UCSF Advanced Practice Providers July 2023 Newsletter

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Michelle Klosterman, PNP, RD, MSN is a pediatric NP who earned a masters degree in Nutrition Science from San Jose State University and a pediatric nutrition fellowship at Indiana University - Purdue University Indianapolis. After completing the UCSF Master's Entry Program coursework in 2013 she then graduated with Masters in Nursing. She now cares for the pediatric population with pancreatitis, total pancreatectomy and islet auto-transplant and exocrine pancreatic insufficiency by ensuring nutritional adequacy to support the childs' growth and development. Over the past 10 years Michelle has been a founding member of the following APP committees: BCH leadership (chair), BCH education (chair), APP onboarding, and Advisory Board new member task force. Not to mention, she led the creation of our APP website. With this breadth of experience, she served as the Chair of APP Advisory Board FY22-FY23 and ensured a fair and objective process to seek Advisory Board member representation that focuses on DEI principles and values as well as let the board during a time of Office of Advanced Practice leadership growth. Michelle's steady leadership is unparalleled and will transition the role of Chair of the Advisory Board to Bethany Geleris, CRNP in July 2023. Read more about your Advisory Board.

Emily Pepe, NP is a new provider in the Cancer Immunotherapy Toxicity Evaluation (CITE) clinic. Emily received her MSN at Boston College in 2019 and then joined UCSF Health Breast Medical oncology. She is now the sole NP in the new Cancer Center CITE clinic that opened in April 2023. The clinic aims to improve the quality of care for patients experience immune related adverse events. Read more


NEW: UCSF APP ED Transition to Practice Fellowship

The APP ED Transition to practice fellowship is sponsored by the UCSF Office of Advanced Practice Providers, UCSF Medical Center, and UCSF School of Nursing. The fellowship is a 12-month transition to practice program for new graduate PAs and NPs and is designed to expand on the knowledge and skills acquired during graduate or doctoral PA and NP programs. The program features clinical rotations, didactic education, mentorship, and a scholarly project. Led by Ryan Wilson, MSPAS, MPH, BS, ED APPs that will orient and train fellows in the clinical skills, institutional values, and expectations necessary to successfully provide care as an APP in the UCSF Medical Center ED.  UCSF APP fellows are full-time salaried employees with health care and vacation benefits. Fellows are precepted and receive feedback throughout the program. We are currently accepting applications from new graduate Physician Assistants who are interested in participating in cohort one running January 2024 to December 2024. Applications are due by 5pm on July 31, 2023. NPs are welcome to apply for cohort two. NP applications for cohort two will be accepted March 1-31, 2024. Read more

Pediatric Grand Rounds--West Bay

Every Thursday 12-1pm. Check back for updated schedule

Click here for zoom link. Archive videos available here

Pediatric Grand Rounds--East Bay

Every Tuesday 8-9am

For Zoom login information, contact: Cristina Fernandez [email protected], 510-428-3885 ext 4343. Full schedule and archived videos (Password: CHRCO).

July flyer here.

Tuesday, July 11, 2023 TODAY

"Microaggressions, Implicit Biases, and the Medical Professional Part 1: Addressing the Adverse Health Effects of Microaggressions and Implicit Biases"

Presented by Chase Anderson, MD

Tuesday, July 18, 2023

"Pediatric Acutherapy, Integrative Health Equity & Healing Justice"

Presented by: Karen J. Villanueva, DAIM, LAc

APP Grand Rounds

Tuesday, July 11, 2023

12noon-1PM TODAY

"Urticaria: When you can't live in your skin". Presented by Dr. Tracy Estes

Steps to Register in Advance:  

1.Point your camera to QR code above or click here 2. To claim 1-hour CEU for RN/NP/CRNA/CNM, Preregister at Nursing Connect: Click here. Search by title: Urticaria. Category 2 CME for PA, no additional registration required 

Tuesday August 8, 2023


"Oncology for Non-Oncology APPs" Presented by Mary Petrofsky, NP


Archived APP Grand Rounds can be accessed here

APP Journal Club

Thursday July 27, 2023 2-3pm

"The Positive Impact of APP Fellowships for New-to-Practice APPs"

Facilitated by Critical Care APPs Emily Kelly, Rubi Hickson and Laurie Nguyen

Location: Parnassus Campus M286 Conference Room (down the hallway from Peet's Cafe on 2nd floor) or virtual zoom meeting ID 987 9750 3385

Password 537049. All are welcome to attend.


Assembly Bill 890

UCSF Health Frequently Ask Questions

What is a 103NP and 104NP and do i need to choose? Who can apply for 103NP and what are the requirements?

