UCSF Department of Emergency Medicine Newsletter

August/September 2018 - Issue #77

ACHIEVEMENTS
Dr. Cortlyn Brown
Dr. Maria Raven
Dr. Cortlyn Brown , PGY3, received the 2018 Chancellor Award for Dr. Martin Luther King, Jr. Leadership. Dr. Brown was recognized for her outstanding commitment to diversity, equity, and inclusion.

Dr. Maria Raven , Associate Professor of Emergency Medicine, received the 2018 California ACEP Special Recognition Award. 

Dr. Shruti Kant, Associate Clinical Professor of Emergency Medicine and Pediatrics, Dr. Jillian Mongelluzzo, Assistant Clinical Professor of Emergency Medicine, and Dr. Dina Wallin, Assistant Clinical Professor of Emergency Medicine and Pediatrics, received the 2018 Excellence in Teaching Award from the Academy of Medical Educators.

Dr. Jillian Mongelluzzo , Assistant Clinical Professor of Emergency Medicine, was one of the 16 faculty scholars who graduated from the 2017-2018 Teaching Scholars Program. Her scholarly project was titled "Examining the Intersection of Gender and Feedback."

Dr. Bill Whetstone, Professor of Clinical Emergency Medicine (UCSF), and Dr. Renee Hsia, Professor of Emergency Medicine (ZSFG), won the 2017-2018 4th Quarter Bedside Teaching Award. Dr. Aaron Kornblith, Assistant Clinical Professor of Emergency Medicine and Pediatrics, won the semi-annual award for PEM at Mission Bay.
FACULTY ANNOUNCEMENTS
Dr. Nate Teismann , Associate Clinical Professor of Emergency Medicine, has been appointed Director of Point-of-Care Ultrasound for UCSF Health. He will oversee an enterprise-wide project that will improve the performance of point-of-care ultrasound across multiple departments: OB-GYN, Critical Care Medicine, Hospital Medicine, Adult ED, and Peds ED at both Benioff Children's Hospital San Francisco and Oakland.
Dr. Toff Peabody, Assistant Clinical Professor of Emergency Medicine, was appointed to the UCSF Health Hub Internal Board of Advisors. UCSF has partnered with Health Hub, a non-profit designed to help young founders and early stage companies connect to mentors, investors and others in the healthtech ecosystem to help them grow their companies.

Dr. Hemal Kanzaria , Associate Professor of Emergency Medicine, and the ZSFG ED Social Medicine Team were awarded a Hearts grant from the SFGH Foundation. The grant will support additional patients' services, social medicine physician consultant time, and staff development.

Dr. Rais Vohra, Associate Professor of Emergency Medicine, served as course director of UCSF Fresno's Mini Med School, a series of four lectures presented in September for adults and students to learn about important trends in health.


Dr. Chris Colwell, Professor of Emergency Medicine, and Dr. Sammy Hodroge, EMS Fellow, share Medical Health Operations Area Coordinator duties at the "Yellow Command" exercise on September 6 at the San Francisco Emergency Operations Center.
RESEARCH ANNOUNCEMENTS
Dr. Kathy Vo, Assistant Clinical Professor of Emergency Medicine (PI), and  Dr. Mary Mercer, Associate Clinical Professor of Emergency Medicine (Co-PI), received a grant from the Substance Abuse and Mental Health Services Administration (SAMHSA, a division of the Department of Health and Human Services) for $500,000.00 yearly, for up to four years. The project is First Responder Increased Education and Naloxone Distribution (FRIEND). 

Dr. Jacqueline Grupp-Phelan, Professor and Chief of the Division of Pediatric Emergency Medicine, was selected to serve on the NIMH Mental Health Services Research Committee (SERV) Study Section for the three-year cycle beginning July 1, 2018. Members are selected based on prior NIH review experience, content expertise, current NIH funding and national reputation. 

Dr. William Whetstone, Professor of Clinical Emergency Medicine, is senior author of "Motor Evoked Potentials Correlate with Magnetic Resonance Imaging and Early Recovery after Acute Spinal Cord Injury," published in the June 2018 issue of Neurosurgery. It was awarded the 2018 Neurotrauma and Critical Care Paper of the Year by the Congress of Neurological Surgeons (CNS).

The study: " Validation of the pediatric NEXUS II head computed tomography decision instrument for selective imaging of pediatric patients with blunt head trauma," by Malkeet Gupta MD, MS; William R. Mower MD, PhD; Robert M. Rodriguez, MD; and Gregory W. Hendey MD, published in Academic Emergency Medicine, was featured in the AEM podcast in July. The study received an Altmetric Score of 82 and over 600,000 twitter impressions.

