UCSF STUDENTS

One of my favorite electives is the Women Physicians of Color elective held during the Winter quarter of each year. It is organized by Dr. Loma Flowers, a psychiatrist, and another psychologist (in the past this included Lisa Koshkarian).

Past topics include:

Relationships and Children,  Assertiveness and Empowerment, etc.

There is also a free syllabus that comes with the class. Articles in the syllabus include:

1. Myers, M. The well-being of physician relationships. Western Journal of Medicine.

2. Carter, J. Black health professional families: Assessment of strengths and stability. Journal of the National Medical Association.

3. Sotile. What stresses medical marriages? In the medical marriage: sustaining healthy relationships for physicians and their families. AMA Press.

4. Blair, J. & Files J. In search of balance: medicine, motherhood, and madness. Journal of the American Medical Women’s Association.

5. Trupin, S. When the obstetrician gets pregnant. In Inside Doctoring.

6. Burke, B. The well-being of gay, lesbian, and bisexual physicians. Western Journal of Medicine.

1. Assertive Communication
2. The Missing Curriculum: Experience with Emotional Competence Education and Training of Premedical and Medical Students
3. Keys to Success in Pre-College Programs
4. Calibrating the Physician: Personal Awareness and Effective Patient Care
5. Toolbox: Challenging and Changing Stress-Producing Thinking
6. Healthy Approaches to Physician Stress
7. Observations on Women in Medicine

In addition to our guest speakers and a quick review of the articles, we also review the lessons from the Student Empowerment through Emotional Education and Training for Medical Student handbook by Dr. Loma Flowers.
Woven into each discussion are the skills described in detail in the handbook: self-awareness, self-development, relationships, self-responsibility, and reflection.

In 2006, the course coordinators were Akpene Gbegnon, Brynn Utley, and Cara Torruellas.

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In addition to our guest speakers and a quick review of the article, we will review the lessons from the Student Empowerment through Emotional Education and Training for Medical Student handbook by Dr. Loma Flowers. Woven into each discussion are the skills described in detail in the handbook: self-awareness, self-development, relationships, self-responsibility, and reflection.

What is your favorite elective at UCSF?

An email was sent out a while ago asking for a meeting to improve diversity at UCSF. This is what it said:

Chancellor Bishop indicated in his Annual Report to the UCSF community (http://chancellor.ucsf.edu/) that we are now implementing an action plan to further strengthen diversity at UCSF.  I write to invite you to a meeting where I will discuss the activities and plans he outlined in his letter.

We will also discuss the implications of Proposition 209 for advancing diversity.  One of the principal objectives of our current efforts is to achieve greater diversity for the campus through the elimination of barriers and discrimination, including unintentional discrimination, in the hiring of minority faculty and staff.  It is imperative that all minorities be properly represented in all walks of UCSF life, and in positions of authority and distinction.  To facilitate this discussion, we will be joined by Marcia Canning, UCSF Chief Counsel, and David Birnbaum, University Counsel in the Office of the General Counsel.  Counsel Birnbaum is one of the most experienced attorneys in the UC system on Proposition 209.

What do you think?

Here are some resources I’ve found:

http://www.ampath.co.za/AntiBiotGuide/chapter2.htm

What sources do you use to find the right antibiotic to use?

I just found out about http://www.dropsend.com… upload huge documents to share

Hmm. http://sf.funcheap.com/ – now I could use some of that!

http://www.AdvancedSurvey.com – I’ve never used it, but I hear it’s good

http://www.surveymonkey.com – I love this survey site

http://www.tipdiva.com : – good tips on general topics like how to get rid of your items, etc.

http://www.megaupload.com/ – upload/download huge documents

http://www.makeuseof.com/tag/top-free-file-hosts/ – websites where you can upload large files – some for free!

http://www.questionpro.com/ – some random survey site

http://www.doodle.ch/main.html It’s a cool schedule site. If you want to have people sign up the volunteer at different times for a project, this is the site for you!

http://medschool.ucsf.edu/gme/resreport/resreport_summer07.pdf UCSF residents report

http://www.facesforthefuture.org

In Africa

www.ghanaprojectusa.com
www.plasticsurgery-africa.org.

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From: UCSF Global Health Sciences listserv

To: GLOBALHEALTH@LISTSRV.UCSF.EDU
Subject: NEWS from GLOBAL HEALTHUCSF Global Health Sciences

Fellowship Opportunity: Call for Applications for Global Micro-Clinic Project Clausen FellowshipsThe  Global Micro-Clinic Project (GMCP) is funded to create 50 micro-clinics in Karnataka, India, with local partners, allowing disenfranchised populations to share medical equipment, collectively utilize vital treatment options for diseases and health conditions, and shape and participate in health education. The Clausen Fellowship will support one or two individuals for a three-month summer term, six months, or one year. Responsibilities include: strategize about the establishment of micro-clinics and how they can best serve the diabetes problem of India; establish partnerships with key institutions and help create plan of action; evaluate and monitor the progress of the micro-clinics; complete a final co-authored report for publication which will make recommendations for future changes and suggest feasibility for wider application; and deliver oral presentations in the US upon completion of fellowship. Qualifications: Any registered University of California student. Please contact education@globalhealth.ucsf.edu  or see GHS website

http://www.globalhealthsciences.ucsf.edu/clausen_fellowship.aspx for further information and application instructions.Global Health Sciences has been asked to inform you of the following news and events. Please do not reply to this email — each event has a contact listed if additional information is needed.

