Medical Care of Vulnerable and Underserved Populations

Transcription

1 Priscilla Chan and Mark Zuckerburg Division of General Internal Medicine and Center for Vulnerable Populations University of California, San Francisco, School of Medicine University of California San Francisco Medical Care of Vulnerable and Underserved Populations WESTIN ST. FRANCIS HOTEL SAN FRANCISCO, CALIFORNIA THURSDAY SATURDAY March 10-12, 2016 COURSE CHAIRS Dean Schillinger, MD Chief, Division of General Internal Medicine Director, Health Communications Program UCSF Center for Vulnerable Populations Margaret Wheeler, MD Division of General Internal Medicine Site Director, Internal Medicine Clerkships

2 Medical Care of Vulnerable and Underserved Populations Westin St. Francis Hotel San Francisco, CA March 10-12, 2016 As millions of previously uninsured patients gain access to health care through the Affordable Care Act, becoming expert in caring for the complicated medical and social needs vulnerable and underserved patients is crucial to every healthcare provider. World-class experts and front-line practitioners from the & Trauma Center and the UCSF Center for Vulnerable Populations will present approaches to mitigate the challenges in caring for vulnerable populations and enhance the profound joy clinicians can experience when engaging with patients in greatest need. Topics to be covered include updates in a broad range of diseases that disproportionately affect vulnerable patients, such as diabetes, Hepatitis C, HIV, depression, PTSD, heart failure, and hypertension. In addition, we discuss how clinicians can address social factors that complicate the management of medical illness such as low health literacy, intimate partner violence, and food insecurity, to name but a few. We will also tackle how best to integrate behavioral health care for patients with chronic pain, severe mental illness, substance use and complex post-traumatic stress. Each day we will feature a nationally renowned figure in the field of the care of vulnerable populations who will deliver pearls and impart wisdom with respect to how to stay engaged, connected and inspired in this work. GREENER MEETING We're saving paper! The syllabus will be transmitted electronically prior to the course. TARGET AUDIENCE This activity is appropriate for all specialties, particularly for those health care providers that work with underserved patients in teaching, safety net or community practices. Physicians, primary care and subspecialists, advance practice providers, primary care providers, psychologists, public health practitioners, and nurses would all find our material educational. Primary care, internal medicine, family practitioners, subspecialists, emergency room physicians, pediatricians, mental health providers and others would be appropriate target audience for the course. OBJECTIVES An attendee completing this course should be able to: Distinguish between disparities in health and health care; Review systems issues that contribute to health care disparities; Decribe system reforms for improvement in health care disparities; Describe the population specific interventions to improve care immigrants, limited English speakers, substance users, etc; Recognize why this population is considered high-risk; Review medical and psychological concerns for each specific group; Identify challenges and opportunities in care of patients from each group; Identify ways to improve healthcare for the group in question; Review a core competency vital to caring for a specific group of patients or using a systems approach to care. ACCREDITATION The University of California, San Francisco School of Medicine (UCSF) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. UCSF designates this live activity for a maximum of AMA PRA Category 1 Credits TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This CME activity meets the requirements under California Assembly Bill 1195, continuing education and cultural and linguistic competency. Family Physicians: Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending. Geriatric Medicine: The approved credits shown above include 8.75 credits toward meeting the requirement under California Assembly Bill 1820, Geriatric Medicine Licensed Clinical Social Workers and Marriage & Family Therapists: This course meets the qualifications on an hour-forhour basis of continuing education credit for MFTs and/or LCSWs as required by the California Board of Behavioral Sciences. Approval Number PCE 1272 Nurses: For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 Credit issued by organizations accredited by the ACCME. Physician Assistants: AAPA accepts category 1 credit from AOACCME, Prescribed credit from AAFP, and AMA PRA Category 1 Credit from organizations accredited by the ACCME. Pharmacy: The California Board of Pharmacy accepts as continuing professional education those courses that meet the standard of relevance to pharmacy practice and have been approved for AMA PRA Category 1 Credit TM. MOC Credit: This course offers an MOC Part II self-assessment for the ABIM diplomates. Visit ucsfcme.com/2016/mdm16 M22/info.html to learn more.

