Division of General Internal Medicine & Health Services Research
Monthly Newsletter
May 2020
UCLA Division of GIM-HSR Monthly Newsletter
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A Message from our Division Chief


Over the past month and a half, we have all gained experience not only with conducting video visits to manage Covid-19, chronic conditions and preventive care needs for our outpatients, but also many of us have had to learn how to supervise and teach residents who are conducting these visits. 

The challenges of doing patient care and teaching this way motivated me to look to the literature for guidance on how to be most effective when we don’t have face to face and/or physical contact with our patients. 

I have found this graphic below published by Dr. Donna Zulman (a former student of mine and a UCLA alumnus!) and colleagues from Stanford to be quite helpful. 

Please stay safe and remember to stay connected with your colleagues in any way that you can. 

With deep admiration,


Telehealth Video Visit Tips

Stanford shares resources on adapting evidence-based practices to help clinicians foster humanism during clinical encounters (related article in JAMA) for telemedicine.  

Tele-Presence 5: Strategies to foster humanism and meaningful connection during virtual encounters 

Adapted from Zulman DM & Verghese A, et al. Practices to foster physician presence and connection with patients in the clinical encounter. JAMA. 2020;323(1):70–81. 


UCLA Health features a dedicated page for patients on telehealth visits at, as well as a downloadable tip-sheet to share with patients.
GIM Faculty & Guidelines for COVID-19 Outpatient Care

Check the UCLA COVID-19 Website, available from the Mednet Homepage, for COVID-19 Updates.  An updated policy on outpatient management is available here:  UCLA Health COVID-19 Primary Care Clinical Guidance

For urgent telehealth consults with ID experts, phone 310-206-7663.  For non-urgent issues, request an e-consult through an order, “eConsult Infectious Disease Adult” in Care Connect.

This policy was developed and reviewed by a multi-disciplinary group including the following GIM faculty, as well as experts in infectious diseases, pulmonary and critical care medicine,  family medicine, and pediatrics. Jeff Borenstein, MD; Will Carroll, MD; Adam Cavallero, MD; Eric Curcio, MD;  Evelyn Curls, MD; Sarah Goldgar, MD; Mark Grossman, MD, MBA ; Maria Han, MD, Russ Johnson, MD; John Mafi, MD, MPH; Carol Mangione, MD, MSPH, FACP; Sheila Naghshineh, MD; Janet Pregler, MD, FACP; Faysal Saab, MD; Nathan Samras, MD, MPH; Arielle Sommer, MD; Nisha Viswanathan, MD; Ben Waterman, MD; Pauline Yi, MD; Sun Yoo, MD, MPH

COVID Ambulatory Monitoring Program 

The COVID Ambulatory Monitoring Program was launched in April to co-manage COVID-19 patients discharged from RR-UCLA, SM-UCLA, and our community UCLA hospitalist teams. Patients are monitored through daily symptom surveys or telephone/video visits with Sp02 monitoring. Information about the program can be found here

The team consists of GIM faculty members Drs. Will Carroll, Sarah Goldgar, Josh Khalili, Will Pittman, Russ Johnson, Arielle Sommer, Nathan Samras, Ben Waterman, Nisha Viswanathan, Pauline Yi, and Sun Yoo.

The on-call MD can be reached by Pager p89544 for any questions. 

Thank you to Drs. Pregler & Yoo for summarizing this.

GIM Trainees on COVID-19

Utpal SandesaraInternal Medicine resident Dr. Utpal Sandesara penned an opinion piece for
We need to protect the most vulnerable healthcare workers

"Many healthcare workers will have health conditions or personal circumstances that make them more vulnerable to covid-19. The private dilemmas they face should be openly discussed"


Kimon IoannedisNCSP Fellow, Dr. Kimon Ioannedis, an Emergency Medicine doctor, penned a first-person piece for
What emergency doctors worry about
I’m trained to save your life. Recently I’ve been wondering how — and whether — you want me to do that
(Salon, April 12)


David Hayes-BautistaProfessor David Hayes-Bautista co-authored a report, "State COVID-19 Case Rates and Pandemic Protection: A Metric for Decisions to Implement, Continue, or Relax Measures," with Dr. Paul Hsu.  It is available from our Center for the Study of Latino Health and Culture website.

