UCSF Department of Emergency Medicine Newsletter

April 2019/May 2019 - Issue #81

Dr. Jeanne Noble and Dr. Dan Repplinger, Assistant Clinical Professors of Emergency Medicine, were awarded the 2018 - 2019 3rd Quarter Bedside Teaching Award.
Dr. Hemal Kanzaria, Associate Clinical Professor of Emergency Medicine, accepted a position as Medical Director of Care Coordination at ZSFG, where he will co-lead the design and implementation of care coordination, social services, and utilization management activities for patients at ZSFG.

Dr. Jacqueline Nemer, Clinical Professor of Emergency Medicine;  Dr. Sally Graglia, Assistant Clinical Professor of Emergency Medicine; and Dr. Bryan Darger, PGY-4, were awarded the Outstanding Medical Student Educator Awards for the 2018-2019 academic year. 

With our colleagues in the Department of Neurology, the Department of Emergency Medicine is pleased to announce the acquisition of a large grant to serve as a site for the Brain Oxygen Optimization in Severe TBI (BOOST3) Phase 3 trial -- a randomized clinical trial to determine the comparative effectiveness of two strategies for monitoring and treating patients with traumatic brain injury in the ICU. The study will determine the safety and efficacy of a strategy guided by treatment goals based on both intracranial pressure (ICP) and brain tissue oxygen (PbtO2) as compared to a strategy guided by treatment goals based on ICP monitoring alone. The DEM looks forward to involvement in other trials as a subhub in the SIREN (Strategies to Innovate EmeRgENcy Care) Clinical Trials Network funded by the National Institute for Neurological Disorders and Stroke, the National Heart Lung and Blood Institute and the National Center for Advancing Translational Science.  We'd like to recognize Dr. Rob Rodriguez for serving as our departmental lead for the SIREN network and for being instrumental in advancing collaboration with the Department of Neurology to move this important work forward.

Kaiser Permanente  donated $1M to support the ZSFG Social Medicine Team, led by Dr. Hemal Kanzaria, Associate Clinical Professor of Emergency Medicine, to enhance the services available to ZSFG Emergency Department patients and expand the efforts to Psychiatric Emergency Services (PES). See press release .

Dr. Guy Shochat, Associate Clinical Professor of Emergency Medicine, completed a longstanding project to replace and update the supply of CMAC video laryngoscopes at Parnassus. Funding was acquired for all new CMACs and two new flexible scopes. New tracking protocols were developed with Sterile Processing to more efficiently clean and rapidly return these new tools. It was all packaged into new carts ensuring easy access to airway tools and mobility to take the tools to the bedside.
Dr. Dina Wallin , Assistant Clinical Professor of Emergency Medicine, was invited to speak at Grand Rounds, UT Austin Pediatric Emergency Medicine Fellowship, in Austin, TX on April 10th, speaking about "Infinite Shades of Grey: Medical Ethics in the Pediatric ED."

Dr. Andi Tenner Associate Clinical Professor of Emergency Medicine,  was invited to present at Unite for Sight Conference at Yale University on April 14th in New Haven, Connecticut. Her talk was entitled "Building Resiliency for Scaleable Emergency Care Systems."

Dr. Renee Hsia, Professor of Clinical Emergency Medicine, was invited to speak at the Capitol Event Center in Sacramento, CA on April 15th, regarding "Emergency Department Use in California."

Dr. Cortlyn Brown, PGY-3, was invited to speak at Grand Rounds at the Google headquarters on April 23rd.

Dr. Ellen Weber,  Professor Emeritus of Clinical Emergency Medicine, was invited to the Baylor Department of Emergency Medicine's faculty retreat to speak about Getting Your Research published on May 2.

Dr. Peter SokoloveProfessor of Emergency Medicine, participated in a panel presentation at SAEM on May 16th. The presented topic was "Tips for Faculty Success From Department Chair: Case Studies."
Dr. Mary Mercer , Associate Professor of Clinical Emergency Medicine,  was interviewed for the article, " Adopt This 5-Part Process to Reduce ER Length of Stay ," in HealthLeaders Inc. magazine on April 11, 2019, which featured, Dr. Mercer, Dr. Malini Singh, and Dr. Hemal Kanzaria's recent JAMA performance improvement feature on Lean improvement methods in the ED. 