3 Medical Care of Vulnerable and Underserved THURSDAY, MARCH 10, :30 am Registration and Continental Breakfast 8:00 INTRODUCTION Neil R. Powe, MD, MPH, MBA 8:15 G Overview of Care of Vulnerable Patients Dean Schillinger, MD 8:55 G Management of Cardiovascular Disease in Vulnerable Kirsten Bibbins-Domingo, MD, Populations (HTN AND CHF) PhD, MAS 9:35 G Management of Depression and Anxiety in the Primary Melissa Nau, MD Care Setting: Focus on New Medications and Models of Integration 10:15 Break 10:30 Trauma Informed Care Leigh Kimberg, MD 11:10 G Caring for Patients with Disabilities in the Safety Net Nathaniel Gleason, MD 11:50 Lunch (On Your Own) 1:00 pm Introduction: Notes from a Career in the Safety Net Kevin Grumbach, MD 1:15 G Optimizing Care for Patients with Food Insecurity Hilary Seligman, MD, MAS 1:55 Updates in HIV Care in Vulnerable Patients Susa Coffey, MD 2:35 Smoking Cessation in Underserved Settings Maya Vijayaraghavan, MD, MAS 3:15 Leadership in the Safety Net Jeffrey Critchfield, MD Claire Horton, MD, MPH 4:00 Break 4:15 Workshop: Preventing Burn-out Diana Coffa, MD 5:15 pm Adjourn FRIDAY, MARCH 11, :30 am Continental Breakfast 8:00 INTRODUCTION Sandra R. Hernández, MD 8:15 The Affordable Care Act and Vulnerable Patients: Andrew Bindman, MD from Policy to Practice 8:55 Caring for Underserved Patients with Chronic Pain Soraya Azari, MD 9:35 Management of Obesity and Diabetes in Patients Sarah Kim, MD in the Safety Net 10:15 Break 10:30 G What Can Geriatrics Teach Us about the Care of Helen Kao, MD Vulnerable Patients? 11:10 G Management of Chronic Kidney Disease in Delphine Tuot, MDCM, MAS Vulnerable Patients 11:50 Lunch (On Your Own) COURSE CHAIRS Dean Schillinger, MD Chief, Division of General Internal Medicine Director, Health Communications Program UCSF Center for Vulnerable Populations Margaret Wheeler, MD Site Director, Internal Medicine Clerkships Division of General Internal Medicine COURSE FACULTY (University of California, San Francisco unless otherwise indicated) Soraya Azari, MD Assistant ; Associate Director, UCSF-SFGH Primary Care Residency Program Kirsten Bibbins-Domingo, MD, PhD, MAS Lee Goldman, MD Endowed Chair in Medicine and of Epidemiology and Biostatistics Andrew Bindman, MD, Health Policy, Epidemiology and Biostatistics Diana Coffa, MD Assistant Director, Family and Community Medicine Residency Department of Family and Community Medicine Susa Coffey, MD HIV/AIDS Division Jeffrey Critchfield, MD Division of Hospital Medicine Chief Medical Experience Officer Medical Director of Risk Management Elizabeth Davis, MD Medical Director of Care Coordination San Francisco Health Network, Department of Public Health Assistant Alicia Fernandez, MD Attending Physician, General Medical Clinic & the Medical Wards Nathaniel Gleason, MD Assistant Liz Goldman, MD Associate UCSF-MT Zion Division of General Medicine Kevin Grumbach, MD Chair, Family and Community Medicine; San Francisco General Division of General Internal Medicine Reena Gupta, MD Associate Director of General Medical Clinic Elizabeth Harleman, MD Associate Program Director, Internal Medicine Residency Co-Course Director, CODA Medical School Course Heather Harris, MD Assistant Division of Hospital Medicine Associate Medical Director of the Supportive and Palliative Care Program; San Francisco General Hospital Sandra R. Hernández, MD Assistant ; President and CEO, California Healthcare Foundation Helen Kao, MD Associate Division of Geriatrics Medical Director of Geriatrics Clinical Programs

