THE PURSUIT OF HEALTH EQUITY Published by the Faculty Development Office

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PURSUIT OF HEALTH EQUITY CONTINUED FROM PAGE 1
to accomplish
excellence,” said
Aguilar-Gaxiola,
director of the
Clinical and
Translational Science
Center’s Community
Engagement
Program, and
co-director of the
UC Davis Latino
Aging, Research and
can help us progress,” Callahan said.
(Please refer to the October–November
2010 edition of the Faculty Newsletter
at http://www.ucdmc.ucdavis.edu/
facultydev/newsletter.html for more about
unconscious bias.)
Attainment of an atmosphere in which
diversity is valued and thrives requires
a conscious effort to avoid damaging
stereotypes that breed exclusion. “We
must help people understand that our own
Sergio Aguilar-Gaxiola
unconscious biases impede attainment of
Resource Center.
health-care equity,” Callahan said.
“Demand is increasing for a new
Physicians’ unfamiliarity with LGBT
scholarship that values diversity in the
concerns, for example, can affect quality
patient population we serve. Excellence
of care for many patients, including those
is achievable only in an environment that
who are LGBT.
fully supports meaningful engagement
“If a doctor doesn’t know that gay men
with people of diverse cultures, languages
are at higher risk for hepatitis A and B,
and perspectives. Thus, in order to have
they may miss screening opportunities
credibility with the communities we serve, to prevent or identify its occurrence.
we need diversity at all levels,” AguilarProviders need to know that lesbians are
Gaxiola said. “Unfortunately, we face
at higher risk for
significant health disparities that require
certain types of
our focused attention and accountability.
cancers, so they can
For example, Latinos comprise nearly 40
discuss risks and
percent of the California population, but
care appropriately
only a little over 3 percent of our faculty.”
with each patient,”
Building faculty diversity is critically
said Julie Weckstein,
important for the UC Davis Health
a licensed clinical
System in pursuing excellence as a means
social worker in
of reducing health disparities. Edward
the Department
Callahan, associate dean for academic
of Clinical Social
Julie Weckstein, displaypersonnel, observes that while the United
Services. In 2010
ing her welcoming
States spends more on health care than any rainbow ID badge.
Weckstein founded
other nation in the world, our marginalized
a UC Davis Health
populations experience some of the worst
System employee interest group called
health disparities.
GLEE (Gays, Lesbians, Everyone who
“Diversity is a critically important
cares Employees). The group (which has
goal for the institution as we provide
a website accessible through the Insider)
care for diverse populations. Providing
sponsors welcoming events and conducts
that care is becoming more feasible with
training for students, faculty and staff
implementation of the Affordable Care
members.
Act. We are working toward greater
“GLEE includes many straight allies
diversity throughout our Health System,
who recognize that sexual orientation
but diversity is greater among UC Davis
and gender identity, as well as race and
medical students than it is among residents ethnicity, affect the quality of medical care;
and faculty, setting new challenges for us,” we all want to overcome those disparities,”
Callahan said.
said Weckstein, who is a member of
“We must create an environment that
the Task Force for Inclusion of Sexual
will encourage diverse medical students to Orientation and Gender Identity in the
become our faculty of the future. Critically, Electronic Health Record. This past June,
we must make sure that our searches for
UC Davis Health System began offering
new faculty are not blinded by unconscious patients the option of declaring their sexual
bias, so we can recognize the talent that
orientation and gender identity status in
facultyNEWSLETTER | Autumn 2013 | www.ucdmc.ucdavis.edu/facultydev
Faculty Development Office
Sherman Building, Suite 3900
UC Davis Health System
2315 Stockton Blvd.
Sacramento, CA 95817
their MyChart electronic database.
“Physicians need to be aware that
LGBT people, particularly youths, have
elevated risk of depression, anxiety,
drug abuse, and suicidal ideation. The
pathway to mental health counseling
and treatment typically begins with
primary-care clinicians.”
Darin Latimore, associate dean for
student and resident diversity, says
progress also requires recognition
of cognitive diversity, based on life
experiences.
“Much of what we bring to the table
as educators comes from our personal
experiences and backgrounds. If we’re
to educate the next generations of
physicians and nurses to take care of all
patients, educators need to be diverse
and comfortable with diversity in order
to give our learners a well-rounded
education,” Latimore said. “Our patients
clearly need people with whom they can
identify, and who identify with them as
well as others who make them feel safe
and understood.”
He acknowledges that socioeconomic
imbalance in the medical education
conduit originates in public primary and
secondary schools. He has conceived
a corrective model that can instigate
change.
“The UC Davis Schools of Health
need to adopt our neighboring
community, to partner with the K–12
schools in the area and teach math and
science to the children, to introduce
them to the possibilities of careers in
medicine. We should pledge to those
students that if
they attend college
and maintain a
certain GPA, we
will guarantee
them a spot in
our medical
or nursing
school.” Latimore
rhetorically asks,
“Will that solve
Darin Latimore
the problems of
the world? No.
But if every American institution of
higher education did that, collectively
we would make a difference.”
Published by the Faculty Development Office
AUTUMN 2013
Workshops and other activities
You are invited! We encourage you to
enroll in one of the various workshops,
programs and events sponsored by the
Faculty Development Office. For more
event details and to register, visit
www.ucdmc.ucdavis.edu/facultydev/
and click Enroll Online. (Event
co-sponsors are indicated within
parentheses.) Volunteer Clinical
Faculty members are also welcome
and encouraged to attend faculty
development events.
(CALENDAR FROM PAGE 1)
December
3 Saying Yes, No, Maybe: Challenges, Limits, and Uncertainty, Part 1 (ECLP/MCLP)
5 New Faculty Workshop – Tools for Success
12 Saying Yes, No, Maybe: Challenges, Limits, and Uncertainty, Part 2 (ECLP/MCLP)
October
3 Grantsmanship Seminar, Part 1
January 2014
facultyNEWSLETTER
Published quarterly by the Faculty
Development Office, which administers
and coordinates programs that respond to the
professional and career development needs of
UC Davis Health System faculty members.
2315 Stockton Blvd.
Sherman Building, Suite 3900
Sacramento, CA 95817
(916) 703-9230
www.ucdmc.ucdavis.edu/facultydev
Edward Callahan, Ph.D.
Associate Dean for Academic Personnel
Acting Director, Faculty Development
Brent Seifert, J.D.
Manager, Academic Personnel Office
10 Leadership and the Pro-Social Emotions, Part 1 (ECLP/MCLP)
10 Grantsmanship Seminar, Part 2
15 Common Psychological Issues in the Elderly (ECWS)
18 Workshop: Health Sciences
Clinical Professor (HSCP) Faculty
Promotions Process
17 Leadership and the Pro-Social Emotions, Part 2 (ECLP/MCLP)
24 Leadership and the Pro-Social Emotions, Part 3 (ECLP/MCLP)
21 Women in Medicine and Health
Science Medical Student Welcome
Reception (WIMHS)
Event co-sponsors
24 Time Management Skills (ECLP)
ECLP: Early Career Leadership Program
29 Workshop: Faculty Merits,
Promotions and Tenure
ECWS: Elder Care Workshop Series
MCLP: Mid-Career Leadership Program
November
WIMHS: Women in Medicine and Health Science
1 The Work of Leadership: Building
Resilience, Part 1 (ECLP/MCLP)
Cheryl Busman
Program Manager, Faculty Development
cheryl.busman@ucdmc.ucdavis.edu
8 The Work of Leadership: Building
Resilience, Part 2 (ECLP/MCLP)
EditPros LLC
Writing and Editing
www.editpros.com
15 The Work of Leadership: Building
Resilience, Part 3 (ECLP/MCLP)
DECEMBER CONTINUED ON PAGE 6
5
facultyNEWSLETTER | Autumn 2013 | www.ucdmc.ucdavis.edu/facultydev
6
THE PU R SU I T OF HE ALTH E QU I TY
Why diversity is critically important to the UC Davis Health System
Open enrollment began Oct. 1 for more
than 5.5 million medically uninsured
Californians to apply for health-care
coverage under the federal Affordable
Care Act. The U.S. Department of
Health and Human Services identifies
50 percent of those eligible uninsured
Californians as Latino or Hispanic, 12
percent as Asian American or Pacific
Islander, 6 percent as African American,
and 29 percent as white (source: www.
hhs.gov/healthcare/facts/bystate/ca.html).
