A5050410345- Vasculitis and related conditions
- Rheumatoid Arthritis Research and Therapies
- Peripheral Neuropathies and Disorders
- Systemic Lupus Erythematosus Research
- Autoimmune and Inflammatory Disorders Research
- Innovations in Medical Education
- Diversity and Career in Medicine
- Retinal and Optic Conditions
- Telomeres, Telomerase, and Senescence
- Inflammatory Myopathies and Dermatomyositis
- Ocular Diseases and Behçet’s Syndrome
- Hereditary Neurological Disorders
- Musculoskeletal Disorders and Rehabilitation
- Hepatitis C virus research
- Lymphadenopathy Diagnosis and Analysis
- Primary Care and Health Outcomes
- Mycobacterium research and diagnosis
- Advances in Oncology and Radiotherapy
- Diagnosis and treatment of tuberculosis
- Heparin-Induced Thrombocytopenia and Thrombosis
- Medical Education and Admissions
- Otitis Media and Relapsing Polychondritis
- Coagulation, Bradykinin, Polyphosphates, and Angioedema
- Multiple Sclerosis Research Studies
- Inflammasome and immune disorders
University of California, San Francisco
2016-2024
Universidad Católica de Santa Fe
2023
San Francisco General Hospital
2017-2022
The COVID-19 pandemic has had a profound impact on the nation's health care system, including graduate medical education (GME) training programs. Traditionally, residency and fellowship program applications involve in-person interviews conducted on-site, with only minority of programs offering remotely via virtual platform. However, in light pandemic, it is anticipated that most will be virtually for 2021 application cycle possibly beyond. Therefore, GME need to prepare transition using...
Background Short telomere length independently predicts mortality in patients with coronary heart disease. Whether 5-year change subsequent disease has not been evaluated. Methods In a prospective cohort study of 608 individuals stable artery disease, we measured leukocyte at baseline and after five years follow-up. We divided the sample into tertiles change: shortened, maintained or lengthened. used Cox survival models to evaluate as predictor mortality. Results During an average 4.2...
To characterize the representation of dark skin color in clinical images across 4 major rheumatology training resources.We gathered patients with rheumatic diseases from American College Rheumatology Image Library, UpToDate, New England Journal Medicine Images Clinical and Cases filtered by "Rheumatology," 9th edition Kelley's Textbook Rheumatology. Investigators used Fitzpatrick's phototypes to independently code depicting visible as "light" (skin types I IV), "dark" V VI), or...
Problem: Although many students begin medical school with some idea of their specialty interest, up to 80% these choose a different by final year. This pivot tends happen in the clerkship year, when are immersed clinical environment, gaining practical understanding day-to-day work fields. Yet, this year have limited experiences specialties. Clinical electives during may aid career development. The authors examined student exploration through lens social cognitive theory (SCCT). SCCT posits...
Racial and ethnic disparities in rheumatoid arthritis (RA) disease activity measures have been documented. We compared racial differences using multiple composite measures, including an objective measure, the multi-biochemical (MBDA) score.Data are derived from University of California, San Francisco RA Cohort, a longitudinal observational cohort. Participants with at least one MBDA measure self-reported race ethnicity were included. Multivariable linear regression evaluated association...
Despite significant interest in the collection of patient-reported outcomes to make care more patient-centered, few studies have evaluated implementation efforts collect from diverse patient populations.We assessed rheumatoid arthritis patients an academic rheumatology clinic, using a paper and online form through electronic health record portal.We identified seen between 2012-2016 with ≥2 face-to-face encounters provider International Classification Diseases codes for RA, ≥30 days apart. In...
In 2020, one study by Strait and colleagues raised awareness that the clinical images in rheumatology educational materials underrepresent people with skin of color (P-SOC). Since then, publishers have focused on addressing this shortcoming. This investigates change representation P-SOC following review et al. METHODS: We used methods aforementioned to collect from commonly referenced categorized tones within them as "light" or "dark." calculated proportional depicting dark between 2020 2022...
<h3>Background:</h3> During the COVID-19 pandemic, telemedicine was widely adopted as an approach to care for people with rheumatic diseases. Data on whether is good in-person in terms of patient satisfaction and effectiveness rheumatology limited. <h3>Objectives:</h3> We aimed determine visits were noninferior other measures effectiveness. <h3>Methods:</h3> conducted a parallel group, randomized, single-blind, noninferiority trial clinics at two academic medical centers United States during...
9033 Background: Although H/O topics are essential for primary care physicians, internists and subspecialists, the curriculum is not standardized across IM residency programs. We aimed to identify most important residents learn, according generalists specialists. Methods: used a modified Delphi approach conduct 2-round cross-sectional survey of specialists at University California, San Francisco Stanford University. Participants rated importance curricular gathered from national...
To develop and evaluate interventions to improve quality of care in 4 priority areas an urban safety net adult rheumatology clinic serving a racially/ethnically socioeconomically diverse patient population.
This case report discusses an atypical of cytomegalovirus (CMV) retinal necrosis with panretinal occlusive vasculopathy in a 77-year-old man who was immunosuppressed following treatment for giant cell arteritis (GCA).A is presented.Clinical examination demonstrated central artery occlusion and pale disc suspicious arteritic ischemic optic neuropathy the right eye. Biopsy-proven GCA prompted oral prednisone. While on glucocorticoid immunosuppression, patient suffered vision loss left eye from...
Clinicians report low confidence assessing cutaneous lupus erythematosus (CLE) lesions, especially for patients who identify as Black, Indigenous, and People of Color (BIPOC) are historically excluded from educational materials. To address this, we created an online, interactive module teaching approach to CLE across skin tones measured its impact on medical knowledge confidence.Our team a with case-based methods introduce CLE, common mimicking rashes, tips photographing lesions in BIPOC....
A 56-year-old white man presented with several months of visual changes and diffuse myalgias. He reported difficulty seeing out the lower portion his left eye for months, which he described as “cigarette smoke clouding [his] vision.” also mild discomfort movement affected eye. attributed loss to potential injury during work a welder. In addition, complained body pain stiffness generalized malaise. The were worse in shoulders hips morning, improvement by middle day. On some days, these...
<sec> <title>BACKGROUND</title> Despite significant interest in the collection of patient-reported outcomes to make care more patient-centered, few studies have evaluated implementation efforts collect from diverse patient populations </sec> <title>OBJECTIVE</title> We assessed rheumatoid arthritis patients an academic rheumatology clinic, using a paper and online form through electronic health record portal. <title>METHODS</title> identified seen between 2012-2016 with ≥2 face-to-face...
A 34-year-old woman presented with a rash on both cheeks that spared the nasolabial folds and joint pain in her hands knees. Laboratory studies showed leukopenia positive anti-Smith anti-RNP antibodies, diagnosis of systemic lupus erythematosus was made.