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Message from the Associate Dean - BCH Oakland
April 2021
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“There is always light. If only we're brave enough to see it. If only we're brave enough to be it.”
Amanda Gorman
2021 has become a year about transparency. One new initiative on transparency is “Open Note”. Insert new link As of March 31, 2021, all notes not otherwise marked will be released to patients. Lab and imaging results are also released in a tiered fashion with most results available to patients immediately.
Transparency has become so important as we struggle to make visible that which cannot be seen. It has been a year of Zoom, masks and physical distancing at work. On a large scale we are seeing atrocity against affinity groups and senseless shootings with concealed and unconcealed assault weapons. Unaccompanied minors are at the border and in need of assistance. We feel insecure as we come out of the colliding pandemics and work collectively towards a better future. Truth, transparency and trust is what we need now.
Transparency from the Dean’s office: See our website for guidance on all aspects of the mission. Guidelines for faculty searches are also transparent and available. We also look forward to hearing from you.
UCSF’s shared work towards anti-racism was highlighted in a series of town halls. In case you missed it, the most recent one from March 25th highlighted the health system’s efforts including BCH’s De-escalation (CARE Support Team) pilot.
Congratulations to the Pediatric Residency Program in Oakland and all the training programs on this campus for a terrific match in an unusual year. One factor that lead to success was an ability to bring important messaging about what our training programs are like though innovative social media campaigns.
Join us May 18, 2021 for our Annual Trainee Research Symposium Grand Rounds where posters will be available widely online this year. Stay tuned for details. We will highlight resident and fellow research projects.
Speaking of transformation, congratulations to the FQHC on their onsite visit with a preliminary report of no findings! This is a testament to the hard work of the coordinated team.
Additional information and guidance is linked below:
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Click here to watch the UCSF Town Hall recording
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Click here for the corresponding PowerPoint presentation
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Click here for 21st Century Cures Frequently Asked Questions
Kelley
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Please join us in welcoming our newest team member in the BCH Oakland Dean's office, May Aguirre, Education Project Coordinator.
May has her Masters Degree in Early Childhood Education from SF State University and has worked in Education for over a decade. Prior to working in Education she earned a degree in Molecular and Cell Biology from UC Berkeley and worked in Biotech. She loves hiking and running in her free time.
May's Expertise is project coordination, communication management, and education for Oakland-based Fellows, Residents, and Medical Students Programs.
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It is a pleasure to welcome Kavitha Pundi, MD, FACC, to the Division of Cardiology at UCSF Benioff Children’s Hospitals. Dr. Pundi will divide her time between our two campuses, providing inpatient and outpatient pediatric cardiology care along with transthoracic, transesophageal and fetal echocardiography imaging services.
Read more
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Introducing Our Next Pediatric Intern Class! | |
BCH Oakland All Faculty Meeting - Wednesday, May 19th | |
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The next BCH Oakland All Faculty Meeting will be held virtually on:
Wednesday, May 19th from 5:00-6:00 PM
More info will be announced.
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Grand Rounds Spotlight - Thursday, April 8th | |
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April 8, 2021 Grand Rounds Spotlight:
"UCSF De-escalation Program Development: a Case Study of Challenges and Opportunities in Anti-Racism Work"
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Lecture Objectives:
1. Describe the structural racism present in behavioral response policies and hospital
use of security/police
2. Analyze challenges to anti-racism endeavors that recur when translating theory into practice, including the tension between safety and comfort
3. Apply “Racism as a Root Cause” approach to evaluating the de-escalation task force process aimed at eliminating racial disparities in security calls
4. Recognize the integral relationship-building component of equity work by highlighting transdisciplinary voices from the de-escalation team
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The University of California, San Francisco School of Medicine (UCSF) is accredited by the Accreditation Council of Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
UCSF designates this live activity for a maximum of 40 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Pediatric Grand Rounds is presented by the Division of Medical Education. Please contact Cherise.Masunaga@ucsf.edu if you have any questions.
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The Collaborative Approach to Examining Adversity and Building Resilience (CARE) | |
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Congratulations!
We are pleased to announce that our UCSF team was awarded a large multiyear grant by California Initiative for Advancement of Precision Medicine (CIAPM) addressing Health Impacts of Adverse Childhood Experiences through a Collaborative Precision Medicine Approach.
