UCSF Department of Emergency Medicine Newsletter

October 2019/November 2019 - Issue #84

Dr. John Brown, Medical Director of San Francisco EMS Agency and Associate Fellowship Director of the EMS and Disaster Medicine Fellowship at UCSF worked with EMS/Disaster fellows, Drs. Lauren Hart and Jeremy Lacocque, along with ZSFG ED nurses (pictured above) and multiple city and regional emergency personnel in a disaster exercise at SFO in October.


Dr. Juan Carlos Montoy was awarded the National Institutes of Health 's R01 Diversity Supplement Grant to promote diversity in health-related research.  From the NIH mission statement, "Fostering diversity by addressing underrepresentation in the scientific research workforce is a key component of the NIH strategy".
Franco Finn (left) of Alaska Airlines presents a 2019 Hearts Grant Program award to Dr. Toff Peabody (center),and Rachel Perry Limon, RN (right) on behalf of the ED Nurses for Mindful Wellbeing and Retention. The Hearts Grants Program, which awarded 26 grants this year in support of initiatives at ZSFG, is made possible by donors to the Foundation's annual fund and signature fundraising event, Hearts in SF.

Dr. Andi Tenner co-led a workshop on Leadership and Effective Communication in Emergency Medicine at the Tanzania Conference on Emergency Medicine (TACEM) on October 1-2.  This 2-day workshop was attended by over 40 participants from all over Tanzania, including members of the Ministry of Health, hospital leadership, heads of Emergency Departments, and emergency physicians and nurses. 
Dr. Tenner led the second regional WHO Basic Emergency Care course Training of Trainers for Southeast Asia at the annual Asian Conference for Emergency Medicine
(ACEM) in New Delhi, India, on November 8-9.  This course trained BEC trainers from India, the Philippines, Thailand, and China, among others.  This is the second course in a series of regional trainings that she is leading (the first one, pictured right, was for the African region which took place in Addis Ababa, Ethiopia, in September).

Dr. Shruti Kant co-led, with Dr. Mindy Ju from Pediatric Critical Care, the Teach for UCSF Mini-Certificate in Simulation Teaching workshop on September 27 at the UC Simulation Consortium, and on October 10 as part of the Teach for UCSF regularly held workshops.  The UC Simulation Consortium is a collaborative of simulation centers for the University of California who work to bring simulation into education and training.

Drs. Aaron Kornblith and Margaret Lin were instructors on October 28 for a course for the 2019 American Academy of Pediatrics (AAP) annual conference, called "Advanced Point-Of-Care Ultrasound-Guided Resuscitation: Precision Care for the Critically Ill Child". Congratulations to Drs. Sinthu Natesan, Kenshata Watkins and their Sonofest coach Dr. Scott Sutton for making it to the semifinals of the AAP Sonofest competition 2019!

Dr. Raj Daftary was also on the AAP program for October 27 for the Section on International Child Health - Abstract Session (Co-Chair). The national conference provides the opportunity for pediatric health care professionals to come together and share their passion for children's health.
Dr. Dina Wallin presented five lectures at Northwest Seminars' "Topics in Emergency Medicine" CME Course in Half Moon Bay on November 4-6:
  • Rash Rage: Life-Threatening Rashes in Children - How to Separate From the Benign
  • Quit Your Bellyachin': Pediatric Abdominal Emergencies
  • Sweet Dreams Are Made of These: Procedural Sedation in the Pediatric ED
  • ...and Jack Came Tumbling After: Pediatric Trauma
  • Lil' Boy Blue: Pediatric Shortness of Breath Case Studies

Dr. Jeff Tabas served on the American Board of Emergency Medicine (ABEM) CME Task Force and completed the 2021 Lifelong Learning Self-Assessment (LLSA) review.  The ABEM CME Task Force helps inform the LLSA test editors' selections for the annual reading list by reviewing and recommending possible LLSA readings for CME potential.

Dr. Jahan Fahimi was a panelist at the Association of American Medical Colleges (AAMC) Learn, Serve, Lead 2019 conference in Phoenix on November 11: "Violence Prevention Programs: Preparing Physicians and Learners to Combat Gun Violence."  The annual conference brings together academic medicine professionals so that they may learn from one another and build organizational capacity.
ACEP 2019: OCT 25-30, DENVER

Presented by Dr. Chris Colwell:
* Management of Pelvic Trauma: Binders, REBOA, and More!
* Life-Saving Procedures in Trauma
* Cruising the Literature: Trauma 2019

