RESEARCH

 

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

 

 

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 through link on left). 



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, Nicole Jones, MA, 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 diabetic patients’ hospitalization rates and medication adherence of diabetics. He won the UCSF Fresno Medical Education Program Faculty Research Award in June 2013. Ms. Jones is the Research Coordinator with training in experimental psychology. She works with medical students and residents on their required scholarly activity projects and coordinates the objective structured clinical/teaching experiences in the department.  Ms. Price is the Research Associate with a background in psychology and research methods.  She is also responsible for supervising medical students and residents on their scholarly activity, as well as overseeing grant related activities 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.


 

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2015 -2016 PUBLICATIONS

 

Riaz M, Hughes S, Gomez IA, Mortimer RB. Stress Ulcer Prophylaxis in Hospitalized Patients, Subsequent Use in Primary Care, and Physicians' Opinions About Acid-Suppressive Therapy. South Med J. 2016 Mar;109(3):158-64. PMID:26954653

 

Chung D, Simmons J, Hailu T, Macmillan P. The Earrings. J Palliat Med. 2016
Apr 13. [Epub ahead of print] PubMed PMID: 27074036.

 

Clarke K, Harris D, Zweifler JA, Lasher M, Mortimer RB, Hughes S. The Significance of Harm Reduction as a Social and Health Care Intervention for Injecting Drug Users: An Exploratory Study of a Needle Exchange Program in Fresno, California. Soc Work Public Health. 2016 May 11:1-10. PMID:27167664.

 

McCurley LH, Mortimer RB.  Chapter 63, Caving and Cave Rescue.  In:  Auerbach PS, ed.  Wilderness Medicine.  7th ed.  Philadelphia, PA: Elsevier; 2016: 1403-1412.

 

 

2015-2016 FACULTY, FELLOW & RESIDENT ABSTRACTS

 

Paul S, Mortimer RB, Mitchell M. Sertraline Demonstrates Fungicidal Activity Against Coccidioides immitis in vitro [Abstract 789], Infectious Diseases Society of America, 53rd Annual Meeting (ID Week).  Available at: http://ofid.oxfordjournals.org/content/2/suppl_1/789.full.pdf+html?sid=b0eebda0-56dd-42f3-accc-886ded3ed51f


Gordon, A; Hughes, S. Affordable Care Act Impact on Emergency Room Visits. 2015 North American Primary Care Research Group Annual Meeting Abstracts.  Available at: http://www.napcrg.org/Conferences/PastMeetingArchives/2015AnnualMeetingArchives /SearchEducationalSessions?language=en-US&m=0&s=Ashlynn%2520Gordon&p=0

 

Chung, D; Sue, A; Swift, C; Simmons, J; Macmillan, P; Hughes, S, Hailu, T. Impact of race on pain management. 2015 Center to Advance Palliative Care National Seminar Poster Session Abstracts. Available at: https://www.capc.org/seminar/2015/impact-race-pain-management-outcomes/

 

Sanghera, S; Soto, A; Fraijo, M; Hughes, S; Ikawa, J.  Patient Satisfaction and Factors Related to Patient-Doctor Relationships.  Journal of the 37th Annual Central California Research Symposium, page 104. California State University, Fresno.

 

Delsman, E; Hughes, S; Gomez, I. Comparison of HbA1c and OGTT as a Screening Tool for GDM in First Trimester Pregnant Women. 2016 Society of Teachers of Family Medicine Annual Conference Abstracts. Available at: http://www.stfm.org/Conferences/AnnualSpringConference/SessionInformation/ SearchEducationSessions?language=en-US&m=0&s=Delsman&p=0

 

Gordon, A; Hughes, S. Emergency Room Visits Unchanged After Implementation of Affordable Care Act. 2016 Society of Teachers of Family Medicine Annual Conference Abstracts. Available at: http://www.stfm.org/Conferences/AnnualSpringConference/SessionInformation /SearchEducationSessions?language=en-US&m=0&s=Ashlynn%2520Gordon&p=0

 

 

2015-2016 FELLOW PRESENTATIONS

 

Chung, D; Sue, A; Swift, C; Simmons, J; Macmillan, P; Hughes, S, Hailu, T. Impact of race on pain management. Poster presented at the Center to Advance Palliative Care National Seminar, October 28, 2015, Orlando, FL.

 

Sue, A; Chung, D; Simmons, J; Swift, C; Hughes, S; Hailu, T. Impact of race on pain management outcomes in a community-based teaching hospital following inpatient palliative care consultation.  Poster presented at the 2015 UCSF Fresno Family & Community Medicine Annual Expo. December 10, 2015, Fresno, CA.