While that breakdown is revealing,
it reflects only one facet of the multidimensional spectrum of diversity. The
UC Davis Health System’s Framework
for Diversity document adopted in
2011 codifies principles to reduce
health disparities by advancing diversity
among clinical, teaching and research
faculty members, residents, fellows, and
medical and nursing students and staff, in
order to attain health-care equity within
the health system’s catchment area.
Fulfillment of that pledge requires
building on a broad interpretation of
“diversity” embracing not only ethnic,
racial and socioeconomic groups,
but also other distinctions, including
language, nationality, gender, sexual
orientation, age, religious convictions,
differences in abilities, military status,
and geographic locale, which influence
health-care quality. Sergio Aguilar-Gaxiola, director of the UC Davis Center
for Reducing Health Disparities, is
among many health-care professionals
and administrators who are convinced
that serving divergent groups requires
a diverse, culturally and linguistically
competent health-care workforce.
“In this pluralistic, multicultural,
multilingual society, the UC Davis
Schools of Nursing and Medicine and
the health system have a responsibility
for educating students, residents, staff
and faculty that diversity is necessary
CONTINUED ON PAGE 5
officeVISIT
facultyROUNDS
A WELCOME TO NEW
FACULTY COLLEAGUES
ORTHODONTIST PETER WORTH VOLUNTEERS HIS
TIME ON THE CRANIOFACIAL ANOMALIES PANEL
Cleft palate and
other craniofacial
abnormalities are
among the most
complex medical
problems, requiring
a meticulously
coordinated panoply of
corrective surgical and
therapeutic procedures.
Peter Worth
Members of the
UC Davis Health System’s Craniofacial
Anomalies Panel have expertise in a
wide variety of disciplines, including
otolaryngology, oral maxillofacial and
plastic surgery, genetics, speech pathology,
audiology, pediatrics, social work,
orthodontics, oral surgery, pediatric and
general dentistry, and specialized nursing.
Throughout the past 24 years as
a UC Davis volunteer clinical faculty
member, board-certified orthodontist
Peter W. Worth has donated his services
on the Craniofacial Anomalies Panel.
Otolaryngologist Craig Senders, director
of the UC Davis Cleft and Craniofacial
Program, offers high praise for him.
“Dr. Worth spends numerous hours
with our pediatric cleft patients, contributing to treatment in our complex dental and
orthodontic cases. His clinical skills are
extraordinary. He additionally teaches our
residents, fellows and medical students,
and has become the leader of the orthodontic volunteer clinical faculty group,”
Senders and Hilary Brodie, chair of the
Department of Otolaryngology, wrote in
nominating Worth for the 2013 Volunteer
Clinical Faculty Award, which he received
earlier this year.
“I am fortunate to be a member of the
team and am honored to have received
this award,” Worth said. In private practice
since 1979, Worth treats malocclusions for
adults and children in his offices in Roseville and Orangevale. He rectifies misalignment of teeth and jaws using braces, other
appliances and retainers. His interest in
orthodontics initially was piqued while he
was attending dental school at UCLA. For
a class project, he helped perform dental
care for the White Mountain Apache Tribe
in Whiteriver, Arizona. After obtaining
his D.D.S. degree in 1972, he fulfilled his
military service obligation by enlisting
with the Indian Health Service unit of the
U.S. Public Health Service, which dispatched him to Tohatchi, N.M., where he
served two years. He served an additional
year treating members of the Crow tribe in
Montana for the Public Health Service, rising to the rank of lieutenant commander
when he completed his duty in 1975.
“Dr. Worth spends numerous hours
with our pediatric cleft patients,
contributing to treatment in our
complex dental and orthodontic
cases. His clinical skills are
extraordinary.”
—Craig Sanders and Hilary Brodie
He subsequently enrolled in the
University of Southern California School
of Dentistry’s two-year program to
obtain his certificate in orthodontics.
He later underwent two years of
additional postgraduate training
through the Foundation for Advanced
Continuing Education in Burlingame in
techniques for treating maladies of the
temporomandibular joint – the jaw hinge.
In 1989, Worth received a call from
his longtime friend Richard Gere – not
the actor, but a fellow dentist whose time
with the Public Health Service in New
Mexico paralleled Worth’s. By the late ’80s
Gere was a member of UC Davis’ advisory
Craniofacial Anomalies Panel, to which he
recommended the addition of Worth.
facultyNEWSLETTER | Autumn 2013 | www.ucdmc.ucdavis.edu/facultydev
viewPOINT
“Each specialist on the craniofacial
team sees the patient independently,
and then we all gather in a conference
setting to discuss what the patient
needs from everybody’s point of view,”
Worth explained. “I may ask the
speech pathologist, for example, if a
malocclusion is contributing to the
patient’s speech problem.”
The craniofacial surgery team maps
out a sequence of procedures.
“Surgery often is performed to close
the lip and the palate early to develop
proper speech. But scarring from those
surgeries tends to create malocclusions
by restricting the growth of the
upper jaw. That’s when orthodontics
comes into play,” Worth explained.
“Sometimes the upper dental arch
needs to be expanded in preparation
for bone grafting in the cleft site. The
orthodontist will expand the upper jaw
to a proper width. The surgeon then
grafts bone into the cleft site. Later the
orthodontist will manipulate the bite
into proper alignment. Many cleft palate
patients congenitally are missing teeth,
and orthodontists create spaces for a
restorative dentist to place tooth implants.
It’s a team function in a true sense.”
Worth approaches his service on the
advisory group with humility.
“I enjoy my role with the UC Davis
craniofacial team, and I’m always flattered
when a surgeon asks me if a case requires
jaw surgery,” said Worth, who interacts
with medical students at the panel.
“Medical students often are surprised
about how much of a role orthodontics
plays in treating kids with craniofacial
problems,” he said.
Worth and his wife Linda, a retired
teacher, have a daughter, Corinna, who
is an oncology and telemetry nurse, and
a son, Dan, a fisheries biologist with the
state Department of Water Resources
Management.
BY EDWARD J. CALLAHAN
Machado
DAVID ACOSTA IS A NATIONALLY
RECOGNIZED THOUGHT LEADER
Semrad
Each edition of the Faculty Newsletter introduces several faculty colleagues who recently joined the UC Davis
Health System community. Watch for more new clinical and research staff members in the next issue.
Christopher Machado studies
neural causes of psychiatric
disorders
endocrine fellowship. She serves as the
only endocrinologist at the Sacramento
County Primary Care Clinic.
Neuroscientist Christopher J. Machado,
Ph.D., is a research scientist who
investigates the etiology of human
psychiatric disorders, including
autism, schizophrenia, depression and
social anxiety disorder and the ways
in which they manifest themselves in
socioemotional deficits. Machado, an
assistant adjunct professor of psychiatry
and behavioral sciences, is affiliated with
the MIND Institute and the California
National Primate Research Center.
Semrad, a UC Davis alumna who
completed her residency here, precepts the
endocrine fellow and medicine residents
in thyroid and general endocrine clinics
at UC Davis and for Sacramento County.
She also conducts a weekly diabetes clinic
with medical students at the Sacramento
County primary-care clinic. Semrad,
who teaches in the school of nursing as
well as the school of medicine, serves as
a faculty mentor for medical students,
and is involved with the medical school
admissions process. She has board
certifications in internal medicine;
endocrinology, diabetes and metabolism;
and a national endocrine certification in
neck ultrasound.
His research focuses on two
questions: What is the specific role of
each neural region that participates in
social information processing? How
does this network develop structurally
and functionally from infancy through
adulthood, and what conditions can
perturb that process? In his research
Machado uses nonhuman primates as
a model for human neurobiology and
behavior, and he draws upon perspectives
from neuroscience, psychology, psychiatry
and primatology.
