Collaborative Diabetes Clinic Lowers Health Care Costs

Already shown to improve patient outcomes, innovative diabetes clinic is also cost effective for the clinic, health system and payer —

Diabetes cost the U.S. an estimated $245 billion in 2012, in direct medical costs and reduced productivity. Health care providers are facing increasing pressure to achieve better patient outcomes at a lower cost. To help address these issues, researchers at the Skaggs School of Pharmacy and Pharmaceutical Sciences at University of California San Diego are running a Diabetes Intensive Medical Management (DIMM) “tune up” clinic for complex type 2 diabetes patients at the Veterans Affairs San Diego Healthcare System. In a study published in the March 2017 issue of the Journal of Managed Care & Specialty Pharmacy, the researchers report the clinic’s economic benefits, which include an estimated cost avoidance of $5,287 per DIMM clinic patient over three years. …Read the Full Story from the UC San Diego Newsroom

Luis R. Castellanos, MD, MPH, Appointed Director of Diversity in Medicine and Faculty Outreach for the Department of Medicine

February 27, 2017

An announcement from Wolfgang H. Dillmann, MD, Helen M. Ranney Distinguished Professor and Chair, Department of Medicine

Luis Castellanos, MD, MPH

Luis Castellanos, MD, MPH

We are pleased to announce the appointment of Luis R. Castellanos, MD, MPH as Director of Diversity in Medicine and Faculty Outreach for the UCSD Department of Medicine.  Dr. Castellanos is an Associate Clinical Professor in the Division of Cardiology.

In his new role, he will work to promote the recruitment, retention and advancement of diverse medical professionals, including internal medicine residents and faculty, from underrepresented in medicine minority (URM) groups within the Department of Medicine.  Dr. Castellanos has demonstrated a sustained commitment to the critical mission of improving diversity and promoting inclusion in the medical field in order to better serve the members of our diverse community.

Dr. Castellanos graduated from UC Davis summa cum laude and Phi Beta Kappa, with a Bachelor of Science in biochemistry and earned his medical degree from Harvard Medical School.  He first joined UCSD as an Internal Medicine resident in 2003. He was then completed a prestigious Fellowship in Minority Health Policy at Harvard University/Commonwealth Fund Program, obtaining a Masters in Public Health with an emphasis in Health Policy and Management at the Harvard School of Public Health.

Dr. Castellanos subsequently completed a fellowship in cardiovascular medicine at UC Davis where he was selected as the Chief Research Fellow for his involvement in clinical research that addressed vulnerable populations.  He joined the faculty at UCSD in 2010.

As part of his clinical service, Dr. Castellanos travels to the Imperial Valley to provide cardiac care to underserved populations from El Centro, Brawley and neighboring communities.

Dr. Castellanos’ research focuses on health outcomes and inequities involving racial and ethnic minority groups.  He has co-authored peer-reviewed articles in the American Journal of Cardiology and the Journal of Cardiac Failure.  Dr. Castellanos was awarded a research grant from the Clinical and Translation Research Institute to study the effectiveness of a home-based cardiac rehabilitation program in patients with coronary heart disease who live in rural communities.  He has been invited to present his research at national conferences such as the American Heart Association and the National Hispanic Medical Association annual meetings where he has been a strong advocate for improving cardiovascular heath of vulnerable populations.

Dr. Castellanos has been recognized by the UCSD Clinical Advancement and Recognition of Excellence in Service and received the National Center for Leadership in Academic Medicine Award in 2013. Most recently, Dr. Castellanos was selected as a UCSD LEAD (Leaders for Equity, Advancement and Diversity) Fellow.

