ADVANCED PRACTICE NEWSLETTER
June 2020
By: Mitchel Erickson, NP
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CELEBRATING
NURSE PRACTITIONERS
NURSE ANESTHETISTS
PHYSICIAN ASSISTANTS
NURSE MIDWIVES
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IN THIS ISSUE
Highlighting APP Practice at UCSF Health
Adopt-A-Native-Elder
Vickie Thun RN MS FNP-BC, Wound/Ostomy/Continence, Institute for Nursing Excellence
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APP UPDATES
COVID PPE Requirements
Research and Publication Resources - INEX
Emotional Wellbeing Services
The UCSF Health APP Website
APP Zoom and APEX TIPS
Telehealth
Encounter Closure Requirement Change
APP Grand Rounds 2020
Exceptional APP Award Nominations 2020
Corona Virus Video
SB 1237
APP Academic Stipend
S
MART BLOCK DOCUMENTATION Workflow
New Performance Development/Evaluation Tool for NPs and PAs
Knowing the Law Regarding Being a Preceptor in California
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TOOLS AND INFORMATION
Availability of Lab Coats and Uniforms for APPs
The Recognize Application
The Women of UCSF
BCH/BCHO Monthly Noon Conference at MB
ONE GOOD THING
Schwartz Rounds
GME Grand Rounds
Medi-Cal SPA Time Study for Ambulatory Providers
New APPs to UCSF Health - 11th Cohort in 2020
Free Access to Book by Florence Nightingale
California Healthcare News
Center for the Enhancement of Communication in Healthcare
APP AHA Re-Certification Workflow
True North Metrics
APP Students at UCSF Health
Sharing your Expertise across the State and Nation
Caring for the Caregiver
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RESOURCES
Fun Discounts for UCSF Employees
Required Training in LMS
Face Card Process
How To Correct The Staff Directory
Scope Of Practice Details
Office of Medical Affairs and Governance Resources
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RECOGNITION, PUBLICATIONS, AND PRESENTATIONS
Monica Volz, NP
Roseanne Krauter, NP
Claire Parker, NP
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HIGHLIGHTING ADVANCED PRACTICE PROVIDERS
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Adopt-A-Native-Elder
By: Vickie Thun RN MS, FNP, Wound Ostomy - UCSF MB
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Image compliments of krqe.com
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Given our recent UCSF Health staff deployment to the Navajo Nation in Arizona, I learned of an advanced practice provider that was familiar with the community via her previous work in Arizona and thought it important to share. Community involvement is a privilege and the volunteer rewards are often greater than the contribution to the community.
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Mission Statement
The Adopt-A-Native-Elder Program exists to create a bridge of hope between Native Americans and other cultures. It allows us to reach out to one another, share our gifts, and mend the broken circle of our relationship with the Land and the Native Americans who hold it in sacred trust.
Co-founders Linda Meyers and Grace Smith Yellowhammer began this journey in the 1980’s, transitioning to the current “Adopt-A-Native-Elder (ANE)”, serving 720 Elders, 75-100 years old. The bridge assists the Dine' (Navajo) Elders with basic survival needs. These include food, firewood to cook/heat their homes, yarn bundles for weaving and simple medical supplies, allowing them to live in their traditional ways on the land. Linda stresses the giving is a
"gift of love, not a handout".
In return, the Elder's gift is "to touch our hands and our hearts and to offer their prayers".
Programs include:
Spring and Fall Food Runs:
Rainbow Food Boxes, Blue Bird Flour, Food Run Boxes: Grandma/Grandpa, Yarn, Medical, Mother’s Day, Forgotten Ones, Children School Supply
Annual Navajo Rug Show & Sale
Navajo Rug Sales on the ANE web site (the weaver receives the full sale price)
Food Gift Certificates
Firewood Vouchers
Yarn Box for Weavers
Backpacks, school supplies and Christmas Stockings for the Grandchildren
The Forgotten Ones
Elder Sponsorship
I have had the honor of participating in this wonderful program for several years by sending financial donations for t
he Forgotten Ones. They are the oldest and most frail Elders, no longer able to attend the food runs. To make a contribution so that they are warmer, nourished and cared for is incredibly rewarding. I will never meet them but I will always be inspired by them.
