March 1-3, Medical Care of Vulnerable and Underserved Populations

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Division of General and Center for Vulnerable Populations University of California, San Francisco School of Medicine Medical Care of Vulnerable and Underserved Populations THURSDAY SATURDAY March 1-3, 2018 COURSE CHAIRS Dean Schillinger, MD Chief, Division of General, UCSF Center for Vulnerable Populations Margaret Wheeler, MD Division of General HOLIDAY INN GOLDEN GATEWAY SAN FRANCISCO, CA STEERING COMMITTEE Community Health Systems, School of Nursing Gerri Collins-Bride, RN, MS, FAAN Department of Pediatrics Susan Fisher-Owens, MD, MPH Department of Family and Community Medicine Shira Shavit, MD

Medical Care of Vulnerable and Underserved Populations Publicly insured and uninsured patients make up about half of all outpatient visits in the US, and millions more previously uninsured patients have gained access to health care through the Affordable Care Act. Becoming an expert in caring for the complicated medical and social needs of vulnerable and underserved patients is crucial to every healthcare provider. World-class experts and front-line practitioners from the 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 will 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, food insecurity, etc. 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. GREENER MEETING We re saving paper! The syllabus will be available 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, and subspecialists, advance practice providers, psychologists, public health practitioners, and nurses would all find our material educational. OBJECTIVES An attendee completing this course should be able to: Implement an approach to effectively integrate social vulnerability and resilience into clinical care; Recognize the effect of food insecurity on patient outcomes; Review what is meant by Trauma Informed Care ; Improve approaches to the care of a patient with a history of chronic pain; Discuss the emerging threats in public health; Stay abreast of updates in COPD, HIV, dementia, and other chronic illnesses; Describe an approach to caring for a patient with PTSD; Review health care economics for the underserved; Discuss implicit bias and patient care. Holiday Inn Golden Gateway San Francisco, CA March 1-3, 2018 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. Physicians: UCSF designates this live activity for a maximum of 24.25 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. Geriatric Medicine: The approved credits shown above include 13.75 credits toward meeting the requirement under California Assembly Bill 1820, Geriatric Medicine. 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 Maintenance of Certification: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 24.25 MOC points in the American Board of s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Family Physicians: Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending. g

Medical Care of Vulnerable and Underserved THURSDAY, MARCH 1, 2018 7:00 am Registration and Continental Breakfast 7:45 INTRODUCTION Neil R. Powe, MD, MPH, MBA 8:00 G Overview of Care of Vulnerable Patients Dean Schillinger, MD 8:45 G Caring for Homeless Patients Margot Kushel, MD 9:30 G Care of Patient with Chronic Pain Soraya Azari, MD 10:15 Break 10:30 Trauma Informed Care Leigh Kimberg, MD 11:15 G Safety in the Safety Net Urmimala Sarkar, MD 12:00 Lunch (On Your Own) 1:00 pm Introduction: Notes from a Career in the Safety Net Meg D. Newman, MD, FACP 1:15 G Updates in Health Policy Andrew Bindman, MD 2:00 G Care of Underserved Patient with COPD Neeta Thakur, MD, MPH 2:45 G Feeling Disconnected? How EHRS Affect Our Neda Ratanwongsa, MD Relationships and Satisfaction and What to Do About it 3:30 Break 3:45 Healthcare Provider s Role in Caring for Tonya Chaffee, MD Foster Care and CSEC Involved Youth 4:30 Audience Stories and Reflections 5:00 G Workshop 1: Cases in Women s Health Pilar Bernal De Pheils, RN, MS, FAAN, FNP Andrea Kuster, MSN, RN, FNP Elizabeth Harleman, MD 6:00 pm Adjourn FRIDAY, MARCH 2, 2018 7:00 am Continental Breakfast 8:00 Notes from the Safety Net Dayna Long, MD 8:15 Public Health Update and Emerging Threats Tomás Aragón, MD, DrPH 9:00 G Advance Care Planning in Vulnerable Populations Rebecca Sudore, MD 9:45 G Caring for Patient with Food Insecurity Hilary Seligman, MD, MAS 10:00 Break 10:15 G Aging in Prisons Brie Williams, MD 11:00 G Implicit Bias and Medical Care Katherine Lupton, MD 11:45 Lunch (On Your Own) COURSE CHAIRS Dean Schillinger, MD Chief, Division of General Internal Medicine, UCSF Center for Vulnerable Populations, Zuckerberg San Francisco General Margaret Wheeler, MD Division of General STEERING COMMITTEE Gerri Collins-Bride, RN, MS, FAAN Clinical Professor and Vice Chair for Faculty Practice, Community Health Systems and the School of Nursing Susan Fisher-Owens, MD, MPH Clinical Champion, CareLinkSF Associate Clinical Professor of Pediatrics; Associate Clinical Professor of Preventive and Restortive Dental Services Shira Shavit, MD Director, Transitions Clinic Network Associate Professor, Department of Family and Community Medicine COURSE FACULTY (University of California, San Francisco unless otherwise indicated) Tomás Aragón, MD, DrPH Health Officer and Director, Office of Population Health and Prevention, San Francisco Department of Public Health; Director, Center for Infectious Diseases & Emergency Readiness, University of California, Berkeley Soraya Azari, MD Assistant Associate Director, Primary Care Residency Program Pilar Bernal De Pheils, RN, MS, FAAN, FNP Professor and Family Nurse Practitioner, UCSF School of Nursing Kirsten Bibbins-Domingo, MD, PhD, MAS Lee Goldman, MD Endowed Chair and of Epidemiology and Biostatistics Andrew Bindman, MD, Health Policy, Epidemiology and Biostatistics Tonya Chaffee, MD Professor of Pediatric Medicine Anna Chodos, MD Assistant Division of Geriatrics and Susan P. Ehrlich, MD CEO Alicia Fernandez, MD Attending Physician, General Medical Clinic & the Medical Wards, Monica Gandhi, MD, MPH Associate Division Chief, HIV, Infectious Diseases, and Global Medicine Liz Goldman, MD Associate UCSF Mt Zion Hospital Laura Gottlieb, MD Associate Professor of Family and Community Medicine; Director, Social Interventions Research and Evaluation Network; Associate Director, RWJF Evidence for Action National Program Office

