Monthly Newsletter | November 2021 |
|
Sachin Shah was awarded the Paul B. Beeson Emerging Leaders Career Development Award in Aging through the National Institute on Aging, the American Federation for Aging Research, and the John A. Hartford Foundation. This five-year award supports Sachin’s research to individualize treatment recommendations for older adults facing high-risk, high-benefit therapeutic decisions like anticoagulants in older adults with atrial fibrillation.
|
|
|
|
Assistant Clinical Professor |
|
Francisco was selected as the new Assistant Director of ML Nighttime and AHF Hospitalist Services.
|
|
|
|
|
The book co-authored by Rupa Marya and Raj Patel — Inflamed: Deep Medicine and the Anatomy of Injustice — was given a powerful review in The Lancet by Aletha Maybank, Chief Health Equity Officer of the AMA. Dr. Maybank has included Rupa's concepts on colonialism and health in the AMA’s Strategic Plan to Embed Health Justice and Advance Health Equity. Rupa has been tapped to become faculty to train national health systems leaders on health justice through movement understanding and action.
|
|
Equity & Belonging in Hospital Medicine |
|
Many of you know that our amazing hospitalists Bassem Ghali, Robin Goldman, and Zhenya Krapivinsky brought the My Life My Story (MLMS) program to Parnassus medicine clerkships with the wonderful support of Cindy Lai. Their work highlights the importance of the patient narrative in the care of hospitalized patients, and you may see patient stories written by medical students throughout our patient records when you are on service.
This article, written 5 years after initiation of the MLMS program at the VA, showed that 86% of medical staff either agreed or strongly agreed that reading the patient narrative notes was a good use of their clinical time and helped them provide better treatment or care. Specific themes include enhancing patient care based on values, using the story to build relationships, and understanding who the patient is as an individual and human.
The MLMS narratives placed in patient charts offer us an opportunity to learn more about the lives of patients in our community. When there isn't a chance to connect with a full story, consider asking just one question to help create treatment plans in a human-centered way. Here are some examples heard from colleagues:
- What are you looking forward to after this hospitalization?
- I'd love to learn about your life outside of the hospital. What's important to you?
- Is there anything I haven't asked you that you think is important for me to know as your doctor?
- What has life been like recently for you? What are your hopes for the future?
- What brings you joy/inspiration?
|
|
Lev Malevanchik, Sachin Shah, and colleagues co-authored a new study recently accepted for publication in The Joint Commission Journal on Quality and Patient Safety which assessed post-discharge automated phone call data from the office of population health and found that patients with limited English proficiency faced disparities after hospital discharge across a number of domains (e.g., reading discharge instructions, prescription issues, worsening symptoms, etc).
|
|
|
Josh Ronen was one of the co-authors of a great case he had in residency on double valve infective endocarditis complicated by MRSA bacteremia and systemic arterial embolization recently published in The Cureus Journal of Medical Science. The patient's native valves were surgically salvaged!
|
|
Andy Auerbach, Kirsten Kangelaris, and Shradha Kulkarni, as part of their work in the HOMERuN COVID-19 Collaborative Workforce Planning workgroup, co-authored a perspective piece in the SGIM Forum Newsletter describing how the hospitalist pre-existing clinical and operational skillset and expertise positioned the field to play a central role in leading the necessary innovation to improve outcomes for both patients and the workforce in the face of system constraints during COVID-19.
|
|
More Publications from DHM |
|
|
"This October was the launch of the Tea House Series 2021-2022 beginning with the Roots session. Natalia facilitated a smooth virtual launch for the DHM, the Division of Geriatrics, the Department of Psychiatry, and an Interprofessional Tea House including multidisciplinary participation from across the schools of medicine, nursing, pharmacy, physical therapy, and graduate division. You can only imagine the work she has done to organize the members of the four Tea Houses on our online platform, calendar invites, small group assignments, facilitators assignments, and virtual presentations on Zoom. On top of it all, she does it with grace, positivity, efficiency and a smile. I could not have imagined a better partner to direct the Tea House Series."
- Yalda Shahram
|
|
|
|
|
"I wanted to send Millie a huge THANK YOU for all of your help on jeopardy last week. You were so incredibly responsive, flexible and gracious for all the multiple needs that came up. It was truly appreciated and I am so glad you joined us here at UCSF. You are amazing and thank you again!!"
- Sarah Apgar
|
|
|
|
|
|
|