Endocrinologist Alison Semrad
treats thyroid disease
Endocrinologist Alison M. Semrad,
D.O., specializes in treating thyroid
disease, particularly thyroid cancer. An
assistant professor in the Department
of Internal Medicine’s Division of
Endocrinology, Diabetes and Metabolism,
she co-chairs the Department of
Otolaryngology’s endocrine tumor board
and is the co-fellowship director for the
2
Kaesberg, who has certifications
in internal medicine, hematology,
and hospice and palliative care,
treats patients who have leukemia,
lymphoma, anemia and coagulation
disorders. He is helping to administer
clinical trials in the UC Davis Cancer
Center, and is participating in a study
examining methods of communication
with cancer patients.
n
Other new colleagues
n
n
Kendra Grether-Jones, M.D., an
assistant professor of emergency
medicine, performs clinical care in the
Emergency Department. Grether-Jones,
who is board-certified in emergency
medicine and pediatric emergency
medicine, is principal investigator for an
upcoming study in collaboration with
PEM CRC research network evaluating
newborn infants for risk factors in HSV
infections, with the goal of optimizing
their clinical care. She also enrolls
patients in the numerous various
Emergency Department studies.
Hematologist Paul R. Kaesberg, M.D.,
a clinical professor in the Department
of Internal Medicine, has expertise
in benign and malignant hematology.
facultyNEWSLETTER | Autumn 2013 | www.ucdmc.ucdavis.edu/facultydev
Edward J. Callahan
n
When Shelton Duruisseau retired in
June 2012, the members of the health
system’s leadership team undertook a
protracted and calculated nationwide
search to identify and attract the bestqualified candidate who could not only
ably fill Shelton’s shoes, but could help us
advance our critically important diversity
objectives.
Ophthalmologist Ala Moshiri, M.D.,
Ph.D., is a retinal specialist in the
UC Davis Eye Center and in the VA
Northern California Health Care
System. He has expertise in treating
macular degeneration, retinal vascular
and inflammatory diseases, diabetic
retinopathy, macular hole, macular
pucker, and retinal detachments.
Moshiri, an assistant professor, is a
diplomate of the American Board of
Ophthalmology. He is conducting
research investigating photoreceptor
functioning and survival, as well as
retinal genetics.
Joo Y. Song, M.D., an assistant
professor of pathology and laboratory
medicine, is conducting research
on the biology of lymphomas and
relationships with prognosis and
classification. As a specialist in
hematopathology, he emphasizes
evaluation and diagnosis of lymphoma
and leukemias in his clinical practice.
Song, who served a fellowship in
hematopathology with the National
Cancer Institute, is board-certified in
anatomic pathology, clinical pathology
and hematopathology.
David Acosta
We found that leader in David Acosta,
who on July 8 joined us as associate
vice chancellor for equity, diversity and
inclusion for the UC Davis School of
Medicine, the Betty Irene Moore School of
Nursing, UC Davis Medical Center and the
physician practice group.
David Acosta came to UC Davis from
the University of Washington School
of Medicine, where he had been chief
diversity officer; director of the Center
for Equity, Diversity and Inclusion;
3
and associate dean for multicultural
affairs. Under David’s direction, the
University of Washington medical
school established a Center for Cultural
Proficiency in Medical Education.
David’s election as the national
chair of the Association of American
Medical Colleges’ Group on Diversity
and Inclusion validates his stature as a
nationally recognized thought leader
on diversity. A board-certified family
practice physician who began caring for
disadvantaged populations three decades
ago, David was born and raised in Santa
Ana, and obtained his medical degree
from UC Irvine in 1979. He completed
his residency in family medicine at the
Community Hospital of Sonoma County,
an affiliate of UC San Francisco.
Warm, engaging and insightful,
David is a tenacious advocate of healthcare equity, which he unequivocally
distinguishes from equality. He tells a
wonderful anecdote in which a teacher
explains the contrast to her students. She
asks them to remove their shoes and toss
them in a pile in the middle of the room.
Then as she randomly hands out two
shoes of differing sizes to each student,
they begin complaining that they got the
wrong shoes. The teacher says that by
giving each of them two shoes without
regard to individual differences, she
treated all the students with equality.
One child objected, saying “these shoes
don’t fit me.” As the teacher began
handing the students their own shoes
she said, “now you’re each getting shoes
that fit your individual needs. That’s
equity.”
facultyNEWSLETTER | Autumn 2013 | www.ucdmc.ucdavis.edu/facultydev
I find David’s perspective on diversity
profoundly inspiring. “The sense of
belonging is a basic human value, but the
hierarchical structure that is a part of any
academic institution sometimes can deny
some people a voice at the table,” David
says. “We must reaffirm UC Davis as a
place that values such interactions not only
internally but also externally, to embrace
the communities that we serve locally,
regionally and even globally through our
research work. It’s a matter of being able
to integrate diversity and inclusion as a
normative value all the way across the
board in everything that we do,” he says.
David favors an open-door policy. His
office is in the Facilities Support Services
Building. Please join me in welcoming
David to our leadership team.
“The sense of belonging is
a basic human value, but
the hierarchical structure that
is a part of any academic
institution sometimes can
deny some people a voice at
the table.”
—David Acosta
Edward J. Callahan, Ph.D., is the
associate dean for academic personnel
and a professor of family and community
medicine.
4
officeVISIT
facultyROUNDS
A WELCOME TO NEW
FACULTY COLLEAGUES
ORTHODONTIST PETER WORTH VOLUNTEERS HIS
TIME ON THE CRANIOFACIAL ANOMALIES PANEL
Cleft palate and
other craniofacial
abnormalities are
among the most
complex medical
problems, requiring
a meticulously
coordinated panoply of
corrective surgical and
therapeutic procedures.
Peter Worth
Members of the
UC Davis Health System’s Craniofacial
Anomalies Panel have expertise in a
wide variety of disciplines, including
otolaryngology, oral maxillofacial and
plastic surgery, genetics, speech pathology,
audiology, pediatrics, social work,
orthodontics, oral surgery, pediatric and
general dentistry, and specialized nursing.
Throughout the past 24 years as
a UC Davis volunteer clinical faculty
member, board-certified orthodontist
Peter W. Worth has donated his services
on the Craniofacial Anomalies Panel.
Otolaryngologist Craig Senders, director
of the UC Davis Cleft and Craniofacial
Program, offers high praise for him.
“Dr. Worth spends numerous hours
with our pediatric cleft patients, contributing to treatment in our complex dental and
orthodontic cases. His clinical skills are
extraordinary. He additionally teaches our
residents, fellows and medical students,
and has become the leader of the orthodontic volunteer clinical faculty group,”
Senders and Hilary Brodie, chair of the
Department of Otolaryngology, wrote in
nominating Worth for the 2013 Volunteer
Clinical Faculty Award, which he received
earlier this year.
“I am fortunate to be a member of the
team and am honored to have received
this award,” Worth said. In private practice
since 1979, Worth treats malocclusions for
adults and children in his offices in Roseville and Orangevale. He rectifies misalignment of teeth and jaws using braces, other
appliances and retainers. His interest in
orthodontics initially was piqued while he
was attending dental school at UCLA. For
a class project, he helped perform dental
care for the White Mountain Apache Tribe
in Whiteriver, Arizona. After obtaining
his D.D.S. degree in 1972, he fulfilled his
military service obligation by enlisting
with the Indian Health Service unit of the
U.S. Public Health Service, which dispatched him to Tohatchi, N.M., where he
served two years. He served an additional
year treating members of the Crow tribe in
Montana for the Public Health Service, rising to the rank of lieutenant commander
when he completed his duty in 1975.
“Dr. Worth spends numerous hours
with our pediatric cleft patients,
contributing to treatment in our
complex dental and orthodontic
cases. His clinical skills are
extraordinary.”
—Craig Sanders and Hilary Brodie
He subsequently enrolled in the
University of Southern California School
of Dentistry’s two-year program to
obtain his certificate in orthodontics.