Joseph LadapoAssociate Professor Joseph Ladapo weighed in with an op-ed piece:

The Looming Civil-Liberties Battle
(Wall Street Journal, April 29)


David EisenmanProfessor David Eisenman provided commentary on the concept of herd immunity:

What would coronavirus herd immunity look like? - Los Angeles Times
(LA Times, April 22)


GIM Honors & Awards
Emily MartinAnne Walling, MDDrs. Emily Martin and Anne Walling were recognized as Emerging Leaders in Hospice and Palliative Medicine by the American Academy of Hospice and Palliative Medicine. New emerging Leaders were selected in recognition of their career accomplishments, involvement in the Academy, mentoring of residents and students, and participation in charitable work.

Dr. Joanne Elmore received a Program Leader Vision Award from our Jonsson Comprehensive Cancer Center.  The one-year funding award begins May 1 and aims to address the topic,  “Accuracy of Breast Cancer Risk Assessment at the Individual Woman Level."
Upcoming GIM Events & Seminars
Special Cinco De Mayo Webinar

Cinco de Mayo Presentation
Tuesday, May 5, 3:00 pm
Cinco De Mayo: Made in California

An online presentation on the origins of Cinco de Mayo based on Dr. David Hayes-Bautista's work.
Register here (required) and Zoom webinar details will be sent

GIM Friday Noon Seminar Series

Sae TakadaThis Friday, May 8 - Sae Takada, MD, PhD
Friday, May 15 - Ioana Popescu, MD
Friday, May 22 - Yusuke Tsugawa, MD, PhD
Friday, May 29 - Alejandra Casillas, MD, PhD

Live streaming webinar & phone conference line: | (669) 900-6833, Meeting ID 588 355 752


RCMAR CHIME Methodological Webinar Series

Ron Hays, PhDMonday, May 18, 3pm | Ron Hays, PhD
"Reports of Glare Associated with LASIK Surgery Depend On How You Ask the Question"
Live streaming webinar at:
Dial: 669-900-6833 | Meeting ID: 848 572 2006

Additional information: or

New COVID-19 Articles of Interest
NIAIDNIH clinical trial shows Remdesivir accelerates recovery from advanced COVID-19NIH News Release, April 29, 2020.

JAMAPharmacologic Treatments for Coronavirus Disease 2019 (Chttp://OVID-19): A Review. Sanders JM, Monogue ML, Jodlowski TZ, Cutrell JB. JAMA. 2020 Apr 13.  [Epub ahead of print] PMID: 32282022

Presenting Characteristics, Comorbidities, and Outcomes Among 5700 Patients Hospitalized With COVID-19 in the New York City Area. Richardson S, Hirsch JS, Narasimhan M, et al. JAMA. 2020 Apr 22. [Epub ahead of print] PMID: 32320003

Effect of High vs Low Doses of Chloroquine Diphosphate as Adjunctive Therapy for Patients Hospitalized With Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection: A Randomized Clinical Trial. Borba MGS, Val FFA, Sampaio VS, Alexandre MAA,et al. JAMA Netw Open. 2020 Apr 24;3(4.23):e208857. PMID: 32330277


NEJMPresymptomatic SARS-CoV-2 Infections and Transmission in a Skilled Nursing Facility. Arons MM, Hatfield KM, Reddy SC, et al.  N Engl J Med. 2020 Apr 24. [Epub ahead of print] PMID: 32329971
New GIM Publications

Prognostication in Serious Illness. Martin EJ, Widera E. Med Clin North Am. 2020 May;104(3):391-403. Epub 2020 Mar 2. Review. PMID: 32312405

Differences in Rates of High-Value and Low-Value Care Between Community Health Centers and Private Practices. Oronce CIA, Fortuna RJ. J Gen Intern Med. 2020 Apr;35(4):994-1000. Epub 2019 Nov 19. PMID: 31745849

Perceptions of Facilitators and Barriers to Measuring and Improving Quality in Palliative Care Programs. Kuchinad K, Sharma R, Isenberg SR, Hamayel NAA, Weaver SJ, Zhu J, Hannum SM, Kamal AH, Walling AM, Lorenz KA, Ailon J, Dy SM. Am J Hosp Palliat Care. 2020 Apr 27:1049909120916702. PMID: 32336104

