Division of General Internal Medicine & Health Services Research
Monthly Newsletter
July 2020
UCLA Division of GIM-HSR Monthly Newsletter
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Welcome to our July Newsletter 

Carol Mangione MDGreetings! 

It is hard to believe that we are half way through 2020 and the rising Covid-19 case rates nationally confirm that we are all in this for the long game.  That said, it was great to see the new interns arrive last week and the newly minted third year medical students working with us in the primary care offices this week.  I have to admit, I wasn’t sure how my older frail patients would feel about having an extra person in the room during their visit, but the ones I asked all were comfortable with consenting and enjoyed their opportunity to help educate and shape the next generation of doctors. 

The research side of our division continues to thrive with 8 new research proposals submitted in June alone. We need to thank and congratulate Diana Castellanos, our pre-award specialist, and our whole fund management team for making this possible. Also, please join me in congratulating Dr. Yusuke Tsugawa on his first R01, “The Impact of Surgeon Factors and Education/Training on Disparities in Surgical Care,” from the National Institute on Minority Health and Health Disparities. This is a major milestone and accomplishment very early in what we hope will be a long and illustrious career at UCLA in GIMHSR!  I also want to take this opportunity to welcome all of our truly exceptional new fellows described below who will be joining us on July 1. 

Please stay safe and remember to stay connected with your colleagues. 

Happy 4th of July!


GIM Events & Seminars

Department of Medicine Grand Rounds
Wednesday, July 1st, 8:30-9:30 am

"Race, Racism and Health"

Keith Norris MDKeith Norris, MD, PhD
Professor of Medicine, General Internal Medicine and Health Services Research
Executive Vice Chair for Equity, Diversity, and Inclusion
UCLA Department of Medicine

Christina Harris MDChristina Harris, MD
Health Sciences Associate Clinical Professor of Medicine, General Internal Medicine and Health Services Research
Associate Vice Chair for Equity, Diversity, and Inclusion
UCLA Department of Medicine

Teresa Semen MDTeresa Seeman, PhD
Professor of Medicine, Division of Geriatrics
Associate Vice Chair for Equity, Diversity, and Inclusion
UCLA Department of Medicine

Nearly 700 attendees joined live via Zoom this morning!  For those of you that missed it, it will be archived shortly online at DOMTV.  The direct link will be circulated to the Division once available.
GIM Quarterly Meeting: July 20

Please mark your calendar for this important meeting.

Monday, July 20th  at 12 Noon | Via Zoom - Link to be sent shortly

Michael Lazarus, MDHow the Academic Senate and the Faculty Executive Committee represent all GIM/HSR faculty on important issues:  Distribution of Clinical Income to Departments, Admissions, and Equity, Diversity & Inclusion in DGSOM.

Michael Lazarus, MD
Professor of Clinical Medicine, Chief, Section of Hospital Medicine; Chair-elect, Faculty Executive Committee

Welcome New CMO, Dr. Ashley Busuttil

Ashley BusuttilAfter a national search,  Dr. Ashley Busuttil, HS Associate Clinical Professor of Medicine (Hospitalist Section) was appointed Chief Medical Officer at Ronald Reagan UCLA Medical Center, effective July 1, 2020.

Dr. Busuttil completed the Society of Hospital Medicine Academic Hospitalist Academy and received fellowship training in health care administration through the California Health Care Foundation Fellowship in Health Care Leadership. She was President of the Los Angeles chapter of the Society of Hospital Medicine and holds a “Fellow in Hospital Medicine” designation, which is awarded to hospital medicine practitioners who have demonstrated significant contributions to their field. 

In 2014, Dr. Busuttil was appointed Medical Director of Clinical Operations for UCLA Health and has since worked in all aspects of patient flow through the UCLA Health System. She was then appointed the Executive Medical Director of Medicine Services, a role that oversees clinical operations for inpatient medical services, and fosters collaborative, interdepartmental relationships and policies.  She oversaw the inpatient surge planning for the COVID 19 pandemic response. She has a record of accomplishment in leading numerous initiatives through the health system in readmission reduction, patient safety and patient experience.