It is also amazing and a great honor to be in the presence of Navajo Elders. Volunteering at the Navajo Rug Show & Sale and a Fall Food Run, I have had the great privilege to meet and join hands with many of these beautiful people. The Rug Show & Sale celebrated 30 years in 2019. The Elders display and sell their incredible handwoven rugs and handmade baskets, as well as their beautifully crafted jewelry. All the proceeds go to the artist. This may be the only way they have to support themselves. The show consists of many cultural presentations, allowing a glimpse into the Navajo world. As a volunteer, you serve in many different roles, all in support of the program and Elders. There is great joy in participating in this special event and admiring all the artistry. It can also bring tears as you explain to an attendee the difficulties the Navajos’ face and why it is so important to purchase Christmas Ornaments for Elders. It is here where I purchased my first beautiful Navajo Rug. It was my great fortune to meet and join hands with the amazing weaver of my rug, Jane Benale. As I run my hands over this piece of art, I can almost feel her hands and spirit as she wove my rug.
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On the twice a year Food Runs to the Reservation, Navajo Elders and their families gather at the community center at each stop. My assignment was to be part of the Medical Van. As I joined hands with each Elder, I obtained the list of basic health care related items they needed. These items were gathered and placed with their Rainbow Food Box for them to take to their home. I again marveled at my great fortune to be able to join hands with the Elders. On our last dinner together, the ANE staff and volunteers each stood to tell what “touched them the most”. Without a doubt, my heart and soul was touched by joining the beautiful hands of the Elders.
I am grateful to have participated in ANE. The immense reward is the Elder’s gifts.
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UCSF Health Employee PPE Requirements related to our COVID efforts. All employees on UCSF property must adhere to the requirements including parking garages and elevators exterior to clinical buildings.
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If you have an interest in engaging in research or publication, these opportunities through the UCSF Library are valuable events. INEX is now actively supporting APPs interested in this type of professional development. Hannah Jang, RN, PhD, CNL is the Associate Chief Nurse Researcher at INEX and welcomes all APPs to engage with their office when ready or interested.
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UCSF Health is committed to the emotional well-being of Our People during this challenging time as we work together to respond to COVID-19.
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UCSF HEALTH ADVANCED PRACTICE WEBSITE
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The APP Advisory Board and the Office of Advanced Practice would like you to explore the Advanced Practice Website to search for resources or direct your manager for questions. This site continues to be updated and configured for Advanced Practice and the health system.
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Helpful tip sheets/ppt notes re: work flow and APEX.
Compliments of:
Michelle Klosterman
Michelle Klosterman,MS, MSN, RD, CNSC, RN, CPNP
Pediatric Nurse Practitioner
UCSF Benioff Children’s Hospital
Pediatric Pancreas Program
Department of Pediatrics
Gastroenterology, Hepatology, and Nutrition
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Connecting to Zoom audio
If you are having trouble getting patients connected on audio, try printing out the "Turn on Audio Signs" so that you can show this on video to help patients figure out what they are supposed to click.
Medication Tapers
Apex now allows ordering medication taper. Functionality may depend on home pharmacy, but should be available to most.
Social determinants of health
There is a new section on social determinants of health for things like food insecurity, social work issues, etc.
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TELEHEALTH AT UCSF HEALTH
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New Telemedicine Speed Button
If you’re finding it difficult to keep up with the many new smart phrases for video visits, e-visits, and telephone visits, the new Telemedicine speed button should help. This button pulls in the appropriate smartphrase for the type of encounters. For video visits, the usual .TELEMED language is pulled in, along with the optional smartphrase for indicating a failed video encounter. See the
tipsheet
for additional details.
Zoom Breakout Rooms
If your clinic routinely schedules video visits where a patient is seen by multiple providers, you may be interested in learning how to use Zoom Breakout Rooms to support this workflow. A
tipsheet
is available, but we strongly recommend that you reach out to
telehealthresourcecenter@ucsf.edu
to schedule a brief training before getting started, so we can ensure that you avoid a few known challenges and have a smooth rollout.