CIRM Approves New Funding to UC San Diego Researchers Fighting Zika Virus and Cancer

Grants focus on re-purposing drugs to treat Zika infections and using anti-cancer natural killer cells —

The Independent Citizens Oversight Committee of the California Institute for Regenerative Medicine (CIRM) has approved a pair of $2 million awards to University of California San Diego School of Medicine researchers to advance studies of new treatments for Zika virus infections and the use of stem cell-derived natural killer (NK) cells to target ovarian cancer and other malignancies. … Read the full story from the UC San Diego Newsroom


Dr. Dan Kaufman and his laboratory received one of the two $2.1 million CIRM grants. The normal immune system contains natural killer (NK) cells; Dr. Kaufman and coworkers are using induced human pluripotent stem cells (iPSCs) to produce NK cells that can target specific tumors, such as ovarian cancer, with high specificity.

Dan Kaufman, MD, PhD, is Professor of Medicine in the Division of Regenerative Medicine and Director of Cell Therapy at UC San Diego School of Medicine.

2016 Update: A Lasting Solution for Healthcare in Mozambique

Mozambique highlighted on a map of Africa There is a critical shortage of practicing doctors and medical educators in Mozambique, where the life expectancy is less than 42 years and the rate of HIV infection in adults is 16%. UC San Diego is teaming with the nation’s flagship medical school to create a long-term solution.

Mozambique’s Universidade Eduardo Mondlane (UEM) and UCSD have won a five-year, $12.5-million award from the U.S. Medical Education Partnership Initiative (MEPI). The project will strengthen the nation’s medical education system by building infrastructure in several ways.


“We hope this will be a demonstration project for the rest of Africa.”
— Dr. Robert Schooley


Dr. Emilia Virginia Noormahomed, a co-investigator on the UCSD-UEM MEPI project.UEM’s principal investigator is Emilia Virginia Noormahomed, MD, PhD, a former dean of the UEM School of Medicine. Dr. Noormahomed (pictured at left) is now Assistant Professor of Parasitology at UEM and Assistant Professor of Medicine at UC San Diego.

Sam Patel, MD, Professor of Medicine at UEM and UC San Diego, is a co-investigator. In the photo below, he is pictured on the right.

View photo captions and credits

Dr. Bill Detmer, at left, demonstrates iPad mobile digital device preloaded with medical programs for doctors’ use in the hospital. Dr. Manuel Joaquim Tomás is at center and Dr. Sam Patel at right. Sam Patel, M.D., co-investigator on the MEPI project, is Professor of Medicine at UEM and UCSD. Bill Detmer, M.D., M.Sc., a MEPI project consultant, is Assistant Adjunct Professor of Clinical Informatics at the University of Virginia and President and Chief Executive Officer of Unbound Medicine.

MEPI is a joint initiative of the National Institutes of Health and the President’s Emergency Plan for AIDS Relief (PEPFAR). Under the MEPI program, UEM receives the bulk of the funding and uses it to build capacity in medical training, research, and technology.

A smaller amount of funding comes directly to UC San Diego, supporting time and travel for the partners and mentors who will help UEM meet its goals.

M. Wilson Tilghman, M.D., UCSD’s on-site faculty member in Mozambique, consults with a UEM internal medicine resident at a patient’s bedside. Instituting the use of wirelessly-accessed medical reference material in the hospital is one of the UCSD-UEM project goals.“This is an experiment in medical education for UEM and for the U.S. government,” said Robert “Chip” Schooley, MD, who is coordinating the UC San Diego side of the project. “It puts the funding into the hands of the African universities and allows them to invest it in ways that are beneficial to them.”

Dr. Schooley is Professor and Academic Affairs Vice Chair in the Department of Medicine and Chief of the Division of Infectious Diseases.

“I’m hopeful this will become a model for other kinds of aid,” he said.

Dr. Schooley and colleague Constance Benson, MD, have long experience in partnering with Mozambique and other African nations, and they have collaborated with Dr. Noormahomed in research projects for several years. Dr. Benson is Professor of Medicine, Director of the UC San Diego Antiviral Research Center, and Director of the Fellowship Program in Infectious Diseases.

The UEM-UCSD MEPI project expands some of the educational efforts that have been going on since July 2009 in the Internal Medicine Residency Program’s Global Medicine elective.

