Date updated: December 2008 Michael A. Steinman, MD CURRICULUM VITAE 2008 Position: Assistant Professor of Medicine in Residence, Step 3 Division of Geriatrics, Dept. of Medicine UCSF School of Medicine Staff Physician San Francisco VA Medical Center Work Address: Division of Geriatrics, Department of Medicine San Francisco VA Medical Center, Box 181-G 4150 Clement St. San Francisco, CA 94121 Tel: (415) 221-4810 x3677 Fax: (415) 750-6641 Email: mike.steinman@ucsf.edu Education and Post-Graduate Training 2002 - 2003 Geriatrics Clinical Fellow, San Francisco VA Medical Center and University of California, San Francisco 2000 – 2002 Research Fellow, VA National Quality Scholars Fellowship Program, San Francisco VA Medical Center and University of California, San Francisco 2000 – 2001 Advanced Training in Clinical Research / ORACLE Training Programs. Coursework in epidemiology, health services research, decision analysis, outcomes research, clinical trials design, medical informatics, molecular epidemiology, medical writing, biostatistics, research ethics, and statistical programming. University of California, San Francisco 1997 – 2000 Internal Medicine / Primary Care Residency, University of California, San Francisco 1995 Graduate Summer Session in Epidemiology, University of Michigan School of Public Health 1992 – 1997 Harvard Medical School – M.D. 1989 University of Grenoble, France – Coursework in Political Science 1987 – 1991 Brown University – B.A. in Political Science Additional Training 2005 Measurement in Clinical Research (Epi 225), UCSF Dept. of Epidemiology and Biostatistics, San Francisco, Sept. - Dec. 2005. 2001 Statistical Methods for Longitudinal and Repeated Measures Data, UCSF Dept. of Epidemiology and Biostatistics, San Francisco, Sept. - Nov. 2001. 2001 Seminars in Health Services Research Methods: Using Federal and State Databases, Washington DC, November 5-7, 2001. Honors and Awards 2008 Top research mentor award, Medical Student Training in Aging Research (MSTAR) program, University of California, San Francisco 2002 -- 2003 Top research article in J Gen Intern Med by number of web site accesses in 2002; fifthmost cited recent article in J Gen Intern Med (Steinman MA et al, Medication restriction due to cost in seniors without prescription coverage: a national survey, cited in J Gen Intern Med 2002; 17: 952-55 and J Gen Intern Med 2003; 18: 1062-65). 2002 Mack Lipkin, Sr. Award for Outstanding Scientific Presentation. "Changing use of outpatient antibiotics in the United States: 1991-1999." Society of General Internal Medicine 2002 Annual Meeting. 2002 Merck / American Geriatrics Society New Investigator Award. "Broad-spectrum antibiotic use among elderly outpatients: results from a national sample." American Geriatrics Society 2002 Annual Meeting. 1997 Henry Asbury Christian Award for Notable Scholarship in Studies or Research, Harvard Medical School. ”Etiology and empiric treatment of acid-fast bacillus (AFB) smearnegative pulmonary disease in Botswana: background review and discussion of the BOTUSA research protocol” 1991 Recognition for Outstanding Commitment to the Community, Brown University 1991 Samuel C. Lamport Prize for International Understanding, Brown University 1991 Magna Cum Laude, Brown University 1991 Phi Beta Kappa, Brown University Grant Support 2009 Society of General Internal Medicine. “SGIM Research Dataset Compendium” development contract. 1/2009 – 12/2009 (pending) 2008 Paul B. Beeson Career Development Award in Aging K23 AG030999-01A1 (PI), cosponsored with American Federation for Aging Research. “Guideline Adherence in Elders With Multiple Comorbidities”. 9/30/08 – 9/01/13. (75% effort) 2007 VA Investigator Initiated Research (IIR) Award 06-080-02 (PI). “Guideline adherence in elders with heart failure and multiple comorbidities.” (Oct 2007 – Sept 2011). 37.5% effort (no salary support) 2007 VA Investigator Initiated Research (IIR) Award 06-062 (Co-I). “Inappropriate medications for seniors: should VA adopt HEDIS measures?” (Aug 2007 – July 2010). (no salary support) 2007 VA HSR&D Career Development Transition Award (PI) (June 2007 – June 2009). 75% effort → 37.5% effort. 2005 Oregon A.G. Special Grant (Pfizer Settlement Fund) (Co-I; PI Lisa Bero, PhD). “Design, evaluation, and implementation of a marketing of medicines curriculum for health professionals.” 9/06 – 1/09. (As needed effort.) 2004 VA HSR&D Research Career Development Award 01-013 (PI). "Understanding and improving antibiotic prescribing in VA." (June 2004 – June 2007) 75% effort. Mentored Research Experience 2002 – 2003 Clinical Geriatrics Fellowship, San Francisco VA Medical Center and University of California, San Francisco 2000 – 2002 VA National Quality Scholars Program, San Francisco VA Medical Center and University of California, San Francisco 1995 – 1996 Paul Dudley White International Research Fellow, BOTUSA TB Project, Centers for Disease Control, Gaborone, Botswana 1993 NIH Research Fellow, Mind/Body Medical Institute, New England Deaconess Hospital, Boston 1990 Research Intern, Division of Health Policy, Rhode Island Department of Public Health, Providence 1988 Research Technician, Oncology Laboratory (Principal Investigator Glenn Bubley, MD), Beth Israel Hospital, Boston Clinical Experience 2004 – present Staff physician, San Francisco VA Medical Center 2002 – 2003 Geriatrics Fellow, University of California, San Francisco and San Francisco VA Medical Center. Rotations and longitudinal experience in outpatient geriatric primary care, inpatient consults, nursing home care, home care, community-based primary care, comprehensive day health center care, palliative care, memory disorders and geriatric neurology, geriatric psychiatry, rehabilitation medicine, and medical directorship. 