He later underwent two years of
additional postgraduate training
through the Foundation for Advanced
Continuing Education in Burlingame in
techniques for treating maladies of the
temporomandibular joint – the jaw hinge.
In 1989, Worth received a call from
his longtime friend Richard Gere – not
the actor, but a fellow dentist whose time
with the Public Health Service in New
Mexico paralleled Worth’s. By the late ’80s
Gere was a member of UC Davis’ advisory
Craniofacial Anomalies Panel, to which he
recommended the addition of Worth.
facultyNEWSLETTER | Autumn 2013 | www.ucdmc.ucdavis.edu/facultydev
viewPOINT
“Each specialist on the craniofacial
team sees the patient independently,
and then we all gather in a conference
setting to discuss what the patient
needs from everybody’s point of view,”
Worth explained. “I may ask the
speech pathologist, for example, if a
malocclusion is contributing to the
patient’s speech problem.”
The craniofacial surgery team maps
out a sequence of procedures.
“Surgery often is performed to close
the lip and the palate early to develop
proper speech. But scarring from those
surgeries tends to create malocclusions
by restricting the growth of the
upper jaw. That’s when orthodontics
comes into play,” Worth explained.
“Sometimes the upper dental arch
needs to be expanded in preparation
for bone grafting in the cleft site. The
orthodontist will expand the upper jaw
to a proper width. The surgeon then
grafts bone into the cleft site. Later the
orthodontist will manipulate the bite
into proper alignment. Many cleft palate
patients congenitally are missing teeth,
and orthodontists create spaces for a
restorative dentist to place tooth implants.
It’s a team function in a true sense.”
Worth approaches his service on the
advisory group with humility.
“I enjoy my role with the UC Davis
craniofacial team, and I’m always flattered
when a surgeon asks me if a case requires
jaw surgery,” said Worth, who interacts
with medical students at the panel.
“Medical students often are surprised
about how much of a role orthodontics
plays in treating kids with craniofacial
problems,” he said.
Worth and his wife Linda, a retired
teacher, have a daughter, Corinna, who
is an oncology and telemetry nurse, and
a son, Dan, a fisheries biologist with the
state Department of Water Resources
Management.
BY EDWARD J. CALLAHAN
Machado
DAVID ACOSTA IS A NATIONALLY
RECOGNIZED THOUGHT LEADER
Semrad
Each edition of the Faculty Newsletter introduces several faculty colleagues who recently joined the UC Davis
Health System community. Watch for more new clinical and research staff members in the next issue.
Christopher Machado studies
neural causes of psychiatric
disorders
endocrine fellowship. She serves as the
only endocrinologist at the Sacramento
County Primary Care Clinic.
Neuroscientist Christopher J. Machado,
Ph.D., is a research scientist who
investigates the etiology of human
psychiatric disorders, including
autism, schizophrenia, depression and
social anxiety disorder and the ways
in which they manifest themselves in
socioemotional deficits. Machado, an
assistant adjunct professor of psychiatry
and behavioral sciences, is affiliated with
the MIND Institute and the California
National Primate Research Center.
Semrad, a UC Davis alumna who
completed her residency here, precepts the
endocrine fellow and medicine residents
in thyroid and general endocrine clinics
at UC Davis and for Sacramento County.
She also conducts a weekly diabetes clinic
with medical students at the Sacramento
County primary-care clinic. Semrad,
who teaches in the school of nursing as
well as the school of medicine, serves as
a faculty mentor for medical students,
and is involved with the medical school
admissions process. She has board
certifications in internal medicine;
endocrinology, diabetes and metabolism;
and a national endocrine certification in
neck ultrasound.
His research focuses on two
questions: What is the specific role of
each neural region that participates in
social information processing? How
does this network develop structurally
and functionally from infancy through
adulthood, and what conditions can
perturb that process? In his research
Machado uses nonhuman primates as
a model for human neurobiology and
behavior, and he draws upon perspectives
from neuroscience, psychology, psychiatry
and primatology.
Endocrinologist Alison Semrad
treats thyroid disease
Endocrinologist Alison M. Semrad,
D.O., specializes in treating thyroid
disease, particularly thyroid cancer. An
assistant professor in the Department
of Internal Medicine’s Division of
Endocrinology, Diabetes and Metabolism,
she co-chairs the Department of
Otolaryngology’s endocrine tumor board
and is the co-fellowship director for the
2
Kaesberg, who has certifications
in internal medicine, hematology,
and hospice and palliative care,
treats patients who have leukemia,
lymphoma, anemia and coagulation
disorders. He is helping to administer
clinical trials in the UC Davis Cancer
Center, and is participating in a study
examining methods of communication
with cancer patients.
n
Other new colleagues
n
n
Kendra Grether-Jones, M.D., an
assistant professor of emergency
medicine, performs clinical care in the
Emergency Department. Grether-Jones,
who is board-certified in emergency
medicine and pediatric emergency
medicine, is principal investigator for an
upcoming study in collaboration with
PEM CRC research network evaluating
newborn infants for risk factors in HSV
infections, with the goal of optimizing
their clinical care. She also enrolls
patients in the numerous various
Emergency Department studies.
Hematologist Paul R. Kaesberg, M.D.,
a clinical professor in the Department
of Internal Medicine, has expertise
in benign and malignant hematology.
facultyNEWSLETTER | Autumn 2013 | www.ucdmc.ucdavis.edu/facultydev
Edward J. Callahan
n
When Shelton Duruisseau retired in
June 2012, the members of the health
system’s leadership team undertook a
protracted and calculated nationwide
search to identify and attract the bestqualified candidate who could not only
ably fill Shelton’s shoes, but could help us
advance our critically important diversity
objectives.
Ophthalmologist Ala Moshiri, M.D.,
Ph.D., is a retinal specialist in the
UC Davis Eye Center and in the VA
Northern California Health Care
System. He has expertise in treating
macular degeneration, retinal vascular
and inflammatory diseases, diabetic
retinopathy, macular hole, macular
pucker, and retinal detachments.
Moshiri, an assistant professor, is a
diplomate of the American Board of
Ophthalmology. He is conducting
research investigating photoreceptor
functioning and survival, as well as
retinal genetics.
Joo Y. Song, M.D., an assistant
professor of pathology and laboratory
medicine, is conducting research
on the biology of lymphomas and
relationships with prognosis and
classification. As a specialist in
hematopathology, he emphasizes
evaluation and diagnosis of lymphoma
and leukemias in his clinical practice.
Song, who served a fellowship in
hematopathology with the National
Cancer Institute, is board-certified in
anatomic pathology, clinical pathology
and hematopathology.
David Acosta
We found that leader in David Acosta,
who on July 8 joined us as associate
vice chancellor for equity, diversity and
inclusion for the UC Davis School of
Medicine, the Betty Irene Moore School of
Nursing, UC Davis Medical Center and the
physician practice group.
David Acosta came to UC Davis from
the University of Washington School
of Medicine, where he had been chief
diversity officer; director of the Center
for Equity, Diversity and Inclusion;
3
and associate dean for multicultural
affairs. Under David’s direction, the
University of Washington medical
school established a Center for Cultural
Proficiency in Medical Education.
David’s election as the national
chair of the Association of American
Medical Colleges’ Group on Diversity
and Inclusion validates his stature as a
nationally recognized thought leader
on diversity. A board-certified family
practice physician who began caring for
disadvantaged populations three decades
ago, David was born and raised in Santa
Ana, and obtained his medical degree
from UC Irvine in 1979. He completed
his residency in family medicine at the
Community Hospital of Sonoma County,
an affiliate of UC San Francisco.
Warm, engaging and insightful,
David is a tenacious advocate of healthcare equity, which he unequivocally
distinguishes from equality. He tells a
wonderful anecdote in which a teacher
explains the contrast to her students. She
asks them to remove their shoes and toss
them in a pile in the middle of the room.
