Medical Care of Vulnerable and Underserved Populations

ucsfmedcare_undrservedbro2017_qxp10.qxp_short 1/9/17 1:42 PM Page 3 Division of General Internal Medicine and Center for Vulnerable Populations University of California, San Francisco School of Medicine Medical Care of Vulnerable and Underserved Populations THURSDAY SATURDAY February 23-25, 2017 JW MARRIOTT SAN FRANCISCO UNION SQUARE SAN FRANCISCO, CA COURSE CHAIRS Dean Schillinger, MD and Chief, Division of General Internal Medicine, UCSF Center for Vulnerable Populations Margaret Wheeler, MD Division of General Internal Medicine

Medical Care of Vulnerable and Underserved Populations JW Marriott San Francisco Union Square February 23-25, 2017 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 Hospital & 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. OBJECTIVES An attendee completing this course will be able to: Describe an approach to considering social vulnerability in medical care; Recognize the effect of food insecurity on patient outcomes; Review what is meant by Trauma Informed Care; Describe an approach to the care of a patient with a history of incarceration; Review the importance of oral care to overall health and the role of primary care in promoting oral care through the ages; Review an approach to the care of underserved adolescents; Describe an approach to caring for immigrant patients; Review health care economics for the underserved; Discuss pharmacologic treatments of alcohol disorder. 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 24.50 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. ABIM Knowledge Assessment: Successful completion of this CME activity enables the participant to earn up to 24.50 MOC points in the American Board of Internal Medicine 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 points. Geriatric Medicine: The approved credits shown above include 6.75 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 Family Physicians: Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.

Medical Care of Vulnerable and Underserved THURSDAY, FEBRUARY 23, 2017 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 The Physician s Task Force Recommendations and Kirsten Bibbins-Domingo, Caring for Vulnerable Patients MD, PhD, MAS 9:30 G Issues in Care of the Homeless Margot Kushel, MD 10:15 Break 10:30 Trauma Informed Care Leigh Kimberg, MD 11:15 G Care for the Patient with Sleep Apnea George Su, MD 12:00 Lunch (On Your Own) 1:00 pm Introduction: Notes from a Career in the Safety Net Susan P. Ehrlich, MD 1:15 G The Forgotten Need: Oral Care in Underserved Patients Susan Fisher-Owens, MD 2:00 An Approach to the Care of the Immigrant Patient Margaret Wheeler, MD Devora Keller, MD, MPH 2:45 Optimizing Care for Patients with Food Insecurity Hilary Seligman, MD, MAS 3:30 Clinical Pearls Session #1 Faculty 3:45 Substance Use and Youth Diana Coffa, MD 4:30 BreakVanessa Thompson, MD Workshop 1: Prescribing Canes and other Durable Lisa Pascual, MD Medical Equipment Workshop 2: Communication Skills Dean Schillinger, MD George Saba, PhD 5:45 pm Adjourn FRIDAY, FEBRUARY 24, 2017 7:00 am Continental Breakfast 7:45 INTRODUCTION Notes from a Career in the Safety Net Kevin Grumbach, MD 8:00 Medical Mistakes and the Care of the Underserved Urmimala Sarkar, MD 8:45 Caring for Underserved Patients with Chronic Pain Soraya Azari, MD 9:30 Health Economics for the Underserved Dhruv Kazi, MD 10:15 Break 10:30 Bullet as a Pathogen Rochelle Dicker, MD 11:15 Caring for Adolescent Patients from Erica Monasterio, MD Underserved Backgrounds 12:00 pm Lunch (On Your Own) COURSE CHAIRS Dean Schillinger, MD and Chief, Division of General Internal Medicine, UCSF Center for Vulnerable Populations, Zuckerberg San Francisco General Margaret Wheeler, MD Division of General Internal Medicine COURSE FACULTY (University of California, San Francisco unless otherwise indicated) Soraya Azari, MD ; Associate Director Primary Care Residency Program Kirsten Bibbins-Domingo, MD, PhD, MAS Lee Goldman, MD Endowed Chair and and of Epidemiology and Biostatistics Robert Brody, MD Professor of Family and Community Medicine Chief, Pain Consultation Clinic Anna Chodos, MD Division of Geriatrics and Internal Medicine Diana Coffa, MD Assistant Professor of Family and Community Medicine Rochelle Dicker, MD Professor of Surgery and Anesthesia Co-Director, Center for Global Surgical Studies Director, Wraparound Project Kelly Eagen, MD Clinical Instructor of Family and Community Medicine, Associate Medical Director, Tom Waddell Integrated Medical Services San Francisco Department of Public Health Susan P. Ehrlich, MD CEO, Zuckerberg San Francisco General Joanna Eveland, MD Clinical Chief, HIV Services, Mission Neighborhood Health Center Alicia Fernandez, MD Attending Physician, General Medical Clinic & the Medical Wards, Susan Fisher-Owens, MD, MPH Assistant Professor of Pediatrics Liz Goldman, MD Associate UCSF Mt Zion Hospital Kevin Grumbach, MD Professor and Chair Family and Community Medicine Reena Gupta, MD Associate Director of General Medical Clinic