Read more

Time Study due Wednesday July 12, 2023

Please ensure completion of the California Department of Healthcare Services Time Study for June 20-26 by 5pm Wednesday July 12, 2023. It is a pdf form that you must sign (as well as your manager) and be returned to Andrina Ong. To access your pdf, click here. Later this month, be on the lookout for the next Time Study for completion -- communication to come from Andrina Ong.

For Oakland hired APPs: Continue to complete the monthly Qualtrics Time Study sent from Office of Advanced Practice Providers

Why are APPs completing Time Studies? The State Plan Amendment (SPA) 05-023 was approved by Centers for Medicare and Medicaid Services on December 21, 2007. It is part of the State Waiver to supplement payment for underfunded and unfunded care. The SPA allows for interim supplemental payments to reimburse for the uncompensated cost of providing professional services for inpatient and outpatient care to Medicaid (Medi-Cal) beneficiaries. DHCS (state) pays us; CMS (Feds) reimburse DHCS. From the outset of SPA, CMS dictated that a Time Study Audit must be performed by each UC Medical Center to confirm professional time spent on patient care, underfunded care, and on non-reimbursable activity. The Time Study has been a requirement since 2007, rolled out at UCSF ~2017, and during COVID was paused secondary to the State Emergency System. Now that the State Emergency system has lifted, the state has reinstated the required reporting. 

Ongoing APEX Training Program for APPs

Last year 198 APPs completed the Net Electronic Health Record Experience Survey. 59% felt ongoing APeX training was insufficient, which is the lowest 7th percentile for Epic organizations. From this feedback the Office of Advanced Practice Providers developed an ongoing APeX training program specific to APPs.



  1. Implement efficiency tips designed to improve workflows
  2. Utilize APeX personalization features
  3. Curriculum tailored to your practice needs


Via zoom over 4-week period

Three 1-hour courses scheduled at your convenience (individual)

One 2-hour personalization and optimization meeting (small group)

3 AMA PRA Category 1 Credits included


Please discuss with your manager before enrolling. If you are interested in participating contact [email protected]


The First Visit

Contributed by Dr. Michael Rabow

In honor of the beginning of the academic year, below is a reprise of a communication tip from 2019 about The First Visit.

The key to new patient visits and the first minutes of a follow-up visit is being thoughtful about how you welcome the patient, finding out what the patient’s main concerns are, and then explaining your agenda for the visit. The rest is negotiation!

Here are some suggestions: 

What you say 

1. Welcome your patient  “Nice to meet you.” “Great to see you again.” 

Not: “You look great” (the patient might not feel great!) 

Then, for patients new to you... "What would like me to call you?"


2. Ask about your patient’s main concerns for the visit 

“What are the important questions you wanted me to answer today?” 

“Is there anything you wanted to ask me about?” 

“Do you have anything to put on our agenda?” 

“Anything else?” (often the most important issue is not first) 


3. Explain your agenda  

  “There are 2 things I wanted to make sure we talked about…” 


4. Propose an agenda that combines the patient’s and your concerns 

  “How about if we talk about your question first, then cover my 2 things?” 

or “Given these things, what is most important for you to cover?” 


5. Be prepared to negotiate.   

“Ok, I understand that the most important issue for you today is ___.” 

“I hear that you have a number of questions. Could we prioritize them so that we cover the most important ones if we don’t have time to get through all of them?” 


6. Ask for feedback  

“Do you feel like we’ve covered the agenda? How did we do?” 

UCSF Launches Disability Awareness Campaign

UCSF Launches Disability Awareness Campaign

Wendy Tobias, Chief Accessibility and Inclusion Officer moderates a panel with

Chase Anderson, MD Assistant Professor in the Division of Child & Adolescent Psychiatry (01:00), Janhavi Bonville Associate Executive Vice Chancellor and Provost (02:39), Caro Reyes Project Coordinator in the Office of Communications (04:51). In this recorded Town Hall, they kicked off a campaign to raise awareness of people with disabilities and the support and services it provides all faculty, staff and learners with disabilities or medical conditions.

Data and Dashboards

Curious to know more about your clinical area data and dashboards?