Women Veterans' Perspectives on How to Make Veterans Affairs Healthcare Settings More Welcoming to Women. Moreau JL, Dyer KE, Hamilton AB, Golden RE, Combs AS, Carney DV, Frayne SM, Yano EM, Klap R; VA Women's Health Practice-Based Research Network. Womens Health Issues. 2020 Apr 24. pii: S1049-3867(20)30022-0. [Epub ahead of print] PMID: 32340897

Engaging Latino Adolescent and Young Adult (AYA) Cancer Survivors in Their Care: Piloting a Photonovela Intervention. Casillas JN, Schwartz LF, Gildner JL, Crespi CM, Ganz PA, Kahn KL, Stuber ML, Bastani R, Morales S, Quintana K, Gonzalez A, Casas E, Barboa E. J Cancer Educ. 2020 Apr 24. PMID: 32333369

The Life and Death of Mammograms in Patients 75 Years and Older-To Screen or Not to Screen? Elmore JG, Ngo-Metzger Q. JAMA Intern Med. 2020 Apr 20. [Epub ahead of print] PMID: 32310253

Results from NEXT-D: the association of a pre-diabetes-specific health plan and rates of incident diabetes among a national sample of working-age adults. Moin T, Li J, Duru K, Ettner SL, Turk N, Chan C, Keckhafer AM, Luchs RH, Ho S, Mangione CM. BMJ Open Diabetes Res Care. 2020 Apr;8(1). pii: e001093. PMID: 32312720

Impact of a "Chart Closure" Hard Stop Alert on Prescribing for Elevated Blood Pressures Among Patients With Diabetes: Quasi-Experimental Study. Ramirez M, Chen K, Follett RW, Mangione CM, Moreno G, Bell DS. JMIR Med Inform. 2020 Apr 17;8(4):e16421. PMID: 32301741

How Community and Unity Can Help Americans Survive. Brook RH, Wang CJ, Wenger NS. J Gen Intern Med. 2020 Apr 13. [Epub ahead of print] PMID: 32291724

The Women's Health Initiative: A Landmark Resource for Skeletal Research Since 1992. Cauley JA, Crandall C. J Bone Miner Res. 2020 Apr 14. [Epub ahead of print] Review. PMID: 32286708

Quantitative Gait Analysis in Duplication 15q Syndrome and Nonsyndromic ASD. Wilson RB, Elashoff D, Gouelle A, Smith BA, Wilson AM, Dickinson A, Safari T, Hyde C, Jeste SS. Autism Res. 2020 Apr 13. [Epub ahead of print] PMID: 32282133

Screening for Colorectal Cancer in Asymptomatic Average-Risk Adults. Wilt TJ, Crandall CJ, Hicks LA, Mustafa RA, Qaseem A. Ann Intern Med. 2020 Apr 7;172(7):508-509.  PMID: 32252081

Association of a Care Bundle for Early Sepsis Management With Mortality Among Patients With Hospital-Onset or Community-Onset Sepsis. Baghdadi JD, Brook RH, Uslan DZ, Needleman J, Bell DS, Cunningham WE, Wong MD. JAMA Intern Med. 2020 Apr 6. [Epub ahead of print] PMID: 32250412

Frequent Headaches: Evaluation and Management. Walling A. Am Fam Physician. 2020 Apr 1;101(7):419-428. PMID: 32227826

Association Between Difficulty with VA Patient-Centered Medical Home Model Components and Provider Emotional Exhaustion and Intent to Remain in Practice. Apaydin EA, Rose D, Meredith LS, McClean M, Dresselhaus T, Stockdale S. J Gen Intern Med. 2020 Apr 6. [Epub ahead of print] PMID: 32291716

GIM in the Community

Our Iris Cantor-UCLA Women’s Health Education & Research Center conducted their Women’s Health & Money @ Work program for residents of the Salvation Army’s Westwood Transitional Village in February.  The program provides financial and health education and individualized coaching to help low to-moderate-income women manage their health and financial choices and challenges.  The residential housing facility provides support services for homeless families.  Residents attend training weekly and can choose from a variety of options such as vocational skills training, computer training,  ESL, and parenting.     
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