2000 – present Medical staff, San Francisco VA Medical Center, CA. Inpatient ward attending, general medicine and geriatrics clinic, and part-time emergency department physician 2000 Part-time medical staff, San Mateo County Hospital, San Mateo, CA 1997 – 2000 Primary Care Internal Medicine Resident, University of California, San Francisco. Rotations in inpatient general medicine, cardiology, intensive care, oncology, liver transplant, pulmonary medicine, infectious diseases, emergency department. Rotations in outpatient university-based general medicine clinic, community health clinic, subspecialty clinics in gynecology, dermatology, rheumatology, orthopedics, urgent care, behavioral medicine, tuberculosis, psychiatry, asthma / immunology, pulmonary medicine, neurology, and nephrology. Trainees Mentored in Research Daniella Zipkin, MD. Fellow (6/2003 - 1/2005) Research mentor for: Zipkin DA, Steinman MA. Interactions between pharmaceutical representatives and doctors in training: a thematic review. J Gen Intern Med 2005; 20: 777786. Jonathan Shaw, Michael Hochman, Paul Hyman. Medical students (1/2006 - 12/2006) Research mentor for: Hyman PL, Hochman ME, Shaw JG, Steinman MA. Attitudes of preclinical and clinical medical students toward interactions with the pharmaceutical industry. Acad Med 2007; 82: 94-99. Elizabeth Kwo, BA. Medical student (7/2006 - present) Research mentor for Medical Student Training in Aging Research (MSTAR) program: Kwo EC, Kamat P, Steinman MA. Physician use of brand vs. generic drug names from 1993 to 2004. Annals of Pharmacotherapy (publication pending). William Gordon, BA Medical student (6/2008 - present) Research mentor for Medical Student Training in Aging Research (MSTAR) program: “Do simplified models for predicting cardiovascular risk alter cholesterol management?” Manuscript in preparation. Won Best Poster award at Bay Area Clinical Research Symposium, October 2008 Brie Williams, MD. Junior faculty (3/2008 - present) Research mentor for Williams BA et al. Medication Prescribing Practices for Geriatric Prisoners in a Large State Prison System. (Manuscript under review) Kirby Lee, PharmD. Junior faculty (2008 - present) Research mentor and master’s thesis advisor for UCSF KL2 “roadmap” career development awardee Publications Under Review Gordon WJ, Polansky JM, Boscardin WJ, Fung K, Steinman MA. Coronary risk assessment by pointbased vs. equation-based Framingham models: significant implications for clinical care (Submission pending) Steinman MA, Boscardin CK, Aguayo L, Baron RB. Commercial influence and learner-perceived bias in continuing medical education. (Under review) Steinman MA, Yang KY, Byron SC, Maselli JH, Gonzales R. Variation in Outpatient Antibiotic Prescribing in the United States: A New Measure of Health Plan Quality. (Under review). Steinman MA, Goldstein MK. A new method for performance measurement in hypertension. (Under review). Williams BA, Baillargeon J, Lindquist K, Walter LC, Covinsky KE, Whitson HE, Murray O, Steinman MA. Medication Prescribing Practices for Geriatric Prisoners in a Large State Prison System. (Under review). Steinman MA, Rosenthal GE, Landefeld CS, Bertenthal D, Kaboli PJ. Are Drugs-to-Avoid Criteria an Accurate Diagnostic Tool for Problem Prescribing? (Under review) Peer-Reviewed Publications Kwo EC, Kamat P, Steinman MA. Physician use of brand vs. generic drug names from 1993 to 2004. Annals of Pharmacotherapy (in press) Ranji SR, Steinman MA, Shojania KG, Lewis RN, Gonzales R. Interventions to improve unnecessary antibiotic prescribing: a systematic review and quantitative analysis. Med Care 2008; 46: 847-62. O'hare AM, Choi AI, Bertenthal D, Bacchetti P, Garg AX, Kaufman JS, Walter LC, Mehta KM, Steinman MA, Allon M, McClellan WM, Landefeld CS. Age affects outcomes in chronic kidney disease. J Am Soc Nephrol 2007; 18:2758-65 Steinman MA, Harper GM, Chren MM, Landefeld CS, Bero LA. Characteristics and impact of drug detailing for gabapentin. PloS Medicine 2007; 4: e134Steinman MA, Chren MM, Landefeld CS. What’s in a name? Use of brand vs. generic drug names in United States outpatient practice. J Gen Intern Med 2007; 22: 645-648. Steinman MA, Maaravi Y, Walter LC, Hammerman-Rozenberg R, Stessman J. The evolution of medication use in Jerusalem elders: Results from the Jerusalem Longitudinal Study. Drugs Aging 2007; 24: 133-145. Steinman MA, Rosenthal GE, Landefeld CS, Bertenthal D, Sen S, Kaboli PJ. Conflicts and concordance between measures of medication prescribing quality. Med Care 2007; 45: 95-99. Hyman PL, Hochman ME, Shaw JG, Steinman MA. Attitudes of pre-clinical and clinical medical students toward interactions with the pharmaceutical industry. Acad Med 2007; 82: 94-99. Steinman MA, Landefeld CS, Rosenthal GE, Bertenthal D, Sen S, Kaboli PJ. Polypharmacy and prescribing quailty in elders. J Amer Geriatr Soc 2006; 54: 1516-1523. Steinman MA, Bero LA, Chren MM, Landefeld CS. The promotion of gabapentin: an analysis of internal industry documents. Ann Intern Med 2006; 145: 284-293. Steinman MA, Ranji SR, Shojania KG, Gonzales R. Improving antibiotic selection: a systematic review and quantitative