An active clinician, she will bring her experience and expertise to her new role, which is defined as leading the development of systems optimizing the delivery of high-value patient-centered care.

Congratulations, Ashley!

Welcome New Scholars & Fellows 
2020-22 National Clinician Scholars Cohort

NCSP 2020-22 cohort

2020-21 Inaugural Kennamer Extensivist Fellow

Peter Young, MDPeter Young, MD
, joins us from Columbia University and New York Presbyterian Hospital where he completed his MD and residency in Internal Medicine.  As our first Extensivist clinical fellow, he will train in caring for medically and socially complex patients across the care spectrum. He will have year-long immersion experiences in a variety of UCLA and non-UCLA clinics, along with didactics in medical knowledge, interdisciplinary medicine, and compassion, social and behavioral health, among other domains.

2020-21 LGBTQ Healthcare Fellow

Felipe Saavera Cea, MDFelipe Saavedra Cea, MD, our 2nd LGBTQ Healthcare Fellow, comes to the program directly from Family Medicine residency here at UCLA. He received his MD at University of Chile Santiago, where he was raised and first practiced medicine.  Dr. Cea will have a year-long longitudinal experience in a variety of UCLA practices, specialties and sub-specialties, working toward his goal to improve the lives and health of the underserved, particularly LGBTQ and Spanish speaking communities.
Dr. Naghshineh Elected to DMPG Board
Sheila Naghshineh, MDAt the recent Department of Medicine Professional Group Executive Board election, Sheila Naghshineh, MD, was elected to fill the open position on the Board as a representative of the DOM Non-VA section.

She will serve a three-year term beginning July 1, 2020.
GIM Takes on COVID-19
Russ Buhr MDTLauren Wiskhe UC-COVID Study, from a team led by HSR collaborator, Dr. Russell Buhr of Pulmonary and Critical Care, and GIM's Dr. Lauren Wisk, has launched their web-based survey. It aims to capture from the public how they feel health systems and hospitals should allocate resources, as well as how the policy should be communicated to patients and the public.  Collecting a diversity of viewpoints and values from different communities survey is a key objective of the survey which is available in multiple languages.  A news bulletin describing the initiative is online here.

Carlos Oronce MDChris Scannell MDGIM's Dr. Yusuke Tsugawa, along with UCLA National Clinician Scholars, Drs. Carlos Oronce and Christopher Scannell, with Harvard School of Public Health Professor Dr. Ichiro Kawachi published a research letter in Journal of General Internal Medicine, "States with the highest income inequality also experienced a larger number of COVID-19 deaths."  The article was picked up for a UCLA Health Newsroom press release and is making the rounds of media outlets.
SGIM20 On-Demand Sessions Now Open
New GIM Publications

Signet Ring Cell Gastric Carcinoma: Clinical Epidemiology and Outcomes in a Predominantly Latino County Hospital Population. Fung BM, Patel M, Patel N, Brown AF, Ostrzega NL, Tabibian JH. Dig Dis Sci. 2020 May 24. doi: 10.1007/s10620-020-06341-z. [Epub ahead of print] PMID: 32448921

Primary Care-Based Interventions to Prevent Illicit Drug Use in Children, Adolescents, and Young Adults: US Preventive Services Task Force Recommendation Statement. US Preventive Services Task Force, Krist AH, Davidson KW, Mangione CM, et al.  JAMA. 2020 May 26;323(20):2060-2066. doi: 10.1001/jama.2020.6774. PMID: 32453374

Taking Care of Yourself and Your Risk for Breast Cancer (CUIDARSE): A Randomized Controlled Trial of a Health Communication Intervention for Latinas. Payán DD, Maggard-Gibbons M, Flórez KR, Mejía N, Hemmelgarn M, Kanouse D, Kahn KL, Golinelli D, Diaz Fuentes CM, Newberry SJ, Lara M. Health Educ Behav. 2020 May 25:1090198120920529. doi: 10.1177/1090198120920529. [Epub ahead of print] PMID: 32449396 