Dr. Louis Yu , PGY-4, presented an abstract, ""Aortic Injury in the Era of the Pan-scan" at the plenary session at SAEM in Las Vegas, NV on May 14th. Dr. Yu also had a clinical image accepted for SAEM titled "Hip Trick," which reviews ultrasound usage to identify ASIS avulsion fractures in pediatrics.  

Dr. Tiffany Cobb and Dr. Tomas DiazPGY-4, led a workshop ("Evaluation of the Trauma Patient: E-FAST") at SNMA's Annual Medical Education Conference. Dr. Cortlyn Brown, PGY-3, and Dr. Tomas Diaz, PGY-4, represented UCSF Graduate Medical Education at the conference's exhibitor fair.

Dr. Cortlyn Brown , PGY-3, was awarded one of the spots in the  AAEM /JEM Resident and Student research competition. This competition was designed to recognize outstanding research achievements by residents and students in emergency medicine. She was also elected back  to the national board of the Student National Medical Association which is the largest student run group focused on the needs of minority medical school students with over 7000 members. I was just elected to their Strategic Planning Council.
Dr. Carol Chen , Professor of Clinical Emergency Medicine and  Dr. Andi Tenner , Associate Clinical Professor of Emergency Medicine, hosted the 3rd annual CME Conference "Building a Career in Global Emergency Care" on April 4-5th that brought in participants and speakers from across the country including presentations from many of our own faculty, including Drs. Starr Knight, Corey Bills, Nick Glomb, Kayla Enriquez, Kavita Ghandi, and Joe Brown as well as EM residency alumnus Sean Kivlehan.

Dr. Andi Tenner, Associate Clinical Professor of Emergency Medicine, Dr. Carol Chen, Professor of Clinical Emergency Medicine, and EM residency alumnus Dr. Sean Kivlehan held the first WHO/ICRC Basic Emergency Care Training of Trainers Course in the US on April 6-7th  at Mission Hall.  Thirty-four doctors, nurses, NPs, PAs, and pharmacists from across the country were trained, including Drs. Kavita Ghandi, Sally Graglia, and Scott Fruhan as well as several nurses, NPs, and pharmacists from ZSFG and Parnassus.


Robin Kemball  joined our DEM Administration team and serves as our Research Manager. She comes to UCSF DEM with over 15 years of experience in many different aspects of clinical research administration. She was most recently with Science 37, where she served as the Director of Quality and Compliance for Clinical Operations. After receiving her master's degree in public health from Emory University, Robin went on to work at the Emory University Center for Injury Control as a study coordinator. She then relocated to California starting at the University of California San Diego then transitioned to the University of California Los Angeles where she was a regulatory manager in the Jonsson Compressive Cancer Center for over 5 years.  She is passionate about providing access to clinical research to all members of the population despite economic or geographic barriers.

Rachel Wolf joined our DEM Administration team and serves as our Executive Assistant to the Chair. Rachel grew up in the Castro and has been living in the Richmond District for over 25 years. She has worked in non-profit for over 20 years, including the California Academy of Sciences and, most recently, Calvary Presbyterian Church. Rachel was born with a strong love of animals and currently shares her life with two cats, Diego and Nola. During free time, she enjoys photography, kayaking, and visiting New Orleans whenever possible. Rachel is excited to begin this new chapter with UCSF, continuing to contribute her experience to the greater good. 

Kim Smith joined our DEM Administration team and serves as our Clinical Scheduler. Kim graduated from California State University, East Bay with a BA in Psychology and shortly thereafter began her career with UCSF. Over the past 6 years, Kim has served in various capacities throughout the Division of Pediatric Radiology, steadily expanding, honing and enhancing her skillset. Outside of work, Kim loves to travel, read, practice yoga, and visit new and local bay area wineries. She is excited for this new chapter in her professional career and looks forward to applying her strong work knowledge of UCSF towards her new role.

Azan B, Innes M E, Thoma B, et al. (April 18, 2019)  How I Work Smarter: A Qualitative Analysis of Emergency Physicians' Strategies for Clinical and Non-clinical Productivity.Cureus 11(4): e4499. DOI 10.7759/cureus.4499

Brown J. Beware of the "J" Word. J Emerg Med. April 2019;56(4):462-463.

Hsuan C, Hsia RY, Horwitz J, Ponce NA, Rice T, Needleman J.   Ambulance Diversions Following Public Hospital Emergency Department Closures. Health Serv Res. 2019; 00:1-10. 

