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Zuckerberg San Francisco GeneralDivision of General Internal Medicineand Center for Vulnerable PopulationsUniversity of California, San FranciscoSchool of Medicine

Medical Care of Vulnerable and Underserved PopulationsJW MARRIOTT SAN FRANCISCO UNION SQUARE • SAN FRANCISCO, CA

COURSE CHAIRSDean Schillinger, MDProfessor of Medicine and Chief, Division of General Internal Medicine, Zuckerberg San Francisco GeneralUCSF Center for Vulnerable PopulationsMargaret Wheeler, MDProfessor of MedicineDivision of General Internal MedicineZuckerberg San Francisco General

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Medical Care of Vulnerable and Underserved Populations

Publicly insured and uninsured patients make up about half ofall outpatient visits in the US, and millions more previouslyuninsured patients have gained access to health care throughthe Affordable Care Act. Becoming an expert in caring for thecomplicated medical and social needs of vulnerable andunderserved patients is crucial to every healthcare provider.World-class experts and front-line practitioners from theZuckerberg San Francisco General Hospital & Trauma Centerand the UCSF Center for Vulnerable Populations will presentapproaches to mitigate the challenges in caring for vulnerablepopulations and enhance the profound joy clinicians canexperience when engaging with patients in greatest need.Topics to be covered include updates in a broad range ofdiseases that disproportionately affect vulnerable patients,such as diabetes, Hepatitis C, HIV, depression, PTSD, heartfailure, and hypertension. In addition, we discuss howclinicians can address social factors that complicate themanagement of medical illness such as low health literacy,intimate partner violence, and food insecurity, to name but afew. We will also tackle how best to integrate behavioral healthcare for patients with chronic pain, severe mental illness,substance use and complex post-traumatic stress. Each daywe will feature a nationally renowned figure in the field of thecare of vulnerable populations who will deliver pearls andimpart wisdom with respect to how to stay engaged, connectedand inspired in this work.GREENER MEETINGWe're saving paper! The syllabus will be transmitted electronicallyprior to the course.

TARGET AUDIENCEThis activity is appropriate for all specialties, particularly for thosehealth care providers that work with underserved patients inteaching, safety net, or community practices. Physicians, primarycare, and subspecialists, advance practice providers, primary careproviders, psychologists, public health practitioners, and nurseswould all find our material educational.

OBJECTIVESAn attendee completing this course will be able to: • Describe an approach to considering social vulnerability inmedical care;

• Recognize the effect of food insecurity on patient outcomes;• Review what is meant by Trauma Informed Care;• Describe an approach to the care of a patient with a history ofincarceration;

• Review the importance of oral care to overall health and the roleof primary care in promoting oral care through the ages;

• Review an approach to the care of underserved adolescents;• Describe an approach to caring for immigrant patients;• Review health care economics for the underserved;• Discuss pharmacologic treatments of alcohol disorder.

JW Marriott San FranciscoUnion SquareSan Francisco, CA

February 23-25, 2017ACCREDITATIONThe University of California, San FranciscoSchool of Medicine (UCSF) is accredited by theAccreditation Council forContinuing Medical Education to provide continuing medicaleducation for physicians.UCSF designates this liveactivity for a maximum of24.50 AMA PRA Category 1CreditsTM. Physicians should claim only the creditcommensurate with the extent of their participation in the activity.This CME activity meets the requirements underCalifornia Assembly Bill 1195,continuing education andcultural and linguisticcompetency.ABIM KnowledgeAssessment: Successful completion of thisCME activity enables theparticipant to earn up to 24.50MOC points in the AmericanBoard of Internal Medicine’s(ABIM) Maintenance ofCertification (MOC) program.Participants will earn MOCpoints equivalent to theamount of CME creditsclaimed for the activity. It is the CME activity provider’sresponsibility to submitparticipant completioninformation to ACCME for thepurpose of granting ABIMMOC points.Geriatric Medicine:The approved credits shownabove include 6.75 creditstoward meeting therequirement under CaliforniaAssembly Bill 1820, GeriatricMedicine Nurses:For the purpose ofrecertification, the AmericanNurses Credentialing Center accepts AMA PRA Category 1 Credit™ issued byorganizations accredited bythe ACCME.Physician Assistants:AAPA accepts category 1credit from AOACCME,Prescribed credit from AAFP,and AMA PRA Category 1Credit™ from organizationsaccredited by the ACCME.Pharmacy:The California Board ofPharmacy accepts ascontinuing professionaleducation those courses that meet the standard ofrelevance to pharmacypractice and have beenapproved for AMA PRACategory 1 CreditTMFamily Physicians: Application for CME credithas been filed with theAmerican Academy of FamilyPhysicians. Determination ofcredit is pending.