Then as she randomly hands out two
shoes of differing sizes to each student,
they begin complaining that they got the
wrong shoes. The teacher says that by
giving each of them two shoes without
regard to individual differences, she
treated all the students with equality.
One child objected, saying “these shoes
don’t fit me.” As the teacher began
handing the students their own shoes
she said, “now you’re each getting shoes
that fit your individual needs. That’s
equity.”
facultyNEWSLETTER | Autumn 2013 | www.ucdmc.ucdavis.edu/facultydev
I find David’s perspective on diversity
profoundly inspiring. “The sense of
belonging is a basic human value, but the
hierarchical structure that is a part of any
academic institution sometimes can deny
some people a voice at the table,” David
says. “We must reaffirm UC Davis as a
place that values such interactions not only
internally but also externally, to embrace
the communities that we serve locally,
regionally and even globally through our
research work. It’s a matter of being able
to integrate diversity and inclusion as a
normative value all the way across the
board in everything that we do,” he says.
David favors an open-door policy. His
office is in the Facilities Support Services
Building. Please join me in welcoming
David to our leadership team.
“The sense of belonging is
a basic human value, but
the hierarchical structure that
is a part of any academic
institution sometimes can
deny some people a voice at
the table.”
—David Acosta
Edward J. Callahan, Ph.D., is the
associate dean for academic personnel
and a professor of family and community
medicine.
4
officeVISIT
facultyROUNDS
A WELCOME TO NEW
FACULTY COLLEAGUES
ORTHODONTIST PETER WORTH VOLUNTEERS HIS
TIME ON THE CRANIOFACIAL ANOMALIES PANEL
Cleft palate and
other craniofacial
abnormalities are
among the most
complex medical
problems, requiring
a meticulously
coordinated panoply of
corrective surgical and
therapeutic procedures.
Peter Worth
Members of the
UC Davis Health System’s Craniofacial
Anomalies Panel have expertise in a
wide variety of disciplines, including
otolaryngology, oral maxillofacial and
plastic surgery, genetics, speech pathology,
audiology, pediatrics, social work,
orthodontics, oral surgery, pediatric and
general dentistry, and specialized nursing.
Throughout the past 24 years as
a UC Davis volunteer clinical faculty
member, board-certified orthodontist
Peter W. Worth has donated his services
on the Craniofacial Anomalies Panel.
Otolaryngologist Craig Senders, director
of the UC Davis Cleft and Craniofacial
Program, offers high praise for him.
“Dr. Worth spends numerous hours
with our pediatric cleft patients, contributing to treatment in our complex dental and
orthodontic cases. His clinical skills are
extraordinary. He additionally teaches our
residents, fellows and medical students,
and has become the leader of the orthodontic volunteer clinical faculty group,”
Senders and Hilary Brodie, chair of the
Department of Otolaryngology, wrote in
nominating Worth for the 2013 Volunteer
Clinical Faculty Award, which he received
earlier this year.
“I am fortunate to be a member of the
team and am honored to have received
this award,” Worth said. In private practice
since 1979, Worth treats malocclusions for
adults and children in his offices in Roseville and Orangevale. He rectifies misalignment of teeth and jaws using braces, other
appliances and retainers. His interest in
orthodontics initially was piqued while he
was attending dental school at UCLA. For
a class project, he helped perform dental
care for the White Mountain Apache Tribe
in Whiteriver, Arizona. After obtaining
his D.D.S. degree in 1972, he fulfilled his
military service obligation by enlisting
with the Indian Health Service unit of the
U.S. Public Health Service, which dispatched him to Tohatchi, N.M., where he
served two years. He served an additional
year treating members of the Crow tribe in
Montana for the Public Health Service, rising to the rank of lieutenant commander
when he completed his duty in 1975.
“Dr. Worth spends numerous hours
with our pediatric cleft patients,
contributing to treatment in our
complex dental and orthodontic
cases. His clinical skills are
extraordinary.”
—Craig Sanders and Hilary Brodie
He subsequently enrolled in the
University of Southern California School
of Dentistry’s two-year program to
obtain his certificate in orthodontics.
He later underwent two years of
additional postgraduate training
through the Foundation for Advanced
Continuing Education in Burlingame in
techniques for treating maladies of the
temporomandibular joint – the jaw hinge.
In 1989, Worth received a call from
his longtime friend Richard Gere – not
the actor, but a fellow dentist whose time
with the Public Health Service in New
Mexico paralleled Worth’s. By the late ’80s
Gere was a member of UC Davis’ advisory
Craniofacial Anomalies Panel, to which he
recommended the addition of Worth.
facultyNEWSLETTER | Autumn 2013 | www.ucdmc.ucdavis.edu/facultydev
viewPOINT
“Each specialist on the craniofacial
team sees the patient independently,
and then we all gather in a conference
setting to discuss what the patient
needs from everybody’s point of view,”
Worth explained. “I may ask the
speech pathologist, for example, if a
malocclusion is contributing to the
patient’s speech problem.”
The craniofacial surgery team maps
out a sequence of procedures.
“Surgery often is performed to close
the lip and the palate early to develop
proper speech. But scarring from those
surgeries tends to create malocclusions
by restricting the growth of the
upper jaw. That’s when orthodontics
comes into play,” Worth explained.
“Sometimes the upper dental arch
needs to be expanded in preparation
for bone grafting in the cleft site. The
orthodontist will expand the upper jaw
to a proper width. The surgeon then
grafts bone into the cleft site. Later the
orthodontist will manipulate the bite
into proper alignment. Many cleft palate
patients congenitally are missing teeth,
and orthodontists create spaces for a
restorative dentist to place tooth implants.
It’s a team function in a true sense.”
Worth approaches his service on the
advisory group with humility.
“I enjoy my role with the UC Davis
craniofacial team, and I’m always flattered
when a surgeon asks me if a case requires
jaw surgery,” said Worth, who interacts
with medical students at the panel.
“Medical students often are surprised
about how much of a role orthodontics
plays in treating kids with craniofacial
problems,” he said.
Worth and his wife Linda, a retired
teacher, have a daughter, Corinna, who
is an oncology and telemetry nurse, and
a son, Dan, a fisheries biologist with the
state Department of Water Resources
Management.
BY EDWARD J. CALLAHAN
Machado
DAVID ACOSTA IS A NATIONALLY
RECOGNIZED THOUGHT LEADER
Semrad
Each edition of the Faculty Newsletter introduces several faculty colleagues who recently joined the UC Davis
Health System community. Watch for more new clinical and research staff members in the next issue.
Christopher Machado studies
neural causes of psychiatric
disorders
endocrine fellowship. She serves as the
only endocrinologist at the Sacramento
County Primary Care Clinic.
Neuroscientist Christopher J. Machado,
Ph.D., is a research scientist who
investigates the etiology of human
psychiatric disorders, including
autism, schizophrenia, depression and
social anxiety disorder and the ways
in which they manifest themselves in
socioemotional deficits. Machado, an
assistant adjunct professor of psychiatry
and behavioral sciences, is affiliated with
the MIND Institute and the California
National Primate Research Center.
Semrad, a UC Davis alumna who
completed her residency here, precepts the
endocrine fellow and medicine residents
in thyroid and general endocrine clinics
at UC Davis and for Sacramento County.
She also conducts a weekly diabetes clinic
with medical students at the Sacramento
County primary-care clinic. Semrad,
who teaches in the school of nursing as
well as the school of medicine, serves as
a faculty mentor for medical students,
and is involved with the medical school
admissions process. She has board
certifications in internal medicine;
endocrinology, diabetes and metabolism;
and a national endocrine certification in
neck ultrasound.
His research focuses on two
questions: What is the specific role of
each neural region that participates in
social information processing? How
does this network develop structurally
and functionally from infancy through
adulthood, and what conditions can
perturb that process? In his research
Machado uses nonhuman primates as
a model for human neurobiology and
behavior, and he draws upon perspectives
from neuroscience, psychology, psychiatry
and primatology.