analysis of quality improvement strategies. Med Care 2006; 44: 617-628. O’Hare AM, Bertenthal D, Covinsky KE, Landefeld, CS, Sen S, Mehta K, Steinman MA, Borzecki A, Walter LC. The association of chronic kidney disease with mortality is attenuated in the elderly. J Am Soc Nephrol 2006; 17: 846-853 Steinman MA, McQuaid KR, Covinsky KE. Age and rising rates of cyclooxgenase-2 inhibitor use: results from a national survey. J Gen Intern Med 2006; 21: 245-250 Ranji SR, Steinman MA, Shojania KG, Gonzales R, Sundaram V, Lewis R, Arnold S. Antibiotic Prescribing Behavior. Vol. 4 of Shojania KG, McDonald KM, Wachter RM, Owens DK, editors. Closing The Quality Gap: A Critical Analysis of Quality Improvement Strategies. AHRQ Technical Review 9 (Prepared by the Stanford University – UCSF Evidence-based Practice Center under Contract No. 290-02-0017). AHRQ Publication No. 04(06)-0051-4. Rockville, MD: Agency for Healthcare Research and Quality. January 2006. Available on line at http://www.ahrq.gov/downloads/pub/evidence/pdf/medigap/medigap.pdf Jha AK, Perlin JB, Steinman MA, Peabody JW, Ayanian JZ. Gender differences in quality of care in the Veterans Affairs Healthcare System. J Gen Intern Med 2005; 20: 762-765. Zipkin DA, Steinman MA. Interactions between pharmaceutical representatives and doctors in training: a thematic review. J Gen Intern Med 2005; 20: 777-786. Linder JA, Huang ES, Steinman MA, Gonzales R, Stafford RS. Fluoroquinolone prescribing in the United States, 1995 – 2002. Am J Med 2005; 118: 259-68. Steinman MA, Fischer MA, Shlipak MG, Bosworth HB, Oddone EZ, Hoffman BB, Goldstein MK. Clinician awareness of adherence to hypertension guidelines. Am J Med 2004; 117: 747-54. Steinman MA, Sauaia A, Maselli JH, Houck PM, Gonzales R. Office evaluation and treatment of elderly patients with acute bronchitis. J Amer Geriatr Soc 2004; 52: 875-79. Steinman MA, Gonzales R, Linder JA, Landefeld CS. Changing use of antibiotics in communitybased outpatient practice: 1991-1999. Ann Intern Med 2003; 138: 525-533. Steinman MA, Landefeld CS, Gonzales R. Predictors of broad-spectrum antibiotic prescribing for acute respiratory tract infections in adult primary care. JAMA 2003; 289: 719-725. Steinman MA, Sands LP, Covinsky KE. Medication restriction due to cost in seniors without prescription coverage: a national survey. J Gen Intern Med 2001; 16: 793-99. Steinman MA, Shlipak MG, McPhee SJ. Of principles and pens: attitudes and practices of medicine housestaff toward pharmaceutical industry promotions. Am J Med 2001; 110: 551-57. Lockman S, Sheppard JD, Braden CR, Mwasekaga MJ, Woodley CL, Kenyon TA, Binkin NJ, Steinman M, Montsho F, Kesupile-Reed M, Hirschfeldt C, Notha M, Moeti T, Tappero JW. Molecular and conventional epidemiology of Mycobacterium tuberculosis in Botswana: a population-based prospective study of 301 pulmonary tuberculosis patients. J Clin Microbiol 2001: 39: 1042-47.. Steinman MA, Steinman TI. Clarithromycin-associated visual hallucinations in a patient with chronic renal failure on continuous ambulatory peritoneal dialysis. Am J Kidney Dis 1996; 27: 143-46. Editorials and Reviews Landefeld CS, Steinman MA. The Neurontin legacy: discovery of how marketing can manufacture misinformation and manipulate physicians. N Engl J Med 2009; 360: 103-6 Steinman MA. Polypharmacy and the balance of medication benefits and harms [invited editorial]. Am J Geriatr Pharmacotherapy 2007: 5: 314-16. Steinman MA, Baron RB. Rebuttal - is continuing medical education a drug promotion tool [invited editorial]. Can Fam Phys 2007; 53: 1877-79. Steinman MA, Baron RB. Is continuing medical education a drug promotion tool – Yes [invited editorial]. Can Fam Phys 2007; 53: 1650-3. Steinman MA. Drugs-to-avoid criteria and the quality of prescribing [invited editorial]. Brown University Geriatric Psychopharmacology Update 2007; 11: 4. Steinman KJ, Steinman MA, Steinman TI. Disease management programs in the geriatric setting: practical considerations. Dis Mgmt Health Outcomes 2003; 11: 363-74 Steinman MA, Landefeld CS. Finding the target: getting started with quality of care and health services research. Qual Mgmt Health Care 2002; 10: 19-24. Steinman MA. Gifts to physicians in the consumer marketing era [invited editorial]. JAMA 2000; 284: 2243. Steinman TI, Steinman MA. Management of chronic renal failure. Contemp Intern Med 1997; 9: 2228. Friedman R, Steinman M, Benson H. The relaxation response: Physiological effects and medical applications. In: Haruki Y (ed). Comparative and Psychological Studies on Meditation. Tokyo, Waseda U. Press, 1993. Letters to the Editor Steinman MA. Response to ‘Number of medical conditions and quality of care’ – In reply [letter] N Engl J Med 2007; 357: 1350-1. Steinman MA, Bero LA, Chren MM, Landefeld CS. Response to ’The promotion of gabapentin: an analysis of internal industry documents’ – In reply [letter] Ann Intern Med 2007; 146: 313-4.. Steinman MA, Landefeld CS, Rosenthal GE, Bertenthal D, Sen S, Kaboli PJ. Response to ’Polypharmacy and prescribing quailty in elders’ – In reply [letter]. J Amer Geriatr Soc 2007; 55: 8034 Zipkin DA, Steinman MA. Response to ‘Interactions between pharmaceutical representatives and doctors in training: a thematic review’ – In reply [letter]. J Gen Intern Med 2006; 21: 103 Steinman MA, Landefeld CS, Gonzales R. Predictors of broad-spectrum antibiotic prescribing for acute respiratory tract infections in adult primary care [letter]. JAMA 2003; 