UC San Diego’s visiting faculty and residents have helped UEM adopt academic medical practices such as morning report and teaching conferences that strengthen the educational program.

MEPI biomedical informatics team members at October conference at UEM in Maputo.

MEPI biomedical informatics team members at October conference at UEM in Maputo.

The MEPI partnership relies heavily on biomedical informatics to accomplish its goals. This component of the program is led by Lucila Ohno-Machado, MD, PhD, Professor of Medicine and Chief of UC San Diego’s Division of Biomedical Informatics. The division will provide expertise for the partnership’s information technology projects.

Dr. Kathy Promer, a 2013 graduate of the UC San Diego Internal Medicine Program, is the current infectious diseases fellow at UC San Diego on rotation at UEM’s Maputo Central Hospital. In the photo below, she is standing, second from the right.

Dr. Kathy Promer (standing, second from the right), 2013 Graduate of the UCSD Internal Medicine Program and current infectious diseases fellow at UCSD on rotation at UEM’s Maputo Central Hospital.

Smartphones and iPad mobile digital devices have been deployed on the wards at Maputo Central Hospital, UEM’s primary teaching hospital and the only tertiary care center in Mozambique. With these devices, the Mozambican doctors are able for the first time to consult online medical literature at a patient’s bedside. Soon they will have immediate access to data generated by the hospital’s clinical laboratories.

“These efforts really have changed the character of the residency program at Maputo Central Hospital,” said Dr. Schooley.

Through training and partnership with UC San Diego, UEM will also increase its capacity to do operational, epidemiological, translational and clinical research. Another program goal calls for UEM to set up a biomedical informatics infrastructure and connect with SEACOM, the new fiber optic broadband internet service in South and East Africa.

Students in UEM medical school class.UEM will also take steps to enhance its support of two new medical schools recently established by the Mozambican government in Nampula and Tete. These two new medical schools were launched in the past 3 years to address the profound shortage of physicians in the country.

Another key UC San Diego figure in the project is Stephen Bickler, MD, who will work to improve the nation’s surgical capacity in rural areas via a linked MEPI project, “UEM-UCSD Surgery Partnership.” Dr. Bickler is Associate Professor of Surgery and Pediatrics.

A number of other UC San Diego faculty members will contribute to the MEPI effort as well.

Medical school class   UCSD internal medicine resident Dr. Bethany Karl

Above left, a medical school class at Universidade Eduardo Mondlane. Right, Dr. Bethany Karl on rotation at UEM’s Maputo Central Hospital. Dr. Karl graduated from the UC San Diego Internal Medicine Program in 2010 and is currently a nephrology attending. Photo courtesy of Robert T. Schooley, MD

Project leaders expect to double the number of graduating doctors in Mozambique in the next 10 years. They also hope to inspire more doctors to devote their careers to medical education.

With a greater number of highly-trained doctors and a better infrastructure to support them, Mozambique will increase its capacity to deliver health care to its citizens and to fill the faculties of two new medical schools in Nampula and Tete.

The doctors training today in Mozambique will be the specialists, medical school faculty members, and government Ministry of Health policymakers of the future.

“We hope this will be a demonstration project for the rest of Africa,” Dr. Schooley said.

Read the UC San Diego News press release about our MEPI project.

Read about the project in “The Great Beyond,” Nature magazine’s blog
for breaking news in the sciences.


Photo Captions and Credits:

Dr. Emilia Virginia Noormahomed, co-principal investigator on the UCSD-UEM MEPI project.Dr. Emilia Virginia Noormahomed, co-principal investigator on the UC San Diego-UEM MEPI project. Photo courtesy of William M. Detmer, MD, MSc.