Dr. Dina Wallin was named a WestJEM Distinguished Reviewer of 2017-2018. 
INVITED PRESENTATIONS
Dr. Ellen Weber, Professor of Emergency Medicine, joined editors from the European Journal of Emergency Medicine and the African Journal of Emergency Medicine as panelists for the "Meet the Editors" session at the joint conference of the European Society of Emergency Medicine and the Royal College of Emergency Medicine in Glasgow on September 12.
Dr. Robert Rodriguez, Professor of Clinical Emergency Medicine, presented Grand Rounds titled "Selective CT in Blunt Trauma Evaluation" at the University of Texas, Rio Grande Valley School of Medicine in McAllen, Texas, on July 12.

Dr. Renee Hsia, Professor of Emergency Medicine, presented Grand Rounds at Kaiser Permanente San Francisco Medical Center on September 7 titled "Stickershock, Disparities and Other Systemic Ills in the US Healthcare System." 


Dr. Mary Mercer , Associate Clinical Professor of Emergency Medicine, Dr. Eric Silverman , Assistant Clinical Professor of Emergency Medicine, Dr. Sammy Hodroge , EMS Fellow, and Dr. Brian Cheung , PGY3, taught prehospital providers about cardiac arrest at the Base Hospital Lecture Series held at Zuckerberg San Francisco General in August.
RESEARCH ABSTRACT PRESENTATIONS
Dr. Kayla Enriquez, Assistant Clinical Professor of Emergency Medicine, presented an abstract and poster, "Surgical Antibiotic Prophylaxis: Its Use and Inappropriate Use of Surgery and Waste Segregation: Linking Infection Prevention and Control Programs to Project Implementations and Compliance by Health Care Workers," at the 7th Infection Control Africa Network Congress 2018 in Cape Town, South Africa, July 8-11.

Hsia RY, Kornblith A, Lin F, Guo J, Markowitz AJ, Manley GT. Ten-Year Trends in Pediatric Patients with Traumatic Brain Injury: An Evaluation of Emergency Department and Hospital Revisits and Readmissions, 2005-2014. Academy Health, Annual Meeting, Seattle WA. June 24, 2018.

Hsia RY, Markowitz AJ, Lin F, Guo J, Madhok DY, Manley GT. Ten-Year Trends in Traumatic Brain Injury: An Evaluation of California Emergency Department and Hospital Revisits and Readmissions, 2005-2014. Academy Health, Annual Meeting, Seattle, WA. June 25, 2018.
MEDIA COVERAGE
Dr. Chris Colwell, Professor of Emergency Medicine, discussed new research tracking injuries at Zuckerberg San Francisco General Hospital's emergency department attributable to an influx of a new generation of "just-in-time" shared vehicles. He was quoted in a New York Times article titled "Health officials prepare to track electric scooter injuries" published August 2, 2018; a San Francisco Chronicle article titled "Injuries are the untold part of the scooter trend, doctors and victims say," published September 10, 2018; and a UCSF News article titled "Scooter Safety: UCSF Doctors to Track New Injuries" published online on August 8. He was also interviewed on an NBC Nightly News segment aired on August 18, "Electric scooters, the latest trend, sparks safety concerns."

Dr. Chris Colwell was interviewed for an article titled " Wines on a Plane: Does Drinking Affect You Differently While Flying?" published in Wine Spectator on August 21, 2018.

Dr. Dina Wallin, Assistant Clinical Professor of Emergency Medicine and Pediatrics, and Dr. Michelle Lin, Professor of Clinical Emergency Medicine, hosted the EM:RAP featured podcast of the month for July titled "LIN Session - Pediatric Code Gray."

Dr. Robert Rodriguez, Professor of Clinical Emergency Medicine, Dr. Joe Graterol, PGY4, and Dr. Maria Beylin, 2016 Chief Resident, co-authored "Low Yield of Paired Head and Cervical Spine Computed Tomography in Blunt Trauma Evaluation" published in the Journal of Emergency Medicine, 2018 Jun; 54(6):749-756. The article was featured on Journal Feed (blog), "Paired Head/C-Spine CT Low Yield," on July 10. 

Dr. Hemal Kanzaria, Associate Professor of Emergency Medicine, and the ZSFG ED Social Medicine Team were featured in the article "Physician Leaders and A3 Thinking at Zuckerberg San Francisco General Hospital and Trauma Center" posted August 16, 2018, online at Catalysis.