289: 2797-98. Steinman MA, Covinsky KE. Donepezil for nursing home patients with dementia: a reinterpretation of the evidence [letter]. J Am Geriatr Soc 2003; 1: 132. Steinman MA. When is it cost-effective to change the behavior of health professionals? [letter] JAMA 2002; 287: 1648. Abstracts and Presentations Gordon WJ, Polansky JM, Boscardin WJ, Fung K, Steinman MA. Do simplified models for predicting cardiovascular risk alter cholesterol management? Awarded “best poster” award at the Bay Area Clinical Research Symposium, October 2008. Steinman MA, Yang K, Byron S, Maselli J, Gonzales R. Antibiotic utilization among health plans n the United States: implications for quality, cost, and public health. Presented as a poster abstract at the Society of General Internal Medicine Annual Meeting, April 2008. Steinman MA, Goldstein MK. New methods for performance measurement in hypertension: results from an expert panel. Presented as an oral abstract at the VA Health Services Research Annual Meeting, February 2008, and as a poster abstract at the Society of General Internal Medicine Annual Meeting and the American Geriatrics Society Annual Meeting, April and May 2008. Steinman MA, Rosenthal GE, Landefeld CS, Bertenthal D, Kaboli PJ. Are drugs-to-avoid criteira an accurate diagnostic tool for problem prescribing? Presented as an oral abstract at the American Geriatrics Society Annual Meeting, May 2007 and as a poster abstract at the Society of General Internal Medicine Annual Meeting, April 2007. Steinman MA, Maaravi Y, Walter LC, Hammerman-Rozenberg R, Stessman J. The evolution of medication use in Israeli elders: results from the Jerusalem Longitudinal Study. Presented as a poster abstract at the American Geriatrics Society Annual Meeting, May 2006. J Amer Geriatr Soc 2006; 54 supp 1: S126. Steinman MA, Harper GM, Chren MM, Landefeld CS, Bero LA. Characteristics and impact of drug detailing for gabapentin. Presented as a poster abstract at the Society of General Internal Medicine Annual Meeting, April 2006. J Gen Intern Med 2006; 21 S4: Steinman MA, Landefeld CS, Rosenthal GE, Bertenthal D, Sen S, Kaboli PJ. Polypharmacy and prescribing quality in elders. Presented as an oral abstract at the Society of General Internal Medicine Annual Meeting, April 2006, and as an oral abstract at the VA HSR&D National Meeting, February 2006. J Gen Intern Med 2006; 21 S4: Steinman MA, Kaboli PJ, Landefeld CS, Rosenthal G. Measures of drug prescribing quality frequently disagree. J Gen Intern Med 2005; 20 supp 1: 203. Presented as a poster abstract at the Society of General Internal Medicine Annual Meeting, May 2005. Steinman MA, McQuaid KR, Covinsky KE. National patterns of COX-2 inhibitor use. Presented as a poster abstract at the Society of General Internal Medicine Annual Meeting, May 2005. J Gen Intern Med 2005; 20 supp 1: 204. Chan AS, Steinman MA, Fischer MA, Shlipak MG, Bosworth HB, Oddone EZ, Martins SB, Hoffman BB, Goldstein MA. Will physicians support a decision support system for hypertension management (ATHENA DSS)? Presented as a poster abstract at the Society of General Internal Medicine Annual Meeting, May 2004. Chan AS, Steinman MA, Fischer MA, Shlipak MG, Bosworth HB, Oddone EZ, Martins SB, Hoffman BB, Goldstein MA. Clinician experience with the ATHENA DSS hypertension management system: facilitators and barriers to guideline compliance. Presented as a poster abstract at the American Heart Association 2 nd Scientific Conference on Compliance in Healthcare and Research, May 2004. Steinman MA, Fischer MA, Shlipak MG, Bosworth HB, Oddone EZ, Goldstein MK. Are clinicians aware of their adherence to hypertension guidelines? J Gen Intern Med 2003; 18 supp 1: 297. Presented as a poster abstract at the Society of General Internal Medicine Annual Meeting, May 2003 and as an oral abstract at the Bay Area Health Care Quality and Outcomes First Annual Meeting, May 2003. Steinman MA, Sauaia A, Maselli JH, Houck P, Gonzales R. Processes and outcomes of care in elderly patients with acute bronchitis. J Amer Geriatrics Soc 2003; 51 supp 1:S210-S211 and J Gen Intern Med 2003; 18 supp 1: 296. Presented in the presidential poster session at the American Geriatrics Society National Meeting, May 2003 (pending) and as a poster abstract at the Society of General Internal Medicine Annual Meeting, May 2003 . Steinman MA, Gonzales R, Linder JA, Landefeld CS. Changing use of outpatient antibiotics in the United States: 1991-1999. J Gen Intern Med 2002, 17: 119. Presented as a plenary oral abstract at the Society of General Internal Medicine California Regional Meeting, March 2002, and as an oral abstract at the Society of General Internal Medicine National Meeting, May 2002 Steinman MA, Gonzales R, Landefeld CS. Broad-spectrum antibiotic use in adults with acute respiratory infections. J Gen Intern Med 2002, 17: 212. Presented as a poster abstract at the Society of General Internal Medicine Annual Meeting, May 2002. Steinman MA, Gonzales R, Landefeld CS. Broad-spectrum antibiotic use among elderly outpatients: results from a national sample. J Amer Geriatr Soc 2002; 50: S110. Presented as a poster abstract at the American Geriatrics Society National Meeting, May 2002. Steinman MA, Sands LP, Covinsky KE. Medication restriction due to cost in seniors without prescription coverage: a national survey. J Gen Intern Med 2001, 16 Supp 1: 176 and J Amer Geriatr Soc 2001, 49: S8. Presented as a plenary oral abstract at the