Theresa A. Allison CURRICULUM VITAE Name: Position: Theresa A. Allison, M.D., M. Music HS Assistant Clinical Professor UCSF Department of Family and Community Medicine School of Medicine Address: Box 181-G 4150 Clement Street University of California, San Francisco San Francisco, CA 94121 302 Silver Avenue San Francisco, CA 94112 Voice: (415) 385-1443 FAX: (415) 337-7587 email: theresa.allison@ucsf.edu EDUCATION: 1987-1991 Carleton College, Northfield, MN B.A. Music 1992-2002 University of Illinois at Urbana-Champaign Medical Scholars Program 1992-1994 University of Illinois at Urbana-Champaign M. Music Musicology Bruno Nettl, Professor Emeritus, Advisor 1993-2002 University of Illinois College of Medicine M.D. 2002-2003 University of California, San Francisco Intern Family and Community Medicine 2003-2005 University of California, San Francisco Resident Family and Community Medicine 2005-2007 University of California, San Francisco Fellow Geriatrics LICENSES, CERTIFICATION: 2004 Medical Licensure, California 2004 U.S. Department of Justice DEA Controlled Substance Registration 2005 American Board of Family Practice, Diplomate 2006 Certificate of Added Qualification in Geriatrics PRINCIPAL POSITIONS HELD: 2007-10 Jewish Home, San Francisco Medical Director for Short-Term Care 2010-now Jewish Home, San Francisco Associate Medical Director 1
Theresa A. Allison OTHER POSITIONS HELD CONCURRENTLY: 2005-06 University of California, San Francisco Attending Physician, Family Medicine 2006-07 University of California, San Francisco HS Clinical Instructor, Family Medicine 2007-now University of California, San Francisco HS Assistant Professor, Family Medicine HONORS AND AWARDS 1987 William Carleton Honorary Scholar 1987 Swedish Club of Denver College Scholarship 1987-91 National Merit Scholarship 1994-99 University of Illinois Teachers Ranked Outstanding by their Students, awarded 6 times 2001 Ida Halpern Award for Research in Native American Music, Society for Ethnomusicology 2002 Paul W. Yardy Award for Excellence in Family Medicine, University of Illinois 2001-2 P.E.O. Scholar, Award for Doctoral Completion 2005-7 Health Resources and Services Administration Fellow in Geriatrics 2009 American Geriatrics Society Best Quality of Life Poster in Presidential Poster Session, Creating and Maintaining Interpersonal Relationships in End-Stage Dementia, with Raphael Balbino, MS-III. KEYWORDS/AREAS OF INTEREST: Quality of life research in long-term care, ethnomusicology, medical anthropology, medical education, geriatrics, creativity and aging, medical humanities, family-centered care, primary care, nursing home ethnography PROFESSIONAL ACTIVITIES CLINICAL: Associate Medical Director, Jewish Home: My activities focus on quality improvement, particularly with respect to transitions of care and staff education at the Jewish Home. Earlier, I spent 2 1/2 years as the medical director for short-term care, building a new 40-bed Medicare A skilled nursing unit in what was previously an exclusively long-term care nursing home. Attending, Geriatrics Clinic, UCSF: I attend every other week at the UCSF Geriatrics Clinic, located at the San Francisco VA Medical Center. I precept fellows, residents, medical students and provide backup for nursing and the nurse practitioners. I have been doing this for 4 years. Private Practice, Geriatrics: I spend 20 hours a week providing care for both short-term and long-term care patients at the Jewish Home, a 430-bed not-for profit skilled nursing facility. For 3-4 months of the year, I run a teaching service out of this practice, teaching UCSF Family Medicine residents, Geriatrics Fellows, Medical Students and learners from other institutions. 2
Theresa A. Allison SUMMARY OF CLINICAL ACTIVITIES: Over the last 3 years, I have worked with our interdisciplinary team to create a stable, 40-bed rehabilitation unit at a local not-for-profit nursing home. Starting with 2 beds, we have built a posthospital Medicare unit that has close ties to UCSF. We partner with the UCSF Arthritis Center, and serve as the bridge to acute rehabilitation services for the UCSF Neurovascular service. We are currently collaborating with the UCSF Heart Failure Program to improve outcomes for patients admitted with CHF exacerbations in order to improve their ability to remain in the community and to reduce readmission rates to UCSF. Now that the unit is fully operational, I am increasing my research time to 50%. A significant portion of