Global Public Health Division Video Wins 2nd Prize in Video Challenge Competition for UC Global Health Day

A video made by doctoral candidate Jaime Arredondo and other members of the Division of Global Public Health has won second prize in the Video Challenge Competition for UC Global Health Day.

The video, “The Forgotten: Clinica del Bordo,” takes viewers to the San Diego-Tijuana border, where Arredondo and many other members of the global public health division provide wound care, HIV testing and other basic health services to people who live in the Tijuana River Canal.

Canal Wound Clinic, or Clinica del Bordo, is an outreach effort of UC San Diego’s NIDA-funded Proyecto el Cuete IV program, Impact of Drug Policy Reform on the HIV Risk Environment Among IDUs in Tijuana.

“This brief video embodies our division’s philosophy of integrating research, training and service to improve the health of our border community,” said Division of Global Public Health chief Steffanie Strathdee, PhD.

“I am very proud that our work is upheld by our students, as they are our next generation of health providers and prevention scientists.”

Dr. Strathdee is Harold Simon Professor, Associate Dean of Global Health Sciences; Chief, Division of Global Public Health and Director of the UC San Diego Global Health Initiative.

Jaime Arredondo is an AIDS International Training and Research (AITRP) fellow.

The video is here:

Richard Garfein and Kevin Patrick Named M2M Pioneers

Applying Machine-to-Machine (M2M) Technology to Verify Compliance with Tuberculosis Treatment Regimen

Dr. Richard Garfein

Dr. Richard Garfein

UC San Diego’s Richard Garfein and Kevin Patrick have been named M2M Pioneers for 2013 for their Video Directly Observed Therapy (VDOT) Program for tuberculosis.

The honor comes from Connected World magazine, which presents the M2M Pioneer awards to a small number of outstanding innovators in machine-to-machine technology each year.

The VDOT program uses smartphone video to verify that tuberculosis patients comply with the painstaking six-month regimen of antibiotics required for a cure. Incomplete treatment fails to cure the TB and raises the risk that antibiotic-resistant strains of TB will develop.

Richard Garfein, PhD, MPH, an infectious disease epidemiologist, is professor of medicine in the Division of Global Public Health. The inspiration for the VDOT program came to him as he watched his children use smartphones to send videos to their friends.

Dr. Kevin Patrick

Dr. Kevin Patrick

Kevin Patrick, MD, MS, is director of the Center for Wireless and Population Health Systems at the Qualcomm Institute (the San Diego division of Calit2) and professor of family and preventive medicine in the Division of Preventive Medicine.

In their NIH-funded pilot study in San Diego and Tijuana in 2011-2012, Garfein and Patrick demonstrated that the VDOT program was an effective tool for ensuring that patients adhered to their treatment regimens.

They also showed that VDOT could reduce costs for the local public health agency; in the pilot study, the San Diego County Health and Human Services Agency. The agency’s only previous option had been to send health workers to patients’ homes to watch them take their medications.

Garfein and Patrick reported their results in an mHealth Summit Meeting abstract published in the Journal of Mobile Technology in Medicine.

Now, Garfein and colleagues are working on implementing the program on a larger scale through a public/private partnership with the Verizon Foundation, which provides funding and in-kind assistance.

The Garfein-Patrick team included other faculty and staff of the Global Public Health division and a number of specialists from the Qualcomm Institute.

Steffanie Strathdee, PhD

Dr. Steffanie Strathdee. Image ©International AIDS Society/Marcus Rose/Workers’ Photos. Used with permission.

“Congratulations to them both, and to Ramesh Rao and their team from the Qualcomm Institute, for this fantastic achievement and excellent teamwork,” said Steffanie Strathdee, PhD, Harold Simon Professor, Associate Dean of Global Health Sciences and chief of the Division of Global Public Health.

Ramesh Rao, PhD, director of the San Diego division of the Qualcomm Institute, holds the QUALCOMM Endowed Chair in Telecommunications and Information Technology. He is professor of electrical and computer engineering in the Jacobs School of Engineering at UC San Diego.

Said Garfein, “Working with Kevin and collaborating with the expert programmers at the Qualcomm Institute has been one of the highlights of my academic career.