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University of California, San Francisco
The Collaborative Approach to Examining Adversity and Building Resilience (CARE)
Lead Principal Investigator:
Neeta Thakur, MD, MPH; Assistant Professor of Medicine
University of California, San Francisco (UCSF)
Principal Investigators:
Lisa James, MA; Director of Health
Futures Without Violence
Dayna Long, MD; Co-Director, Center for Child and Community Health
UCSF Benioff Children’s Hospital Oakland
Nicole R. Bush, PhD; Associate Professor of Psychiatry & Pediatrics
University of California, San Francisco (UCSF)
Danielle Hessler, PhD; Associate Professor and Vice Chair of Research,
Department of Family and Community Medicine
University of California, San Francisco (UCSF)
Maryam Kia Keating, PhD; Professor and Licensed Clinical Psychologist
University of California, Santa Barbara (UCSB)
Project Summary:
The cross-disciplinary team will study how to enhance resilience in children and families who have experienced adversity. Though it is well understood that ACEs can impact life-long health, more knowledge is required, from both scientists and communities, to personalize and implement interventions to fit individual physiology and environmental circumstances. This project draws upon clinical intervention, stress-biology science, and community partnership to help us understand which children are most vulnerable to the effects of ACEs, what family and community-level factors provide the most buffering protection, and which interventions most improve child and family outcomes-and for whom.
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UC System-wide Data Breach | |
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Dear Colleagues,
Please take a moment to read the FAQs from the UC Office of the President (UCOP) regarding the system-wide data breach that the University of California reported last week, and review the resources below to learn about the steps you should take to help protect yourself. This includes enrolling in the free credit monitoring and identity theft protection offered by UCOP in its April 2 update.
Sincerely,
Talmadge E. King, Jr., MD
Dean, UCSF School of Medicine
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Virtual Meetings Experiment | |
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Dear Colleagues,
Our reliance on remote work has created benefits as well as challenges. The convenience of virtual meetings often results in stacked back-to-back meetings without breaks or transition time.
As we redefine how we interact throughout the day, we are committed to finding new ways to improve your work experience, including a number of recommendations to make virtual meeting schedules more sustainable.
We are asking all who use virtual meetings to participate in an experiment over the next six months, by adjusting meeting start times and enabling breaks. Specifically, please consider:
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Creating standard breaks between meetings by shortening 30- and 60-minute meetings to 25 and 50 minutes, respectively (or less if possible).
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Using a standard start time of :05 (if 25 minutes) or :10 after the hour (if 50 minutes)
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For meetings longer than one hour, starting at :10 after the hour and offering stretch breaks in the middle of the meeting.
You can find more details here, including best practices for time management and using meeting time more effectively. Shorter meetings can also improve meeting productivity, as outlined in this article featuring Adam Gazzaley, MD, founder and executive director of Neuroscape, a translational neuroscience center at UCSF.
This is just the start of ongoing adjustments to our work to help all of us to thrive in our virtual environments. Thank you in advance for your participation and feedback.
Sincerely,
Talmadge E. King, Jr., MD
Dean, School of Medicine
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De-escalation Pilot Launch | |
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Re-post from Jamie Phillips
Dated March 22, 2021
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Dear Colleagues,
We are pleased to announce the launch of a 60-day pilot of the CARE De-escalation Program that began this Wednesday as part of UCSF Health’s system-wide anti-racism efforts. This de-escalation effort was initiated after an incident in our Children’s Hospitals, which raised concerns among medical residents and other team members about implications for hospital-sanctioned policing, perpetuation of anti-Black stereotypes, and harm to patient care as a result of unnecessary escalation of force.
By implementing the CARE program, we believe we can make meaningful progress toward our goal of eliminating racial and ethnic disparities in our responses to patients and families at times of crisis. By responding in an informed, culturally competent, and therapeutic manner, we aim to reduce disparities in our approach and greatly reduce our reliance on security and the police.
The program will launch in the Pediatric Medical Surgical (C5MSP) and Transitional Care Unit (C5TCUP), and Emergency Department, of UCSF Benioff Children’s Hospital SF, as well as public spaces at UCSF Medical Center at Mission Bay. These areas have the most disruptive incidents of reported workplace violence at the Mission Bay hospitals.
Encounters with the health care system can be stressful. When coping mechanisms are stretched, behaviors and interactions among patients, families and staff can be misperceived. Resulting interventions to de-escalate the issues may not be conducted in a way that is conducive to a safe, respectful or healing environment. Furthermore, when busy staff members are under-supported, opportunities to proactively prevent escalation may be missed. Our aim is to shift these interactions for our patients, families and staff.
