Program Director Message

Arlin Venturina

Arlin Venturina, MD

Program Director


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Open Faculty Positions

The following positions are open from the UCSF Fresno Department of Family and Community Medicine

 

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Research

UCSF Fresno Department of Family & Community Medicine supports a wide range of research-related activities including:

  • A comprehensive research curriculum with emphasis on applying evidence-based medicine to clinical care;
  • Assistance in research design, statistical analysis, presentation and scientific writing;
  • Faculty mentors who are dedicated exclusively to research;
  • International research opportunities;
  • Access to research development courses (on-site in Fresno).

OVERVIEW

UCSF Fresno Department of Family & Community Medicine has made a special commitment to the development of community-based primary care research. The research team conducts original research, guides and supports the research interests of clinical faculty and residents, and implements formal evidence-based medicine (EBM) curriculum for residents.

 

EBM

The EBM curriculum is focused on the practical applications of using electronic information and critically appraising the evidence on which clinical decisions are made. Residents and faculty submit clinical questions, receive training in literature search skills to find answers to those questions, discuss evidence pertaining to their questions and apply scientific evidence to improve diagnosis and treatment of patients. This innovative approach is designed to teach residents the skills they need to become life-long and self-directed learners.

The Fresno test of EBM was developed and validated in 2002 by faculty in our department. It was the first test designed to assess evidence-based medicine skills and is in use around the world (available upon request).

SCHOLARLY ACTIVITY

During the three-year residency program, residents complete two scholarly projects. A research project in a topic of interest and a quality improvement project based on their clinic continuity patients. Residents receive extensive support, encouragement, and specialized training for their projects from the research team. Previous scholarly projects include: speaking in 6th grade elementary school classes about exercise & nutrition, national survey about knowledge and use of proton-pump inhibitors, impact of the Affordable Care Act on emergency room utilization, and effect of race/ethnicity on pain measures after palliative care consultation.

 

RESEARCH FACULTY

The Research Director is Susan Hughes, MS, whose training in biostatistics is utilized on many research projects. She is responsible for overseeing research activities and working with fellows and faculty in the department. Ms. Hughes won the UCSF Fresno Medical Education Program Faculty Research Award in June 2009 based in part on her publication about trends in rural and urban births in California. Other members of the research team include Roger Mortimer, MD and Iris Price, MA. Dr. Mortimer is the clinical expert of the research team. He is active in the HIV clinic where he conducts research on cryptococcal meningitis. He also has ongoing projects on cocci and medication adherence of diabetics. He won the UCSF Fresno Medical Education Program Faculty Research Award in June 2013. Ms. Price has a background in psychology and research methods. She works with medical students and residents on their required scholarly activity and quality improvement projects.  She also coordinates the objective structured clinical/teaching experiences in the department.

Other faculty members conduct research activities as well. Family Medicine faculty have been awarded the UCSF Fresno Medical Education Program Faculty Research Award six times. Research and other scholarly activity is ongoing in such areas as diabetes, pain management, faculty development, and geriatrics.

Du, J. Should preteens get HPV Vaccine? Fresno Doctor Says Yes. Letter to the Editor, Fresno Bee, November 15, 2017. Available at: https://www.fresnobee.com/opinion/letters-to-the-editor/article184595778.html

Garcha J. Read to kids any which way you can. Letter to the Editor, Fresno Bee. April 3, 2018. Available at: https://www.fresnobee.com/opinion/letters-to-the-editor/article207831324.html

Jernick, N. How to fight the Valley’s diabetes epidemic.  Letter to the Editor, Fresno Bee.  December 3, 2017. Available at: https://www.fresnobee.com/opinion/letters-to-the-editor/article187630133.html

Jones N, Milanes L, Banales V, Price I, Gomez I, Hughes S. Difficult interpersonal encounters with medical students and residents: two objective standardized teaching encounters. MedEdPORTAL. 2017;13:10640. doi 10.15766/mep_2374-8265.10640.

Le, Anh. Talk to your kids about sex, or make sure they take classes at school.  Letter to the editor, Fresno Bee. December 18, 2017. Available at: https://www.fresnobee.com/opinion/letters-to-the-editor/article190270219.html

Macmillan P, Geraci SA. Culture Shift: Building an Awareness of Our Mortality. Muacevic A, Adler JR, eds. Cureus. 2017;9(12):e1969. doi:10.7759/cureus.1969.