Readmission Rates for Chronic Obstructive Pulmonary Disease Under the Hospital Readmissions Reduction Program: an Interrupted Time Series Analysis. Buhr RG, Jackson NJ, Kominski GF, Dubinett SM, Mangione CM, Ong MK. J Gen Intern Med. 2020 Jun 17. doi: 10.1007/s11606-020-05958-0. [Epub ahead of print] PMID: 32556878

Oncologists' perceptions of the usefulness of cancer survivorship care plan components. Haggstrom DA, Kahn KL, Klabunde CN, Gray SW, Keating NL. Support Care Cancer. 2020 Jun 14. doi: 10.1007/s00520-020-05531-9. [Epub ahead of print] PMID: 32537684

Screening for Unhealthy Drug Use: US Preventive Services Task Force Recommendation Statement. US Preventive Services Task Force, Krist AH, Davidson KW, Mangione CM, et al.  JAMA. 2020 Jun 9;323(22):2301-2309. doi: 10.1001/jama.2020.8020. PMID: 32515821

Improving Serious Illness Care for Surgical Patients: Quality Indicators for Surgical Palliative Care. Lee KC, Walling AM, Senglaub SS, Bernacki R, Fleisher LA, Russell MM, Wenger NS, Cooper Z. Ann Surg. 2020 Jun 3. doi: 10.1097/SLA.0000000000003894. [Epub ahead of print] PMID: 32502076

Perceptions of Patient Portal Use for Advance Directive Documentation among Older Adults with Multiple Chronic Conditions. Portz JD, Lum HD, Bull S, Boxer RS, Bekelman DB, Ford KL, Gleason K, Casillas A, Bayliss EA. J Soc Work End Life Palliat Care. 2020 Jun 1:1-12. doi: 10.1080/15524256.2020.1771806. [Epub ahead of print] PMID: 32482160

Transcriptomic Heterogeneity of Gleason Grade Group 5 Prostate Cancer. Kishan AU, Romero T, Alshalalfa M, .... , Grogan T, Davicioni E, Elashoff D, et al. Eur Urol. 2020 May 24. pii: S0302-2838(20)30349-3. doi: 10.1016/j.eururo.2020.05.009. [Epub ahead of print] PMID: 32461072

Differences in Cardiovascular Care Between Adults With and Without Opioid Prescriptions in the United States. Feng Z, Williams D, Ladapo JA. J Am Heart Assoc. 2020 Jun 2;9(11):e015961. doi: 10.1161/JAHA.120.015961. Epub 2020 May 27. PMID: 32458701

Getting Value From Electronic Health Records: Research Needed to Improve Practice. Rudin RS, Friedberg MW, Shekelle P, Shah N, Bates DW. Ann Intern Med. 2020 Jun 2;172(11_Supplement):S130-S136. doi: 10.7326/M19-0878. PMID: 32479182

Do Collaborative Care Managers and Technology Enhance Primary Care Satisfaction with Care from Embedded Mental Health Providers? Leung LB, Young AS, Heyworth L, Rose D, Stockdale S, Graaff AL, Dresselhaus TR, Rubenstein LV. J Gen Intern Med. 2020 Jun 17. doi: 10.1007/s11606-020-05660-1. [Epub ahead of print] PMID: 32556874

Greater patient-centered medical home implementation was associated with lower attrition from VHA primary care. Yoon J, Leung LB, Rubenstein LV, Nelson K, Rose DE, Chow A, Stockdale SE. Healthc (Amst). 2020 Jun;8(2):100429. doi: 10.1016/j.hjdsi.2020.100429. Epub 2020 May 11. PMID: 32553525

GIM Photo Album
NCSP fellows Drs. Alicia Morehead-Gee, Jake Quinton, Carlos Oronce, Hafifa Shabaik and GIM Faculty Dr. Sae Takada take a stand for racial justice and equity in healthcare. ACP Online featured the national movement, spotlighting UCLA, on their website.  
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