New Support for Limited English Proficiency Patients
Schedulers and other clinic staff may have noticed that instructions for video visits in MyChart are now automatically presented in the patient’s preferred language. In addition,
videovisit.ucsf.edu
(where patients are directed for information about downloading and running Zoom), now includes instructions in ten languages.
New Tipsheets
Zoom 5.0 Upgrade
On June 1, all Zoom users (in the world!) were required to use Zoom version 5.0 or later to join a Zoom meeting. Patients were notified with updated MyChart instructions and a notice at videovisit.ucsf.edu in advance, and the MyChart support line was prepared to handle higher call volume. As far as we can tell, this has gone smoothly for patients and providers – but if your experience is different, please
let us know
, we may be able to help!
Looking for past newsletters? You can find them
here
.
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Encounter Closure Requirements per Medical Staff Bylaws have changed from 30 days to 14 days
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The EMB voted to change the suspension rules to 14 Days on April 28, 2020. A notice was sent to all Department Chairs on April 30
th
regarding this change. This notification is to communicate this important policy change and we have pushed back the suspension date by one week, to May 26
th
. For the vast majority of you, this will have no impact and to those, we thank you for your diligence now and in the past. Before any suspension of privileges, Aletta reaches out to your manager and you to determine if you are on vacation or leave and also offer assistance on how we can help providers meet this requirement.
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THE ADVANCED PRACTICE GRAND ROUNDS HAS BEEN
POSTPONED TO OCTOBER 2020 and will virtual pending COVID limitations of meeting.
WATCH FOR NEW INVITE
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Topic: Climate Change and Impacts on Health
Speaker: Barbara Sattler,
RN, MPH, DrPH, FAAN
Professor at the University of San Francisco and an international leader in environmental health and nursing.
Locations: VIRTUAL
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Co-sponsors: Office of Sustainability and Education Committee of the UCSF Health Advanced Practice Advisory Board
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PLANNING FOR THE EXCEPTIONAL APP AWARD 2020 HAS BEEN POSTPONED SECONDARY TO COVID-19. IT IS POSSIBLE THE EVENT WILL BE HELD IN 2020 BUT LIKELY RESCHEDULED TO 2021. Nominations will still be collected and reserved for review by the Selection Committee once a date is announced.
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Prior recipients:
2017
Laura Kirk, PA
Jody Farrell, PNP
2018
Eliana Agudelo, PA
Elizabeth Colglazier, PNP
2019
Brandon Sessler, PA
Gautham Iyer, NP
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HELPFUL INFORMATION REGARDING THE BASICS OF THE NOVEL CORONA VIRUS THAT PERHAPS YOU WERE AFRAID TO ASK - AN EIGHT MINUTE VIDEO
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The UCSF Health Office of Advanced Practice Academic Stipend
15 Academic stipends are offered each fiscal year to offset the cost of APPs presenting at a conference in their specialty. Podium/poster/panel presentations will be eligible. Other requirements listed in link below.
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Old Dot Phrase is now a SMART BLOCK ACROSS AMBULATORY AND INPATIENT SETTINGS: .APPNOTE
You must be compliant with this workflow. It currently does not work in telephone encounters but does for telehealth and alternate phrasing or smart text is incompatible with APEX billing logic.
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NEW PA AND NP ANNUAL PERFORMANCE REVIEW TOOL
This new tool is more professionally relevant and requests peer review.
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Thanks to the efforts of the Performance Evaluation Work Group of the APP Advisory Board including Laura Kirk, PA, Stacie Rohovit, NNP, Danielle Krieger, NP and others.
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Are you a Clinical Preceptor?
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Presentations, Publications, and Recognition
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2020 Excellence in Advance Practice Nursing Award!
Monica Volz, NP
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This award recognizes a professional advanced practice nurse who has made an outstanding contribution within UCSF Health and who is identified by colleagues and other health professionals as a role model in one or more of the following areas:
Demonstrates excellence in clinical care of patients.