A Pilot Steering Committee and a Pilot Work Group, comprising clinicians, security and leadership, among others, were formed to develop a de-escalation pathway, establish scope, goals and metrics of success, as well as launch the pilot program and expand training opportunities.
The de-escalation team is called the Code CARE Support Team, with the word “CARE” emphasizing the following: Consider the facts, Awareness of your Assumptions and perspectives, Recognize other perspectives, and Evaluate the best option to move forward.
This team, which includes nurse and security supervisors, social workers, and spiritual care, is being trained in nonviolent crisis prevention and intervention, trauma-informed care and our diversity, equity and inclusion principles.
The team will be available 24/7 for staff, patients and families and may be activated as needed. If security receives a call about an incident, and the de-escalation team would be a better fit for response, security will redirect the call to a nurse supervisor to activate the team.
We are thrilled that Jonnique Bell, RN, who has over 14 years of nursing experience, with the past 10 years at UCSF Health, has joined us as program manager of the Code CARE Support Team at Mission Bay. Jonnique brings great experience as a patient advocate, understands the challenges of patient care, and recognizes the importance the Code CARE Support Team will play in creating a new approach to safety and security at UCSF Health.
Learnings from the pilot will be used to modify the program prior to expansion this summer to all inpatient units at Mission Bay. Future plans include expansion to the rest of UCSF Health’s campuses, including UCSF Benioff Children’s Hospital Oakland.
As we expand this program to our other campuses, we welcome your feedback. We must learn to recognize the manifestations of stress and trauma earlier, provide support to families before interactions escalate, and decrease our current reliance on security and police. And in particular, we must address the needs of our diverse patient population to eliminate disparities in our response to emotional or behavioral crises.
Your partnership will be critical to building UCSF Health’s capacity for racial humility and trauma-informed care, as well as creating an environment rooted in empathy and understanding.
Sincerely,
Sheila Antrum
Senior Vice President
Chief Operating Officer
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POPULATION HEALTH and HEALTH EQUITY | |
Center of Excellence for Immigrant Child Health and Wellbeing | |
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The Center of Excellence for Immigrant Child Health and Wellbeing is a cross-bay entity based at UCSF Benioff Children’s Hospitals in Oakland and San Francisco and serves as the infrastructure for collective action to address the health of children in immigrant families. It is among the first of its kind at a children’s hospital in the U.S. and was created in response to both the historical and recent national/state policies targeting immigrant communities. In particular, the 2019 Public Charge rule created tremendous fear which resulted in decreased utilization of eligible public benefits and health care services based on fear of deportation. As pediatric health care providers committed to optimal outcomes for children, the impact of this was greatly disturbing. Based on these realities, a group of providers felt it was urgent that UCSF have a coordinated response to address these concerns.
The Center of Excellence for Immigrant Child Health and Wellbeing stands on 3 pillars:
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Clinical Services: Delivering specialized care based on the unique needs of immigrant children and offering no-cost forensic exams for asylum seekers.
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Education and Trainings: Providing trainings and guidance to health care professionals.
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Advocacy: Serving as a resource for the community, providing leadership and promoting best practices for serving immigrant communities.
To learn more about The Center of Excellence for Immigrant Child Health and Wellbeing, visit us at: https://immigrantchild.ucsf.edu/
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Spring 2021 Speaker Series | |
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More info can be found HERE. Registration is required.
Session 2: Converging Threats, Cascading Health Risks: Climate Change, Food Security, and Migration
Thursday, April 15, 2:30-4pm PDT
Session 3: Now, More Than Ever: Movement Building for Climate, Racial, and
Health Justice
Thursday, May 20, time 2:30-4pm PDT
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DIVERSITY, EQUITY and INCLUSION at UCSF BCH | |
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From Marsha J. Treadwell, PhD
DEI Co-Chair BCH Oakland
Professor of Psychiatry and Pediatrics, UCSF School of Medicine
Jordan Fund Endowed Chair, Department of Hematology/Oncology
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The focus of the BCH Diversity, Equity and Inclusion (DEI) Initiative is to dismantle systemic racism within BCH by taking action to insure that policies, institutional practices, cultural representations and other norms no longer reinforce and perpetuate racial group inequity for Blacks, Indigenous and People of Color. Patients and families and other groups in the workforce, including LGBTQ+ are negatively impacted within the current problematic climate. For more information, please feel free to reach out to me, our program manager Henry Ocampo at henry.ocampo@ucsf.edu, or visit our website https://diversitybch.ucsf.edu/.