-% of video visits with English or low -English proficiency

-Number of ambulatory visits (remote and in person)

-Surgical volume, transfers received, average length of stay trends

-Internal and external referrals

-Patient experience - discharge domain

Access all the above data (and more) with this link


Dr. Nerys Benfield, MD, MPH, UCSF Chief Medical Officer for Womens Health named interim CMO, Adult Services

As interim CMO of Adult Services, Dr. Benfield will work closely with UCSF Health leaders to support our faculty and staff in accessing he resources required to meet the growing demand for patient care in San Francisco and across the Bay Area. Dr. Benfield is stepping into a role that Dr. Adrienne Green held for 8 years. Dr. Green will be assuming a new role as CEO of the Center for Jewish Living.

New APPs Who Joined UCSF Health

Please extend a warm welcome to our newly hired APPs

Lucia Cargill, NP Osher Center for integrative Medicine

Kellie Gater, NP Neurospine

Katie Gibson, NP UCSF Primary Care China Basin

Gagandee Kaur, PA Adult Critical Care

Eusun Kim, NP Cancer Center Washington Hospital

Tara Adrienne Liwag, NP Renal Clinic

David Ly, PA Adult Critical Care

Molly Morrissey, NP Neurosurgery

Jonathan Taylor, PA Orthopaedic Institute Hand

Are you a PA and Attending CAPA Con 2023?

UCSF Talent Acquisition will be at CAPA Con 2023 in Anaheim, CA October 5,6,8 and would like to partner with you to help recruit future UCSF PAs. Email [email protected] or [email protected] for more information. Click here for more info on CAPA Con 2023.

APP Job Openings

Use the requisition numbers below to read more about these new opportunities on the UCSF Job homepage.

71707BR Intensive Care Nursery--NP I or II

732421BR Psychiatric Emergency Room Nurse Practitioner--NPII

73501BR Neurosurgery Oncology--NP II

73519BR Nurse Anesthetist--CRNA


Zero Harm 2.0 Dashboard

The Zero Harm Dashboard has undergone a major renovation, some new features include rates, Oakland data, demographic data for hospital Acquired Infections, improved data visualizations. Click here to view Falls, Cdiff, CLABSI, CAUTI rates for your inpatient teams.

Catch up on UCSF Pharmacy Formulary Changes

Are you wanting go know if there have been any changes in your frequently furnished medications? Read more


Employee Assistance Program (EAP)

Faculty & Staff Assistance Program (FSAP)

You can receive free assistance from Psychologists and Postdoctoral Fellows and Interns. They provide confidential individual counseling (remotely). You, your spouse or your eligible dependents may contact EAP. EAP is are available 24 hours a day, 365 days a year. Read more about EAP. Read more about FSAP. For FSAP, contact Ana Dolatabadi, Clinical Director of FSAP at [email protected], 415-476-8279, if having difficulty getting an appointment.

UCSF Community Needs and Wants

On July 1, 2023, the Community branch of Wellness and Community will again become Arts and Events. The vision is to create opportunities for connection and celebration through community, togetherness, events, inclusivity and fun. They want to hear your needs and wants through this survey.

Newsletter Feedback

Do you have suggestions about the content and delivery of this newsletter?

Please take this 2-minute survey


APP Town Hall

Tuesday July 18th, 2023 4-5PM

Topic: Net Promotor Score (NPS) survey results

Meeting ID: 993 1510 5170

Password: 600447

We are seeking your input on time/date/topic for future Town Halls. Click here to complete a short qualtrics survey.

Office Hours: Office of Advanced Practice Providers

Meeting ID: 912 4155 9875

Password: 503138

Tuesday, July 11, 2023 12-1PM TODAY

Host: Alisa Yee, MSN, ACNP-BC Director of Operations, Adult Services

Wednesday, July 26, 2023, 8-9AM

Host: Tara Valcarcel, MSN, CPNP-PC Director of Operations, Pediatric Services

Save the Date: September 28, 2023

Announcement of the 2023 Exceptional APP awards will be at 12noon on September 28, 2023 during APP week. More details to come in the August/September APP newsletter.

The Office of Advanced Practice Providers is here to support you.

Email us at [email protected]

Visit the UCSF APP website

Ivette Becerra-Ortiz, DNP, MPH, NP, RN, NEA-BC, C-PNP Chief of Advanced Practice Providers

Kurstan Del Rosario Senior Operations Analyst

Tara Valcarcel, MSN, RN, CPNP-PC Director, Pediatric Operations Advanced Practice Providers 

Roseanne "Rosie" Krauter, FNP-BC, CORLN Director of Clinical Systems

Brandon Sessler MMS,PA-C

Director of Professional Practice Fellowship Coordinator

Alisa Yee, MSN, ACNP-BC

Director, Adult Operations Advanced Practice Providers

UCSF Health PRIDE Values Professionalism • Respect • Integrity • Diversity • Excellence

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