Delsman, E; Hughes, S; Gomez, I. Comparison of HbA1c and OGTT as a Screening Tool for GDM in First Trimester Pregnant Women. Poster presented at the 2016 Society of Teachers of Family Medicine Annual Conference, May 1, 2016, Minneapolis, MN.

 

Sue, A; Chung, D; Hughes, S; Swift, C; Hailu, T; Macmillan, P. Impact of race on pain management consults in a community-based teaching hospital following inpatient palliative care consultation.  Poster presented at the Coalition for Compassionate Care of California 8th Annual Summit, May 12, 2016, Newport Beach, CA.

 

Delsman, E.  Pre-term Labor PROM Lecture.  Advanced Life Support in Obstetrics.  UCSF Fresno Family Medicine, May 12, 2016, Fresno, CA. 

 

Delsman, E; Joseph, S.  Shoulder Dystocia Workshop.  Advanced Life Support in Obstetrics.  UCSF Fresno Family Medicine, May 12, 2016, Fresno, CA. 

 

Delsman, E. Medical complications of Pregnancy Lecture. Advanced Life Support in Obstetrics.  UCSF Fresno Family Medicine, May 13, 2016, Fresno, CA.

 

Chung, D; Sue, A; Hughes, S; Swift, C; Hailu, T; Macmillan, P.  Impact of race on pain management consults in a community-based teaching hospital. Poster presented at the 12th Annual UCSF Rodnick Colloquium, June 2, 2016, San Francisco, CA.

 

 

2015-2016 RESIDENT PRESENTATIONS

Gordon, A; Hughes, S. Affordable Care Act Impact on Emergency Room Visits. Poster presented at the 2015 North American Primary Care Research Group Annual Meeting, October 26, 2015, Cancun, Mexico.

 

Aulakh, B; Reynoso-Garza, R; Martinez, M; Joseph, S; Southard, M; and Ikawa, J. Fresno HEARTs (health education & awareness resource teams). Poster presented at the 2015 UCSF Fresno Family & Community Medicine Annual Expo. December 10, 2015, Fresno, CA.


Buenrostro, J; Lopez, J; Ruvalcaba, JC; Hughes, S; and Mortimer, RA. Utility of a diabetes-themed fotonovela to encourage glycemic control: a culturally appropriate tool for education in Latinos. Poster presented at the 2015 UCSF Fresno Family & Community Medicine Annual Expo. December 10, 2015, Fresno, CA.


Chung, A; Lopez, J; and Ikawa, J. Impact of nutrition and physical activity interventions on knowledge and BMI in 6th grade students. Poster presented at the 2015 UCSF Fresno Family & Community Medicine Annual Expo. December 10, 2015, Fresno, CA.


Feudale, I; Ruelan, J; Sherriffs, A; and Ikawa, J. Driving and dementia: Natural history. Poster presented at the 2015 UCSF Fresno Family & Community Medicine Annual Expo. December 10, 2015, Fresno, CA.


Gordon, A; Hughes, S. Affordable Care Act Impact on Emergency Room Visits. Poster presented at the 2015 UCSF Fresno Family & Community Medicine Annual Expo. December 10, 2015, Fresno, CA.


Huang, B; Chyan, A; Reichelderfer, S; Milanes, L; Gomez, I; Ikawa, J; Hughes, S. Accessing primary healthcare: a survey of gender and sexual minority populations. Poster presented at the 2015 UCSF Fresno Family & Community Medicine Annual Expo. December 10, 2015, Fresno, CA.


Krioghlian, S; Tevendale, R; Zweifler, J; Mortimer, R; Hughes, S. Comparison of INR values to bleeding and coagulation-related complications in patients with deep vein thrombosis.  Poster presented at the 2015 UCSF Fresno Family & Community Medicine Annual Expo. December 10, 2015, Fresno, CA.


Sanghera, S; Soto, A, Fraijo, M; Hughes, S; Ikawa, J. Patient Satisfaction and Factors Related to Patient-Doctor Relationships.  Poster presented at the 2015 UCSF Fresno Family & Community Medicine Annual Expo. December 10, 2015, Fresno, CA.


Huang, B; Chyan, A; Reichelderfer, S; Milanes, L; Gomez, I; Ikawa, J; Hughes, S. Accessing primary healthcare: a survey of gender and sexual minority populations. Poster presented at the California Academy of Family Physicians Clinical Forum, April 16, 2016, San Francisco, CA.


Sanghera, S; Soto, A; Fraijo, M; Hughes, S; Ikawa, J.  Patient Satisfaction and Factors Related to Patient-Doctor Relationships.  Poster presented at the 37th Annual Central California Research Symposium, April 20, 2016.  California State University, Fresno, Fresno, CA.