Northern California Epidemiology Network Annual Conference, February 2001, and as oral abstracts at the Society of General Internal Medicine Annual Meeting, May 2001 and the American Geriatrics Society Annual Meeting, May 2001. Steinman MA, Shlipak MG, McPhee SJ. Of principles and pens: attitudes and practices of medicine housestaff toward pharmaceutical industry promotions. J Gen Intern Med 2000; 15 Supp 1: 45. Presented as an oral abstract at the Society of General Internal Medicine Annual Meeting, May 2000. Tan E, Steinman MA. “Improving the care of behavioral problems in the institutionalized elderly.” Presented as a poster abstract at the VA National Quality Scholars Annual Meeting, August 2000 Tappero JW, Lockman S, Steinman MA, et al. Characterization of acid-fast bacillus (AFB) smearnegative pulmonary disease in Botswana. Am J Respir Crit Care Med 1997; 155: A557. Tappero JW, Steinman MA, Rumisha DW. Characterization of acid-fast bacillus (AFB) smearnegative pulmonary disease in Botswana. Int J Tuberc Lung Dis (formerly Tuber Lung Dis) 1996; 77 Supp 2: 68. Academic Activities 2000 – present Ad hoc reviewer for: Accountability in Research (2004) American Journal of Bioethics (2003) American Journal of Geriatric Pharmacotherapy (2006, 2007 X 3, 2008) American Journal of Managed Care (2004, 2008) American Journal of Medicine (2004, 2005) Annals of Internal Medicine (2008) Archives of General Psychiatry (2008) Archives of Internal Medicine (2003, 2005, 2006) Biomed Central Infectious Diseases (2006, 2007) Canadian Medical Association Journal (CMAJ) (2002, 2006) o cited for excellent quality of review Drugs and Aging (2002, 2004, 2008) Implementation Science (2006) Internal Medicine Journal (2006) International Journal for Quality in Health Care (2004) JAMA (2004, 2004, 2005, 2006, 2006) Journal of the American Geriatrics Society (2002, 2004, 2005, 2006, 2007) Journal of Clinical Epidemiology (2005) Journal of General Internal Medicine (2002, 2002, 2004, 2005, 2005, 2007, 2008, 2008) Lancet (2007) Medical Decision Making (2008) Social Science Medicine (2007) Western Journal of Medicine (2000) 2008 - present Research Space Committee, San Francisco VA Medical Center 2008 Invited panelist, American Board of Internal Medicine, Setting standards for Hypertension and Diabetes Practice Improvement Modules. Philadelphia, September 2008 2008 - present Site director, Medical Student Training in Aging Research (MSTAR) Program, University of California, San Francisco 2008 Invited presenter, Institute of Medicine Committee on Conflicts of Interest in Medical Education, Research, and Practice. “Conflict of Interest in Graduate and Undergraduate Medical Education.” Washington DC, January 2008 2007 - present Chair, Subcommittee on Publicly Available Data Resources; and Member, Research Committee, Society of General Internal Medicine 2007 Advisor, National Center for Quality Assurance, to validate HEDIS Antibiotic Utilization Measure 2007 Guest academic editor, PLoS Medicine 2007 - present Chair, Polypharmacy Special Interest Group, American Geriatrics Society Annual Meeting 2007 Report Expert Reviewer, DeCIDE report on off-label prescribing, Agency for Healthcare Research and Quality / Oregon Health Sciences University 2006 Abstract Reviewer, International Society of Pharmacoepidemiology Annual Meeting, Quebec City 2006-present Member, Subcommittee on Professionalism, Clinical Practice Committee, Society of General Internal Medicine 2006 Invited presenter, VHA Ethics Task Force on Compensated Relationships, Washington DC, October 2006 2006 - 2008 Clinical Research Subcommittee, Research and Development Committee, San Francisco VA Medical Center 2006-present Co-founder, Drug Industry Document Archive, UCSF Library and Center for Knowledge Management 2006-present Clinical Research Committee, San Francisco VA Medical Center 2006 Abstract Reviewer, International Society of Pharmacoepidemiology Annual Meeting, Lisbon Portugal 2006 Abstract Reviewer, Society of General Internal Medicine Annual Meeting, Los Angeles 2005 Abstract Reviewer, VA HSR&D 2006 Annual Meeting, Washington DC 2005 - present Veterans Integrated Service Network (VISN) 21 Pharmacy Benefits Management Workgroup - Northern California, Nevada, and Hawaii region 2004 - 2005 Invited consultant, National expert panel to develop Adult Antibiotic HEDIS Performance Measure 2002 Veterans Integrated Service Network (VISN) 21 Pharmacy Benefits Management Group Development Task Force, San Francisco, CA. 2002 - 2003 San Francisco VA Medical Center Pharmacy and Therapeutics Committee, San Francisco, CA Medication Use Subcommittee 2002 UCSF Medical Center Pharmacy and Therapeutics Committee, San Francisco, CA Industry Relations Subcommittee, 2001-2002 2001 Abstract Reviewer (Health Services Research), American Geriatrics Society 2002 Annual Meeting, Washington DC 2001 Root Cause Analysis committee member, San Francisco VA Medical Center, San Francisco, CA. 2000 Co-chair, Abstract Selection Committee, Society of General Internal Medicine California Regional Meeting, San Francisco, CA 2000 Junior editor, chapters on HIV, Heart Disease, Mycotic Infections, in: Tierney LM, McPhee SJ, Papadakis MA. Current Medical Diagnosis and Treatment (2002 edition). Appleton & Lange, publication pending 1993 – 1994 Consultant, Nutrition and Preventive Medicine Curriculum Committee, Harvard Medical School Educational Presentations 2008 Dermatology Grand Rounds, UCSF. “The