“Where Can This Person Go?”: A Plea for the Expansion of Medical Respite Services

 

by Soraya Azari, MD

While recently working in the hospital I was often asked by my interns and medical students: “so where can this person go?”  An example: a 53 year old homeless man, wheelchair-bound from prior injuries, who had his wheelchair stolen during an assault, which led to pneumonia and hospitalization.  He quickly improved with intravenous antibiotics, was medically stable, and no longer met criteria for inpatient hospitalization.  So then the question is where should he go? 

Moral Compass

By Dean Schillinger, MD

Dear Colleagues,

Today we are releasing a new film, "Biker with a Moral Compass: Dr. Dick Fine and the Evolving Culture of SFGH", a documentary portraying and paying tribute to the life, times and contributions of UCSF and SFGH physician Dick Fine MD, Founder and Former Director of the General Medicine Clinic, among many things.

Please feel free to share this film with colleagues, friends, and family, and consider using it as part of your health professions trainings.    

Finally, I would like to take this opportunity to ask you to consider making a donation on behalf of Dick, and in support of the many causes he has steadfastly stood for. The San Francisco General Hospital Foundation has created the Richard H. Fine Fund, whose purpose is to support education, clinical innovation, and discovery in The Richard H Fine People's Clinic. You can donate here:

• Go to https://sfghf.org/support-us/donate/
• Under the “Please use my Gift” section select “For the following Program or Department” and write in “In Honor of Richard H Fine DGIM Fund”

 Now....ENJOY THE SHOW !

 

Connecting the dots: Health information technology expansion and health disparities

By Courtney Lyles, PhD, Dean Schillinger, MD and Urmimala Sarkar, MD, MPH

Check out our newest essay in PLOS Medicine outlining how health technology could be better designed and implemented to meet the needs of diverse patient populations:

http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1001852

Making Older Homelessness a Never Event

by Margot Kushel, MD

On April 2, Bevan Dufty, (@BevanDufty) the director of the HOPE program (Housing Opportunity, Partnerships and Engagement) for San Francisco (aka the official responsible for addressing homeless services and outcomes), posted the following message to his 4500 followers on twitter: “86-year old staying @ECS_SF Next Door Polk/Geary shelter needs help walking/feeding small dog. Without dog, client likely returns to street.”

The future is already here, it just not very evenly distributed.

By Courtney Lyles, PhD

The title of this blog post is a quote by science fiction author William Gibson (who coined the phrase many years ago, by the way).  And I think it is spot on in a number of ways.  It is clear that so many seemingly futuristic technologies have already been developed: from using your smartphone to passively track your activity and mood, to the development of a sensor to test blood glucose through the skin without drawing blood.  But the reality that is so clear to us working in the safety net is that most of these tools are not distributed to those who need it most, and sometimes even only make their way to our settings after they become somewhat obsolete in the tech space.

Primary Care residency alumnae in UCSF Frontiers of Medicine for work in Navajo Nation

Two of our recent graduates from the SFPC residency program, Drs. Mia Lozada and Jennie Wei, were featured in an article, "You Will Become Well", in the UCSF Frontiers of Medicine spring issue.  The article highlighted their dedicated work caring for patients in Navajo Nation in New Mexico at the Gallup Indian Medical Center.

Click here to read more about their work improving health for underserved patients without running water or electricity, in rural and inaccessible communities, and with hugely different cultural expectations and references.

We are so proud of the work they are doing, including starting the first transgender clinic in Navajo Nation and diving into the quality improvement work at their health center! 

From e-patients to all patients

by Urmimala Sarkar, MD MPH

As a primary care provider practicing in the safety net, I work with incredibly diverse patients with chronic illness. My patients have a wide range of beliefs and preferences about how to best manage their health. I believe their varied perspectives, if more widely shared, could meaningfully improve health care.