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THURSDAY, FEBRUARY 23, 20177:00 am Registration and Continental Breakfast7:45 INTRODUCTION Neil R. Powe, MD, MPH, MBA8:00 G Overview of Care of Vulnerable Patients Dean Schillinger, MD8:45 G The Physician’s Task Force Recommendations and Kirsten Bibbins-Domingo,

Caring for Vulnerable Patients MD, PhD, MAS9:30 G Issues in Care of the Homeless Margot Kushel, MD10:15 Break10:30 Trauma Informed Care Leigh Kimberg, MD11:15 G Care for the Patient with Sleep Apnea George Su, MD12:00 Lunch (On Your Own)1:00 pm Introduction: Notes from a Career in the Safety Net Susan P. Ehrlich, MD1:15 G The Forgotten Need: Oral Care in Underserved Patients Susan Fisher-Owens, MD 2:00 An Approach to the Care of the Immigrant Patient Margaret Wheeler, MD

Devora Keller, MD, MPH2:45 Optimizing Care for Patients with Food Insecurity Hilary Seligman, MD, MAS 3:30 Clinical Pearls Session #1 Faculty3:45 Substance Use and Youth Diana Coffa, MD4:30 BreakVanessa Thompson, MD Workshop 1: Prescribing Canes and other Durable Lisa Pascual, MD

Medical Equipment Workshop 2: Communication Skills Dean Schillinger, MD

George Saba, PhD5:45 pm Adjourn

FRIDAY, FEBRUARY 24, 20177:00 am Continental Breakfast7:45 INTRODUCTION – Notes from a Career in the Safety Net Kevin Grumbach, MD8:00 Medical Mistakes and the Care of the Underserved Urmimala Sarkar, MD8:45 Caring for Underserved Patients with Chronic Pain Soraya Azari, MD9:30 Health Economics for the Underserved Dhruv Kazi, MD10:15 Break10:30 Bullet as a Pathogen Rochelle Dicker, MD11:15 Caring for Adolescent Patients from Erica Monasterio, MD

Underserved Backgrounds12:00 pm Lunch (On Your Own)

Medical Care of Vulnerable and Underserved

COURSE CHAIRSDean Schillinger, MDProfessor of Medicine andChief, Division of General InternalMedicine, UCSF Center forVulnerable Populations, ZuckerbergSan Francisco General Margaret Wheeler, MDProfessor of MedicineDivision of General Internal Medicine Zuckerberg San Francisco General COURSE FACULTY(University of California, San Franciscounless otherwise indicated)Soraya Azari, MDAssistant Professor of Medicine; Associate DirectorPrimary Care Residency ProgramZuckerberg San Francisco General Kirsten Bibbins-Domingo, MD,PhD, MASLee Goldman, MD Endowed Chair and Professor of Medicineand of Epidemiology andBiostatistics

Robert Brody, MDProfessor of Family and Community MedicineChief, Pain Consultation ClinicZuckerberg San Francisco GeneralAnna Chodos, MDAssistant Professor of MedicineDivision of Geriatrics and Internal MedicineZuckerberg San Francisco General Diana Coffa, MDAssistant Professor of Family andCommunity MedicineRochelle Dicker, MDProfessor of Surgery andAnesthesiaCo-Director, Center for Global Surgical StudiesDirector, Wraparound Project Kelly Eagen, MDClinical Instructor of Family andCommunity Medicine, Zuckerberg San Francisco GeneralAssociate Medical Director, TomWaddell Integrated Medical ServicesSan Francisco Department of Public Health

Susan P. Ehrlich, MDCEO, Zuckerberg San FranciscoGeneralJoanna Eveland, MDClinical Chief, HIV Services, Mission Neighborhood Health CenterSan Francisco, CAAlicia Fernandez, MDProfessor of MedicineAttending Physician, GeneralMedical Clinic & the Medical Wards,Zuckerberg San Francisco General Susan Fisher-Owens, MD, MPHAssistant Professor of PediatricsZuckerberg San Francisco General Liz Goldman, MDAssociate Professor of MedicineUCSF – Mt Zion HospitalKevin Grumbach, MDProfessor and ChairFamily and Community MedicineZuckerberg San Francisco GeneralReena Gupta, MDAssistant Professor of MedicineAssociate Director of General Medical Clinic Zuckerberg San Francisco General

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PopulationsJW Marriott San Francisco Union Square • San Francisco, CA

FRIDAY, FEBRUARY 24, 2017 (CONT’D)1:00 pm Notes from the Safety Net Robert Brody, MD 1:15 Updates in the Care of Underserved Patients Kelly Eagen, MD

with Hepatitis C 2:00 Pharmacotherapy for Alcohol Use Disorder Scott Steiger, MD2:45 G Updates in Treatment of Hypertension Binh An Phan, MD3:30 Clinical Pearls Session #2 Faculty4:00 Break4:15 Workshop 1: Smoking Cessation Maya Vijayaraghavan, MD Workshop 2: Advocacy Sharad Jain, MD