Munz N, Chen EH.   Embracing FOAM as an Academic Community.  AEM Education and Training. doi:10.1002/aet2.1035022 April 2019. 

Muldoon LB, Chan WW, Sabbagh SH, Rodriguez RM, Kanzaria HK. Collecting Unused Medical Supplies in Emergency Departments for Responsible Redistribution.  J Emerg Med. 2019 Apr 25. pii: S0736-4679(19)30096-4. doi: 10.1016/j.jemermed.2019.02.009. [Epub ahead of print]. 

Salmon M, Muldoon LB , Ritzenberg M. Oxford Handbook of Humanitarian Medicine, Chapter 20: Anaemia. Published April 2019. 

Talamantes E, Bribiesca Y, Rangel-Alvarez B, Viramontes O, Zhou M, Kanzaria HK, Kuczewski MG, Moreno G. The Termination of Deferred Action for Childhood Arrival (DACA) Protections and Medical Education in the U.S.  Journal of Immigrant and Minority Health. 2019 Apr 23. PMID: 31016563.
Dr. Lily Muldoon, PGY-4,  was an author on a poster presented at the  Africa Health Agenda International Conference in Kigali, Rwanda titled "Health Navigation Program: A Community Health Intervention to Expand Access to Emergency Care and Promote Safe Deliveries in Rural Kenya."

Dr. Hemal Kanzaria , Associate Clinical Professor of Emergency Medicine, gave Grand Rounds titled A Broader View of Health: The Case for Social Medicine to the Department of Medicine at UC Davis.

Drs. Alina Fomovska, Stephen Villa, and Lily Muldoon, PGY-4, presented on the following posters at Essentials of Emergency Medicine in Las Vegas, NV Provider Rounds: Improving on-shift well-being; Holiday Block Scheduling: Maximizing resident well-being without sacrificing usual ED staffing; and Class Day: Fostering resident community. 

Dr. Lily Muldoon (PGY-4), Dr. Winnie Chan (PGY-3), Dr. Robert Rodriguez (Professor of Clinical Emergency Medicine), Dr. Hemal Kanzaria (Associate Clinical Professor of Emergency Medicine), and Sarah Sabbagh (Research Assistant), presented at the SAEM annual meeting in Las Vegas, NV. The presentation was titled "Collecting Unused 
Medical Supplies in Emergency Departments for Responsible Redistribution."

Dr. Cortlyn Brown, PGY-3, poster titled "The Updated Google Translate Algorithm with Emergency Department Discharge Instructions" was presented at the American Academy of Emergency Medicine's 25th Annual Scientific Assembly.

Dr. Nicolaus Glomb, Assistant Clinical Professor of Emergency Medicine and Pediatrics, presented a poster at the Pediatric Academic Societies titled, "Evaluation of practice change after simulation based training for prehospital providers in Botswana."

Dr. Shruti KantAssociate Clinical Professor of Emergency Medicine and Pediatrics, presented a poster at the Pediatric Academic Societies titled, "Aha! Moments as Critical Incidents to Understanding Schema Development: Lumbar Punctures as an Exemplar."

Dr. Aaron KornblithAssistant Clinical Professor of Emergency Medicine and Pediatrics, presented a poster at the Pediatric Academic Societies titled, "The Utility of the Focused Assessment with Sonography for Trauma (FAST) Enhanced Physical Examination in Children with Blunt Torso Trauma (BTT)."

Dr. Katharine Osborn, Pediatric Emergency Medicine Fellow, presented a poster at the Pediatric Academic Societies titled, "Head Cooling as a Novel Therapy for Children with Concussions."


May 1-3: UCSF-Fresno High Sierra Wilderness and Travel Medicine Conference, The Pines Resort at Bass Lake, California

May 7: Spring Faculty Retreat, Aldea Center

May 22-27:  MCI exercise, training, and camping with EMS/Disaster/Global Health and UCSF-Fresno EM Residency and Wilderness Medicine Fellowship/Park Medic Program at Sequoia/Kings Canyon National Park

June 8: Faculty vs Resident Basketball Game

June 9UCSF-SFGH Emergency Medicine Alumni Reunion, 6 - 10PM, Women's Building (3543 18th St #8, San Francisco, CA 94110). Buy your tickets here

June 9:  2nd Annual EM Residency Alumni Reunion

June 11: Residency and Fellowship Graduation