UCSF Department of Emergency Medicine Newsletter

August 2019/September 2019 - Issue #83

Dr. Hemal Kanzaria (photographed here with Mayor London Breed and other city leaders) sat on an advisory committee for Tipping Point Community, UCSF, and the Department of Public Health to direct philanthropic efforts to improving homelessness and behavioral health issues in San Francisco. The press release about the report, including the Mayoral announcement of expansion of Hummingbird Psychiatric Respite beds can be found here:
Mayor London Breed, Tipping Point and UCSF Announce Partnership to Expand and Strengthen Mental Health Support

Dr. Nicolaus Glomb has been awarded the 2019 John L. Zeigler Outstanding Mentor Award from the UCSF Master of Science Program in Global Health.  Since its founding, the UCSF Institute for Global Health Sciences has sought to be a pioneer and innovator in academic global health, with a deep commitment to improving the health of marginalized communities.
Congratulations Dr. Glomb!

September 7-10, Dr. Andi Tenner was invited by the Eastern Mediterranean Regional Office of the WHO to serve as an instructor for a regional training of trainers course in Emergency Unit Management for Egypt. The course was held at the Conrad Hotel in Cairo, Egypt and was composed of approximately 40 leaders from the Ministry of Health of Egypt, directors of many of the main hospital emergency units in country, hospital leadership, as well as leaders in emergency department administration from Sudan, Iran, and Jordan.
September 11-12, Dr. Tenner represented the UCSF DEM WHO Collaborating Centre for Emergency and Trauma Care at the Global Alliance for Care of the Injured (GACI) at WHO headquarters in Geneva.
September 16 through the 21st, Dr. Tenner served as lead instructor and helped plan and organize the worlds first regional WHO Basic Emergency Care course and training of trainers in Addis Ababa, Ethiopia. Approximately 40 emergency care leaders from 10 countries in Africa, the Middle East and the US participated in the course.
Dr. Dina Wallin spoke at the FemInEM FiX conference in New York on September 17, presenting "Journey to Otherhood" with co-speaker Dr. Ebony Hunter.  The annual ACCME-credited conference provides a platform exploring through engaging dialogue the experiences of women working in Emergency Medicine, seeking ways to address gender disparities that can be positive and empowering to physicians of any gender.
In July, Dr. Rob Rodriguez was an invited speaker at the 2019  Stanford Arts series, Camera as Witness: Human Dignity - Faces of Immigration.  The film series, addressing issues in immigration, is moderated by Jasmina Bojic, Camera as Witness program director and founder of the UNAFF (United Nations Association Film Festival) international documentary film festival. 
Dr. Rodriguez also presented at Grand Rounds at Department of Emergency Medicine, New York Presbyterian Medical Center; Cornell School of Medicine, July 2019

Dr. Andi Tenner was invited to give a grand rounds presentation at Texas Tech University entitled, "Ebola: The caregivers' killer," on August 14th.  It was attended by over 50 medical, nursing, and PhD students as well as faculty and staff.  Dr. Tenner spoke in depth about lessons learned from the first major Ebola outbreak in West Africa, discussing her experience working in the Democratic Republic of Congo (DRC), and elaborating on the implications of the current Ebola outbreak in DRC.

Dr. Chris Colwell spoke on the topics of fentanyl overdose and hyperemesis syndrome in two recent news reports:
See full video on TheIndyChannel.com
Dr. Nida Degesys was featured in an interview for the July 2019 issue of Stanford Medicine's blog, Scope, in an article entitled, "Leading the way in emergency care for older adults":
Read full interview at Stanford Scope
Caroline Cawley and Drs. Maria Raven, Clement Yeh, Mary Mercer and Hemal Kanzaria have all been part of the team driving a large city-wide effort to improve the care of patients with chronic homelessness.  Caroline Cawley and Drs. Maria Raven and Hemal Kanzaria's analyses and recommendations were referenced in the following media pieces:
Drs. Maria Raven and Hemal Kanzaria received media attention on the article Past Frequent Emergency Department Use Predicts Mortality (authored by several of our faculty members), as well as on social emergency medicine efforts in San Francisco.  The media piece, entitled Special Report: Health Is Not Just Health Care (Especially for Frequent ED Users) was published in Emergency Medicine News: September 2019 - Volume 41 - Issue 9 - p 20-21.
On July 18, Dr. Andi Tenner attended an event held in Los Angeles to raise awareness of the work of the UCSF WHO collaborating center for emergency and trauma care. At the event she was interviewed by Ashlan Cousteau (E! News and the Discovery Channel) in front of an audience of approximately 30 people, primarily from the entertainment industry.

