Medical Care of Vulnerable and Underserved Populations February 28- - PDF document

Presented by the Zuckerberg San Francisco General 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 February 28- March 2, 2019 Holiday Inn Golden Gateway San Francisco, California Course Directors: Dean Schillinger, MD Margaret Wheeler, MD University of California, San Francisco School of Medicine

University of California, San Francisco School of Medicine Presents The 4 th Annual Medical Care of Vulnerable and Underserved Populations program is dedicated to the memory of Dr. Rick Haber Richard "Rick" Haber was the pioneering founder of Zuckerberg San Francisco General Hospital's Division of General Internal Medicine and its primary care residency track of the UCSF internal medicine residency. Dr. Haber was a tireless teacher of primary care and clinical general internal medicine, with a focus on both medical student and resident learners. After a stint in the Public Health Service, he dedicated his career to this work, teaching young people how to practice good medicine for the underserved. Thanks to his vision, energy and spirit, we continue to have a unique residency training program that trains physicians for careers in caring for underserved and vulnerable patients. He was a teacher among teachers and cherished among learners, faculty, and house staff. With the support of Rick’s family, faculty at Zuckerberg San Francisco General Hospital and many other donors, the Division of General Internal Medicine at ZSFG established the annual Richard J. Haber, MD Memorial Lectureship. The lectureship was created both to honor his memory, as well as inspire sustained commitments to teaching primary care in the safety net setting. Every year the Division of General Internal Medicine invites an nationally recognized teacher in primary care to give a grand rounds talk at ZSFG and mentor faculty, residents, and medical students. We have named Dr. Christine Cassel and Dr. Chip Thomas as the Rick Haber Lecturers of the 2019 CME course. We look forward to meeting you, hearing your stories and getting your feedback! Dean Schillinger, MD Margaret Wheeler, MD

To be of use BY MARGE PIERCY The people I love the best jump into work head first without dallying in the shallows and swim off with sure strokes almost out of sight. They seem to become natives of that element, the black sleek heads of seals bouncing like half-submerged balls. I love people who harness themselves, an ox to a heavy cart, who pull like water buffalo, with massive patience, who strain in the mud and the muck to move things forward, who do what has to be done, again and again. I want to be with people who submerge in the task, who go into the fields to harvest and work in a row and pass the bags along, who are not parlor generals and field deserters but move in a common rhythm when the food must come in or the fire be put out. The work of the world is common as mud. Botched, it smears the hands, crumbles to dust. But the thing worth doing well done has a shape that satisfies, clean and evident. Greek amphoras for wine or oil, Hopi vases that held corn, are put in museums but you know they were made to be used. The pitcher cries for water to carry and a person for work that is real.

University of California, San Francisco School of Medicine Presents Medical Care of Vulnerable and Underserved Populations After years of documenting disparities in health and health care based on race, ethnicity, gender, education, and socioeconomic status, the medical community has shifted its focus to pursuing health equity or “striving for the highest possible standard of health for all people and giving special attention to the needs of those at greatest risk of poor health, based on social conditions.” (Braveman, 2014) With publicly insured and uninsured patients making up about half of all outpatient visits in the US, and millions of previously uninsured patients continuing to access health care through Medicaid expansions, 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 Zuckerberg San Francisco General 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 HIV, depression, PTSD, obesity, hepatitis and substance use. In addition, we discuss how clinicians can address social factors that complicate the management of medical illness, such as homelessness, school suspension, a history of trauma or of incarceration and food insecurity, etc. 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. Educational Objectives An attendee completing this course should be able to: • Review the latest updates in research on health disparities and health equity; • Describe an approach to considering social vulnerability in medical care; • Review the care of transgender patients; • Recognize the effect of food insecurity and homelessness on patient outcomes; • Describe what is meant by Trauma Informed Care; • Review the complexities and ways to enhance End-Of-Life discussion in patients with low literacy; • Review updates in cervical cancer screening; • Review updates on the treatment of patients with latent tuberculosis; • Describe an approach to caring for immigrant patients; • Discuss issues in prostate cancer diagnosis in the African American community; • Describe prevention of suspension in school children as a medical issue.

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 24.25 AMA PRA Category 1 Credits ™. 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. American Board of Internal Medicine (ABIM) MOC: 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 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 credit. Geriatric Medicine: The approved credits shown above include 3.75 credits toward meeting the requirement under California Assembly Bill 1820, Geriatric Medicine. Pain Medicine The approved credits shown above include 2.25 Pain Credits towards meeting the requirement under California Assembly Bill 487, Pain Management and Care for the Terminally Ill. Nurses: For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 Credits ™ 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 C Credits ™ 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 Credits ™. Family Physicians: This Live activity, Medical Care of Vulnerable and Underserved Populations, with a beginning date of 02/23/2017, has been reviewed and is acceptable for up to 17.75 Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.