Updated info on the DEI website.
Questions? Email Abdur Shemsu at abdur.shemsu@ucsf.edu
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DEI STEERING COMMITTEE
The DEI Council is launching a quarterly Steering Committee meeting. The purpose of the Steering Committee is to review DEI best practices across the BCH enterprise, review the BCH DEI Action Plan rollouts, ensure communication and alignment of department-specific DEI initiatives with the DEI Action Plan, maximize our limited resources and to keep one another informed and engaged. We invite departments to share where you are with DEI thinking and what your departmental plans are to advance DEI.
Please contact Henry.Ocampo@ucsf.edu for more information.
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NIH UNITE Initiative on Structural Racism
The NIH introduced a new initiative to combat structural racism in biomedical research, known as UNITE. UNITE consists of five committees, each tasked with addressing a different dimension of systemic racism in biomedical research. This type of coordination is critical at an institution as large as NIH, and to address funding disparities in biomedical science as described in the recent article Fund Black Scientists.
The NIH also launched a Request For Information (RFI) for anyone who wishes to contribute regarding "feedback on the approaches NIH can take to advance racial equity, diversity, and inclusion within all facets of the biomedical research workforce."
To learn more, please read the Statement on the initiative from NIH Director Francis Collins or visit the UNITE program website by clicking on the button below.
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Planning Committee for Asian Pacific Heritage Month in April
Seeking volunteers to help plan the upcoming Asian Pacific Heritage Month in May 2021. Committee will help plan activities, webpage content, and update the factsheet. Please contact Henry.Ocampo@ucsf.edu for more info.
Click HERE to see the Asian American Heritage Month 2020 webpage.
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UCSF Cultural Groups and Resources | |
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UCSF’s PRIDE Values and how they can be enacted through our daily lives are:
P - Professionalism: To be competent, accountable, reliable and responsible, interacting positively and collaboratively with all colleagues, students, patients, visitors and business partners.
R - Respect: To treat all others as you wish to be treated, being courteous and kind, acting with utmost consideration of others.
I - Integrity: To be honest, trustworthy and ethical, always doing the right thing, without compromising the truth, and being fair and sincere.
D - Diversity: To appreciate and celebrate differences in others, creating an environment of equity and inclusion with opportunities for everyone to reach their potential.
E - Excellence: To be dedicated, motivated, innovative and confident, giving your best every day, encouraging and supporting others to excel in everything they do.
Download a copy of the PRIDE Values
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Pause for Poetry on April 29 | |
Resources | Learning & Organization Development | |
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NEW! Check out the updated Learning & Organization Development
resource page!
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Essential Workers Searching for Child Care | |
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New CareBubbles Platform
UCSF has joined UC Berkeley’s CareBubbles platform, the parent-to-parent resource to help UC Berkeley and UCSF community members meet their childcare needs during the COVID-19 pandemic. Find other families on both sides of the Bay looking to trade childcare, share tutors, create bubbles, and more. To learn more log in using your MyAccess credentials at carebubbles.berkeley.edu.
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More child care resources are linked to our December newsletter.
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As workers on the frontline, you’re dealing with a lot right now. And we know it’s not easy. But help is at hand. Free, confidential mental health counseling is available to you right away through The Frontline Workers Counseling Project, a group of over 400 licensed mental health professionals here in the Bay Area who have reached out to help.
If you’re ready, please visit fwcp.org/bayarea to learn more and sign up to be connected to a trained mental health professional. It’s free and 100% confidential.
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You can also view and share a video we’ve created to spread the word: https://youtu.be/IGh2AAzKiK8
You can find additional materials in these Google files.