“Although they are not included in the article because of the magazine’s information technology focus, we wouldn’t have been as successful if it weren’t for all the hard work by Jazmine Cuevas-Mota, Kelly Collins, and Fatima Muñoz in the Division of Global Public Health, and the dedicated employees of the San Diego County TB Control Program led by Dr. Kathleen Moser,” he said.

In the Division of Global Public Health, Cuevas-Mota is a project coordinator for Garfein, Collins is an assistant project coordinator and Muñoz is a postdoctoral fellow on the project.

“This has been a terrific project and it’s been a true pleasure to work with Richard and his team on it,” said Patrick.

“With a bit of luck, this could have world-wide impact on the health of the public. When all is said and done, this is why we are in this game.”

“This is very exciting and well deserved,” said Susan Taylor, PhD, UC San Diego professor of chemistry and biochemistry and pharmacology. She is a Howard Hughes Medical Institute investigator in biophysics and structural biology.

“It has been so much fun for me to watch these amazing things unfold and to realize how much we can achieve by working together and building bridges across the boundaries of our campus. This is much of what makes UCSD so special.

UC San Diego Health Sciences Video: VDOT Technology Eases Monitoring for Patients with Tuberculosis

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Drs. Philipp Wiesner, Benjamin Hulley Honored with 2013 Internal Medicine Residency Program Awards

Each year, the Internal Medicine Residency Program recognizes residents who embody the ideals of two highly esteemed faculty members, former Department of Medicine chair Dr. Ken Kaushansky, now at Stony Brook University, and the late Dr. Lee Rickman, associate clinical professor in the Division of Infectious Diseases, who died while training medical personnel in Lesotho in 2003.

Program director Elaine Muchmore, MD, presented the Kaushansky and Rickman awards on June 19 at the last session of Medicine Grand Rounds for academic year 2012-2013.

The awards followed Benjamin Hulley’s presentation, “Are Physicians Ethically Obligated to Utilize the Placebo Effect?”  |  Watch the video (UCSD only)

Kenneth Kaushansky, MD, MACP

Dr. Ken Kaushansky

Philipp Wiesner Receives Ken Kaushansky Award

Ken Kaushansky, MD, MACP, an esteemed physician-scientist, was Helen M. Ranney Distinguished Professor and chair of the Department of Medicine at UC San Diego from 2002 until 2010. He is now dean of the School of Medicine and senior vice president of Health Sciences at Stony Brook University in New York.

Seeking to enhance the training of general internists at UC San Diego, Kaushansky established the residency program’s 2-month dedicated elective research block. On that rotation, a resident selects a faculty mentor, conducts a research project and presents the results.

The elective has steadily gained in popularity, with about half the residents now participating annually.

This year, the program directors chose four residents to present their research projects at Medicine Grand Rounds and selected one of them to receive the Kaushansky Award.


Dr. Philipp Wiesner

The winner was second-year resident Philipp Wiesner, MD, who presented his research project, “Oxidized Phospholipids in Inflammation and Atherosclerosis,” at the May 15 session of Grand Rounds.  |  More about Wiesner’s research  |  Watch the video (UCSD only)

Wiesner, who plans to be an academic physician-scientist, has pursued research in atherosclerosis since he was in medical school.

In accepting the award, he said, “A young scientist can never do well without a nurturing environment. I had great mentors, Joe Witztum, Yury Miller and Sam Tsimikas.

“I also want to thank the residency program for giving me the great opportunity both to do research here and also start my residency and do my clinical training here.”

Benjamin Hulley Receives the Lee Rickman Humanism in Medicine Award

The Lee Rickman Humanism in Medicine Award is given each year to a resident whose work recalls the energy and devotion of Lee Rickman, MD, a UC San Diego residency program graduate and Department of Medicine faculty member who practiced infectious disease medicine with singular passion until his death in 2003.

Rickman was acknowledged as the hands-down winner in the number of teaching awards given to a Department of Medicine faculty member.

In introducing the award, Muchmore said, “Lee didn’t just delve into topics — a wide variety of topics — but then, with passion, he taught them. It was not a joke that if we had a sudden cancellation of a Grand Rounds speaker or a noon conference speaker, somebody would turn to Lee and say, ‘Could you substitute tomorrow?’ And he would say, ‘Of course.'”