pharmaceutical industry, medical education, and research.” San Francisco, November 2008 2008 Featured speaker, San Francisco VAMC Research Week. “A fistful of pills: how many drugs is too many?” San Francisco, May 2008 2008 Medicine Grand Rounds, Alameda County Medical Center / Highland Hospital. “Pharmaceutical industry influence on research and medical education: Overt science or covert marketing?” Oakland , April 2008 2008 Dean’s Lecture, Vanderbilt University School of Medicine. “Pharmaceutical Industry Influence on Medical Education.” Nashville, March 2008 2008 Panelist and speaker, VA Career Development Award Program Annual Meeting. “Guideline adherence in elders with heart failure and multiple comorbidities.” Baltimore, February 2008 2007 Panelist and speaker, Gerontological Society of America Annual Meeting - Presidential Symposium: Cross-Cutting International Issues in Medication-Related Problems in the Elderly. “Measurement and improvement of suboptimal prescribing in older veterans.” San Francisco, November 2007. 2007 Invited speaker, Special Symposium on Evidence Based Prescribing and the Pharmaceutical Industry. “Pharmaceutical marketing” Chicago, October 2007. 2007 Invited speaker, California Society of Addiction Medicine Annual Meeting. “The promotion of gabapentin.” Los Angeles, October 2007 2007 Keynote speaker, Primary Care Medicine – Principles and Practice CME Course (UCSF). “Bias in clinical trials: How to spot it. What to do about it.” San Francisco, October 2007. 2007 Invited speaker, International AIDS Society – USA Core Faculty Retreat. “The promotion of gabapentin: an inside view of pharmaceutical marketing.” Scottsdale, AZ, October 2007. 2007 Symposium panel speaker and discussant, International Society of Pharmacoepidemiology Annual Meeting. “Characterizing and comparing measures of prescribinq quality in older adults” Quebec City, Canada, August 2007 2007 Grand Rounds, Children’s Hospital Oakland. “Pharmaceutical industry influence on research and medical education: Overt science or covert marketing?” Oakland , July 2007 2007 Workshop presenter, Society of General Internal Medicine annual meeting. “To Prescribe or Discontinue: What is Quality Pharmacotherapy for Older Adults? " Toronto, April 2007 2007 Medicine Grand Rounds, Alta Bates Summit Medical Center. “Marketing of Drugs Through Medical Education and Research: The Case of Gabapentin " Oakland , April 2007 2007 Pediatrics Grand Rounds, San Francisco General Hospital. “Marketing of Drugs Through Medical Education and Research" San Francisco , March 2007 2007 Medicine Grand Rounds, San Francisco General Hospital. “The Hidden Side of Drug Promotion: Lessons from the Marketing of Gabapentin" San Francisco , January 2007 2006 Medicine Grand Rounds, UCSF. “Marketing of Drugs Through Medical Education and Research: The Case of Gabapentin" San Francisco , November 2006 2006 Medicine Grand Rounds, Sutter Medical Center Santa Rosa . “Drug Industry Marketing Through Education and Research" San Francisco , November 2006 2006 Symposium organizer and panel discussant, “Pharmaceutical Industry Involvement in Medical Student and Residency Education – Current Practices and Future Solutions”, UCSF School of Medicine, October 2006 2006 GME Grand Rounds, UCSF. "Impact of the Pharmaceutical Industry on Graduate Medical Education and Medical Practice." San Francisco, October 2006 2006 Geriatrics Grand Rounds, UCSF. "Prescribing for Elders with Multiple Comorbidities – How Much is Too Much? How Much is Too Little?" San Francisco, September 2006 2005 Grand Rounds, Department of Medicine, San Francisco VA Medical Center. "Prescribing for Elders – Approaches to High-Quality Care." San Francisco, November 2005 2005 Faculty speaker, VISN 21 Geriatrics and Extended Care Regional Meeting. “Prescribing Quality Measurement in Elders.” San Francisco, CA, October 2005 2005 Invited Discussant, 3rd annual Bay Area Health Care Quality and Outcomes Conference. Woodside, CA, May 2005 2005 Faculty speaker, SFVAMC Research Week. “The use and overuse of powerful antibiotics.” San Francisco VA Medical Center. March 2005 2003 Featured speaker, Medpin 2nd Annual Conference. "Pharmaceutical Industry Marketing: Effects on Patients and Physicians." Los Angeles, May 2003. 2003 Guest lecturer, Understanding Changing Times course, City College of San Francisco. "Everything You Wanted to Know About Pharmaceutical Marketing But Were Afraid to Ask" San Francisco, April 2003 2002 Grand Rounds, Department of Medicine, San Francisco VA Medical Center. "Don't Believe Everything You Read: Conflict of Interest and the Medical Literature." San Francisco, June 2002 2002 Keynote speaker, George R. Dunlop Annual Ethics Symposium, University of Massachusetts Medical School. "Of Principles and Pens: The Dilemma of Pharmaceutical Marketing." Worcester, MA, May 2002. 2002 Workshop presenter, Society of General Internal Medicine Annual Meeting. "A Curriculum on Physician-Pharmaceutical Industry Interactions." Atlanta, May 2002. 