Members of the UCSF veteran and military-affiliated community, including Dr. John Brown, share their experiences and perspectives in this compelling video promoting UCSF Student Veterans and Military Support Services: https://vimeo.com/341653269
The San Francisco EMS Agency held its first Proof of Concept exercise for the upcoming pilot program on active determination of ambulance destinations by the SFGH base hospital which is scheduled for Sept. 18 - Oct. 2. The exercise was hosted on 7/10/19 at City College of San Francisco, where volunteers were enlisted to act as patient transport units with simulated patient encounters and requests for base hospital consultation. Approximately 50 patient scenarios were run over a 2 hour period with post event review by participants. Pictured are Drs. Colwell, Silverman and Malmud assisting new EMS/Disaster Fellows. Drs. Lauren Hart and Jeremy Lacocque determine optimal destinations for the simulated patients using mockups of system data and communications tools available at the SFGH ED. The event was a successful trial run and will inform the EMS Research Committee, chaired by Dr. Juan Carlos Montoy, to further refine the project prior to the go-live date this fall. Not pictured but also participating and contributing to the data collection and analysis was UCSF EM R3 Dr. David Dillon.
See names captioned under photo below

Far right: Dr. Lily Muldoon

Thursday, August 1st saw the most recent iteration of Spokes for Folks, our resident/fellow/faculty bike tour of San Francisco treatment facilities that refer and receive patients from our Emergency Departments. This year our intrepid group included nursing, EMS, resident and faculty representation. Facilities visited include Laguna Honda Hospital (pictured), Harbor Lights rehabilitation program, Health Right 360 navigation center and included our usual San Francisco EMS trivia contest. Thanks to Drs. Sojung Yi and Nick Stark for organizing this year's event; next year we are hoping for sunnier weather and perhaps our first e-bike participant!

Left to Right: Dr. Scott Fruhan, Amy Manidis, RN, Drs. Eric Isaacs, Eric Silverman, Nick Stark, Mady Grade, and EMT/FNP student Nick Evans

Castillo EM, Brennan JJ, Howard J, Hsia RY, Chalmers C, Chan TC, Ko KJ. Factors Associated with Geriatric Frequent Users of Emergency Departments. Annals of Emergency Medicine. 2019; 74(2): 270-275. 
Hsuan C, Hsia RY, Horwitz J, Ponce NA, Rice T, Needleman J. Ambulance Diversions Following Public Hospital Emergency Department Closures. Health Services Research. 2019; 00:1-10.   
Madhok DY, Diaz MA, Darger BF, Wybourn C, Singh V. Neurologic Emergencies Presenting as Trauma Activations to an Urban Level I Trauma Center. Journal of Emergency Medicine. 2019 July.   
Patel BV, Lew CO, Dall T, Anderson CL, Rodriguez RM, Langdorf MI. Chest tube output, duration, and length of stay are similar for pneumothorax and hemothorax seen only on computed tomography vs. chest radiograph. European Journal of Trauma and Emergency Surgery. 2019.
Rose C, Chang B, Brown JF. Spokes for Our Folks: Public Health Bike Tour. Academic Emergency Medicine. 2019 Jul 16.  
Sarin RR, Biddinger P, Brown JF, Burstein JL, Burkle FM, Jr., Char D, Ciottone G,
Hick JL, Koenig KL, Little C, Schultz C, Maggin J, Goralnick E. Core Disaster Medicine Education (CDME) for emergency medicine residents in the United States .
Prehospital and Disaster Medicine. 2019;00(00):1-8. 
Schoenfeld EM, Probst MA, Quigley DD, St Marie P, Nayyar N, Sabbagh SH, Beckford T, Kanzaria HK.  Does Shared Decision-Making Actually Occur in the ED? Looking at it from the Patient's Perspective. Academic Emergency Medicine. 2019 Aug 29. 
Vashi A, Carr BC, Urech, Greene, Warsavage T, Hsia RY, Asch S. Identification of Emergency Care Sensitive Conditions and Factors Associated with Emergency Department Utilization. JAMA Network Open. 2019 Aug 2;2(8):e198642.  
Weber EJ. Publication bias begins at home. Emergency Medicine Journal. 2019 September.    
Yan BW, Hsia RY. Unexpected Deaths Among Patients with Normal Vital Signs. Academic Emergency Medicine. 2019 Jul 16. [Epub ahead of print] 
Drs. Andrea Tenner , Julia Chang, Christian Rose, Steven Straube and Taylor Nichols had a poster at the International Conference of Emergency Medicine in Seoul, South Korea in June Titled: "Applying LEAN Software Development Principles to improve Global e-Health applications: A Case Study of the BEC App"
Drs. Christian Rose and Robert Goodnough had a poster at the National Library of Medicine Informatics Training Conference in June titled: "Seeing the Forest for the Trees: A Random Forest Approach to ICU Management of Calcium Channel Overdose."  