Endocrinologist Alison Semrad
treats thyroid disease
Endocrinologist Alison M. Semrad,
D.O., specializes in treating thyroid
disease, particularly thyroid cancer. An
assistant professor in the Department
of Internal Medicine’s Division of
Endocrinology, Diabetes and Metabolism,
she co-chairs the Department of
Otolaryngology’s endocrine tumor board
and is the co-fellowship director for the
2
Kaesberg, who has certifications
in internal medicine, hematology,
and hospice and palliative care,
treats patients who have leukemia,
lymphoma, anemia and coagulation
disorders. He is helping to administer
clinical trials in the UC Davis Cancer
Center, and is participating in a study
examining methods of communication
with cancer patients.
n
Other new colleagues
n
n
Kendra Grether-Jones, M.D., an
assistant professor of emergency
medicine, performs clinical care in the
Emergency Department. Grether-Jones,
who is board-certified in emergency
medicine and pediatric emergency
medicine, is principal investigator for an
upcoming study in collaboration with
PEM CRC research network evaluating
newborn infants for risk factors in HSV
infections, with the goal of optimizing
their clinical care. She also enrolls
patients in the numerous various
Emergency Department studies.
Hematologist Paul R. Kaesberg, M.D.,
a clinical professor in the Department
of Internal Medicine, has expertise
in benign and malignant hematology.
facultyNEWSLETTER | Autumn 2013 | www.ucdmc.ucdavis.edu/facultydev
Edward J. Callahan
n
When Shelton Duruisseau retired in
June 2012, the members of the health
system’s leadership team undertook a
protracted and calculated nationwide
search to identify and attract the bestqualified candidate who could not only
ably fill Shelton’s shoes, but could help us
advance our critically important diversity
objectives.
Ophthalmologist Ala Moshiri, M.D.,
Ph.D., is a retinal specialist in the
UC Davis Eye Center and in the VA
Northern California Health Care
System. He has expertise in treating
macular degeneration, retinal vascular
and inflammatory diseases, diabetic
retinopathy, macular hole, macular
pucker, and retinal detachments.
Moshiri, an assistant professor, is a
diplomate of the American Board of
Ophthalmology. He is conducting
research investigating photoreceptor
functioning and survival, as well as
retinal genetics.
Joo Y. Song, M.D., an assistant
professor of pathology and laboratory
medicine, is conducting research
on the biology of lymphomas and
relationships with prognosis and
classification. As a specialist in
hematopathology, he emphasizes
evaluation and diagnosis of lymphoma
and leukemias in his clinical practice.
Song, who served a fellowship in
hematopathology with the National
Cancer Institute, is board-certified in
anatomic pathology, clinical pathology
and hematopathology.
David Acosta
We found that leader in David Acosta,
who on July 8 joined us as associate
vice chancellor for equity, diversity and
inclusion for the UC Davis School of
Medicine, the Betty Irene Moore School of
Nursing, UC Davis Medical Center and the
physician practice group.
David Acosta came to UC Davis from
the University of Washington School
of Medicine, where he had been chief
diversity officer; director of the Center
for Equity, Diversity and Inclusion;
3
and associate dean for multicultural
affairs. Under David’s direction, the
University of Washington medical
school established a Center for Cultural
Proficiency in Medical Education.
David’s election as the national
chair of the Association of American
Medical Colleges’ Group on Diversity
and Inclusion validates his stature as a
nationally recognized thought leader
on diversity. A board-certified family
practice physician who began caring for
disadvantaged populations three decades
ago, David was born and raised in Santa
Ana, and obtained his medical degree
from UC Irvine in 1979. He completed
his residency in family medicine at the
Community Hospital of Sonoma County,
an affiliate of UC San Francisco.
Warm, engaging and insightful,
David is a tenacious advocate of healthcare equity, which he unequivocally
distinguishes from equality. He tells a
wonderful anecdote in which a teacher
explains the contrast to her students. She
asks them to remove their shoes and toss
them in a pile in the middle of the room.
Then as she randomly hands out two
shoes of differing sizes to each student,
they begin complaining that they got the
wrong shoes. The teacher says that by
giving each of them two shoes without
regard to individual differences, she
treated all the students with equality.
One child objected, saying “these shoes
don’t fit me.” As the teacher began
handing the students their own shoes
she said, “now you’re each getting shoes
that fit your individual needs. That’s
equity.”
facultyNEWSLETTER | Autumn 2013 | www.ucdmc.ucdavis.edu/facultydev
I find David’s perspective on diversity
profoundly inspiring. “The sense of
belonging is a basic human value, but the
hierarchical structure that is a part of any
academic institution sometimes can deny
some people a voice at the table,” David
says. “We must reaffirm UC Davis as a
place that values such interactions not only
internally but also externally, to embrace
the communities that we serve locally,
regionally and even globally through our
research work. It’s a matter of being able
to integrate diversity and inclusion as a
normative value all the way across the
board in everything that we do,” he says.
David favors an open-door policy. His
office is in the Facilities Support Services
Building. Please join me in welcoming
David to our leadership team.
“The sense of belonging is
a basic human value, but
the hierarchical structure that
is a part of any academic
institution sometimes can
deny some people a voice at
the table.”
—David Acosta
Edward J. Callahan, Ph.D., is the
associate dean for academic personnel
and a professor of family and community
medicine.
4
PURSUIT OF HEALTH EQUITY CONTINUED FROM PAGE 1
to accomplish
excellence,” said
Aguilar-Gaxiola,
director of the
Clinical and
Translational Science
Center’s Community
Engagement
Program, and
co-director of the
UC Davis Latino
Aging, Research and
can help us progress,” Callahan said.
(Please refer to the October–November
2010 edition of the Faculty Newsletter
at http://www.ucdmc.ucdavis.edu/
facultydev/newsletter.html for more about
unconscious bias.)
Attainment of an atmosphere in which
diversity is valued and thrives requires
a conscious effort to avoid damaging
stereotypes that breed exclusion. “We
must help people understand that our own
Sergio Aguilar-Gaxiola
unconscious biases impede attainment of
Resource Center.
health-care equity,” Callahan said.
“Demand is increasing for a new
Physicians’ unfamiliarity with LGBT
scholarship that values diversity in the
concerns, for example, can affect quality
patient population we serve. Excellence
of care for many patients, including those
is achievable only in an environment that
who are LGBT.
fully supports meaningful engagement
“If a doctor doesn’t know that gay men
with people of diverse cultures, languages
are at higher risk for hepatitis A and B,
and perspectives. Thus, in order to have
they may miss screening opportunities
credibility with the communities we serve, to prevent or identify its occurrence.
we need diversity at all levels,” AguilarProviders need to know that lesbians are
Gaxiola said. “Unfortunately, we face
at higher risk for
significant health disparities that require
certain types of
our focused attention and accountability.
cancers, so they can
For example, Latinos comprise nearly 40
discuss risks and
percent of the California population, but
care appropriately
only a little over 3 percent of our faculty.”
with each patient,”
Building faculty diversity is critically
said Julie Weckstein,
important for the UC Davis Health
a licensed clinical
System in pursuing excellence as a means
social worker in
of reducing health disparities. Edward
the Department
Callahan, associate dean for academic
of Clinical Social
Julie Weckstein, displaypersonnel, observes that while the United
Services. In 2010
ing her welcoming
States spends more on health care than any rainbow ID badge.
Weckstein founded
other nation in the world, our marginalized
a UC Davis Health
populations experience some of the worst
System employee interest group called
health disparities.
GLEE (Gays, Lesbians, Everyone who
“Diversity is a critically important
cares Employees). The group (which has
goal for the institution as we provide
a website accessible through the Insider)
care for diverse populations. Providing
sponsors welcoming events and conducts
that care is becoming more feasible with
training for students, faculty and staff
implementation of the Affordable Care
members.