2001 Grand Rounds, Department of Medicine, Alta Bates Hospital. “Gifts to Physicians from the Pharmaceutical Industry.” Berkeley, January 2001 2001 Guest Moderator, Alta Bates Hospital Ethics Committee. Berkeley, January 2001 2001 Grand Rounds, Memory Clinic, University of California, San Francisco. “Gifts to Physicians from the Pharmaceutical Industry.” San Francisco, March 2001 2000 Grand Rounds, Division of General Internal Medicine, University of California, San Francisco. “Physicians and the Drug Industry.” San Francisco, May 2000 1997 Harvard Medical School Alumni Day Symposium: “A Tale of Two Diseases: Tuberculosis and Coronary Artery Disease.” Boston, June 1997 Local Presentations 2008 Invited Speaker, Aging and Palliative Care Interest Group. “Promises and Pitfalls of Medication Prescribing for Elders” UCSF School of Medicine, December 2008 2008 Invited Speaker, UCSF Introduction to Health Policy Course. “Pharmaceutical Industry Marketing.” UCSF School of Medicine, November 2008 2008 Lecturer, Geriatrics Fellows Teaching Conference, San Francisco VA Medical Center. “Polypharmacy and Prescribing Quality” November 2008 2008 Guest lecturer, UCSF Hospitalist Conference. "Minimizing Medication Problems in Older Adults.” University of California, San Francisco, February 2008 2008 Guest lecturer, Health Policy for Pharmacists course (CP 123). "Drug Industry Marketing and Promotion." University of California, San Francisco School of Pharmacy, February 2008 2007 Lecturer, Geriatrics Fellows Teaching Conference, San Francisco VA Medical Center. “Polypharmacy and Prescribing Quality” November 2007 2007 Invited Speaker, UCSF Introduction to Health Policy Course. “Pharmaceutical Industry Marketing.” UCSF School of Medicine, October 2007 2007 Lecturer, Geriatrics Fellows Teaching Conference, San Francisco VA Medical Center. “Polypharmacy” April 2007 2007 Lecturer, Housestaff Noon Conference, San Francisco VA Medical Center Dept. of Medicine. “Research, Medical Education, and the Healthcare Industry.” March 2007 2007 Oncology Fellows Teaching Conference. “Research Ethics.” University of California, San Francisco School of Pharmacy, March 2007 2007 Guest lecturer, Health Policy for Pharmacists course (CP 123). "Drug Industry Marketing and Promotion." University of California, San Francisco School of Pharmacy, February 2007 2006 Guest lecturer, Introduction to Health Policy course (FCP 170.01C). “Marketing of Drugs” University of California, San Francisco School of Medicine. Nov. 2006 2006 Invited Consultant, Executive Advisory Committee on Industry Involvement, Langely Porter Psychiatric Institute. San Francisco, October 2006 (pending) 2006 Guest lecturer, Housestaff Noon Conference, Children’s Hospital Oakland. "Mechanisms of Drug Marketing: Lessons from the Gabapentin Case" Oakland, October 2006 2006 Reynolds Geriatrics Training Program, UCSF. "Approaches of Pharmaceutical Care in Elders with Complex Medical Problems" San Francisco, October 2006 2006 Advance Practice Nurses Rounds, San Francisco VA Medical Center. "Polypharmacy and Prescribing for Elders" San Francisco, September 2006 2006 Guest lecturer, Health Policy for Pharmacists course (CP 123). "Drug Industry Marketing and Promotion." University of California, San Francisco School of Pharmacy, February 2006 2005 Guest lecturer, Introduction to Health Policy course (FCP 170.01C). “Drug Industry Marketing” University of California, San Francisco School of Medicine. Nov. 2005 2005 Guest lecturer, UCSF-UC Berkeley Joint Medical Program. “How the Pharmaceutical Industry Influences Physicians.” University of California, Berkeley. October 2005 2005 Invited Speaker, community meeting of the California Physicians Alliance. “How the Pharmaceutical Industry Influences Physicians.” University of California, Berkeley. September 2005 2005 Guest lecturer, geriatrics fellows core curriculum. “Polypharmacy and Prescribing Quality in Elders.” San Francisco VA Medical Center. August 2005 2005 Guest lecturer, CODA course. “Industry and evidence: The thinking intern’s guide to research and publication.” University of California, San Francisco School of Medicine. April 2005 2005 Guest lecturer, Bioethics and Society course (Medicine 170.01B) “Ethical issues for medical education and the pharmaceutical industry”. University of California, San Francisco School of Medicine. March 2005 2005 PRIME program core curriculum, Department of Medicine, San Francisco VA Medical Center. “Research Conflicts and the Pharmaceutical Industry.” February, April 2005 2004 Housestaff teaching conference, Department of Medicine, University of California, San Francisco. “Physicians and the Pharmaceutical Industry.” Fall 2004 2003 Social Activism in Medicine course (Medicine 170.01C). "Challenging Norms in the Medical Profession." University of California, San Francisco School of Medicine, March 2003 2002 Guest speaker, Association of Gerontological Nurse Specialists Annual Meeting. “Health Care Professionals and the Pharmaceutical Industry.” San Francisco, September 2002 2002 Ethics Brown Bag Lecture, San Francisco VA Medical Center. “Health Care Professionals and the Pharmaceutical Industry.” April 2002 2002 Housestaff teaching conference, Department of Medicine, San Francisco General Hospital. “Physicians and the Pharmaceutical Industry.” April 2002 2002 Housestaff teaching conference, Department of Medicine, University of California, San Francisco. “Physicians and the Pharmaceutical Industry.” April 2002 2001 Geriatrics Research Conference, San Francisco VA Medical Center. “Federal and State Databases for Health Services Research.” San Francisco, November 2001 2000 Student Health Professionals for Social Responsibility Meeting. "Gifts to Health Care Professionals from the Pharmaceutical Industry." University of California, San Francisco, May 2001 2001 - 2003 Health Policy for Pharmacists course (CP 123). "Pharmaceutical