Populations JW Marriott San Francisco Union Square FRIDAY, FEBRUARY 24, 2017 (CONT D) 1:00 pm Notes from the Safety Net Robert Brody, MD 1:15 Updates in the Care of Underserved Patients Kelly Eagen, MD with Hepatitis C 2:00 Pharmacotherapy for Alcohol Use Disorder Scott Steiger, MD 2:45 G Updates in Treatment of Hypertension Binh An Phan, MD 3:30 Clinical Pearls Session #2 Faculty 4:00 Break 4:15 Workshop 1: Smoking Cessation Maya Vijayaraghavan, MD Workshop 2: Advocacy Sharad Jain, MD Vanessa Thompson, MD 5:15pm Adjourn SATURDAY, FEBRUARY 25, 2017 7:30 am Continental Breakfast 7:45 INTRODUCTION: Notes from the Safety Net Dean Schillinger, MD 8:00 Clinic Transformation in the Post-ACA Era Reena Gupta, MD 8:45 G Eliminating Healthcare Disparities at the Bedside Alicia Fernandez, MD 9:30 G Medical Care of the Psychiatric Patient Liz Goldman, MD Lisa Ochoa-Frongia, MD 10:15 Break 10:30 G Care of the Patient with History of Incarceration Shira Shavit, MD 11:15 HIV Care of the Underserved Joanna Eveland, MD 12:00 pm Lunch (On Your Own) 1:00 Introduction: Narratives from the Safety Net Martha Baer, RN 1:15 Updates in Diabetes: What's Worth the PA Forms Janet Leung, MD for Patients in the Safety Net 2:00 What Geriatrics Can Teach Us About the Care of the Anna Chodos, MD Vulnerable Patient 2:45 All Tapped Out? How EHRs Affect Safety Net Neda Ratanawongsa, MD Communication and Burnout and What to Do About it 3:30 Clinical Pearls #3 Faculty 4:00 Break Workshop: Writing for Well-Being 5:15 pm Adjourn G - Geriatric Credit Elizabeth Harleman, MD Larissa Thomas, MD Vanessa Thompson, MD COURSE FACULTY (CONT D) Elizabeth Harleman, MD Associate Program Director, Curriculum and Special Projects Sharad Jain, MD Track Director, San Francisco General Primary Care Program Dhruv Kazi, MD, MS Devora Keller, MD Director, Emergency Department Case-Management Program Leigh Kimberg, MD Director, UCSF PRIME-US San Francisco Department of Public Health Margot Kushel, MD Director, Fellowship in General Internal Medicine Janet Leung, MD Katherine Lupton, MD Associate Erica Monasterio, RN, MN, FNP-BC Professor of Pediatrics and Nursing, Division of Adolescent Medicine and Department of Family Health Care Nursing Lisa Ochoa-Frongia, MD Lisa Pascual, MD Clinical Professor of Orthopaedic Surgery Bin An Phan, MD Associate Neil R. Powe, MD, MPH, MBA Neda Ratanawongsa, MD Associate George Saba, PhD Professor of Family and Community Medicine Urmimala Sarkar, MD, MPH Associate UCSF Center for Vulnerable Populations Hilary Seligman, MD, MAS and of Epidemiology and Biostatistics Center for Vulnerable Populations Shira Shavit, MD Associate Professor of Family and Community Medicine; Director, Transitions Clinic, Scott Steiger, MD Associate George Su, MD Associate Division of Pulmonary and Critical Care Medicine Medical Director of Telehealth for the SFDPH (SF Health Network) Larissa Thomas, MD Vanessa Thompson, MD Maya Vijayaraghavan, MD, MAS Center for Tobacco Control and Research; Division of General Medicine

Course Registration Form cme.ucsf.edu MEDICAL CARE OF VULNERABLE AND UNDERSERVED POPULATIONS February 23-25, 2017 JW Marriott San Francisco Union Square San Francisco, California Mail to : UCSF Office of CME P.O. Box 45368 94145-0368 Fax: (415) 502-1795 æ Dr. æ Ms. æ Mr. æ 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 12/30/2016 $695 Physicians $595 Allied Health Professionals $445 Residents/Fellows after 12/30/2016 $795 Physicians $695 Allied Health Professionals $495 Residents/Fellows Make checks payable to UC Regents MDM17M22 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 22, 2017 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 JW Marriott San Francisco Union Square 515 Mason Street San Francisco CA 94102 Hotel Phone: 415-771-8600 www.marriott.com ar Line NOB HILL Leavenworth St Jones St Landmarks Neighborhoods Points of Interest Parks Cable Car Lines GRACE CATHEDRAL MASONIC AUDITORIUM FRANCISCO Taylor St Mason St JW Marriott Online registration: cme.ucsf.edu Registration Information: (415) 476-5808 Course Information: (415) 476-4251 Powell St St Stockton St CHINATOWN UNION SQUARE O Farrell St Ellis St lumbus Av PORTSMOUTH SQUARE BANK OF AMERICA BLDG. Grant Av Pine St Bush St Kearny St Post St Market St POWELL ST. STATION Geary St Montgomery St P Jackson St TRANSAMERICA PYRAMID BLDG. FINANCIAL DISTRICT CROCKER GALLERIA 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 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

0569 University of California, San Francisco Office of Continuing Medical Education 3333 California Street Suite 450 94143-0742 E 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 12/30/2016: $695 Physicians $595 Allied Health Professionals $445 Residents/Fellows after 12/30/2016: $795 Physicians $695 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: cme.ucsf.edu Mail: Complete course registration form and send with payment to: UCSF Office of CME P.O. Box 45368 94145-0368 Fax: Fax completed registration form to: (415) 502-1795 (be sure to include your credit card number) Phone: 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 22, 2017 will be refunded, less a $100 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 JW Marriott San Francisco is just steps from Union Square and the Theatre District. A block of guestrooms has been reserved at the special UCSF conference rate of $284/night. You are urged to make your reservations early. The cut off date is February 1, 2017, 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, go to cme.ucsf.edu and click on the hotel link in the Travel & Lodging section of the course webpage. If you prefer to telephone in your reservation, call 800-228-9290, and please 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.