisexual, and other men who have sex with men. Wiley DJ, Hsu HK, Ganser MA, Brook J, Elashoff DA, et al. Cancer Cytopathol. 2019 Mar 26. [Epub ahead of print] PMID: 30913381

The Research Centers in Minority Institutions (RCMI) Translational Research Network: Building and Sustaining Capacity for Multi-Site Basic Biomedical, Clinical and Behavioral Research. Ofili EO, Tchounwou PB, Fernandez-Repollet E, ... Norris KC; RCMI Investigators and RTRN Team Members. Ethn Dis. 2019 Feb 21;29(Suppl 1):135-144. doi: 10.18865/ed.29.S1.135. eCollection 2019. PMID: 30906162

Adverse Childhood Experiences and Household Out-of-Pocket Healthcare Costs. Schickedanz AB, Escarce JJ, Halfon N, et al. Am J Prev Med. 2019 Mar 13. pii: S0749-3797(18)32445-0. doi: .1016/j.amepre.2018.11.019. [Epub ahead of print] PMID: 30905486

Kidney Disease Quality of Life 36-Item Short Form Survey (KDQOL-36) Normative Values for the United States Dialysis Population and New Single Summary Score. Peipert JD, Nair D, Klicko K, Schatell DR, Hays RD. J Am Soc Nephrol. 2019 Apr;30(4):654-663. Epub 2019 Mar 21. PMID: 30898868

School Mobility and Its Impact on Student Health-Reply. Dudovitz RN, Chung PJ, Wong MD. JAMA Pediatr. 2019 Mar 18. doi: 10.1001/jamapediatrics.2019.0228. [Epub ahead of print] No abstract available. PMID: 30882869

Thirty-Day Postdischarge Mortality Among Black and White Patients 65 Years and Older in the Medicare Hospital Readmissions Reduction Program. Huckfeldt P, Escarce J, Sood N, Yang Z, Popescu I, Nuckols T. JAMA Netw Open. 2019 Mar 1;2(3):e190634. doi: 10.1001/jamanetworkopen.2019.0634. PMID: 30874780

Underuse of Medications and Lifestyle Counseling to Prevent Cardiovascular Disease in Patients With Diabetes. Newman JD, Berger JS, Ladapo JA. Diabetes Care. 2019 Mar 12. pii: dc181554. doi: 10.2337/dc18-1554. [Epub ahead of print] No abstract available. PMID: 30862654

Expanding the Patient's Voice in Nephrology with Patient-Reported Outcomes. Peipert JD, Hays RD. J Am Soc Nephrol. 2019 Apr;30(4):530-532. Epub 2019 Mar 7. No abstract available. PMID: 30846558

A simple high-throughput approach identifies actionable drug sensitivities in patient-derived tumor organoids. Phan N, Hong JJ, Tofig B, Mapua M, Elashoff D, et al. Commun Biol. 2019 Feb 25;2:78. eCollection 2019. PMID: 30820473

New Articles of General Interest
Initial Opioid Prescriptions among U.S. Commercially Insured Patients, 2012–2017 N Engl J Med 2019; 380:1043-1052

A New Personalized, Patient-Centric, and Cost-Conscious Guideline for Contemporary Cholesterol Management  JAMA 2019;321(8):749-750.
 
Performance Characteristics of Fecal Immunochemical Tests for Colorectal Cancer and Advanced Adenomatous Polyps: A Systematic Review and Meta-analysisAnn Intern Med 2019;170(5):319-329. 
 
Health Care in 2030: Will Artificial Intelligence Replace Physicians?  Ann Intern Med 2019;170(6):407-408.
Congratulations!
Congratulations!...To Dr. Lauren Wisk on her March 23rd wedding. 


...To Visith Uy on the birth of his son, Conrad Sith Uy, on March 25.


...To Sherry Dang and Dr. Catherine Sarkisian on completing the 2019 Los Angeles Marathon on March 24.

GIM Photo Album
Dr. Alejandra Casillas

Above: Dr. Alejandra Casillas presenting at Career Day at Jane Addams Middle School in Lawndale on March 26, 2019.
 

Below: Highlights from the GIM Open House on March 14, 2019.  Photos by Samantha Chen.

GIM Open House


GIM Open House

GIM Open House


GIM Open House
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