Act. We are working toward greater
“GLEE includes many straight allies
diversity throughout our Health System,
who recognize that sexual orientation
but diversity is greater among UC Davis
and gender identity, as well as race and
medical students than it is among residents ethnicity, affect the quality of medical care;
and faculty, setting new challenges for us,” we all want to overcome those disparities,”
Callahan said.
said Weckstein, who is a member of
“We must create an environment that
the Task Force for Inclusion of Sexual
will encourage diverse medical students to Orientation and Gender Identity in the
become our faculty of the future. Critically, Electronic Health Record. This past June,
we must make sure that our searches for
UC Davis Health System began offering
new faculty are not blinded by unconscious patients the option of declaring their sexual
bias, so we can recognize the talent that
orientation and gender identity status in
facultyNEWSLETTER | Autumn 2013 | www.ucdmc.ucdavis.edu/facultydev
Faculty Development Office
Sherman Building, Suite 3900
UC Davis Health System
2315 Stockton Blvd.
Sacramento, CA 95817
their MyChart electronic database.
“Physicians need to be aware that
LGBT people, particularly youths, have
elevated risk of depression, anxiety,
drug abuse, and suicidal ideation. The
pathway to mental health counseling
and treatment typically begins with
primary-care clinicians.”
Darin Latimore, associate dean for
student and resident diversity, says
progress also requires recognition
of cognitive diversity, based on life
experiences.
“Much of what we bring to the table
as educators comes from our personal
experiences and backgrounds. If we’re
to educate the next generations of
physicians and nurses to take care of all
patients, educators need to be diverse
and comfortable with diversity in order
to give our learners a well-rounded
education,” Latimore said. “Our patients
clearly need people with whom they can
identify, and who identify with them as
well as others who make them feel safe
and understood.”
He acknowledges that socioeconomic
imbalance in the medical education
conduit originates in public primary and
secondary schools. He has conceived
a corrective model that can instigate
change.
“The UC Davis Schools of Health
need to adopt our neighboring
community, to partner with the K–12
schools in the area and teach math and
science to the children, to introduce
them to the possibilities of careers in
medicine. We should pledge to those
students that if
they attend college
and maintain a
certain GPA, we
will guarantee
them a spot in
our medical
or nursing
school.” Latimore
rhetorically asks,
“Will that solve
Darin Latimore
the problems of
the world? No.
But if every American institution of
higher education did that, collectively
we would make a difference.”
Published by the Faculty Development Office
AUTUMN 2013
Workshops and other activities
You are invited! We encourage you to
enroll in one of the various workshops,
programs and events sponsored by the
Faculty Development Office. For more
event details and to register, visit
www.ucdmc.ucdavis.edu/facultydev/
and click Enroll Online. (Event
co-sponsors are indicated within
parentheses.) Volunteer Clinical
Faculty members are also welcome
and encouraged to attend faculty
development events.
(CALENDAR FROM PAGE 1)
December
3 Saying Yes, No, Maybe: Challenges, Limits, and Uncertainty, Part 1 (ECLP/MCLP)
5 New Faculty Workshop – Tools for Success
12 Saying Yes, No, Maybe: Challenges, Limits, and Uncertainty, Part 2 (ECLP/MCLP)
October
3 Grantsmanship Seminar, Part 1
January 2014
facultyNEWSLETTER
Published quarterly by the Faculty
Development Office, which administers
and coordinates programs that respond to the
professional and career development needs of
UC Davis Health System faculty members.
2315 Stockton Blvd.
Sherman Building, Suite 3900
Sacramento, CA 95817
(916) 703-9230
www.ucdmc.ucdavis.edu/facultydev
Edward Callahan, Ph.D.
Associate Dean for Academic Personnel
Acting Director, Faculty Development
Brent Seifert, J.D.
Manager, Academic Personnel Office
10 Leadership and the Pro-Social Emotions, Part 1 (ECLP/MCLP)
10 Grantsmanship Seminar, Part 2
15 Common Psychological Issues in the Elderly (ECWS)
18 Workshop: Health Sciences
Clinical Professor (HSCP) Faculty
Promotions Process
17 Leadership and the Pro-Social Emotions, Part 2 (ECLP/MCLP)
24 Leadership and the Pro-Social Emotions, Part 3 (ECLP/MCLP)
21 Women in Medicine and Health
Science Medical Student Welcome
Reception (WIMHS)
Event co-sponsors
24 Time Management Skills (ECLP)
ECLP: Early Career Leadership Program
29 Workshop: Faculty Merits,
Promotions and Tenure
ECWS: Elder Care Workshop Series
MCLP: Mid-Career Leadership Program
November
WIMHS: Women in Medicine and Health Science
1 The Work of Leadership: Building
Resilience, Part 1 (ECLP/MCLP)
Cheryl Busman
Program Manager, Faculty Development
cheryl.busman@ucdmc.ucdavis.edu
8 The Work of Leadership: Building
Resilience, Part 2 (ECLP/MCLP)
EditPros LLC
Writing and Editing
www.editpros.com
15 The Work of Leadership: Building
Resilience, Part 3 (ECLP/MCLP)
DECEMBER CONTINUED ON PAGE 6
5
facultyNEWSLETTER | Autumn 2013 | www.ucdmc.ucdavis.edu/facultydev
6
THE PU R SU I T OF HE ALTH E QU I TY
Why diversity is critically important to the UC Davis Health System
Open enrollment began Oct. 1 for more
than 5.5 million medically uninsured
Californians to apply for health-care
coverage under the federal Affordable
Care Act. The U.S. Department of
Health and Human Services identifies
50 percent of those eligible uninsured
Californians as Latino or Hispanic, 12
percent as Asian American or Pacific
Islander, 6 percent as African American,
and 29 percent as white (source: www.
hhs.gov/healthcare/facts/bystate/ca.html).
While that breakdown is revealing,
it reflects only one facet of the multidimensional spectrum of diversity. The
UC Davis Health System’s Framework
for Diversity document adopted in
2011 codifies principles to reduce
health disparities by advancing diversity
among clinical, teaching and research
faculty members, residents, fellows, and
medical and nursing students and staff, in
order to attain health-care equity within
the health system’s catchment area.
Fulfillment of that pledge requires
building on a broad interpretation of
“diversity” embracing not only ethnic,
racial and socioeconomic groups,
but also other distinctions, including
language, nationality, gender, sexual
orientation, age, religious convictions,
differences in abilities, military status,
and geographic locale, which influence
health-care quality. Sergio Aguilar-Gaxiola, director of the UC Davis Center
for Reducing Health Disparities, is
among many health-care professionals
and administrators who are convinced
that serving divergent groups requires
a diverse, culturally and linguistically
competent health-care workforce.
“In this pluralistic, multicultural,
multilingual society, the UC Davis
Schools of Nursing and Medicine and
the health system have a responsibility
for educating students, residents, staff
and faculty that diversity is necessary
CONTINUED ON PAGE 5
PURSUIT OF HEALTH EQUITY CONTINUED FROM PAGE 1
to accomplish
excellence,” said
Aguilar-Gaxiola,
director of the
Clinical and
Translational Science
Center’s Community
Engagement
Program, and
co-director of the
UC Davis Latino
Aging, Research and
can help us progress,” Callahan said.
(Please refer to the October–November
2010 edition of the Faculty Newsletter
at http://www.ucdmc.ucdavis.edu/
facultydev/newsletter.html for more about
unconscious bias.)
Attainment of an atmosphere in which
diversity is valued and thrives requires
a conscious effort to avoid damaging
stereotypes that breed exclusion. “We
must help people understand that our own
Sergio Aguilar-Gaxiola
unconscious biases impede attainment of
Resource Center.
health-care equity,” Callahan said.
