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

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.

Scholarly Activities

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.

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, residents, 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 M. Shoaib Khan, MD, Iris Price, MA, and Melissa Gonzales. Dr. Khan is a recent addition to the research team as the clinical expert. He is an academic family physician with extensive experience in public health, clinical and outcomes research. He has been an active researcher for the past 14 years, with work that encompasses multiple specialties across several prestigious research institutions in the United States and abroad, as evidenced by his diverse publication and presentation portfolio. His research interests include clinical topics in adult and pediatric medicine, obstetrical care, underserved care, global health, and clinical outcomes. He is establishing a specialty primary care clinic at one of our residency training sites in an FQHC for treating patients with HIV, chronic HCV infections, and addiction care with medication-assisted treatment (MAT). Ms. Price has a background in psychology and research methods. She works with residents on their required scholarly activity and quality improvement projects.  She also coordinates the objective structured clinical/teaching experiences in the department. Ms. Gonzalez is our staff support and makes sure things run smoothly.

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 activities are ongoing in such areas as diabetes, congestive heart failure, faculty development, and palliative care.

Macmillan PJ, Chalfin B, Soleimani Fard A, Hughes S. Earlier Palliative Care Referrals Associated with Reduced Length of Stay and Hospital Charges. J Palliat Med. 2020 Jan;23(1):107-111. doi: 10.1089/jpm.2019.0029. Epub 2019 Jul 19. PMID: 31329015

Mortimer RB, Zafren K. Evidence -Based Versus Myth-Based Treatment of Suspension Syndrome. Wilderness Environ Med. 2020 Jun;31(2):202-203. doi: 10.1016/j.wem.2020.04.004. Epub 2020 May 30. PMID: 32482518

Macmillan PJ, DiPalma D. Silent Screams, Tearful Silence, Esta Bien: A Brief Journey through the Sounds of a Palliative Care Family Meeting. J Palliat Med. 2019 Apr;22(4):461-462. doi: 10.1089/jpm.2018.0322. PMID: 30933572.

Nguyen, L. Recycling Waste is Going to Pile Up. Letter to the Editor, Fresno Bee, March 15, 2019. Available at: https://www.fresnobee.com/opinion/letters-to-the-editor/article227679999.html

Huang Q, Hughes S, Price I, Venturina A. Barriers and Facilitators to Family Planning Access in A Family Medicine Resident Clinic. 2019 Society of Teachers of Family Medicine Annual Conference Abstracts.  Available at: https://stfm.org/conferences/sessions/24589

 

Due to the COVID-19 pandemic, all fellow presentations were shifted to the next academic year and will be reported then.
Jernick N, Liao B, Weichenthal L. Wellbeing in Graduate Medical Education. Poster presented at the 4th Annual UCSF Fresno Educational Symposium. March 6, 2019, Fresno, CA.

PeBenito M, Hughes S.  Impact of a Training Program for Primary Care Physicians in Pregnancy Options Counseling. Poster presented at the 4th Annual UCSF Fresno Educational Symposium. March 6, 2019, Fresno, CA.

Jernick N, Liao B, Weichenthal L. Wellbeing in graduate medical education: Preventing and mitigating trainee burnout. Mini-oral presentation given at the UCSF 2019 Education Showcase. April 2, 2019, San Francisco, CA.

Santz N, MD; Jernick N, MD; Nunez M, MA; Hughes S, MS; Macmillan P, MD; Soleimani Fard A, MD. Opioid Risk Screening in an Academic Palliative Clinic. Poster presented at the Coalition for Compassionate Care of California 11th Annual Summit. April 8, 2019, San Francisco, CA.

Santz N, Jernick N, Nunez M, Hughes S, Macmillan P, Soleimani Fard A. Opioid Risk Screening in an Academic Palliative Clinic. Poster presented at the 4th Annual Quality Improvement & Innovation Symposium, May 30, 2019, Fresno, CA.

Artinian N, Kaleka K, Hughes S, Reddy S. The effect of vitamin D replacement in patients with impaired systolic function congestive heart failure on ejection fraction. Poster presented at the 2019 UCSF Fresno Family & Community Medicine 23rd Annual Expo. December 12, 2019, Fresno, CA.

Cheng D, Nguyen L, Price I, Hughes S, Naeni I. Knowledge and attitudes regarding HPV and HPV vaccination for adolescents in Fresno County. Poster presented at the 2019 UCSF Fresno Family & Community Medicine 23rd Annual Expo. December 12, 2019, Fresno, CA.

Jugo KN, Price I, Hughes S, Reddy S. Screening for obstructive sleep apnea in resistant hypertension. Poster presented at the 2019 UCSF Fresno Family & Community Medicine 23rd Annual Expo. December 12, 2019, Fresno, CA.

Patty C, Hughes S, Price I, Aguiniga L. Physician perspectives on readiness to address transgender health care. Poster presented at the 2019 UCSF Fresno Family & Community Medicine 23rd Annual Expo. December 12, 2019, Fresno, CA.