Dr. Renee Hsia, Professor of Emergency Medicine, received media attention for her publication in Health Affairs (Millwood) (see below), from Fierce Healthcare in " Study Finds Surprising Driver of Ambulance Diversion," by Paige Minemyer on July 9, 2018. Dr. Hsia was quoted in (1) " The Affordable Care Act Helped Medicaid Patients in California Avoid the Emergency Room, Study Suggests," Gizmodo on June 13, 2018; and (2) " Commentary: Race, Gun Violence, and Equitable Access to Trauma Care," Chicago Tribune on June 27, 2018. A third article quoting Dr. Hsia, " A Baby Was Treated with a Nap and a Bottle of Formula. His Parents Received an $18,000 Bill," appeared in numerous sources including Vox on June 28, 2018, Multiple Sclerosis News Today and South China Morning Post, both on July 6, 2018. Dr. Hsia was heard on Capital Public Radio, on August 9, 2018, discussing " Emergency Room Visits, Wait Times on the Rise in California."

NEW FELLOWS
Dr. Arun Ganti
Dr. Cara McAnaney
Dr. Arun Ganti joined our department as a Wilderness Medicine Fellow at UCSF Fresno on August 15. He attended medical school and obtained his Masters of Population Health Studies at Washington University in St. Louis School of Medicine, St. Louis, Missouri, and graduated from a four-year Emergency Medicine residency at University of Michigan Department of Emergency Medicine, Ann Arbor, Michigan. Dr. Ganti will be working clinically in the ED at CRMC Fresno.

Dr. Cara McAnaney
joined our department as a Wilderness Medicine Fellow at UCSF Fresno on August 15. She attended medical school at University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, and completed a four-year Family and Community Medicine residency at Greater Lawrence Family Health Center, Lawrence, Massachusetts. Dr. McAnaney will be working clinically at the Prompt Care Clinic at the downtown CRMC Fresno campus.
RESIDENT/FELLOW ANNOUNCEMENTS
Dr. Jessica Chow, PGY3, published  Chow JL, Jutte D, Eyre S, Pies C, Syme SL, Shrimali BP, Cheung K, 2018. " How We See Oakland: Low-income Women and Mothers Explore Economic Hardship in Oakland, California Through Photovoice," Special Publications, Federal Reserve Bank of San Francisco.  Dr. Chow also has an article in press: "Pericardiocentesis," in W. Johnson & D. Teoli (Eds.), CEMRO Essentials: Procedure Quick Guide for Emergency Medicine Residents. Los Angeles, CA: Southcrest House.


Dr. Sammy Hodroge, EMS Fellow, participated as a treatment team physician at the tactical medicine exercise Urban Shield 2018 in Oakland. Sammy is pictured here with his team. 

Dr. Lily Muldoon, PGY4, received a $5,000 grant from the Rotary Club of San Francisco on September 11, 2018. This grant is awarded to support the Lake Victoria region, where the prevalence of HIV is greater than 30%, and to promote a local radio station that spreads awareness of emergency services and focuses on HIV education targeting high risk youth. 
CAL-ACEP ANNUAL CONFERENCE
The California ACEP Annual Conference, Advance ED, was held on September 7 in Los Angeles. This year's conference was tailored for residents and medical students.

Dr. Rosny Daniel , Medical Education Fellow, kicked off the meeting with a lightning lecture called "Teamwork makes the dream work" (20 slides in 6 minutes).
Dr. Tomas Diaz, PGY4, presented his poster "Mastering Digital Resources"
Dr. Dina Wallin, Assistant Professor of Emergency Medicine and Pediatrics, presented her poster, "Penny for your Thoughts: Introversion in Emergency Medicine.
Dr. Jim Hardy , Assistant Professor of Emergency Medicine, gave a lighting lecture called "Don't get hurt...and don't get others hurt. Preventing workplace violence in the ED."
Dr. Chris Fee, Professor of Emergency Medicine, sat on a panel of residency directors called "Moderated Program Director Panel - Interview Tips/Tricks." Dr. Fee and Dr. Daniel represented UCSF at the Residency Fair.
PUBLICATIONS
Brown JF, Raven MC, Tangherlini NL, Hall KM. Frequent Users of 9-1-1 Emergency Medical Services: Sign of Success or Symptom of Impending Failure? Prehospital Emergency Care. 2018 Aug 21:1-3. PMID:  30130427 . [Epub ahead of print]
 
Caloyeras JP, Kanter MH, Ives NR, Kim CY, Kanzaria HK, Berry SH, Brook RH. Understanding waste in health care: perceptions of frontline physicians regarding time use and and appropriateness of care they and others provide. The Permanente Journal. 2018 Jul 19; 22. PMID: 30010536.
 
 
Hsia RY , Sarkar N, Shen YC.  Is Inpatient Volume or Emergency Department Crowding a Greater Driver of Ambulance Diversion? Health Affairs (Millwood) . 2018; 37(7):1115-22.
 
Hsia RY , Sabbagh SH, Guo J, Nuckton TJ, Niedzwiecki MJ Trends in the Utilisation of Emergency Departments in California, 2005-2015: A Retrospective Analysis BMJ Open. 2018; 8:e021392.
 