Demonstrates the ability to share their expertise with patients, families and coworkers.
Demonstrates outstanding achievements in specialty area as seen through exemplary leadership, mentoring of staff and students, patient education, and enhancing patients’ clinical outcomes through operational improvements.
T
his award nomination was submitted by Jill Ostrem, MD and Philip Starr, MD
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Publication - Roseanne Krauter, NP
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Sharon J, Krauter R.
Development and Validation of VM-PATHI: Vestibular Migraine Patient Assessment Tool and Handicap Inventory.
Otol & Neurotol, 2020
April 41 (4): e494-e500
. doi: 10.1097/MAO.0000000000002561
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2020 DAISY AWARD RECIPIENT
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Daisy Award Recipients from March-April 2020:
Claire Parker, NP
Pediatric Pulmonary Hypertension Program
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UNIFORM AND LAB COAT ALLOWANCE FOR APPs
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You are now entitled to order new uniforms if you wish and new lab coats via Mission Linens. Newly implemented employees and new hires will receive an initial allotment of $250 and an annual stipend allotment of $140 thereafter (stipend amounts vary based on appointment percentage). To ensure that your uniform selection is made to your liking, a uniform fitting is recommended. Please follow this link to self-schedule the Employee Apparel Fitting Appointment.
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- Click on New User/Register
- Register with your Employee ID#:
- Register with your UCSF Email Address
- Begin Shopping
- Be sure to apply your gift card allocation during check out
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Please use the UCSF Health Recognize application to tell any staff member or provider how much your appreciate their expertise or support or guidance. It is free and easy and meaningful to the recipient. It functions through MyAccess.
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BCH/BCHO Noon Conference
Monthly Education Meeting with light refreshments at Mission Bay
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Compliments of Diane Sliwka, MD
One Good Thing
Improving the Work Experience at UCSF
Issue 110
To make our True North "Our People" efforts more visible at UCSF, this communication provides a highlight of one enhancement, story or tip intended to improve the work experience for clinicians and faculty at UCSF Health.
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Things to Look Forward To
One of the hardest things right now feels like the inability to plan ahead and the continuous limbo we are in. Our loss of productivity, limited options for diversion, and a sense of responsibility to what is before us now, may make us feel that we don't deserve or "shouldn't" reward ourselves. With this post, I propose that we do need things to look forward to, we do deserve them, and we can find and create them.
This week, I challenge you to create things to look forward to. Here are some ideas:
I bet you didn't get that spring break you had planned, or those conferences you'd normally go to, and you might not get your summer vacation trip either. That doesn't mean you shouldn't take time away from work. If you're way overdue for a vacation from work, plan time off. Remind those around you to take time off too!
- Turn off work after hours
So maybe we all pitched in 24/7 for a while when we were in extreme crisis mode. That was amazing. With the new blending of work and home life, it's now time to re-calibrate boundaries around work again. i.e. avoid emailing after hours for things that can wait till the morning and remind people that you don't expect a response if you do.
- Get yourself or your family something fun
Yes, financial uncertainty is concerning, but so is immense boredom and focus on our anxieties. I got my daughter a rip stick skateboard and a monthly cooking club subscription this week. We have a 1000 piece puzzle of Cinque Terre coming sometime in June or July. My friends got a puppy, a more intense, but wonderful, way to go.
- Pick up a new hobby, book or show to watch just for fun
I adore cooking, eating and photography, so I started a food blog to have something to look forward to when I put away my work. I also may or may not have started watching 'Love is Blind' on Netflix. : )
Hobbies can give a sense of flow-that feeling where you are so engrossed in something that you lose sense of time and all feels right with the world. What are yours?
Having worked on my little laptop for the last couple months, I'm now looking at getting an extra large monitor to help my ergonomics. I cannot wait!
- Walk and talk instead of Zooming
Last Saturday, my friends and I turned a regular zoom social hour into a walk and talk on the phone. Replacing 90 minutes of zoom screen time with jogging and walking felt amazing. For meetings where you just need to listen, walk outside instead of sitting at your computer. Air pods help with this!