4 Populations Westin St. Francis Hotel San Francisco, CA FRIDAY, MARCH 11, 2016 (CONT D) 1:00 pm Notes from Caring for the Underserved Jennifer Liu ANP 1:15 Updates in the Care of Underserved Patients with Annie F. Luetkemeyer, MD Hepatitis C and Hepatitis B 1:55 Medical Care of Patients with Severe Mental Illness Christina Mangurian, MD, MAS 2:35 G Patient-Centered Medical Home for Vulnerable Patients Liz Goldman, MD and Transitions in Care Reena Gupta, MD 3:15 Addressing Disparities in Contraception and Abortion Elizabeth Harleman, MD Karen Meckstroth, MD, MPH 4:00 Break 4:15 Workshop: Advanced Cases in Anxiety and Depression Liz Goldman, MD Christina Mangurian, MD, MAS Lisa Ochoa-Frongia, MD Margo Pumar, MD 5:15pm Adjourn SATURDAY, MARCH 11, :30 am Continental Breakfast 8:00 INTRODUCTION: Narratives from the Safety Net Alicia Fernandez, MD 8:15 Perspectives on Care of the Underserved Talmadge E. King, Jr., MD 8:55 G Optimizing Care for Patients with Limited Literacy and Alicia Fernandez, MD Limited English Proficiency Dean Schillinger, MD 9:35 G Optimizing Care for Older Homeless Patients Margot Kushel, MD 10:15 Break 10:30 G Care of the Patient with History of Incarceration Shira Shavit, MD 11:10 Updates on the Care of People with Addiction Diana Coffa, MD 11:50 Lunch (On Your Own) 1:15 pm Caring for the Transgendered Patient Barry Zevin, MD 1:55 Telemedicine to Improve Care for the Underserved George Su, MD 2:35 G Advances in Palliative Care in Underserved Settings Heather Harris, MD Anne Kinderman, MD 3:15 G Case Management for Frequent Users of Health Care Elizabeth Davis, MD Devora Keller, MD, MPH 4:00 Break 4:15 Workshop: Care of Patients with Alcohol and Paula Lum, MD, MPH Opiate Addictions Jacqueline Tulsky, MD 5:15pm Adjourn G - Geriatric Credit COURSE FACULTY (CONT D) Devora Keller, MD Director, Emergency Department Case-Management Program Anne Kinderman, MD Assistant Division of Hospital Medicine Director, Supportive & Palliative Care Service Talmadge King, Jr., MD Dean of UCSF School of Medicine Paula Lum, MD Division of HIV Medicine Sarah Kim, MD Assistant Director, Weight Management Clinic; Division of Endocrinology Leigh Kimberg, MD Director, UCSF PRIME-US San Francisco Department of Public Health Margot Kushel, MD Director, Fellowship in General Internal Medicine Annie F. Luetkemeyer, MD Assistant Division of HIV and Infectious Disease Christina Mangurian, MD, MAS Associate Professor of Clinical Psychiatry; Director of Diversity, Department of Psychiatry Karen Meckstroth, MD, MPH Medical Director, Women s Options Center Consulting Medical Director, Women s Community Clinic Melissa Nau, MD Assistant Department of Psychiatry; Medical Director, Psychiatric Emergency Services Lisa Ochoa-Frongia, MD Assistant Neil R. Powe, MD, MPH, MBA Margo Pumar, MD Internist, Department of Psychiatry Hilary Seligman, MD, MAS Assistant and of Epidemiology and Biostatistics; Division of General Internal Medicine; Center for Vulnerable Populations Shira Shavit, MD Director Transitions Clinic Associate Professor of Family Community Medicine George Su, MD Medical Director of Telehealth for the SFDPH (SF Health Network) Associate Division of Pulmonary and Critical Care Medicine Jacqueline Tulsky, MD Department of Medicine Division of HIV Medicine Delphine Tuot, MDCM, MAS Assistant Division of Nephrology Maya Vijayaraghavan, MD, MAS Assistant Center for Tobacco Control and Research; Division of General Medicine; San Francisco General Hospital Barry Zevin, MD Professor of Internal Medicine San Francisco Department of Public Health Center of Excellence for Transgender Health