Vanessa Thompson, MD5:15pm Adjourn

SATURDAY, FEBRUARY 25, 20177:30 am Continental Breakfast7:45 INTRODUCTION: Notes from the Safety Net Dean Schillinger, MD8:00 Clinic Transformation in the Post-ACA Era Reena Gupta, MD8:45 G Eliminating Healthcare Disparities at the Bedside Alicia Fernandez, MD 9:30 G Medical Care of the Psychiatric Patient Liz Goldman, MD

Lisa Ochoa-Frongia, MD10:15 Break10:30 G Care of the Patient with History of Incarceration Shira Shavit, MD11:15 HIV Care of the Underserved Joanna Eveland, MD12:00 pm Lunch (On Your Own)1:00 Introduction: Narratives from the Safety Net Martha Baer, RN1:15 Updates in Diabetes: What's Worth the PA Forms Janet Leung, MD

for Patients in the Safety Net2:00 What Geriatrics Can Teach Us About the Care of the Anna Chodos, MD

Vulnerable Patient 2:45 All Tapped Out? How EHRs Affect Safety Net Neda Ratanawongsa, MD

Communication and Burnout and What to Do About it 3:30 Clinical Pearls #3 Faculty4:00 Break Workshop: Writing for Well-Being Elizabeth Harleman, MD

Larissa Thomas, MDVanessa Thompson, MD

5:15 pm Adjourn G - Geriatric Credit

COURSE FACULTY (CONT’D)Elizabeth Harleman, MDProfessor of MedicineAssociate Program Director,Curriculum and Special ProjectsZuckerberg San Francisco GeneralSharad Jain, MDProfessor of MedicineTrack Director, San FranciscoGeneral Primary Care ProgramDhruv Kazi, MD, MSAssistant Professor of MedicineZuckerberg San Francisco GeneralDevora Keller, MDAssistant Professor of MedicineDirector, Emergency DepartmentCase-Management ProgramZuckerberg San Francisco General Leigh Kimberg, MDProfessor of MedicineDirector, UCSF PRIME-USSan Francisco Department of Public HealthMargot Kushel, MDProfessor of Medicine Director, Fellowship in GeneralInternal MedicineZuckerberg San Francisco General Janet Leung, MDAssistant Professor of MedicineZuckerberg San Francisco General

Katherine Lupton, MDAssociate Professor of MedicineZuckerberg San Francisco GeneralErica Monasterio, RN, MN, FNP-BCProfessor of Pediatrics and Nursing,Division of Adolescent Medicine andDepartment of Family Health CareNursingLisa Ochoa-Frongia, MDAssistant Professor of MedicineZuckerberg San Francisco General Lisa Pascual, MDClinical Professor of OrthopaedicSurgeryBin An Phan, MDAssociate Professor of MedicineZuckerberg San Francisco GeneralNeil R. Powe, MD, MPH, MBAProfessor of MedicineZuckerberg San Francisco General Neda Ratanawongsa, MDAssociate Professor of MedicineZuckerberg San Francisco GeneralGeorge Saba, PhDProfessor of Family and CommunityMedicineUrmimala Sarkar, MD, MPHAssociate Professor of Medicine UCSF Center for Vulnerable Populations Zuckerberg San Francisco General

Hilary Seligman, MD, MASAssistant Professor of Medicine andof Epidemiology and BiostatisticsCenter for Vulnerable Populations Zuckerberg San Francisco General Shira Shavit, MDAssociate Professor of Family and Community Medicine; Director, Transitions Clinic,Zuckerberg San Francisco GeneralScott Steiger, MDAssociate Professor of MedicineGeorge Su, MDAssociate Professor of MedicineDivision of Pulmonary and Critical Care Medicine Medical Director of Telehealth for the SFDPH (SF Health Network)Zuckerberg San Francisco General Larissa Thomas, MDAssistant Professor of MedicineVanessa Thompson, MDAssistant Professor of MedicineZuckerberg San Francisco General Maya Vijayaraghavan, MD, MASAssistant Professor of MedicineCenter for Tobacco Control and Research; Division of General Medicine Zuckerberg San Francisco General

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æ Dr. æ Ms. æ Mr. æ Mrs.

