Monthly Newsletter | April 2022 |
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Congratulations to Margaret Fang who was appointed Chief of the Division of Hospital Medicine at UCSF Health!
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Congratulations to Rosemary Yau who is the new Assistant Division Manager of the Division of Hospital Medicine!
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St. Mary's-based DHM Hospitalist |
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Join us for one (or both) of the UCSF DHM CME courses in Hawaii this June! |
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The UCSF Point-of-Care Ultrasound (POCUS) for the Hospitalist Workshop, chaired by Trevor Jensen, is a hands-on experience to learn the techniques of bedside ultrasound. Live demonstrations, case review, and didactics will complement hours of hands-on practice sessions. Participants will gain the skills, knowledge, and confidence to integrate bedside ultrasound into clinical practice. This course will be held at The Royal Hawaiian Hotel, June 20-21, 2022.
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The UCSF Hospital Medicine: Evidence to Practice Course, chaired by Brad Sharpe, covers the clinical issues most relevant to hospitalists and other clinicians who care for inpatients. Taught by UCSF's top teachers and selected guest faculty, the course — in its inaugural year — highlights recent advances and current controversies. To promote active learning, the course will use a mobile audience response system. In addition, there will be dedicated review and consolidation sessions where key learning points will be reviewed. This course will be held at The Royal Hawaiian Hotel, June 22-24, 2022.
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Join us for the UCSF Interprofessional Addiction Conference! |
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The 3rd Annual UCSF Interprofessional Addiction Conference, chaired by Jessica Ristau, aims to increase the core competency of medical teams in the inpatient and outpatient settings to improve care for patients who use drugs. This conference will increase skills in diagnosis, assessment, and treatment of common substance use disorders through didactics taught by an interprofessional team of local addiction experts, as well as small group discussions to apply this knowledge to patient care. This is a hybrid conference, attendees can be in person, at UCSF Cole Hall at Parnassus Campus, or attend virtually, June 16-17, 2022.
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Save the Date:
May 6, 2022
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In place of the rescheduled DHM Holiday Party, we plan to hold a DHM Spring Fling on May 6, 2022, from 6-10pm, at 7 Stills Restaurant (100 Hooper St, Suite 4, San Francisco, CA 94107). |
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Priya Prasad helped conduct analyses for the UCSF Department of Medicine Status of Women Faculty Report that was authored by Beth Harleman and edited by Urmimala Sarkar. The analyses found that differences in Department of Medicine faculty salaries by gender were largely explained by different amounts of moonlighting done by men and women.
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Julia Adler-Milstein and her team at the Center for Clinical Informatics and Improvement Research were recently awarded a new $4 million R01 from the National Institute on Aging entitled Advancing Coordination of Home and Community based Services for the ADRD Population. This five-year project will leverage newly available, nationwide Medicaid claims data that capture use of home- and community-based services (HCBS) — such as respite care, home health, and adult day care — which help enable those with Alzheimer's disease and related dementias (ADRD) and other populations avoid long-term institutional care. We will undertake the first national-scale effort to identify the specific organizations delivering HCBS to the ADRD population and their respective organizational networks. By measuring and comparing care coordination activities, including electronic information sharing, in networks with better and worse outcomes, we can identify actionable policy and practice-based strategies that improve care for a vulnerable population.
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Women's Council Gathering |
Photo from most recent DHM Women's Council event hosted at Madhavi Dandu's home on International Women's Day (3/8/22).
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DHM at SGIM Annual Meeting April 6-9, 2022 |
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DHM at SHM Converge April 7-10, 2022 |
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Join us at the DHM at SHM Happy Hour
Visit UCSF DHM at SHM Fun Committee's link for information on other social events
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Equity & Belonging in Hospital Medicine |
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We have learned so much in the past two years about bias, power, and privilege. This month, we shed light on positionality. Positionality = all the ways that differences in social position and power shape identities and access in society. Positionality influences our outlook on the world, and understanding it can help challenge our biases. Positionality is also dynamic and can change with time.
Many researchers and academicians are writing positionality statements for their research and lectures in order to make explicit their positionality and its influence on their work. The statement can include answers to the following questions: Who am I in relation to this research? How does my identity affect how I approach this topic? My interaction with readers/participants? The manner in which I conducted this work? What have I done to account for, acknowledge, and/ or mitigate my influence on this research?
If you'd like to explore positionality statements and perhaps use one in your next publication or presentation, here are some examples that I really liked. For feedback, or to share pearls in the next DHM newsletter, please email Sneha.Daya@ucsf.edu
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Seth Blumberg and Leo Liu were coauthors on a multicenter study published in BMJ to validate a model that identifies hospitalized patients with COVID-19 who are at risk for clinical deterioration
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Sachin Shah published an article in NEJM Evidence proposing an anticoagulant RCT to clarify benefit and risk in older adults with atrial fibrillation.
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Sunny Kishore was a coauthor on a study published in Circulation: Heart Failure that examined national essential medicines lists around the globe and the inclusion of guideline-directed medications for heart failure and associated costs.
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Future DHM hospitalist Smitha Ganeshan, Michelle Mourad, and colleagues published a study in BMC Medical Education examining the impact of a resident- and student-led video visitation navigation program on caregivers and residents during the pandemic.
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A Jay Holmgren published a study in JAMIA examining the association between levels of malpractice litigation in states and the amount of time clinicians spend in the EHR in those states. They found that state-level malpractice environment did not impact the amount of time clinicians spent documenting in the EHR.
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Julia Adler-Milstein authored a paper in JAMA Health Forum analyzing primary care organizations' participation in reform programs over time and associated effects on healthcare services delivery outcomes, such as hospital utilization, diabetes guideline adherence, and Medicare spending.
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A Jay Holmgren and Julia Adler-Milstein were coauthors on a study in JAMA Health Forum that measured hospital engagement on all four domains of interoperability, showing where gaps and barriers remain to achieving interoperable health systems.
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Ashraf Abugroun was coauthor on a study in Cardiovascular Revascularization Medicine examining the impact of atrial fibrillation on hospitalization outcomes of endovascular repair of abdominal aortic aneurysm.
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In collaboration with the Hospital Medicine Reengineering Network (HOMERuN) and the Workforce Planning Work Group, Andy Auerbach, Tiffany Lee, Kirsten Kangelaris, Shradha Kulkarni, and Matt Sakumoto (formerly of DHM), were coauthors on a study published in the Journal of General Internal Medicine that described the adaptability and resourcefulness of hospital systems in inpatient surge planning and workforce deployment during the COVID-19 pandemic. This paper highlights how the unique hospital skillset is imperative for conducting this work and illustrates several emerging themes of resource constraints, sustained high workload, and concerns for hospitalist burnout.
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In collaboration with the Hospital Medicine Reengineering Network (HOMERuN) and the Clinical Pathways and Documentation Work Group, Noa Simchoni, Amy Chang Berger, and Katie Raffel (all formerly of DHM), and Andy Auerbach were coauthors on a survey study to assess the fidelity with which academic medical centers (AMCs) adopted evidence into practice for COVID-19 management. They found that AMCs rapidly adopted COVID-19 evidence and guidelines and innovated to bridge knowledge gaps; but favored treatment over no treatment, and a small fraction recommended unsupported treatments.
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More Publications from DHM |
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"I am writing to express my deep gratitude for an incredible leadership bootcamp last week. I am so appreciative of your efforts to craft a learning-filled week for personal and group reflection and growth. I left last week with countless tangible methods to grow personally and professionally as a leader.
Again, I cannot thank you enough for making last week possible."
-Armond Esmaili
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