Drs. Elaine Muchmore and Ben Hulley

Drs. Elaine Muchmore and Ben Hulley

“The Rickman Award is a very high honor in the residency program,” she said. “It gives me great pleasure to award it to Ben Hulley.”

Hulley is one of the five incoming chief medical residents for 2013-2014. He received his undergraduate degree in biology and economics from UC San Diego and his MD degree from the UC San Diego School of Medicine.

In his remarks, Hulley credited his father, also a physician, who had come from northern California to be present in the audience.

“Thanks to my Dad for being a great role model and helping me get this far,” he said.

Stephen B. Hulley, MD, MPH, is professor in the Division of Clinical Epidemiology, Department of Epidemiology & Biostatistics at UC San Francisco.

The four resident research presentations and the presentations from the five incoming chief medical residents will be available via on-demand video (UCSD only) all summer.

Progress: the UC San Diego – Universidade Eduardo Mondlane Medical Education Partnership Initiative

In this official video, Dr. Emilia Noormahomed describes the goals and progress of the UC San Diego—Universidade Eduardo Mondlane (UEM) Medical Education Partnership Initiative (MEPI) program in Mozambique.

Map of Africa showing location of MozambiqueEmilia Noormahomed, MD, PhD, is UEM principal investigator of the MEPI project, which is intended to strengthen Mozambique’s medical education system by building infrastructure to support medical training, research and technology.

Noormahomed is associate professor in the Parasitology Section, Department of Microbiology, at UEM and associate professor of medicine at UC San Diego.

In their partnership, UEM receives the bulk of the grant funding and UC San Diego provides partners and mentors to help UEM meet its goals.  |  More about UC San Diego’s role

The UC San Diego Internal Medicine Residency Training Program offers a global medicine elective in which residents rotate to the UEM’s Maputo Central Hospital in Mozambique for a four-week period.  |  More about the elective

MEPI is a joint initiative of the United States National Institutes of Health and the President’s Emergency Plan for AIDS Relief (PEPFAR).

More Information:

Internal Medicine Residency Training Program

Medical Education Partnership Initiative

Medicine Grand Rounds: Looking Back, Looking Forward

After the last presentation of the 2012-2013 academic year on June 19, Medicine Grand Rounds is on hiatus for the summer and the schedule for next year is taking shape.

Dr. Elaine Muchmore

Dr. Elaine Muchmore

Program director Elaine Muchmore, MD, praised this year’s outgoing chief residents for the quality of the Grand Rounds program.

“I think it has been a wonderfully diverse set of topics and presentations,” she said. “I congratulate the outgoing chief residents for their hard work in making the series very, very informative for all of us.”

The research presentations and the presentations from the five incoming chief medical residents will be available via on-demand video (UCSD only) all summer.

Dr. Ian Jenkins

Dr. Ian Jenkins

Medicine Grand Rounds will resume on Wednesday, September 4, 2013, with a presentation by Ian Jenkins, MD, Health Sciences associate clinical professor in the Division of Hospital Medicine at UC San Diego.

The 2013-2014 schedule for Medicine Grand Rounds is posted here.

Presenting at Medicine Grand Rounds May 9: Yu Xie, MD

Yu Xie, MDPictured:
Yu Xie, MD, incoming chief medical resident in the Internal Medicine Residency Training Program at UC San Diego, presenting “Chronic Thromboembolic Pulmonary Hypertension – Implications for the Left Heart” at Medicine Grand Rounds on May 8.

Watch the video (UCSD only)

UC San Diego and Verizon Team to Improve Tuberculosis Care

Verizon Foundation to provide grant and in-kind technology solutions to scale up novel approach to monitoring adherence to TB treatment

As part of an innovative philanthropic health care program targeting reduction of health care disparities in diverse communities around the United States, the Verizon Foundation has provided the University of California, San Diego School of Medicine with a $300,000 grant, as well as important in-kind health information technology solutions.