Presented by Dr. Starr Knight:
* Lytes Out! Electrolytes Gone Wrong
* Beyond Good, Bad, or Ugly: Advanced Echocardiography
* Considering the Kidneys: FAST FACTS
* Glands Gone Bad! Metabolic Emergencies: FAST FACTS
* Ultrasound-Guided Regional Anesthesia Lab

Presented by Dr. Jeff Tabas:
* Number Needed to Treat: Pinpointing ED Interventions That Matter Most
* Crazy Cardiac Cases - Causing Chaos & Creating Controversy: ACEP Connect
* The Heart of the Matter - Risk Stratification Tools, Cardiac Imaging, & Latest Treatments: ACEP Connect

Presented by Dr. Israel Green-Hopkins:
* Automated Follow-up Text Messages to Identify Unmet Needs at Emergency Department Discharge: A Pilot Study
Dr. Andi Tenner was invited to give a talk at the ACEP International Section's Global Health Bootcamp on October 25.  She led a session discussing WHO Tools and Implementation Strategies for Emergency Care.
As a member of the ACEP International Committee's WHO BEC Workgroup, Dr. Tenner led a WHO Basic Emergency Care Course Training of Trainers at ACEP 2019. The course had over 145 registered participants and ran from the evening of October 25 to October 26.
Dr. Tenner was asked to serve as an Emergency Care Systems Panel member at the ACEP International Ambassador Conference on October 27 at ACEP 2019.  She presented on the work of the UCSF WHO Collaborating Centre and discussed the importance of the World Health Assembly Resolution 72.16 establishing emergency care as an essential component of universal health coverage.
Dr. Ellen Weber presented a talk on "Getting Published" at the 2019 Annual Scientific Conference of the Royal College of Emergency Medicine in Newcastle, England.  This year's theme for the conference was "Focusing on Emergency Medicine's Future," providing attendees with the opportunity to hear speakers from across the UK and around the world give scientific updates for the Emergency Medicine community.
Dr. Rob Rodriguez spoke at the 2019 UCSF Annual Health Disparities Research Symposium on October 11, presenting "The Impact of the US President's Anti-immigrant Statements on Latino Populations' Perceptions of Safety and Access to Emergency Health Care".  The goal of the symposium is to build community among disparities researchers across disciplines and across units, schools, and campus sites.

Drs. Maria Raven and Hemal Kanzaria presented "Frequent ED Users: Separating Fact from Fiction" at Kaiser Permanente Northern California's 2019 Residency Elective in Health Policy series. The program seeks to serve as a forum for active health policy discussion and education for learners throughout the region, within and outside of Kaiser Permanente.
Dr. Andi Tenner was invited as a speaker and chair at the Emergency Medicine Society of South Africa (EMSSA) annual onference that was held November 5-7 in Cape Town, South Africa.  She gave a talk on Fever in the Returned Traveler on Tuesday, November 5, as well as chairing the Disaster Medicine Cases section and presenting on her work in the Ebola Outbreak in West Africa on Wednesday, November 6.

Dr. Jeff Tabas was an invited speaker at the American Board of Medical Specialties (ABMS) 2019 Annual Meeting in Chicago in September, presenting "Leveraging Board Certification to Advance Quality, Performance and Patient Outcomes".  The annual conference explores innovation in areas of assessment, test development and administration, data collection and measurement, and more. 
Frequent Emergency Department Users: Focusing Solely On Medical Utilization Misses The Whole Person, published by Dr. Hemal Kanzaria together with multiple co-authors from our department, also received some press from the following media pieces:

HealthLeaders, November 4
Medical Xpress, November 5

Health Day News / Physician's Weekly, November 6
Also published in Drugs.com and Physician's Briefing, November 6

Medical providers often miss the complex social needs of frequent ED users, say researchers
News Medical, November 6
Project FRIEND (First Responder Increased Education and Naloxone Distribution) helped the San Francisco EMS Agency launch on September 25 a pilot program for EMS-led harm reduction and education efforts.   Project FRIEND is led by Co-Principal Investigators, Drs. Kathy Vo and Mary Mercer, and is funded by a 4-year grant from the Substance Abuse and Mental Health Services Agency.  Members of the core implementation and evaluation team include Drs. Kathy Vo, Mary Mercer, Eric Silverman, Juan Carlos Montoy and Maria Raven, as well as Research Coordinator, Virginia Chan. The Project FRIEND Advisory Council includes DEM faculty: Drs. John Brown, Clement Yeh, and David Malmud. Faculty and fellows from the EMS and Toxicology Sections are also involved in the outreach and educational efforts. 