Graduating Residents

Graduating Fellows and
Fellowship Directors

The UCSF-ZSFG Emergency Medicine Residency and Fellowship Graduation was held on June 11, 2019 at the UCSF Mission Bay Conference Center. Congratulations to all of our graduates and thank you to all of our faculty for their teaching, guidance, and mentorship of our residents and fellows!
The following awards were presented:
  • Faculty Teacher of the Year: Michelle Lin, MD
  • Graduating Resident of the Year: Michael Losak, MD
  • Intern of the Year: Paul Ehlers, MD
  • ZSFG Krevans Awardee: Sojung Yi, MD
  • Nurses of the Year: Inder Narula, RN, Jayme Ng, RN, and Eugenio Williams, RN
  • Support Staff of the Year:  Chelsey Broderick, Donn Castillo, and Brandie Fulford
  • Consultants of the Year: Rebekah Manno, MD and Laura Wong, MD
Congratulations everyone!

Susan Whigham joins our DEM Administrative team effective September 9, and will serve as our Human Resources Analyst.  Susan comes to us with nearly twenty years of professional experience in patient care-related administration and private practice office management.  Outside of work, Susan enjoys spending time engaging in artistic pursuits, including writing, photography and filmmaking.  She also has a passion for travel and learning new languages.

Effective September 4, John Ye joined our DEM Education team and will serve as our Education Programs Analyst.   John graduated from San Francisco State University with a B.A. in Liberal Studies and will be joining our DEM team after two years of experience as a Human Resources Coordinator at an architecture firm. Prior to that, John served as an Extended Care Teacher for more than three years working with elementary school youth. Born and raised in San Francisco, he enjoys spending his free time playing basketball and watching anything sports related.
All are welcome to attend a vegetarian potluck dinner hosted by our own Sarika Parekh on Thursday, Oct. 31 from 6:30pm to 8:30pm. We promise that there will only be treats at this Halloween event!  Feel free to come as you are, or dress up as your favorite fruit or vegetable. Shown is photo from our last soiree - attendees were: Sarika and Sanjay Parekh, Tim Gaffney, Drs. John Brown, Dina Wallin, Sammy Hodroge, and Kevin Padrez. All are welcome, regardless of your lifetime, casual or one-night vegan/vegetarian status. Please contact Sarika or Dr. John Brown if able to attend, so we can coordinate dishes/drinks/logistics. Hope to see you there!
October 1 and 3
Dr. Esther Choo at Grand Rounds
Click here for details

October 27 thru 30
ACEP 2019 Annual Meeting
Faculty Dinner : October 27 : 7:30pm : Rialto Cafe
Denver, Colorado

December 14
DEM ZSFG / MB Holiday Celebration
  December 15
  DEM Parnassus / MB Holiday Celebration