_________________________________________________________________Last Name First M.I._________________________________________________________________Degree Specialty _________________________________________________________________Address _________________________________________________________________City State Zip _________________________________________________________________Daytime Phone Fax_________________________________________________________________Email

Address Label Code Letter (see address label: example, A, B, C, D, etc.)________________Would you like to be on our priority email list? £ Yes £ NoDate of birth to be used as OCME registrant number: ___ ___ /___ ___ / X X Month Day

Please indicate if you have any special needs: Registration Fees*:before 12/30/2016

£ $695 Physicians £ $595 Allied Health Professionals£ $445 Residents/Fellows

after 12/30/2016£ $795 Physicians £ $695 Allied Health Professionals£ $495 Residents/Fellows

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Refund Policy: Cancellations received in writing before February 22, 2017 will be refunded, less a $100 administrative fee. No refunds will be made on cancellations received after that date.Please check our website for up to date information on the course: cme.ucsf.edu

MEDICAL CARE OF VULNERABLEAND UNDERSERVED POPULATIONSFebruary 23-25, 2017JW Marriott San Francisco Union Square • San Francisco, California

MDM17M22

ar Line

P

Jackson St

Washington St

Clay St

Sacramento St

California St

Pine St

Bush St

Post St

Geary St

O’Farrell St

Ellis St

Drum

m St

Steuart StSpear StMain StBeale StFremont St

2nd St

Mission

St

Howard

St

Harriso

n St

New Montgomery St

Battery St

Sansome St

Montgom

ery St

lumbus Av

Kearny St

Grant Av

Powell St

Mason St

Taylor St

Jones St

Leavenworth St

St

Stockton St

The Embarcadero

Folsom

St

1st St

Market

St

Market

St

WALTONPARK

JUSTINHERMANPLAZA

PORTSMOUTHSQUARE

MOSCONE CONVENTIONC

CENTER FORTHE ARTS AT

YERBA BUENAGARDENS

UNIONSQUARE

TRANSAMERICAPYRAMID BLDG.

GRACECATHEDRAL

MASONICAUDITORIUM

TRANSBAYTERMINAL

FERRYBUILDING

RINCONCENTER

WORLDTRADE CTR.

EMBARCADEROSHOPPING CENTER

GOLDENGATE UNIV.

SF MUSEUMOF MODERN ART

CROCKERGALLERIA

POWELL ST.STATION

MONTGOMERY ST.STATION

EMBARCADEROSTATION

BANK OFAMERICA BLDG.

FINANCIALDISTRICT

CHINATOWN

NOBHILL

FRANCISCO

Parks

Cable Car Lines

Landmarks

Points of Interest

Neighborhoods

JW Marriott

JW Marriott San FranciscoUnion Square515 Mason StreetSan Francisco CA 94102Hotel Phone: 415-771-8600www.marriott.com

Mail to : UCSF Office of CMEP.O. Box 45368San Francisco, CA 94145-0368Fax: (415) 502-1795

Online registration: cme.ucsf.edu Registration Information: (415) 476-5808Course Information: (415) 476-4251

Course Registration Form

cme.ucsf.edu

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GENERAL INFORMATIONAdvance registration closes one (1) business dayprior to start of course. HOW TO ENROLLRegistration Feesbefore 12/30/2016:$695 Physicians $595 Allied Health Professionals $445 Residents/Fellows after 12/30/2016:$795 Physicians $695 Allied Health Professionals $495 Residents/Fellows GREENER MEETING We're saving paper! The syllabus will be transmittedelectronically prior to the course. Payment may be made by Visa, MasterCard, AmEx or check. REGISTER VIA:Online: cme.ucsf.eduMail: Complete course registration form

and send with payment to: UCSF Office of CME

P.O. Box 45368San Francisco, CA94145-0368

Fax: Fax completed registration form to:(415) 502-1795 (be sure to includeyour credit card number)

Phone: To register by phone or to inquire aboutregistration Office at (415) 476-5808.

On-Site Registration: Generally we are able to accommodate on-site registration at our courses,however, pre-registration is preferred to ensure that we have adequate course materials. REFUND POLICY Cancellations received in writing before February 22, 2017 will be refunded, less a $100 administrative fee. No refunds will be made on cancellations received after that date.CONFERENCE LOCATION Enjoy San Francisco’s renowned attractions such as the historic cable cars, shopping in Union Square,or visit San Francisco’s culinary hub at the FerryBuilding.The JW Marriott San Francisco is just steps fromUnion Square and the Theatre District.A block of guestrooms has been reserved at thespecial UCSF conference rate of $284/night. Youare urged to make your reservations early. The cutoff date is February 1, 2017, or until the group roomblock is filled. After this date, rooms will be providedon a space-available basis only. To make hotelreservations on-line, go to cme.ucsf.edu and click on the hotel link in the Travel & Lodging section of the course webpage.If you prefer to telephone in your reservation, call800-228-9290, and please identify yourself as amember of this UCSF conference to receive thespecial rate.By staying at the host hotel, you help UCSF meet itscontractual obligations and keep registration feesreasonable.

0569

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Office of Continuin

gMedical Education

3333 California Street

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For m

ore information

or to register online visit our website at

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sf.edu

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