Populations Holiday Inn Golden Gateway San Francisco, CA FRIDAY, MARCH 2, 2018 (CONT D) 1:00 pm Narratives from the Safety Net Susan Shea, RN, MS, FNP 1:15 Updates in HIV Medicine Monica Gandhi, MD 2:00 G Caring for the Racist Patient Alicia Fernandez, MD 2:45 G Caring for the Patient with Obesity Michelle Guy, MD 3:30 Break 3:45 G Dental Health the Forgotten Need Susan Fisher-Owens, MD, MPH 4:30 Reflections from the Audience 5:15 G Workshop 2: Fluoride Varnish for the Non-Dentist Susan Fisher-Owens, MD, MPH 6:00 pm Adjourn SATURDAY, MARCH 3, 2018 7:30 am Continental Breakfast 8:00 Notes from the Safety Net Susan P. Ehrlich, MD 8:15 Population Health Approaches to Kirsten Bibbins-Domingo, MD, Decrease Health Disparities PhD, MAS 9:00 G Care of the Patient with Depression Lisa Ochoa-Frongia, MD 9:45 G Addressing Social Determinants in Health in Primary Care Laura Gottlieb, MD 10:00 Break 10:15 Caring for the Socially Complicated Inpatient Lawrence Haber, MD 11:00 Care of the Patient with Developmental Disabilities Clarissa Kripke, MD 11:45 pm Lunch (On Your Own) 1:00 Narratives from the Safety Net Elisabeth Grisby 1:30 G Dementia in the Underserved Anna Chodos, MD 2:15 G DM and CAD Binh An P. Phan, MD, FACC 3:00 Break 3:15 Caring for a Patient with Post-Traumatic Stress Disorder Margaret Wheeler, MD 4:00 Reflections from the Audience 4:30 G Workshop 3: Working with Patients Resistant to Change Scott Steiger, MD Paula Lum, MD 5:15 pm Adjourn G - Geriatric Credit COURSE FACULTY (CONT D) Elizabeth Grisby Health Activist Golden Gate Regional Services Michelle Guy, MD Lawrence Haber, MD Associate Elizabeth Harleman, MD Associate Chair, Faculty Experience; Associate Program Director, Residency Program Leigh Kimberg, MD Director, UCSF PRIME-US San Francisco Department of Public Health Margot Kushel, MD Director, Fellowship in General Clarissa Kripke, MD Professor of Family and Community Medicine Andrea Kuster, MSN, RN, FNP Assistant Professor School of Nursing Dayna Long, MD Director, UCSF Center for Community Health & Engagement Paula Lum, MD, MPH Katherine Lupton, MD Associate Lisa Ochoa-Frongia, MD Assistant Meg D. Newman, MD, FACP UCSF Senate Emeritus Medicine HIV, ID and Global Medicine Division Bin An P. Phan, MD Associate Neil R. Powe, MD, MPH, MBA Neda Ratanawongsa, MD Associate Urmimala Sarkar, MD, MPH Associate UCSF Center for Vulnerable Populations Hilary Seligman, MD, MAS Associate and of Epidemiology and Biostatistics Center for Vulnerable Populations Susan Shea, RN, MS, FNP Nurse Practitioner Family Medicine Sutter Pacific Medical Foundation Scott Steiger, MD Associate Rebecca Sudore, MD Director, Innovation and Implementation Center in Aging and Palliative Care, San Francisco VA Health Care System Neeta Thakur, MD, MPH Assistant Vanessa Thompson, MD Assistant Brie Williams, MD Division of Geriatrics Director of the Criminal Justice & Health Program and Aging Project of Tideswell, University of California, San Francisco faculty