Hsu C, Madhok D, Darger B, Scalea T, Stein D, et al. EAST Multicenter Trial on Targeted Temperature Management for Hanging-Induced Cardiac Arrest. Journal of Trauma and Acute Care Surgery. 2018 Jul; 85(1):37-47.
 
Kaiser SV, Lam R, Joseph GB, McCulloch C, Hsia RY, Cabana MD, Bardach NS.  Limitations of Using Pediatric Respiratory Illness Readmissions to Compare Hospital Performance Journal of Hospital Medicine. 2018; doi: 10.12788/jhm.2988.

Mason J, Colwell CB, Grock A. EM:RAP Commentary. Agitation Crisis Control. Annals of Emergency Medicine 2018; 72(4):371-3.
 
 
Mooney AC, McConville S, Rappaport AJ, Hsia RY. Association of Legal Intervention Injuries with Race and Ethnicity Among Patients Treated in Emergency Departments in California JAMA Network Open. 2018; 1(5):e182150.
 
Paetow G, Zaver F, Gottlieb M, Chan TM, Lin M, Gisondi MA. (July 20, 2018) Online Mastermind Groups: A Non-hierarchical Mentorship Model for Professional Development. Cureus. 10(7): e3013. doi:10.7759/cureus.3013
 
Puskarich MA, Callaway C, Silbergleit R, Pines JM, Obermeyer Z, Wright DW, Hsia RY, Shah MN, Monte AA, Limkakeng AT Jr, Meisel ZF, Levy PD.  Priorities to Overcome Barriers Impacting Data Science Application in Emergency Care Research Academic Emergency Medicine. 2018 Jul 18; doi: 10.1111/acem.13520.
 
Ratanawongsa N, Cardenas A, Occe├▒a B, Critchfield J, Mercer M, Myers K. Certified Medical Interpreters' Perspectives on Relationship-Centered Communication in Safety-Net Care,  MedEdPublish , 2018, 7, [3], 31, doi: https://doi.org/10.15694/mep.2018.0000169.1
 
 
Rodriguez RM, Hawthorne N, Murphy S, et al. Blunt trauma abdominal and pelvic CT has low yield for injuries in more than one anatomic region. Western Journal of Emergency Medicine. 2018 Sep; 19(5):768-73.
 
Samuels-Kalow ME, Niedzwiecki M, Friedman AB, Sokolove PE, Hsia RY. Comparing resource use between paediatric emergency department visits by triage level. Emergency Medicine Journal. 2018 Sep. doi: 10.1136/emermed-2017-207192. [Epub ahead of print]
 
Stey A, Kanzaria HK, Brook R. How Disruptive Innovation by Business and Technology Firms Could Improve Population Health. JAMA. 2018 Sep; 320(10):973-4.
 
Thoma B, Chan TM, Kapur P, Sifford D, Siemens M, Paddock M, Ankel F, Grock A, Lin M. The Social Media Index as an Indicator of Quality for Emergency Medicine Blogs: A METRIQ Study. Annals of Emergency Medicine. 2018 Jul 3. [Epub ahead of print]. https://doi.org/10.1016/j.annemergmed.2018.05.003
 
Vohra R, Vohra SS, Grock A, Mason J. Working Through the Paradox of Methotrexate Toxicity. Annals of Emergency Medicine. 2018 Aug; 72(2):129-32.
 
Waxman DA, Kanzaria HK, Schriger DL. Acute Myocardial Infarction after Laboratory-Confirmed Influenza Infection (Letter). New England Journal of Medicine. 2018 Jun 28; 378(26):2538-9.
 
Wei R, Mann NC, Dai M, Hsia RY Injury-Based Geographic Access to Trauma Centers Academic Emergency Medicine. 2018; doi: 10.1111/acem.13518.
 
Wermuth ME, Vohra R, Bowman N, Furbee RB, Rusyniak DE. Cardiac Toxicity from Intentional Ingestion of Pong-Pong Seeds (Cerbera Odollam). Journal of Emergency Medicine. 2018 Oct; 55(4):507-11.
 
Yun BJ, Rodriguez RM, Prabhakar AM, Peak DA, Baymon DE, Raja AS. Utilization of chest CT for injured patients during visits to U.S. emergency departments: 2012-2015. American Journal of Emergency Medicine. 2018 Aug. doi: 10.1016/j.ajem.2018.08.024. [Epub ahead of print]
SAVE THE DATE
Nov. 2-6  AAP National Conference, Orlando
Nov. 30 6:00-10:00 PM DEM ZSFG/MB Holiday Celebration, St. Francis Yacht Club
Dec. 9 5:00-10:00 PM DEM Parnassus/MB Holiday Celebration, Westin St. Francis Hotel