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