5 St t St Course Registration Form MEDICAL CARE OF VULNERABLE AND UNDERSERVED POPULATIONS March 10-12, 2016 Westin St. Francis Hotel San Francisco, California Mail to : UCSF Office of CME P.O. Box San Francisco, CA Fax: (415) æ Dr. æ Ms. æ Mr. æ Mrs. Last Name First M.I. Degree Specialty Address City State Zip Daytime Phone Fax Address Label Code Letter (see address label: example, A, B, C, D, etc.) Would you like to be on our priority list? Yes No Date of birth to be used as OCME registrant number: / / X X Month Day Please indicate if you have any special needs: Registration Fees*: $795 Physicians $695 Nurses/Allied Health Professionals $495 Residents/Fellows Make checks payable to UC Regents MDM16M22 Please charge my credit card: Visa MasterCard AmEx for $ / Card # Expiration date Name on Card (Please Print) Authorized Signature Refund Policy: Cancellations received in writing before the first day of the course will be refunded, less a $75 administrative fee. No refunds will be made on cancellations received after that date. Please check our website for up to date information on the course: Westin St. Francis Hotel 335 Powell Street San Francisco, CA (415) venworth St able Car Line Hyde St NOB HILL s St Leavenworth St Jones St Landmarks GRACE CATHEDRAL MASONIC AUDITORIUM N FRANCISCO Taylor St Online registration: Registration Information: (415) Course Information: (415) Neighborhoods Points of Interest Parks Cable Car Lines Mason St Westin St. Francis Powell St ckton St Stockton St CHINATOWN UNION SQUARE O Farrell St Ellis St Columbus Av PORTSMOUTH SQUARE BANK OF AMERICA BLDG. Grant Av Pine St Bush St Kearny St Post St Market St POWELL ST. STATION SF SHOPPING CENTRE Geary St TRANSAMERICA PYRAMID BLDG. FINANCIAL DISTRICT Montgomery St CROCKER GALLERIA Pacific St Jackson St Washington St Clay St Sansome St New Montgomery St CENTER FOR THE ARTS AT YERBA BUENA GARDENS Sacramento St California St Battery St WALTON PARK 2nd St MOSCONE CONVENTION CENTER NORTH & SOUTH 3rd St 1st St Drumm St EMBARCADERO SHOPPING CENTER GOLDEN GATE UNIV. MONTGOMERY ST. STATION SF MUSEUM OF MODERN ART TRANSBAY TERMINAL Market St Fremont St JUSTIN HERMAN PLAZA EMBARCADERO STATION Mission St Beale St RINCON CENTER Main St WORLD TRADE CTR. The Embarcadero Spear St Howard St FERRY BUILDING Steuart St Folsom St Harrison St

6 0569 University of California, San Francisco Office of Continuing Medical Education UCSF Box 0742 San Francisco, CA E Printed on Recycled Paper For more information or to register online visit our website at You may also reach us by calling the Office of Continuing Medical Education at (415) or info@ocme.ucsf.edu GENERAL INFORMATION Advance registration closes one (1) business day prior to start of course. HOW TO ENROLL Tuition*: $795 Physicians $695 Nurses/Allied Health Professionals $495 Residents/Fellows GREENER MEETING We're saving paper! The syllabus will be transmitted electronically prior to the course. Payment may be made by Visa, MasterCard, AmEx or check. REGISTER VIA: Online: Mail: Complete course registration form and send with payment to: UCSF Office of CME P.O. Box San Francisco, CA Fax: Fax completed registration form to: (415) (be sure to include your credit card number) Phone: To register by phone or to inquire about registration Office at (415) On-Site Registration: Generally we are able to accommodate on-site registration at our courses, however, pre-registration is preferred to ensure that we have adequate course materials. REFUND POLICY Cancellations received in writing before the first day of the course will be refunded, less a $75 administrative fee. No refunds will be made on cancellations received after that date. CONFERENCE LOCATION Enjoy San Francisco s renowned attractions such as the historic cable cars, shopping in Union Square, or visit San Francisco s culinary hub at the Ferry Building. The Westin St. Francis Hotel is just steps from Union Square and the Theatre District. A block of guestrooms has been reserved at the special UCSF conference rate of $249 per night. You are urged to make your reservations early. The cut-off date is February 17th, 2016, or until the group room block is filled. After this date, rooms will be provided on a space-available basis only. To make hotel reservations, call WESTIN- 1( ) and identify yourself as a member of this UCSF conference to receive the special rate. You can also reserve your hotel rooms on-line by visiting the course webpage on our website at Please click on the reservations link in the Travel & Lodging section. By staying at the host hotel, you help UCSF meet its contractual obligations and keep registration fees reasonable.