Reddy S, Aguiniga L, Price I. Resident physician education on intimate partner violence: A clinical experience. Poster presented at the 2019 UCSF Fresno Family & Community Medicine 23rd Annual Expo. December 12, 2019, Fresno, CA.

Singh J, Bass T, Hughes S, Mortimer R. Newborn weight loss and transcutaneous bilirubin. Poster presented at the 2019 UCSF Fresno Family & Community Medicine 23rd Annual Expo. December 12, 2019, Fresno, CA.

Suleymanova V, Price I, Hughes S. Sexually transmitted infections and HIV prevention education to males and females at United Health Centers in Parlier CA. Poster presented at the 2019 UCSF Fresno Family & Community Medicine 23rd Annual Expo. December 12, 2019, Fresno, CA.

Vu P, Nguyen A, Price I, Martinez M. School-based program to empower adolesents against tobacco use. Poster presented at the 2019 UCSF Fresno Family & Community Medicine 23rd Annual Expo. December 12, 2019, Fresno, CA.

Waters R, Price I, Hughes S. Is education effective in changing dietary habits and activity levels in sixth graders? Poster presented at the 2019 UCSF Fresno Family & Community Medicine 23rd Annual Expo. December 12, 2019, Fresno, CA.

Moreno J. Resolution A-17-20: Promote the development of hospital-based violence mitigation programs. [Presentation] All Member Advocacy Meeting of the California Academy of Family Physicians (conference cancelled).

Nguyen J, Campbell J, Mudunuri S. Resolution A-18-20: Develop ergonomics curriculum for the workplace. [Presentation] All Member Advocacy Meeting of the California Academy of Family Physicians (conference cancelled).

Eby L, Quigg T, Price I, Hughes S, MacMillan P. Attachment, communication, and time in the context of death and dying. Poster presented at the 2018 UCSF Fresno Family & Community Medicine 22nd Annual Expo. December 13, 2018, Fresno, CA.

Huang Q, Venturina A, Price I, Hughes S. Barriers and facilitators to family planning access in a Family Medicine Resident Clinic. Poster presented at the 2018 UCSF Fresno Family & Community Medicine 22nd Annual Expo. December 13, 2018, Fresno, CA.

Kikawa H, Martinez R, Hughes S, Price I, Ruvalcaba JC. Concussion and importance of cognitive rest. Poster presented at the 2018 UCSF Fresno Family & Community Medicine 22nd Annual Expo. December 13, 2018, 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 UCSF Fresno Family & Community Medicine 22nd Annual Expo. December 13, 2018, Fresno, CA.

Mortimer R, Price I, Huang Q, Hughes S, Acuna M. Highlighting and Follow-up Appointment Cancellations. Poster presented at the 2018 UCSF Fresno Family & Community Medicine 22nd Annual Expo. December 13, 2018, Fresno, CA.

Nunes L, Venturina A. Barriers to Hepatitis C treatment. Poster presented at the 2018 UCSF Fresno Family & Community Medicine 22nd Annual Expo. December 13, 2018, Fresno, CA.

Rios J, Martinez M. Heat illness: An assessment of the ability to recognize the cardinal signs and symptoms. Poster presented at the 2018 UCSF Fresno Family & Community Medicine 22nd Annual Expo. December 13, 2018, Fresno, CA.

Roepcke F, Price I, Hughes S, Joseph S. Patient attitudes about and barriers to post-partum long-acting reversible contraception. Poster presented at the 2018 UCSF Fresno Family & Community Medicine 22nd Annual Expo. December 13, 2018, Fresno, CA.

Tran E, Nguyen L, Price I, Hughes S. Is education effective in changing dietary habits and activity levels in sixth graders? Poster presented at the 2018 UCSF Fresno Family & Community Medicine 22nd Annual Expo. December 13, 2018, Fresno, CA.

Huang Q, Venturina A, Price I, Hughes S. Barriers and facilitators to family planning access in a Family Medicine Resident Clinic. Poster presented at the 2019 Society of Teachers of Family Medicine Annual Conference, April 29, 2019, Toronto, Ontario, Canada.

Cheng D, Nguyen L, Patty C, Singh J, Martinez M. Hypertension and Exercise Counseling. Poster presented at the 4th Annual Quality Improvement & Innovation Symposium, May 30, 2019, Fresno, CA.

Huang Q, Tran E, Price I, Hughes S, Garcha J. Osteoporosis Screening with DEXA. Poster presented at the 4th Annual Quality Improvement & Innovation Symposium, May 30, 2019, Fresno, CA.

Roepcke F, Price I, Hughes S, Joseph S. Patient attitudes about and barriers to post-partum long-acting reversible contraception. Poster presented at the 2019 UCSF Family & Community Medicine Colloquium. May 30, 2019, San Francisco, CA.

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.  

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.  

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.  

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.  

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.