On November 13, Drs. Mercer, Silverman, Montoy, and Dr. Jacob Lebin presented lectures on Toxicologic Emergencies, The Opioid Crisis, and Harm Reduction Efforts in San Francisco as part of the ZSFG EMS Base Hospital Lecture Series at Carr Auditorium, discussing implementation and process improvement, and sharing data and updates on behalf of Project FRIEND. For more information on the program, please visit:
Another Haiti Clinic Mission Completed!
October 10-20 saw the successful completion of another week of primary and emergency care in rural Haiti in the ongoing partnership between UCSF and Global Health Teams. Recent residency grad, Dr. Kevin Padrez, and faculty member Dr. John Brown worked in Siloe dispensary in Leon for a week delivering care to approximately 560 patients from a catchment area extending through the Grand Anse province in the southwestern part of the country. Challenges this year included political instability with a high inflation rate, putting strain on an already fragile medical infrastructure, and a higher than usual malaria rate among patients presenting to the clinic. Pictured in the group photo are (L to R) Team leader/laboratory scientist Robert Downey, FNP Amy Stevenson, MSW Lisa Ryan, RN Jamie Richard, MD's Bart Smoot and Christian Molstrom, RN Holly Laverty and MD's Kevin Padrez and John Brown. Openings for teams in October 2020 and February, June and October of 2021 are available. Contact Dr. John Brown or Global Health Teams for details.
Agawu A, Fahl C, Alexis D, Diaz T, Harris D, Harris MC, Aysola J, Cronholm PF, Higginbotham EJ. The Influence of Gender and Underrepresented Minority Status on Medical Student Ranking of Residency Programs. Journal of the National Medical Association. 2019 Oct 23. PMID: 31668360.

Bardach NS, Neel C, Kleinman LC, McCulloch CE, Thombley R, Zima BT, Grupp-Phelan J, Coker TR, Cabana MD. Depression, Anxiety, and Emergency Department Use for Asthma. Pediatrics. 2019 Oct;144(4). pii: e20190856. doi: 10.1542/peds.2019-0856.

Diaz T, Navarro JR, Chen EH.  An Institutional Approach to Fostering Inclusion and Addressing Racial Bias: Implications for Diversity in Academic Medicine. Teaching and Learning in Medicine. 2019 Sep 28: 1-7. doi: 10.1080/10401334.2019.1670665 [Epub ahead of print] PubMed PMID: 31566010

Edwards BL, Werner H, Tripodis Y, Dorfman D, Boyle T, Bair-Merritt M, Garg A. Variability in Informed Consent Practices for Non-Emergent Procedures in Pediatric Emergency Departments. Clinical Pediatrics (Phila). 2019 Sep 26:9922819877873. doi: 10.1177/0009922819877873. [Epub ahead of print]

John LK, Loewenstein G, Marder A, Callaham ML.  Effect of revealing authors' conflicts of interests in peer review: randomized controlled trial. The BMJ. 2019 Nov 6; 367:l5896. doi:10.1136/bmj.l5896

Kanzaria HK, Niedzwiecki M, Cawley CL, Chapman C, Sabbagh SH, Riggs E, Chen AH, Martinez MX, Raven MC. Frequent Emergency Department Users: Focusing Solely On Medical Utilization Misses The Whole Person. Health Affairs. 2019 Nov;38(11):1866-1875. doi: 10.1377/hlthaff.2019.00082. PMID: 31682499.

Kosoko AA, Glomb NW, Laba B, Galapi C, Shah MI, Rus MC, Doughty CB. Evaluating a Novel Simulation Course for Prehospital Provider Resuscitation Training in Botswana. Western Journal of Emergency Medicine. 2019 Aug 6;20(5):731-739. doi: 10.5811/westjem.2019.6.41639.

Riddell J, Robins L, Brown A, Sherbino J, Lin M, Ilgen JS. Independent and Interwoven: A Qualitative Exploration of Residents' Experiences with Educational  Podcasts. Academic Medicine. 2019 Sep 10. doi: 10.1097/ACM.0000000000002984. [Epub ahead of print] PubMed PMID: 31517682

Madhok DY, Keenan KJ, Cole SB, Martin C, Hemphill JC. Prehospital and Emergency Department-Focused Mission Protocol Improves Thrombolysis Metrics for Suspected Acute Stroke Patients. Journal of Stroke and Cerebrovascular Diseases. 2019 Oct 09; 104423.

Rodriguez RM, Torres JR, Sun J, Alter H, Ornelas C, Cruz M, Fraimow-Wong L, Aleman A, Lovato LM, Wong A, Taira B. Declared impact of the US President's statements and campaign statements on Latino populations' perceptions of safety and emergency care access. PLOS One. 2019 Oct 30;14(10):e0222837. doi: 10.1371/journal.pone.0222837. eCollection 2019. PMID: 31665147.