my clinical time is spent in direct patient care and in teaching. In Geriatrics Clinic at SFVAMC, I function as preceptor to Geriatrics fellows who carry their own patient panels. At the Jewish Home, the Family Medicine residents and medical students co-follow my own patients as I teach them both about care of the older patient and about safe medical care during points of transition of care. PROFESSIONAL ORGANIZATIONS: Memberships 1993-now Society for Ethnomusicology 1993-95 American Musicological Society 1998-2002 American Indian Studies Network, UIUC, Founding member 2001-07 American Academy of Family Practice 2006-now American Geriatrics Society 2007-now Gerontological Society of America Service to Professional Organizations 2006-now 2007-now Society for Ethnomusicology, Founding member of Medical Ethnomusicology SIG American Geriatrics Society, Founding member of Medical Humanities SIG SERVICE TO PROFESSIONAL PUBLICATIONS: 2009-now Ad hoc referee for the Journal of the American Geriatrics Society (1 paper in last year), The Gerontologist (1 paper in last year). INVITED PRESENTATIONS: NATIONAL: Society for Ethnomusicology; 2007 (Expert panel) 3
REGIONAL AND OTHER INVITED PRESENTATIONS: Theresa A. Allison 2000 Visiting Lecturer, Carleton College, Northfield MN 2001 Visiting Lecturer, Millikin University, Decatur IL 2004 UCSF Family and Community Medicine Research Colloquium (session chair) 2006 Grand Rounds, UCSF Division of Geriatrics 2007 UCSF Mini-Medical School 2007 Grand Rounds, St. Luke s Hospital, San Francisco, CA 2009 Delirium training, Jewish Home, San Francisco. 2009 Grand Rounds, UCSF Division of Geriatrics 2010 Delirium training, Jewish Home, San Francisco 2010 Grand Rounds, UCSF Division of Geriatrics UNIVERSITY AND PUBLIC SERVICE UNIVERSITY SERVICE: DEPARTMENTAL SERVICE: 2002-05 Department of Family and Community Medicine Residency Program Advisory Cmte 2003-05 Department of Family and Community Medicine Residency Selection Committee 2004-05 Department of Family and Community Medicine Family Health Center Task Force 2005-07 Division of Geriatrics Nursing Home Culture Change Cmte 2005-now Division of Geriatrics Education Committee OTHER SERVICE: 1998-02 University of Illinois, Introduction to Clinical Medicine Coordinating Committee 199-2000 University of Illinois Medical Scholars Program Action Committee 1999-2000 University of Illinois Medical Scholars Program Steering Committee 2006-08 California Coalition for Culture Change in Nursing Homes, Board of Directors 2006-now Nursing home volunteer SUMMARY OF SERVICE ACTIVITIES: Since the last advancement, my service involvement at UCSF has focused on educational work within the Division of Geriatrics and the Department of Family and Community Medicine. I sit on the education committee in the Division of Geriatrics, and function outside of it as an unofficial liaison to the Department of Family and Community Medicine, working with the faculty there to develop a strong core training program in Geriatrics for the Family Practice resident physicians. We have spent the last academic year piloting a new training program at the Jewish Home and the ACE unit at San Francisco General Hospital. Within the Division of Geriatrics, we are working to strategize the best ways to integrate Geriatrics into the School of Medicine curriculum from medical school through fellowship as we transition through the final phases of the five-year long Reynolds grant. 4
Theresa A. Allison TEACHING and MENTORING FORMAL SCHEDULED CLASSES FOR UCSF STUDENTS: Qtr Academic Yr Course and Title Teaching Contributions W 2005-06 IDS 107; Life Cycles Discussion Group Leader; 2 2-hour sessions W 2008-09 IDS 107; Life Cycles Discussion Group Leader; 1 2-hour session Units Class Size 14 20 14 20 PREDOCTORAL STUDENTS SUPERVISED OR MENTORED Dates Name Program or School Role Current Position 2008 Raphael Balbino University of Illinois at Chicago Supervised summer work and following presentation at national conference. Paper under revision Medical Student INFORMAL TEACHING: 2004-05 Clinical Preceptor, Family Nurse Practitioner Program, UCSF School of Nursing (5 hours/week for 4 months) 2005-06 Consult Fellow, SFVAMC Geriatrics and Palliative Care consult services (5 hours/week of teaching with housestaff) 2006-07 Attending rounds, SFVAMC Palliative Care Service (2 weeks) 2006-07 UCSF Family Practice Geriatrics rotation (2-4 half days a week for 8 weeks) 2008 Attending rounds, SFVAMC Palliative Care