Drs. Detmer, Tomás, and PatelDr. Bill Detmer, left, demonstrates iPad mobile digital device preloaded with medical programs for doctors’ use in the hospital. Dr. Manuel Joaquim Tomás is at center and Dr. Sam Patel at right. Sam Patel, MD, co-investigator on the MEPI project, is Professor of Medicine at UEM and UC San Diego. William M. Detmer, MD, MSc, a MEPI project consultant, is Assistant Adjunct Professor of Clinical Informatics at the University of Virginia and President and Chief Executive Officer of Unbound Medicine. Photo courtesy of Dr. Detmer.

Dr. Tilghman and Mozambican residentM. Wilson Tilghman, MD, UC San Diego’s on-site faculty member in Mozambique, consults with a UEM internal medicine resident at a patient’s bedside. Instituting the use of wirelessly-accessed medical reference material in the hospital is one of the UC San Diego-UEM project goals. Photo courtesy of Robert T. Schooley, MD.

MEPI biomedical informatics team members at October conference at UEM in Maputo. MEPI biomedical informatics team members at October conference at UEM in Maputo. From left: Lucila Ohno-Machado, MD, PhD; Eli Aronoff-Spencer, MD, senior postdoctoral fellow in infectious diseases at UC San Diego; Eng. David Bila, Network Director for the Informatics Center at UEM; Heimar de Fátima Marin, RN, PhD, Professor of Health Informatics at Universidade Federal de São Paulo; and Eng. Francisco Mabila, Director of the Informatics Center at UEM. Photo courtesy of William M. Detmer, MD, MSc.

Dr. Kathy Promer (standing, second from the right), is a 2013 graduate of the UC San Diego Internal Medicine Program and is the current infectious diseases fellow at UC San Diego on rotation at UEM’s Maputo Central Hospital.

Students in a medical school class at UEM.Students in a medical school class at UEM. Photo courtesy of William M. Detmer, MD, MSc.

A medical school class at UEM.A medical school class at UEM. Photo courtesy of William M. Detmer, MD, MSc.

UCSD internal medicine resident Dr. Bethany Karl on rotation at UEM’s Maputo Central Hospital.UC San Diego internal medicine resident Dr. Bethany Karl on rotation at UEM’s Maputo Central Hospital. Photo courtesy of Robert T. Schooley, MD.

Trademark Credit Notices:

iPad is a trademark of Apple Inc., registered in the U.S. and other countries.

Dr. Daniel Bouland Appointed Chief of the Division of Hospital Medicine

Wolfgang H. Dillmann, MD

Wolfgang H. Dillmann, MD

Wolfgang Dillmann, MD, Helen M. Ranney Distinguished Professor and Chair of the Department of Medicine

The Department of Medicine is very pleased to announce the appointment of Dr. Daniel Bouland as chief of the Division of Hospital Medicine effective July 1, 2016. Dr. Bouland will work with the Chair of Medicine and the CEO of the Health System to ensure continued growth of the division; additionally, Dr. Bouland will also continue to support the department of medicine in a new role as Vice Chair for Clinical Quality Improvement and Patient Experience.

Dr. Daniel L. Bouland

Daniel L. Bouland, MD, MS, FACP

Dr. Bouland is highly regarded as a clinician and educator as well as being an experienced leader in health care management and administration with vast experience in the field of hospital medicine across various governmental and private sectors.

Dr. Bouland received his medical training at Loma Linda University School of Medicine and completed an internal medicine residency at the same institution, serving an additional year as chief medical resident at affiliated Riverside General Hospital/University Medical Center (RGH/UMC). Commitments with the United States Public Health Service afforded Dan opportunities to work with indigent populations in southern California as well as the Indian Health Service. Upon his subsequent return to RGH/UMC, Dr. Bouland was progressively appointed Assistant, Associate, and then Chair of the Department of Medicine. During this time, additional functions included vice-chair of the Department of Medicine and Associate Program Director, Internal Medicine Residency Program, Loma Linda University Medical Center; president of hospital-based physicians RGH/UMC; and CEO/President of the Mission Medical Group of the Inland Empire. Of note internationally, in addition to lectures and clinical care, is his establishing and maintaining a US-style medicine residency program at Sir Run Run Shaw Hospital, Zhejiang Medical University in Hangzhou, China.