Wallin D. Dare to Lead...and Reap the RewardsAnnals of Emergency Medicine.  2019 Nov; Volume 74, Issue 5, Page 729. doi:10.1016/j.annemergmed.2019.07.008
"Inventing Social Emergency Medicine" monograph published November 2019 in Annals of Emergency Medicine, co-edited and foreword by Dr. Harrison Alter, with 4 authors from our department:
Kanzaria HM, Hoffman JR. Inventing social emergency medicine: Introduction. Annals of Emergency Medicine. 2019 Nov; Volume 74, Issue 5, Supplement, Pages S3-S5. doi:10.1016/j.annemergmed.2019.08.431 
Fahimi J, Goldfrank L. Inventing social emergency medicine: Principles of Social Emergency Medicine. Annals of Emergency Medicine. 2019 Nov; Volume 74, Issue 5, Supplement, Pages S6-S10. doi: 10.1016/j.annemergmed.2019.08.432

Rodriguez RM. Inventing social emergency medicine: Commentary: Embracing the Problem of Subsistence Needs in the Emergency Department. Annals of Emergency Medicine. 2019 Nov; Volume 74, Issue 5, Supplement, Pages S28-S30. doi:10.1016/j.annemergmed.2019.08.438
Raven, MC. Inventing social medicine: Homelessness and the Practice of Emergency Medicine: Challenges, Gaps in Care, and Moral Obligations . Annals of Emergency Medicine. 2019 Nov; Volume 74, Issue 5, Supplement, Pages S33-S37. doi:10.1016/j.annemergmed.2019.08.440
Dr. Andi Tenner co-authored an article for ACEP Now, entitled ACEP Supports Two New International Emergency Medicine Courses at ACEP19.  The article, published October 21, "discusses developments in global advocacy for emergency care, and announces two ACES-led events for ACEP19 which mark a paradigm shift in the way ACEP approaches capacity building in emergency care systems."
Dr. Jeff Tabas presented a poster at the 2019 AAMC Annual meeting in Phoenix, entitled
"Supporting Institutional Quality Improvement with Maintenance of Certification Credit".

The ZSFG ED Social Medicine team (Aldon Mendez, Health Analyst, Performance   Improvement Advisor and Patient Care Coordinator, and Sam Shapiro, Performance Improvement Advisor) presented a plenary session presentation titled "Using Lean to Address Social Needs within a Safety Net ED"  at The Lean Healthcare Academic Conference at Stanford, October 2-3, 2019. The team won the conference Best Abstract Award!  Congratulations team! 

The ZSFG ED Social Medicine team presented a poster titled, "Multidisciplinary Social Medicine for Patients with Complex Medical and Psychosocial Needs," at UCSF Health Disparities Research Symposium, as well as at the Root Cause Coalition Conference, in October 2019.
Effective October 14, Tito Lemus joins our DEM Education team and will serve as one of our Education Programs Analysts.  Tito is a UC Davis alumnus and comes to us with over three years of health administration experience. Tito comes to us from UCSF Primary Care China Basin where he carried out the clinic's administrative needs as a practice coordinator. Previously, Tito led the scheduling department at Brownstein & Crane where he coordinated surgical cases between two locations within the U.S. Outside of work, he enjoys spending time with his friends and family.  
Effective October 21, Mariela Leviege is joining our DEM Administrative team and will serve as our Executive Assistant to the Chair.  Mariela received her Bachelor's degree from San Francisco State University and comes to UCSF DEM with over 15 years of administrative experience. Her most recent position was with Charles Schwab Bank, where she served as the Executive Administrative Assistant to the President/CEO. Mariela has extensive experience in coordinating, planning, and supporting daily operational and administrative functions. Mariela was born in Guatemala and came to San Francisco at the age of 3 years old. In her free time, she enjoys traveling and spending time with her family and friends.

Effective October  28, Leesa Cantero is the newest addition to our DEM Administrative team and will serve as our Finance and Payroll Analyst.  Leesa comes to us with over a decade of financial background with the last six years in various financial roles at UCSF.  Outside of work, Leesa enjoys traveling, camping, and hiking.  She also enjoys the local Bay Area food scene, discovering new cuisines, and crossing off bookmarked restaurants on her Yelp list.
December 4 at 10:00am
E-Waste Drop-Off at Mission Bay

December 14 at 6:00pm
DEM ZSFG / MB Holiday Celebration
  December 15 at 5:00pm
 DEM Parnassus / MB Holiday Celebration
December 16 at 12:00pm 

December 17 at 10:00am

[ Please note: All have consented to use of their photos ]