Service (2 weeks) 2007-10 Informal teaching on transitions of care with UCSF housestaff (1 hour/week) 2007-09 UCSF Family Practice Residents, UCSF Medical students, and UCSF Geriatrics fellows (1-on-1 teaching for a half-day every other week) 2009 Geriatrics Training for UCSF Emergency Medicine Residents (small group sessions for 2 hours total) 2009-10 UCSF Family Practice Geriatrics rotation (2-4 half days a week for 12 weeks precepting residents and providing didactics on care of frail elders and geriatric syndromes) SCHEDULED CLASSES FOR STUDENTS AT UNIVERSITY OF ILLINOIS: 1993-95 University of Illinois School of Music, Teaching Assistant. Introduction to World Music and Basic Music literature (13 hours/week) 5
SCHEDULED CLASSES FOR UIUC STUDENTS (continued): Theresa A. Allison 1995-97 Teaching Assistant, University of Illinois College of Medicine, Medicine and Society (13 hours/week) 1997-98 University of Illinois School of Music Teaching Assistant, Introduction to World Music (13 hours/week) 1998-2002 Teaching Assistant, University of Illinois College of Medicine, History and Physical Diagnosis (20 hours/week) OTHER: See visiting lectures, grand rounds and delirium in-service training (for CEU credit) listed under Invited Presentations. TEACHING AWARDS: 1994-1999 University of Illinois list of teachers ranked Outstanding by their students. Award received 6 times in 6 years. SUMMARY OF TEACHING HOURS: 2008-09 200 total hours of teaching (including preparation) Formal class or course teaching hours: 2 hours Informal teaching hours: 180 hours Mentoring hours: 80 hours 2009-10 300 total hours of teaching (including preparation) Formal class or course teaching hours: 4 hours Informal teaching hours: 280 hours Mentoring hours: 2 hours 2010-11 Total anticipated hours of teaching: approximately 200 hours (as in 2009-10) TEACHING NARRATIVE: In the first year after my advancement to Assistant Clinical Professor (2007-8), I continued to precept intermittently while providing my usual half-day of teaching for visiting UCSF trainees at the Jewish Home and routine transitions-of-care teaching with housestaff at UCSF. During the academic year 2008-9, Geriatrics and Family Medicine were able to collaborate and create a new possibility for the UCSF residents during their Geriatrics rotation. By academic year 2009-2010, we had started a new program in which each Family Medicine resident would get one-on-one training at either the Acute Care for the Elderly unit at San Francisco General or at the Short-Term and Rehabilitation Services Unit at the Jewish Home, a local non-profit nursing facility. At this time, I began to take a student every 3 rd rotation (every 12 weeks) for a four-week, patient-centered Geriatrics training program. Over this academic year, we have focused on the difficult task of getting the residents enough time in their Geriatrics settings so that they can adequately cover their key learning competencies for Geriatrics. 6
RESEARCH AND CREATIVE ACTIVITIES Theresa A. Allison PEER REVIEWED PUBLICATIONS: Allison, TA. The nursing home as village: lessons from ethnomusicology. Jo Aging, Humanities and the Arts. In Press. NON-PEER REVIEWED PUBLICATIONS AND OTHER CREATIVE ACTIVITIES: 1. Allison, TA. Singing and Healing: Approaching the Study of Music in Native American medicine. Master s Thesis (Musicology). University of Illinois, advisor Bruno Nettl, Ph.D. 1994 2. Allison, TA. Sweden. In The Ethnomusicologists Cookbook, S. Williams (Ed.). NY: Routledge. 2006. 3. Allison, TA. Songwriting and transcending institutional boundaries in the nursing home. In The Oxford Handbook of Medical Ethnomusicology. B. Koen, G. Barz and K. Brummel-Smith (Eds.). Oxford: Oxford University Press. 2008. 4. Allison, TA. Transcending the Limitations of Institutionalized Aging through Music: Ethnomusicology in a Nursing Home. Ph. D. dissertation (Musicology). University of Illinois, advisor Bruno Nettl, Ph.D. Defense scheduled for September, 2010. ABSTRACTS: 1. Allison, TA. Insiders, outsiders, privacy, and benefit to the community: issues in Navajo music studies. Proc 13 th Ann Navajo Studies Conference. 2001. 2. Allison, TA. The remembered song and the demented mind: how music creates meaning for caregivers of patients with dementia. Proc 51 st Ann. Mtg for the Society for Ethnomusicology. 2006. 3. Allison, TA. The use of facilitation processes for quality of life among nursing home residents. Proc 2007 Ann Sci Mtg of the American Geriatrics Society. 4. Allison, TA. Songwriting in the nursing home: transcending the boundaries of institutionalization through music. Proc 61 st Ann Mtg of the Gerontological Society of America. 5. Balbino, RT and Allison, TA. Creating and maintaining interpersonal relationships in end-stage dementia. Proc 2009 Ann Sci Mtg of the American Geriatrics Society. 7