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UCSF Collaborative to Advise on Re-opening Education Safely (CARES) | Novel Coronavirus (COVID-19) Resources
In case you missed it, you can get more info and watch the recordings at: https://coronavirus.ucsf.edu/cares
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Pediatric Grand Rounds
Oakland
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Grand Rounds Calendar
4/13/21 “The UCSF Child and Adolescent Chronic Illness Center”
Presented by: Emily von Scheven, MD, MAS
Chief of Rheumatology Director, Child and Adolescent Chronic Illness Center UCSF Benioff Children’s Hospital San Francisco
4/20/21 “Update on Childhood Lead Poisoning Prevention: Counseling, Screening, and Management for Children Potentially Exposed to Lead”
Presented by: Jean M. Woo, MD, MPH, MBA
Public Health Medical Officer, Childhood Lead Poisoning Branch CDPH
4/27/21 “Cystic Fibrosis Therapeutics: Great Strides and Future Directions” Presented by: Jennifer L. Taylor-Cousar, MD, MSCS
Pediatric and Adult Pulmonologist National Jewish Health, Denver, CO
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Did you miss Grand Rounds? Visit http://vimeo.com/album/2238536 and use password CHRCO to view recorded Grand Rounds presentations.
Grand Rounds is by Zoom only. 8-9 am
Contact cristina.fernandez@ucsf.edu for log-in information
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Pediatric Grand Rounds
San Francisco
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Frontiers in Child Health Research Seminar Series | |
Pediatric Pain, Palliative and Integrative Medicine Global Lecture Series | |
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Seminars are the 1st Thursday of every month 3:00-4:00pm
Next seminar...
May 6, 2021
Pain in Children. Nothing but a memory...?
Melanie Noel, PhD
Associate Professor, Department of Psychology, University of Calgary, Canada; Full Member, Alberta Children’s Hospital Research Institute and Hotchkiss Brain Institute
You can access the 2021 schedule HERE
To receive a Zoom invitation for this virtual lecture series, please contact EPEC.Pediatrics@UCSF.edu
After registering, you will receive a confirmation email containing information about joining this webinar.
Center for Pediatric Pain, Palliative and Integrative Medicine
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NICHD Clinician-Scientist Investigator (CSI) Curriculum | |
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This content used to be available only through an invitation-only in person conference, but due to the pandemic, it’s now available to all, Unexpected upside...! Anyway, it’s focused on understanding NIH and other funding opportunities, and establishing clinical and laboratory-based research teams, so a good resource to bookmark for yourself or mentees.
Thanks to Hannah Glass (Pediatric Neurology) for bringing this to our attention!
Roberta L. Keller, MD
Professor of Clinical Pediatrics
Vice Chair, Clinical Translational Research
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New Award Verification Process | |
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Beginning in April 2021, UCSF will implement a new award verification procedure to support Principal Investigators (PIs) in meeting requirements under the Uniform Guidance for federal awards. A key goal of award verification is to reduce the time required of PIs for compliance activities. PIs will cease using the Effort Reporting System and will use a new online tool for award verification.
To learn more about award verification:
If you have questions, please send an email to AwardVerification@ucsf.edu
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New! Information Sheet and Consent Form Addendums for COVID-19 Screening and Testing Procedures | |
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UCSF Human Research Protection Program
Information Sheet and Consent Form Addendums for COVID-19 Screening and Testing Procedures
The HRPP has created the following documents for research participants attending onsite study visits during the COVID-19 public health emergency:
- COVID-19 Screening Information Sheet
- COVID-19 Testing Assent/Consent Form Addendum: Adults, Adolescents (13+), and Parents of Minors
- COVID-19 Testing Assent Form Addendum: Children Aged 7-12
These forms are specifically designed for research participants who undergo COVID-19 screening and/or testing for the sole purpose of adhering to the UCSF Guidance for Onsite Clinical Research Activities, which requires that research participants be screened for COVID-19 prior to onsite visits and must be tested if their visit involves aerosolizing procedures. Use these forms only when the results of the screening and/or testing are unrelated to the study and will not be used as study data.
The language from these forms can also be adapted and added to consent forms for studies in which these screening and testing procedures are being done for study purposes, i.e., the results of the screening and/or testing will be used as study data.
Visit COVID-19 Screening and Testing Forms to access these forms and to read guidance about:
- When to use the forms
- Who should receive the forms
- When signatures are needed
- When IRB submission is needed
- Alternatives to using the forms
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Do you have ideas or suggestions for newsletter content?
If you have an idea or suggestion for content that you feel would be helpful,
please let us know. We would love to hear your ideas.
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Benioff Children’s Hospital Oakland Dean’s Office
UCSF School of Medicine
510-428-3726
Mailing Address:
747 52nd Street, Oakland, CA 94609
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