Course Registration Form cme.ucsf.edu MEDICAL CARE OF VULNERABLE AND UNDERSERVED POPULATIONS March 1-3, 2018 Holiday Inn Golden Gateway San Francisco, California Mail to : UCSF Office of CME P.O. Box 45368 San Francisco, CA 94145-0368 Fax: (415) 502-1795 Dr. Ms. Mr. Mrs. Last Name First M.I. Degree Specialty Address City State Zip Daytime Phone Fax Email Address Label Code Letter (see address label: example, A, B, C, D, etc.) Would you like to be on our priority email 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*: before 12/29/2017 $700 Physicians $600 Allied Health Professionals $450 Residents/Fellows after 12/29/2017 $800 Physicians $700 Allied Health Professionals $500 Residents/Fellows Make checks payable to UC Regents MDM18M22 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 February 28, 2018 will be refunded, less a $100 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: cme.ucsf.edu Holiday Inn Golden Gateway 1500 Van Ness San Francisco, CA 94109 Phone: 415-441-4000 www.goldengatewayhotel.com Gough St ST. ARY'S DRAL Franklin St Pacific St 101 Jackson St Washington St Clay St Holiday Inn Golden Gateway Peter Yorke wy Starr King Wy Van Ness Av Polk St Online registration: cme.ucsf.edu Registration Information: (415) 476-5808 Course Information: (415) 476-4251 Sacramento St California St Pine St Bush St Sutter St Post St Geary St O Farrell St Ellis St Eddy St Turk St Larkin St Cable Car Line Landmarks Neighborhoods NOB HILL Points of Interest Parks Cable Car Lines SAN FRANCISCO Hyde St Leavenworth St GRACE CATHEDRAL Jones St MASONIC AUDITORIUM Taylor St Mason St CHINATOWN PORTSMOUTH SQUARE Powell St OLD MINT OF SF Stockton St UNION SQUARE O Farrell St Ellis St BANK OF AMERICA BLDG. Grant Av SF SHOPPING CENTRE Pine St Bush St Kearny St Post St Geary St Market St POWELL ST. STATION TRANSAME PYRAMID B FINANCIAL DISTRICT Montgomery St CROCKER GALLERIA New CENTER F THE ARTS YERBA BUE GARDEN MOSCONE C CENTER NOR

0569 University of California, San Francisco Office of Continuing Medical Education 3333 California Street Suite 450 San Francisco, CA 94143-0742 Printed on Recycled Paper For more information or to register online visit our website at cme.ucsf.edu You may also reach us by calling the Office of Continuing Medical Education at (415) 476-4251 or email info@ocme.ucsf.edu GENERAL INFORMATION Advance registration closes one (1) business day prior to start of course. HOW TO ENROLL Registration Fees before 12/29/2017: $700 Physicians $600 Allied Health Professionals $450 Residents/Fellows after 12/29/2017: $800 Physicians $700 Allied Health Professionals $500 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: cme.ucsf.edu Mail: Complete course registration form and send with payment to: UCSF Office of CME P.O. Box 45368 San Francisco, CA 94145-0368 Fax: Fax completed registration form to: (415) 502-1795 (be sure to include your credit card number) Phone: eneral info To register by phone or to inquire about registration Office at (415) 476-5808. 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 February 28, 2018 will be refunded, less a $100 administrative fee. No refunds will be made on cancellations received after that date. CONFERENCE LOCATION Featuring chic décor, a new restaurant, and a central location, while still offering affordable rates compared to other San Francisco hotels, this full-service hotel is centered between Nob Hill, Fisherman s Wharf, and the Golden Gate Bridge, which offers an oasis for San Francisco hotel guests looking for a true city experience. A block of guestrooms has been reserved at the special UCSF conference rate of $179/night. You are urged to make your reservations early. The cut-off date is February 1, 2018 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 on-line,please visit the conference website at cme.ucsf.edu and click on the hotel link in the Travel & Lodging section of the course page. If you prefer to telephone in your reservation, call 866-272-7098 and identify yourself as a member of this UCSF conference to receive the special rate. By staying at the host hotel, you help UCSF meet its contractual obligations and keep registration fees reasonable. RENTAL CAR /AIR TRANSPORTATION For further information, please visit the conference website at cme.ucsf.edu and click on the Travel & Lodging section of the course page.