RESEARCH PROGRAM Theresa A. Allison As the only ethnomusicologist on faculty at UCSF, I would like to explain ethnomusicology s position within the Medical Humanities research at the University of California, San Francisco. Ethnomusicology is a fifty-five year old field in which music is examined both within culture and as representative of culture. The newest branch of ethnomusicology, medical ethnomusicology, seeks to look at the intersections between the human use of music and issues of health and healing. As researchers, we resemble our colleagues in cultural anthropology, because we go places and live with people in order to examine the workings of daily life. While we study music performances, we also pay close attention to non-musical events in order to attempt to see the world from another group s vantage point. At its best, ethnomusicology offers us tools with which to see how people view themselves and the world around them. Ethnomusicology provides insight into how music creates culture as well as reflects culture. Like many ethnomusicologists, I spent two years in graduate school getting a master s degree and another four years preparing to go to the field for my doctoral research. Unlike my counterparts, I also spent four years in medical school, three years in residency and one year in clinical fellowship in order to train as a physician. There are few intersections between music and healing that can claim to have relevance to biomedical clinicians, and I was fortunate to stumble upon one of them during my intern year at UCSF. The Jewish Home, a local non-profit nursing home, has used a vibrant music and arts program to build a sense of community for over thirty years. I have taken the tools of ethnomusicology and combined them with a Geriatrician s appreciation for the problems of long-term care in order to examine the role of music in a medically-constructed culture, the skilled nursing facility. During residency and clinical fellowship, I audited the UCSF medical anthropology fieldwork series for the UCB-UCSF graduate students. During my clinical year, I focused on becoming a better clinician and getting this very unusual study through full CHR review and review by the research committee at the Jewish Home. My fellowship year was spent in my first year of data collection, and the following year in a combination of follow-up data collection, data analysis, and work at the Jewish Home as a physician. The research will culminate in my Ph.D. dissertation, to be defended in September 2010. The dissertation has been designed so that it can be modified into a book for publication. The individual studies that comprise the work are in various stages of publication and revision. The chapter on songwriting in the nursing home was solicited for inclusion in the Oxford Handbook of Medical Ethnomusicology, with Oxford University Press, and a thought piece has been accepted to the Journal of Aging, Humanities and the Arts, a publication of the Gerontological Society of America. Two other articles, one on facilitative practices and another on the sing-along, are being targeted at very different audiences. I have been encouraged to resubmit the facilitation article to the Journals of Gerontology: Social Sciences and to submit the article on the sing along to the Yearbook on Traditional Music, a leading journal in music studies. As is common practice in the humanities, I am the sole author of each. My abiding interest is in the quality of life for our elders who live in custodial care. The next phase of my research involves looking at caregiving more broadly in the context of end-stage dementia. The pilot study, Creating and maintaining interpersonal relationships in end-stage dementia, won the prize for best quality-of-life poster at the 2009 American Geriatrics Society meeting. The next steps involve mentoring my student researcher as we get the study to publication, and seeking funding for the larger, bilingual study of an end-stage dementia unit in a non-profit nursing home. As a researcher, my goal is to help develop more humane models of care for our elders. 8