In 2000, Dan moved to Hawaii to serve as Associate Chief of Staff for Primary Care and Medicine of the Veterans Affairs Pacific Islands Health Care System (VAPIHCS), and then as Director of the Office of Referral and Management Services of the VAPIHC.

After joining the UCSD Division of Hospital Medicine in 2006, Dan completed a Master’s program in Health Care Management at Harvard. He has taken on many leadership roles within the University, including serving as Vice Chair for Clinical Operations in the department of medicine and as Director of Evaluation for the Altman Clinical and Translational Research Institute.

Current research efforts focus primarily on Quality Improvement initiatives, particularly the application of a results-oriented, business management approach to health care.

Please join me in congratulating Dr. Bouland in his formal appointment as Chief of the Division of Hospital Medicine.

Poison Drummer Rikki Rockett Cancer-Free Following Immunotherapy at UC San Diego Health

Rikki Rockett, drummer for the band Poison, got the best news of his life last week: his cancer is gone. Rockett was diagnosed with oral cancer more than a year ago. Several months ago, he came to Moores Cancer Center at UC San Diego Health, where he underwent experimental cancer immunotherapy, which has now eradicated the tumor.

Rockett says he joined the clinical trial not only out of concern about himself, but also about being around for his three-year-old daughter, Lucy, and his seven-year-old son, Jude. … Read the Full Story by Heather Buschman from the UC San Diego Newsroom

Drs. Brian Clay, Marlene Millen, Amy Sitapati Take New Leadership Roles in Clinical Informatics

On June 16, 2016, UC San Diego Health Chief Information Officer Dr. Christopher Longhurst announced the formation of a new clinical informatics faculty leadership structure at UC San Diego Health in which three Department of Medicine faculty members are appointed to new roles.

“We recognize these individuals for their past contributions, collaborative skills and vision of health care innovation to benefit our faculty, staff, patients, and families,” Dr. Longhurst said.

Dr. Brian Clay is appointed Chief Medical Information Officer (CMIO) for Inpatient and Hospital Affiliations. Dr. Clay is Health Sciences Clinical Professor of Medicine in the Division of Hospital Medicine.

Dr. Marlene Millen, Professor of Medicine in the Division of General Internal Medicine, is Chief Medical Information Officer for Ambulatory Care.

Dr. Amy Sitapati, Health Sciences Clinical Professor of Medicine, Owen Clinic, is the Chief Medical Information Officer for Population Health.

 

 

New Institute for Diabetes and Metabolic Health Debuts at UC San Diego

Expansive effort will encompass both research and treatment of major national health issue —

The University of California San Diego School of Medicine has launched the Institute for Diabetes and Metabolic Health (IDMH), a new cross-disciplinary, collaborative effort to address one of the nation’s leading public health threats.

“Diabetes and other metabolic disorders pose an immense, perhaps unprecedented, health threat to virtually everyone,” said Alan Saltiel, PhD, IDMH director and one of the nation’s leaders in the study of metabolic disorders. “Tens of millions of Americans of all ages are already afflicted so the imperative is great to understand better these chronic, life-threatening conditions and find new ways to treat and prevent them.” … Read the Full Story from the UC San Diego Newsroom


Alan Saltiel, PhD

Alan Saltiel, PhD

IDMH Director Alan Saltiel, PhD, is Professor of Medicine in the Division of Endocrinology and Metabolism.

— Read his UCSD Profile
— Visit the Saltiel Laboratory website
— Visit the Institute for Diabetes and Metabolic Health website

Dr. Catriona Jamieson Receives Excellence in Stewardship Award

Catriona H. M. Jamieson, MD, PhD

Catriona Jamieson, MD, PhD

Dr. Catriona Jamieson is one of three UC San Diego faculty and staff members to receive an Excellence in Stewardship Award this year.