The support from Verizon will allow researchers from the University to more quickly scale-up a mobile phone-based solution that they developed to overcome the high cost and other barriers to monitoring tuberculosis patients throughout their treatment…. Read the full story from the UCSD Newsroom

Dr. Richard GarfeinLeading the program is Richard Garfein, PhD, MPH, left, professor of medicine in the Division of Global Public Health. Dr. Garfein, an infectious disease epidemiologist, joined the UC San Diego faculty from the Centers for Disease Control and Prevention in 2005.

He is conducting the project in collaboration with the California Institute for Telecommunications and Information Technology (Calit2).

Demonstration of "video directly observed therapy"At right, Dr. Garfein’s daughter demonstrates a smartphone video app that makes it possible for a distant clinician to confirm that a patient has taken a dose of tuberculosis medication.

The approach is called “video directly observed therapy” (VDOT). Dr. Garfein and collaborators have demonstrated the feasibility, acceptability and potential efficacy of VDOT in an NIH-funded pilot study in San Diego and Tijuana. Their mHealth Summit Meeting abstract for the project is published in the Journal of Mobile Technology in Medicine.

In the next six months, with the Verizon Foundation’s assistance, they will expand the VDOT smartphone app for broader use.

Dr. Steffanie Strathdee“This is a new and exciting direction and a new funding source for UCSD,” said Steffanie Strathdee, PhD, Associate Dean of Global Health Sciences and Harold Simon Professor and Chief of the UC San Diego Division of Global Public Health.

She directs the UC San Diego Global Health Initiative and is founding co-director of the UC Global Health Institute’s Center for Migration and Health.

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“Taking Control of Your Diabetes” Wins an Aurora Award for UCSD-TV

Dr. Steven Edelman“Taking Control of Your Diabetes,” a UCSD-TV series hosted by Dr. Steven Edelman, is one of two UCSD-TV programs to win an Aurora Award for outstanding quality this year. The weight management episode of the series won a Gold Award in the Fitness/Health category.

Steven V. Edelman, MD, pictured at left, is Professor of Medicine in the Division of Endocrinology and Metabolism.

Read the full story from UCSD-TV

In the Media: Dr. Steven Edelman

Dr. Steven Edelman is featured in the La Jolla Light story, “Revamped show premieres with insights on diabetes.” Through his nonprofit organization Taking Control of Your Diabetes in partnership with UCSD-TV, Dr. Edelman has developed a video series by the same name to help patients take an active part in managing their diabetes.

The first broadcast in the updated video series is June 24 at 8:00 pm on UCSD-TV.

Steven V. Edelman, M.D., is Professor of Medicine in the Division of Endocrinology and Metabolism and director of the Diabetes Care Clinic at the VA San Diego Healthcare System.

Medical Students Use Video and Peer Feedback to Refine Their Communication Skills in the Clinic

In a UC San Diego clinic, a patient is describing his symptoms to a medical student. The student asks questions and listens closely to discover the patient’s chief concern.It’s a normal part of her fourth-year clinical training – except that another medical student is observing and filming the entire encounter.

When the visit is over, she’ll watch the video and listen to the other student’s comments about her communication skills.Then he’ll hand her the camera. He’ll interview the next patient, and she’ll do the filming and the feedback.They’re taking part in the Paired Observation and Video Editing (POVE) project at UC San Diego.

The project is testing a new method for teaching and learning the skills that make a doctor a good communicator.

Kristin Bell, MDUC San Diego is one of 10 centers participating in the 3-year POVE project. The project is conducted as a fourth-year elective, MED 472, in the School of Medicine curriculum.

Peer learning is powerful

Year 1 of POVE has just ended, with medical students Christine Lee and Ninad Athale completing the elective last December.“The feedback they gave one another was amazing,” says Dr. Kristin Bell, Associate Professor of Medicine in the Division of General Internal Medicine. “They taught each other.”

As Principal Investigator of the POVE Project site at UC San Diego, Dr. Bell is the course director.“It was really great to watch their progress, and it was a unique learning experience for me as well,” she says.“I think it’s very powerful to learn from your peers.”

The goal is to teach the skills that make a doctor a good communicator.

Students produce a “before and after” video

The POVE course is a four-week, full-time intensive in doctor-patient communication. The medical students work in pairs, taking turns at filming and critiquing.All of the filming is done with the patients’ consent.The students meet with Dr. Bell and Ellen Lavin, Ph.D., a clinical psychologist, in weekly video review sessions to talk about the interactions they find challenging.