Marketing." University of California, San Francisco School of Pharmacy, March 2001, 2002, 2003 2001 Resident teaching conference, Department of Medicine, San Francisco General Hospital. “Gifts to Physicians from the Pharmaceutical Industry.” January 2001 2001 Resident teaching conference, Department of Pediatrics, San Francisco General Hospital. “Gifts to Physicians from the Pharmaceutical Industry.” January 2001 2000 - 2001 Resident teaching conference, Department of Medicine, University of California, San Francisco. “Gifts to Physicians from the Pharmaceutical Industry.” June 2000, January 2001 2000 Resident teaching conference, Department of Medicine, San Francisco VA Medical Center. “Gifts to Physicians from the Pharmaceutical Industry.” December 2000 2000 Staff teaching conference, Positive Health Program, San Francisco General Hospital. “Gifts to Physicians from the Pharmaceutical Industry.” October 2000 2000 Staff teaching conference, HIV Clinic, University of California, San Francisco. “Gifts to Physicians from the Pharmaceutical Industry.” September 2000 Teaching Experience 2008 Section Leader, Epidemiology course, University of California, San Francisco School of Medicine, Oct – Dec 2008. 2007 Section Leader, Epidemiology course, University of California, San Francisco School of Medicine, Oct – Dec 2007. 2007 Section Leader, MS III Intersession, University of California, San Francisco School of Medicine, April 2007. 2006 Section Leader, Epidemiology / Evidence-Based Medicine course, University of California, San Francisco School of Medicine, Oct – Dec 2006. 2005 Section Leader, Epidemiology / Biostatistics mini-course, University of California, San Francisco School of Medicine, Nov. 2005. 2005 Section Leader, MS III Intersession, University of California, San Francisco School of Medicine, June 2005. 2002, 2004 Teacher, Introduction to Patient Oriented Research Course: Cohort Studies. Division of Geriatrics, San Francisco VA Medical Center, July 2002, 2004. 2002 Section Leader, “Health Systems / Quality of Care Intersession,” University of California, San Francisco School of Medicine, December 2002 2001 - 2003 Preceptor, MSTP Preceptorship (Medicine 160.04), Oct 2001 - 2003 2001 - 2003 Section Leader, “Evidence-Based Medicine Intersession,” University of California, San Francisco School of Medicine, March 2001 – 2003 2001 Teaching Assistant, “Health Policy for Pharmacists,” University of California, San Francisco School of Pharmacy, January – March 2001 2000 Section Leader, “Responsibilities of Medical Practice,” University of California, San Francisco School of Medicine. “Responding to patients’ requests for suicide assistance;” “Ethical dilemmas for students / learning on patients;” “Disclosing mistakes.” June 2000 2000 – present Preceptor, Medical Student Homeless Clinic, University of California, San Francisco 1999 Preceptor, Introduction to Clinical Medicine Course, University of California, San Francisco 1998 – 2000 Preceptor, Medical Student Evening Clinic, University of California, San Francisco 1996 – 1997 Preceptor, Introduction to Clinical Medicine Course, Harvard Medical School Additional Experience 2005 Board Member, New Israel Fund – New Generations, San Francisco 2004 - present Board Member, No Free Lunch 2003 - 2004 Fellow, Dorot Fellowship in Israel, Jerusalem, July 2003- June 2004 2002 – 2003 Expert witness (unpaid), United States of America ex. rel David Franklin vs. Parke-Davis, Division of Warner-Lambert Company and Pfizer, Inc. 2002 Medical Director, Automated External Defibrillator Program, Congregation Beth Sholom, San Francisco 2002 Visiting physician, Centro Regional de Salud - Jiquilisco and group physician, American Jewish World Service community service trip, Usulutan, El Salvador 2000 Editor, UCSF Division of General Internal Medicine “Clinic Survival Guide” 1997 Clinic work and Spanish language training, Guatemala 1993 – 1994 Officer, Bioethics Committee, American Medical Students Association 1993 – 1994 Coordinator, Ethics Journal Club, Harvard Medical School 1993 – 1994 Non-Voting Member, Institutional Review Board, Brigham and Women’s Hospital 1992 - 1993 Health Educator, Boston Outreach / Health of the City, Cambridge After-School Centers and Boston English High School 1992-1993 Brown University alumni interviewer 1991 – 1992 Teacher and Health Curriculum Developer, Phanat Nikhom Refugee Camp, Thailand 1990 Teaching Assistant, Summer Biology Courses, Brown University 1988-1991 English as a Second Language Tutor, Rhode Island Lao Temple, Smith Hill Center, and Middle Schools, Rhode Island Professional Memberships 2005 - present Member, International Society of Pharmacoepidemiology 2003 - present Member, American Geriatrics Society 1999 - present Member, Society of General Internal Medicine (Associate Member 1999-2003) 1998 - present Member, American College of Physicians (Associate Member 1998-2001) Other Affiliations 2004 - Core Faculty, HSR&D Research Enhancement Award Program, San Francisco VA Medical Center 2008 - Adjunct Associate Faculty Member, Stanford University Center for Health Policy / Center for Primary Care and Outcomes Research Licensure and Certification 2005 Certificate of Added Qualification in Geriatrics 2000 - present Diplomate, American Board of Internal Medicine 1998 - present CA License A066940, DEA License BS 9011533 Other Interests Interests in Biomedical Ethics, International Travel, Music, Hiking, Athletics