- Plant something and watch it grow
Last week, we planted tomatoes, chives and mint. Watching your own food grow and using it to cook is awesome.
- Schedule small rewards throughout the work day
An afternoon coffee, a 20 minute break after every 40 minutes of work, 30 minutes to go for a run before you start working for the day, a real lunch break, an hour working outside. All of these options are so much better than working straight through.
- Take a vacation from home
Jon Carter shared that he and his family pretended they flew to Paris for spring break, ate french cuisine all week, took online tours of French museums and listened to French music at home. Amazing!!
- Send personal appreciations
Appreciations not only impact the recipient, but also provide a boost for the giver of the appreciation. Take a moment to thank the people you've seen working so hard around you. Let people know you see them. The happiness you give will likely come back to you multi-fold and will connect us in ways that strengthen our culture.
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GME Grand Rounds - inter-professional opportunity to share experiences.
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AMBULATORY APP Providers ONLY
Please complete the LMS module AT THE LINK BELOW
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The dates are randomly selected and to gain this valuable source of revenue, the time sheets must be completed and returned after signature in blue ink in a timely manner. We must have an 85% participation rate.
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Timestudies can be scanned or a picture of the timesheet can be emailed to Andrina Ong. They can be processed immediately where inter-campus mail can take a week.
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The following training link provides information that ALL ambulatory APPs must review to be included. ONLY APP providers that completed the LMS module will receive a link to the TIME SHEET when the next date is announced.
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APP ONBOARDING OF NEW PROVIDERS STARTED COHORT 12 April 2020
Please welcome these new APP professionals
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THEY ARE A GROUP OF NP AND PA PROVIDERS COMING INTO MANY DIFFERENT CLINICAL SPECIALTIES ACROSS THE UCSF HEALTH ENTERPRISE.
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NOTES ON NURSING
BY
FLORENCE NIGHTINGALE
New York
D. Appleton and Company
1860
[First American Edition]
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CALIFORNIA HEALTHCARE NEWS
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SOME ARTICLES ARE RELEVANT TO ADVANCED PRACTICE. YOU CAN SUBSCRIBE IF YOU WISH.
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Enhancing Relationship Centered Communication Skills Professional Development for Clinicians
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AMERICAN HEART ASSOCIATION CERTIFICATION WORKFLOW FOR APP PROVIDERS RENEWING THEIR BLS, ACLS PALS THROUGH SAFETY TRAINING SEMINARS
They have a list of authorized APP providers. All others will be denied.
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UCSF HEALTH UPDATES REGARDING TRUE NORTH METRICS
Includes an article on price transparency.
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For more information, contact Ivette Becerra-Ortiz, PNP
Associate Chief of Advanced Practice
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ALL APP STUDENTS AT UCSF HEALTH FACILITIES
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All preceptors are required to ensure all students from ALL educational institutions have been vetted by UCSF prior to any educational activities, including employees. UCSF has many parts of the organization involved in this process. Their school needs an affiliation agreement with UCSF, they need health screening to be completed, they require online training for Health and Safety and APEX, and sign a HIPPA form.
Laura Frahm in INEX is leading the effort to improve the on-boarding of all students and is building a portal that all schools and students must work through.
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WANT TO SHARE YOUR EXPERTISE WITH APP COLLEAGUES ACROSS THE STATE, THE NATION, OR THE WORLD?
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MORE INFORMATION AND TO BE A PEER SUPPORTER, EMAIL THE FOLLOWING LINK.
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RESOURSE INFORMATION AND LINKS
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UCSF HEALTH EMPLOYEE DISCOUNTS AND BENEFITS FOR WORK, LIFE, AND FAMILY
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Check for any Required Training
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FACE CARDS FOR APP PROVIDERS
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Making yourself more visible in the UCSF Health Directory
Email
Ivette
for revisions on the HR site
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Click on Professional Organization Links:
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Office of Medical Affairs and Governance
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