Mortimer RB, Safety Ratios, In Manual of US Cave Rescue Techniques, 4th ed.  Mirza A, ed.  2018.  National Cave Rescue Commission, Huntsville, AL.

Reddy S, Singh K, Hughes S. Liver Abscesses Caused by Streptococcus intermedius in an Immunocompromised Patient. Muacevic A, Adler JR, eds. Cureus. 2018;10(1):e2107. doi:10.7759/cureus.2107.

Reddy S, Aguiniga L, Price I. Educating Resident About Intimate Partner Violence Using Didactics and Practice. Society of Teachers of Family Medicine News/Journals May 2018 Education Column.  Available at: http://www.stfm.org/NewsJournals/EducationColumns/2018MayEducationColumn

Chalfin B, Fard AS, Lieberman S, Thompson J, Hughes S, Swift C, Chung D, Macmillan P. Early Palliative Care Consults Reduce Length of Stay and Hospital Charges. 2017 Center to Advance Palliative Care National Seminar Poster Session Abstracts. Available at: https://www.capc.org/seminar/2017/early-pc-consults-reduce-los-and-hospital-charges/

 Du, J; Hughes, S; Min, Y; Naeni, I; Okoro, E. Knowledge, Attitude, and Awareness of Cervical Cancer, Human Papilloma Virus, and HPV Vaccine Among Underserved Women in Fresno County. 2018 Society of Teachers of Family Medicine Annual Conference Abstracts.  Available at:http://www.stfm.org/Conferences/AnnualSpringConference/PastConferences/2018AnnualSpringConference?language=en-US&m=0&s=Okoro&p=0

Loresca, E; Garcha, J; Hughes, S; Price, I. Are Teens Being Prevented from Buying Condoms from Pharmacies in Fresno County? 2018 Society of Teachers of Family Medicine Annual Conference Abstracts.  Available at:http://www.stfm.org/Conferences/AnnualSpringConference/PastConferences/2018AnnualSpringConference?language=en-US&m=0&s=Loresca&p=0

Le, A; Pierce, L; Shin, K; Price, I; Hughes, S; Reddy, S. The Role of Vitamin B12 and Perceived Energy Level. 2018 Society of Teachers of Family Medicine Annual Conference Abstracts.  Available at: http://www.stfm.org/Conferences/AnnualSpringConference/PastConferences/2018AnnualSpringConference?language=en-US&m=0&s=Anh%2520Le&p=0

Milanes L, Jones N. Working together: An interprofessional Objective Standardized Encounter (iOSCE). Conference Proceedings Keck School of Medicine of USC Innovations in Medical Education Conference, page 190. University of Southern California.

Reddy S, Aguiniga L, Price I. Resident physician education on intimate partner violence: a clinical experience. Conference Proceedings Keck School of Medicine of USC Innovations in Medical Education Conference, page 46. University of Southern California.

Chalfin B, Fard AS, Lieberman S, Thompson J, Hughes S, Swift C, Chung D, Macmillan P. Early Palliative Care Consults Reduce Length of Stay and Hospital Charges. Poster presented at the Center to Advance Palliative Care National Seminar, November 8, 2017, Phoenix, AZ.

Chalfin, B; Fard, AS; Macmillan, P; Hughes, S. Optimization of palliative care consults requested by the UCSF Fresno Department of Family Medicine. Poster presented at the 3rd Annual Quality Improvement & Innovation Symposium, May 31, 2018, Fresno, CA.

Flagg, S; Guzman, L. Evaluation and Management of Direct Coombs Antibody Testing. Poster presented at the 3rd Annual Quality Improvement & Innovation Symposium, May 31, 2018, Fresno, CA.

Neves, G; Batra, S; Flagg, S. Postpartum Hemorrhage Workshop.  Advanced Life Support in Obstetrics.  UCSF Fresno Family Medicine, April, 19, 2018, Fresno, CA. 

Neves, G; Flagg, S.  Assisted Delivery Workshop.  Advanced Life Support in Obstetrics.  UCSF Fresno Family Medicine, April, 19, 2018, Fresno, CA. 