“Demand is increasing for a new
Physicians’ unfamiliarity with LGBT
scholarship that values diversity in the
concerns, for example, can affect quality
patient population we serve. Excellence
of care for many patients, including those
is achievable only in an environment that
who are LGBT.
fully supports meaningful engagement
“If a doctor doesn’t know that gay men
with people of diverse cultures, languages
are at higher risk for hepatitis A and B,
and perspectives. Thus, in order to have
they may miss screening opportunities
credibility with the communities we serve, to prevent or identify its occurrence.
we need diversity at all levels,” AguilarProviders need to know that lesbians are
Gaxiola said. “Unfortunately, we face
at higher risk for
significant health disparities that require
certain types of
our focused attention and accountability.
cancers, so they can
For example, Latinos comprise nearly 40
discuss risks and
percent of the California population, but
care appropriately
only a little over 3 percent of our faculty.”
with each patient,”
Building faculty diversity is critically
said Julie Weckstein,
important for the UC Davis Health
a licensed clinical
System in pursuing excellence as a means
social worker in
of reducing health disparities. Edward
the Department
Callahan, associate dean for academic
of Clinical Social
Julie Weckstein, displaypersonnel, observes that while the United
Services. In 2010
ing her welcoming
States spends more on health care than any rainbow ID badge.
Weckstein founded
other nation in the world, our marginalized
a UC Davis Health
populations experience some of the worst
System employee interest group called
health disparities.
GLEE (Gays, Lesbians, Everyone who
“Diversity is a critically important
cares Employees). The group (which has
goal for the institution as we provide
a website accessible through the Insider)
care for diverse populations. Providing
sponsors welcoming events and conducts
that care is becoming more feasible with
training for students, faculty and staff
implementation of the Affordable Care
members.
Act. We are working toward greater
“GLEE includes many straight allies
diversity throughout our Health System,
who recognize that sexual orientation
but diversity is greater among UC Davis
and gender identity, as well as race and
medical students than it is among residents ethnicity, affect the quality of medical care;
and faculty, setting new challenges for us,” we all want to overcome those disparities,”
Callahan said.
said Weckstein, who is a member of
“We must create an environment that
the Task Force for Inclusion of Sexual
will encourage diverse medical students to Orientation and Gender Identity in the
become our faculty of the future. Critically, Electronic Health Record. This past June,
we must make sure that our searches for
UC Davis Health System began offering
new faculty are not blinded by unconscious patients the option of declaring their sexual
bias, so we can recognize the talent that
orientation and gender identity status in
facultyNEWSLETTER | Autumn 2013 | www.ucdmc.ucdavis.edu/facultydev
Faculty Development Office
Sherman Building, Suite 3900
UC Davis Health System
2315 Stockton Blvd.
Sacramento, CA 95817
their MyChart electronic database.
“Physicians need to be aware that
LGBT people, particularly youths, have
elevated risk of depression, anxiety,
drug abuse, and suicidal ideation. The
pathway to mental health counseling
and treatment typically begins with
primary-care clinicians.”
Darin Latimore, associate dean for
student and resident diversity, says
progress also requires recognition
of cognitive diversity, based on life
experiences.
“Much of what we bring to the table
as educators comes from our personal
experiences and backgrounds. If we’re
to educate the next generations of
physicians and nurses to take care of all
patients, educators need to be diverse
and comfortable with diversity in order
to give our learners a well-rounded
education,” Latimore said. “Our patients
clearly need people with whom they can
identify, and who identify with them as
well as others who make them feel safe
and understood.”
He acknowledges that socioeconomic
imbalance in the medical education
conduit originates in public primary and
secondary schools. He has conceived
a corrective model that can instigate
change.
“The UC Davis Schools of Health
need to adopt our neighboring
community, to partner with the K–12
schools in the area and teach math and
science to the children, to introduce
them to the possibilities of careers in
medicine. We should pledge to those
students that if
they attend college
and maintain a
certain GPA, we
will guarantee
them a spot in
our medical
or nursing
school.” Latimore
rhetorically asks,
“Will that solve
Darin Latimore
the problems of
the world? No.
But if every American institution of
higher education did that, collectively
we would make a difference.”
Published by the Faculty Development Office
AUTUMN 2013
Workshops and other activities
You are invited! We encourage you to
enroll in one of the various workshops,
programs and events sponsored by the
Faculty Development Office. For more
event details and to register, visit
www.ucdmc.ucdavis.edu/facultydev/
and click Enroll Online. (Event
co-sponsors are indicated within
parentheses.) Volunteer Clinical
Faculty members are also welcome
and encouraged to attend faculty
development events.
(CALENDAR FROM PAGE 1)
December
3 Saying Yes, No, Maybe: Challenges, Limits, and Uncertainty, Part 1 (ECLP/MCLP)
5 New Faculty Workshop – Tools for Success
12 Saying Yes, No, Maybe: Challenges, Limits, and Uncertainty, Part 2 (ECLP/MCLP)
October
3 Grantsmanship Seminar, Part 1
January 2014
facultyNEWSLETTER
Published quarterly by the Faculty
Development Office, which administers
and coordinates programs that respond to the
professional and career development needs of
UC Davis Health System faculty members.
2315 Stockton Blvd.
Sherman Building, Suite 3900
Sacramento, CA 95817
(916) 703-9230
www.ucdmc.ucdavis.edu/facultydev
Edward Callahan, Ph.D.
Associate Dean for Academic Personnel
Acting Director, Faculty Development
Brent Seifert, J.D.
Manager, Academic Personnel Office
10 Leadership and the Pro-Social Emotions, Part 1 (ECLP/MCLP)
10 Grantsmanship Seminar, Part 2
15 Common Psychological Issues in the Elderly (ECWS)
18 Workshop: Health Sciences
Clinical Professor (HSCP) Faculty
Promotions Process
17 Leadership and the Pro-Social Emotions, Part 2 (ECLP/MCLP)
24 Leadership and the Pro-Social Emotions, Part 3 (ECLP/MCLP)
21 Women in Medicine and Health
Science Medical Student Welcome
Reception (WIMHS)
Event co-sponsors
24 Time Management Skills (ECLP)
ECLP: Early Career Leadership Program
29 Workshop: Faculty Merits,
Promotions and Tenure
ECWS: Elder Care Workshop Series
MCLP: Mid-Career Leadership Program
November
WIMHS: Women in Medicine and Health Science
1 The Work of Leadership: Building
Resilience, Part 1 (ECLP/MCLP)
Cheryl Busman
Program Manager, Faculty Development
cheryl.busman@ucdmc.ucdavis.edu
8 The Work of Leadership: Building
Resilience, Part 2 (ECLP/MCLP)
EditPros LLC
Writing and Editing
www.editpros.com
15 The Work of Leadership: Building
Resilience, Part 3 (ECLP/MCLP)
DECEMBER CONTINUED ON PAGE 6
5
facultyNEWSLETTER | Autumn 2013 | www.ucdmc.ucdavis.edu/facultydev
6
THE PU R SU I T OF HE ALTH E QU I TY
Why diversity is critically important to the UC Davis Health System
Open enrollment began Oct. 1 for more
than 5.5 million medically uninsured
Californians to apply for health-care
coverage under the federal Affordable
Care Act. The U.S. Department of
Health and Human Services identifies
50 percent of those eligible uninsured
Californians as Latino or Hispanic, 12
percent as Asian American or Pacific
Islander, 6 percent as African American,
and 29 percent as white (source: www.
hhs.gov/healthcare/facts/bystate/ca.html).
While that breakdown is revealing,
it reflects only one facet of the multidimensional spectrum of diversity. The
UC Davis Health System’s Framework
for Diversity document adopted in
2011 codifies principles to reduce
health disparities by advancing diversity
among clinical, teaching and research
faculty members, residents, fellows, and
medical and nursing students and staff, in
order to attain health-care equity within
the health system’s catchment area.
Fulfillment of that pledge requires
building on a broad interpretation of
“diversity” embracing not only ethnic,
racial and socioeconomic groups,
but also other distinctions, including
language, nationality, gender, sexual
orientation, age, religious convictions,
differences in abilities, military status,
and geographic locale, which influence
health-care quality. Sergio Aguilar-Gaxiola, director of the UC Davis Center
for Reducing Health Disparities, is
among many health-care professionals
and administrators who are convinced
that serving divergent groups requires
a diverse, culturally and linguistically
competent health-care workforce.
“In this pluralistic, multicultural,
multilingual society, the UC Davis
Schools of Nursing and Medicine and
the health system have a responsibility
for educating students, residents, staff
and faculty that diversity is necessary
CONTINUED ON PAGE 5
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