The film footage records their progress.

At the end of the course, the students extract the best “before” and “after” clips and produce a video essay that highlights the interactions they found difficult and the ways they addressed them.

“You can learn a lot from your medical student peers.”

On December 7 of last year, POVE students Lee and Athale presented their video essays at an interactive seminar for fellow students, residents, and faculty.“They did an amazing job,” Dr. Bell says.The students’ videos will become resources for medical centers across the nation after the study is concluded.

UC San Diego part of “a nationwide learning community”

Seeing the videos and having the immediate peer feedback, which Dr. Bell says was delivered with great sensitivity, helped the medical students pinpoint the interactions they found challenging.The goal is to train the students to be their own observers. Once they are able to recognize precisely the communication skills they want to refine, they are better equipped to improve their interactions with patients.

Studies show that when a doctor communicates in an effective and caring way, patient satisfaction goes up and the average length of a clinic visit actually goes down. Both doctor and patient find the experience more positive.

A University of Washington therapist and educator is the POVE project leader.

A total of 4 students from UC San Diego will be part of the POVE study, but more may enroll in the course if they are interested. Dr. Bell is now recruiting two students for the Fall 2008 session.The POVE project is headed by the Department of Family Medicine at the University of Washington. Larry Mauksch, M.Ed., a University of Washington family therapist and the overseeing investigator, calls it “a nationwide learning community.”Funding for the POVE study comes from the Arthur Vining Davis Foundations, whose healthcare grants are devoted to advancing caring attitudes in medical professionals.

The participating centers include community-based clinics as well as academic Family Medicine and Internal Medicine departments.

Dr. Bell credits many individuals who have worked to make the POVE project possible here. Many School of Medicine colleagues have been greatly supportive, she says, including Jess Mandel, MD, Associate Dean of Undergraduate Medical Education (UGME), and the UGME Electives Committee.

Looking to the future

Dr. Bell considers how the POVE experience will influence the medical school curriculum in the future.

“Can you do more peer learning?” she says. “I think you can. You can learn a lot from your medical student peers. It’s instruction from someone you can relate to.”

“It’s powerful to see a video. As a teaching tool, it’s just limitless.”

She hopes that the POVE course concept will eventually be incorporated into the new curriculum in a different form.“As it is, the course is very time consuming,” she says. “When we design a course for the new curriculum, we need to set aside enough time to make it effective for student learning, and at the same time keep it sustainable with the faculty resources available.”“It’s powerful to see a video. As a teaching tool, it’s just limitless.”

More about Kristin Bell, M.D.

Dr. Kristin Bell has been a primary care physician and educator at UC San Diego since 2001. She is based at the VA San Diego Healthcare System’s Vista Clinic, where she is Physician Site Leader.Challenged to help veterans manage chronic pain conditions, she has trained as an acupuncturist and founded an acupuncture clinic at the VA.

A grateful patient nominated her for the American Medical Association’s Young Physician Award, which was granted to her last fall.An emphasis upon doctor-patient communication was built in to her own residency training, she says. She’s a graduate of the Primary Care track in the Medicine program at UC San Francisco.

“For me, the POVE project
is a great learning experience.”

She’s relatively new to video production, but she has a longtime passion for medical education.She chose to develop a new behavioral medicine curriculum in her project for her National Center of Leadership in Academic Medicine (NCLAM) course.It grew into an addition to the third-year Medicine Core Clerkship.

That course also uses video, among other teaching methods, to teach medical students behavioral change counseling and motivational interviewing. The goal is to help patients make healthy lifestyle changes.

It has been a required part of the curriculum here for the past three years.

Dr. Bell acknowledges and thanks her mentors Shawn Harrity, M.D., and Peggy Wallace, Ph.D., for encouraging her and helping her attain success in this area of education.

Dr. Harrity is Clinical Professor of Medicine in the Division of General Internal Medicine. Dr. Wallace is Associate Adjunct Professor of Medicine and Director of the Professional Development Center in the Office of Undergraduate Medical Education.

“For me,” Dr. Bell says, “the POVE project is a great learning experience. I learn from the other POVE faculty, and especially from our students.”

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