In his announcement to the campus community on April 21, Chancellor Pradeep K. Khosla said, “The UC San Diego community defines exemplary stewardship as taking every measure to ensure that our supporters – donors, volunteers, corporate partners and foundations – understand the full impact and importance of their involvement with UC San Diego.

“Excellent stewardship goes beyond saying ‘thank you’ and instills pride and further engagement by fully communicating to supporters all that their engagement has made possible.”

Catriona Jamieson, MD, PhD, is Associate Professor of Medicine, Chief of the Division of Regenerative Medicine, Deputy Director of the Sanford Stem Cell Clinical Center, Co-Leader of the Hematologic Malignancies Program and Director of the Moores Cancer Center Stem Cell Research Program.

She and the other honorees will be recognized at the annual UC San Diego Foundation Dinner on June 2, 2016. The award is presented by the Trustees of the UC San Diego Foundation Board.

More information is available on the UC San Diego Excellence in Stewardship website.

In Memoriam: Timothy D. Bigby, MD

An announcement from Wolfgang H. Dillmann, MD, Helen M. Ranney Distinguished Professor and Chair of the Department of Medicine

Dr. Timothy Bigby

Dr. Timothy Bigby

It is with great sadness that we announce that Dr. Timothy D. Bigby passed away the morning of April 4, 2016, following a long illness.

Dr. Bigby joined UC San Diego and the Veterans Affairs San Diego Healthcare System in 1989 as Assistant Professor of Medicine and Staff Physician, retiring last month after serving as Chief of the Pulmonary and Critical Care Section at VASDHS and Professor of Clinical Medicine in the Division of Pulmonary, Critical Care and Sleep Medicine at UC San Diego.

As a staff physician and scientist, he educated and mentored countless medical students, undergraduate trainees, house staff, fellows, and junior faculty while attending to patients in the Pulmonary Consult Service and Medical Intensive Care Unit. In addition to his scientific discoveries in the areas of innate immunity and signaling; asthma and airway biology; and, most recently, basic mechanisms in pulmonary hypertension, he served in various roles that promoted the education of physicians and scientists, including service as Co-Director of the Physician-Scientist Training Pathway of the Department of Medicine at UC San Diego, faculty mentor in the Biomedical Sciences Graduate Program at UC San Diego and reviewer and chairman for multiple scientific granting agencies, study sections, and journals. He received numerous awards for both his teaching and his investigative efforts. He also served as an Associate Editor for the American Journal of Physiology-Cell Physiology and as a reviewer for over 16 journals as well as the National Institutes of Health and the US Department of Veterans Affairs.

Dr. Bigby received his medical training at Baylor College of Medicine, his training in internal medicine at the University of Colorado, and his training in pulmonary and critical care at the University of Colorado and the University of California, San Francisco. He also had clinical expertise in infectious disease medicine, and had received former fellowship training in infectious diseases.

He served patients, students, and trainees tirelessly. He will be greatly appreciated and remembered by many, and his leadership, his smiling face, and his wise counsel will be missed.

A celebration of life is planned and will be announced in the near future. In Tim’s honor, we have initiated the Tim Bigby VA Research Fund – please consider contributing in lieu of flowers.

Donors may send gifts in Dr. Bigby’s memory in two ways:

  1.  Send a check to the attention of:

Brian Zumbano
Health Sciences Advancement
9500 Gilman Drive, #0937
La Jolla, CA 92093-0937

Please make your check out to UC San Diego Foundation, and write in the memo section: For the “Tim Bigby, MD, Pulmonary Research Fund” (F-2719) in memory of Dr. Bigby.

2.  Make a gift online. Visit:

https://giveto.ucsd.edu/

In the “Explore more giving options” field, search for “Bigby.” You’ll be taken to a page that contains the online giving form for the Tim Bigby Pulmonary Research Fund (2719).

At the bottom of the form, please make sure to indicate that your gift is in honor of Dr. Bigby.