UCSF Advancing Health Equity in Healthcare and Beyond 2024 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 complex 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 patients from marginalized, oppressed, and under-resourced communities and enhance the profound joy clinicians can experience when engaging with patients in greatest need. Topics will include updates on a broad range of diseases that disproportionately affect marginalized patients, such as HIV, obesity, and chronic illnesses such as heart failure, diabetes, renal disease, mental illness, and substance use.

In addition, we discuss how clinicians can address social factors that complicate the management of medical conditions, such as homelessness, a history of trauma or incarceration, food insecurity, low health literacy, etc. Each day we will feature a nationally renowned figure in the care of marginalized populations who will deliver pearls and impart wisdom on staying engaged, connected, and inspired in this work.

Objectives

An attendee completing this course should be able to incorporate into practice:

the latest updates in research on health disparities and health equity
approaches to considering social vulnerability in medical care
best practices in care of transgender patients
the effect of food insecurity and homelessness on patient outcomes
a trauma-informed approach to care
updated care of patients with heart failure, obesity, diabetes, renal disease and substance use
improved strategies for the recognition and treatment of latent tuberculosis infection
new strategies in telehealth with diverse patients
new strategies in communication for equitable care with diverse patients
new strategies in natural history, diagnosis and treatment of Long COVID
new strategies in abortion care and medical abortions

Course Outline

DAY 1 (subject to change)

7:00 AM Registration and Continental Breakfast
8:00 Introduction and Welcome Dean Schillinger, MD
8:15 Navigating the Social Determinants of Health: The Three Functions of the Medical Interview Dean Schillinger, MD
9:00 G Homelessness and Health Margot Kushel, MD
9:45 Coffee Break
10:00 Treatment of Childhood Obesity: A Focus on Equity Amy Beck, MD
10:45 T Best Practices in Communication and Trauma Anita Hargrave, MD
11:00 M Treatment of Opioid Use Disorder in the Era of Fentanyl Christine Soran, MD
11:45 Updates to Egfr: Advancing Racial Equity Neil Powe, MD
12:00 Boxed Lunch (included in tuition)
1:00 PM Overcoming Asthma Disparities Neeta Thakur, MD
1:45 Expanding Access: Medical Abortions in Primary Care Karen Meckstroth, MD
2:30 Abolitionist Medicine Laura Gotlieb, MD and Monica Peek, MD
3:15 So, You’re Mad at the System? Clinician as Advocate Leslie Suen, MD
3:30 Coffee Break
3:45 Gender Affirming Care for Transgender and Gender Diverse Individuals Ilana Garcia Grossman, MD
4:30 Continuous Glucose Monitors: What You Need to Know Mimi Kuo, MD
4:45 Climate Change and Clinical Medicine Sheri Weiser, MD
5:30PM Adjourn

Day 2 (subject to change)

7:00 AM Registration and Continental Breakfast
8:00 Welcome and Narrative: Starting Hepatitis C Treatment in FQHC Susan Clapp, NP
8:15 Anti-Obesity Pharmacotherapy – Practical Tips for Safety Net Providers Joseph Cartwright, MD
9:00 Updates in HIV and Other STI Prevention Strategies Albert Liu, MD
9:45 Coffee Break
10:00 Behavioral Health Equity in Children and Adolescents William Martinez, MD
10:45 G Narrative: Research and Life Caregiving Story Wagahta Semere, MD
11:00 Updates in Treatment of Depression Lisa Ochoa-Frongia, MD
11:45 Updates in Hepatis C Treatment Lisa Catalli, MD
12:00 Boxed Lunch (included in tuition)
1:00 PM M Updates on Alcohol Use Disorder Triveni Defries, MD
1:45 Complementary Medicine in the Safety-Net Folashade Wolfe-Modupe, MD
2:00 Caring for an Elder with Incarceration History Michele Ditomas, MD
2:45 T Trauma-informed Care Leigh Kimberg, MD
3:30 Coffee Break
3:45 Diabetes Pearls for the Double Digit A1C Bessa Makoni, NP
4:00 Updates in Primary Care Jeff Kohlwes, MD
4:45 Long Covid Michael Peluso, MD
5:30 PM Adjourn

Day 3 (subject to change)

7:00 AM Registration and Continental Breakfast
8:00 Welcome Back/ Narrative: Marginalized Populations Danielle Chammas, MD
8:15 The Clinician’s Role in Preventing Gun Violence Apurva Bhatt, MD
9:00 Updates in Diabetes Care Sarah Kim, MD
9:45 Coffee Break
10:00 Demoralization in Healthcare with a focus on Strategies and Solutions and group discussion Megan Mahoney, MD
11:15 SDH for Clinicians Paula Braveman, MD
12:00 Lunch on Your Own
1:00 PM Updates in the Care of Patients with Heart Failure in the Safety Net Jonathan Davis, MD
1:45 M Stimulant Use Disorders Surabhi Nirkhe, MD
2:00 Addressing Food Insecurity in the Clinical Setting: An Evidence Update Hilary Seligman, MD
2:45 MP Updates in Chronic Pain: The Pendulum Swings On Soraya Azari, MD
3:30 Coffee Break
3:45 Approach to Patient with History of Immigration Margaret Wheeler MD
4:00 MP Interactive Case Discussion: Complex Cases in Pain and/or Substance Use Scott Steiger, MD and Soraya Azari, MD
5:00 PM Adjourn

+ Topics:

01_SocialDeterminants_Schillinger.pdf
02_Homelessness_Kushel.pdf
03_ChildhoodObesity_Beck.pdf
05_Opioid_Soran.pdf
06_RacialEquity_Powe.pdf
07_Asthma_Thakur.pdf
08_HeartFailure_Davis.pdf
09_HealthcareSector_Gottlieb.Peek.pdf
10_Advocate_Suen.pdf
11_Transgender_Garcia.Grossman.pdf
12_Glucose Monitoring_Kuo.pdf
13_Climate_Weiser.pdf
15_AntiObesity_Cartwright.pdf
16_HIV_Liu.pdf
17_Behavioral_Martinez.pdf
18_Caregivers_Semere.pdf
19_Depression_Ochoa.Frongia.pdf
20_HepC_Catalli.pdf
21_Alcohol_Defries.pdf
22_IntegrativeMed_Wolfe.Modupe.pdf
23_Aging_Ditomas.pdf
25_A1C_Makoni.pdf
26_InternalMed_Kohlwes.pdf
27_Covid_Peluso.pdf
29_GunViolence_Bhatt.pdf
30_Diabetes_Kim.pdf
31_Demoralization_Mahoney.pdf
32_SocialDeterminents_Bravemen.pdf
33_Abortion_Schwarz.pdf
34_Stimulant_Nirkhe.pdf
35_Food_Seligman.pdf
36_ChronicPain_Azari.pdf
37_Immigration_Wheeler.pdf
38_ComplexCases_Azari.pdf
April 25 Part 1.mp4
April 25 Part 2.mp4
April 26 Part 1.mp4
April 26 Part 2.mp4
April 26 Part 3.mp4
April 27.mp4
MDM24M22_Agenda.pdf
MDM24M22_Syllabus Cover and Details.pdf