Du JN, Okoro E, Hughes S, Min Y, Naeni I. Knowledge, attitude and awareness of cervical cancer, human papilloma virus (HPV) and HPV vaccine among underserved women in Fresno County. Poster presented at the American College of Osteopathic Physicians of California 2017 Annual Scientific Medical Seminar. August 5, 2017, Anaheim, CA.

Aulakh G, Mortimer R, Hughes S. Evaluating glycemic control in patients hospitalized at CRMC with Diabetic Ketoacidosis or Hyperosmolar Hyperglycemic State. Poster presented at the 2017 UCSF Fresno Family & Community Medicine 21st Annual Expo. December 14, 2017, Fresno, CA.

Day, T; Neves, G. Survey of Symptoms and Treatment of PTSD in Veterans. Poster presented at the 2017 UCSF Fresno Family & Community Medicine 21st Annual Expo. December 14, 2017, Fresno, CA.

Dhah K, Ruvalcaba JC, Jones N, Ikawa J, Hughes S. Increasing awareness of concussion signs, symptoms and management among Fresno County high school students. Poster presented at the 2017 UCSF Fresno Family & Community Medicine 21st Annual Expo. December 14, 2017, Fresno, CA.

Du JN, Okoro E, Hughes S, Min Y, Naeni I. Knowledge, attitude and awareness of cervical cancer, human papilloma virus (HPV) and HPV vaccine among underserved women in Fresno County. Poster presented at the 2017 UCSF Fresno Family & Community Medicine 21st Annual Expo. December 14, 2017, Fresno, CA.

Jernick N, Martinez M, Price I, Hughes S. Assessing Health Literacy in a Rural Family Medicine Clinic. Poster presented at the 2017 UCSF Fresno Family & Community Medicine 21st Annual Expo. December 14, 2017, Fresno, CA.

Malik A, Toor N, Jones N, Price I, Hughes S. Evaluating the impact of lectures on nutrition and physical activity in 6th grade students. Poster presented at the 2017 UCSF Fresno Family & Community Medicine 21st Annual Expo. December 14, 2017, Fresno, CA.

Nguyen, M; Jones, N; Price, I; Hughes, S; Rodriguez-Carranza, L; Macmillan, P. Physician Perspectives Regarding End-Of-Life Care. Poster presented at the 2017 UCSF Fresno Family & Community Medicine 21st Annual Expo. December 14, 2017, Fresno, CA.

Pierce, L; Le, A; Shin, K; Price, I; Hughes, S; Reddy, S. The Role of Vitamin B12 and Perceived Energy Level. Poster presented at the 2017 UCSF Fresno Family & Community Medicine 21st Annual Expo. December 14, 2017, Fresno, CA.

Loresca, E; Garcha, J; Hughes, S; Price, I. Are Teens Being Prevented from Buying Condoms from Pharmacies in Fresno County? Poster presented at the 2018 Society of Teachers of Family Medicine Annual Conference, May 7, 2018, Washington, DC.

Okoro, E; Du, J; Hughes, S; Min, Y; Naeni, I. Knowledge, Attitude, and Awareness of Cervical Cancer, Human Papilloma Virus, and HPV Vaccine Among Underserved Women in Fresno County. Poster presented at the 2018 Society of Teachers of Family Medicine Annual Conference, May 7, 2018, Washington, DC.

Le, A; Pierce, L; Shin, K; Price, I; Hughes, S; Reddy, S. The Role of Vitamin B12 and Perceived Energy Level. Talk presented at the 2018 Society of Teachers of Family Medicine Annual Conference, May 9, 2018, Washington, DC.

Malik, A; Toor, N; Naeni, I. Abdominal Aortic Aneurysm Screening. Poster presented at the 3rd Annual Quality Improvement & Innovation Symposium, May 31, 2018, Fresno, CA.

Pierce, L; Dhah, K; Price, I; Hughes, S; Naeni, I; Ruvalcaba, JC. Improving Physical Activity Counseling in Adults using an Exercise Prescription. Poster presented at the 3rd Annual Quality Improvement & Innovation Symposium, May 31, 2018, Fresno, CA.

Roepcke, F; Martinez, R; Price, I; Naeni, I; Hughes, S. Encouraging Patient Initiation of Dietary Approaches to Stop Hypertension (DASH). Poster presented at the 3rd Annual Quality Improvement & Innovation Symposium, May 31, 2018, Fresno, CA.