GHS in the News

Global Commitment to the Health of All (link to UCSF article http://advancinghealthworldwide.ucsf.edu/stories/global-commitment-to-the-health-of-all/

General Announcements
International Clinical Research Fellow Program Deadline Extended

The NIH/Fogarty International Clinical Research Scholars (FICRS) support center is offering a new mentored clinical research fellowship in a developing country setting.  The program will provide one year of support for post-residency clinical fellowships or other health-related post-doctoral programs. Studies may be related to other disciplines, e.g. infectious disease, but the primary thrust of the research would need to be in the disciplines of oncology or cardiology or ophthalmology. The program goal is to foster members of the next generation of clinical investigators concentrating on disease in developing countries and to build international health research capacity in the developing world. Deadlines for application have been extended to April 30, 2008. Global Health Sciences has been asked to coordinate applications from UCSF.  Please email Dr. Nina Agabian, interim director of research for Global Health Sciences at agabiann@globalhealth.ucsf.edu if you plan to apply.  Details can be found at NIH/Fogarty International Center http://www.fogartyscholars.org/program/ficrf/rfa-fogarty-international-center-clinical-research-fellows

Gates Seeks Proposals for Innovative Global Health Research

The first round of Grand Challenges Explorations http://www.gcgh.org/explorations, a new $100 million initiative to help scientists across the globe pursue ideas that have never before been tested for solving major health problems, will be accepted starting March 31, 2008. Contact Bill & Melinda Gates Foundation media@gatesfoundation.org, phone (206) 709-3400.

Global Bio-entrepreneurship Course

The QB3 Malaysia Program will hold its second Global Bio-entrepreneurship course this coming Oct. 19-24, 2008 at The William J. Rutter Center at Mission Bay. For more information please contact agnes.buenaventura@ucsf.edu or (415) 476-4824.

Research in Cuba on Emergency and Disaster Preparedness in Cuba

Medical Education Cooperation with Cuba (MEDICC) announces an exciting opportunity for research in this focus area, scheduled for May 18-25, 2008. MEDICC supports US health professionals undertaking field research in Cuba by providing them with background materials, guidance on research objectives, and opportunities for publication of research findings. If you are interested in participating in this opportunity or would like further information, please contact MEDICC to discuss your research interests (dappelbaum@mediccatlanta.org   or admin1@mediccatlanta.org , (678) 904-8090). See http://www.medicc.org http://www.medicc.org/, www.saludthefilm.net  for more information.

FACES OF HOPE: Engaging Families to Overcome HIV in Kenya
Monday, March 10 from noon to 1:00 pm in N-217 on the Parnassus campus, the AIDS Research Institute, UCSF National Center of Excellence in Women’s Health and Department of Orofacial Sciences, in observance of International Women’s Day, will offer a special presentation http://ari.ucsf.edu/newsevents/pdfs/bukusi.pdf  featuring Dr. Elizabeth Bukusi of the Kenya Medical Research Institute (KEMRI) and Dr. Craig Cohen of UCSF. Please RSVP to Jo at vanfleetj@obgyn.ucsf.edu   (353-7264) or Kathleen at josek@ari.ucsf.edu   (597-4560).   

How to place your announcement in the GHS Bulletin
If you would like to promote a program, service, or event of interest to the UCSF Global Health Sciences community, please contact us mansfieldr@globalhealth.ucsf.edu  for consideration of your posting via the GHS bulletin.

Here are a list of questions students asked during my work with highschool students in Salinas.  Other highschool students might find this list helpful.

Growing up
-what was highschool like for you?
-What was your family like
-What where some challenges you faced while growing up
-Did you have to learn English for the first time?
-Did you have issues with not having enough money when you were growing up?
-What kinds of fun places did you go  to when you were growing up?
-What fun things did you do while growing up?
-Where your parents supportive of you going to college and then medical school?
-When you were in highschool, what did you want to be when you grew up?
-How did you balance going to school and having to take care of brothers and sisters at home?

College life
-what was college like
-how did you prepare for the SAT
-what made you decide to go to a public or a private college?
-How did you get letters of recommendations?
-How did you write your personal statement for college?
-How did you decide which colleges to apply to?
-How did you decide to go to the college you ended up going to?
-What are some good reasons for going to college?
-What are some common challenges experienced by students in college?
-What were some of your most rewarding college experiences?
-Do you have a social life in college? Tell us more!
-What is the difference between a community college, 4-year college, universities, and private colleges?

Financial Aid
-how did you pay for college?
-Did you have financial aid, scholarships? How did you get those?
-How did you pay for housing away from home?

Medical School life
-what is it like being in medical school?

Health Careers
-what kind of doctor do you want to be?
-I heard about __________. What do they do?
-I want to be ____________. What will I have to do?

Health Topics
-I heard about  (a disease, condition, etc). What is it and what causes that?
-How do you treat _________________ (disease)
-I know someone who has ____________. What is that?
–      
Advice
-do you have any advice about….
-I have ……………… going on right now. What should I do?
-What should I do if my parents don’t want me to go to college because they want me to work?
-What should I do if my parents don’t want me to go to college because they want me to stay home?

One of the teachers was kind enough to have his students write a list of 4 questions prior to the panel session. Here are the questions the students had:

General
-how long did it take you to get where you are at?
-How do you and your profession contribute to the community?
-What was the process that you took to get to where you are now?
-How did you decide on what you wanted to do for the rest of your life?
-What university do you attend?
-Are you currently working?
-What schools did you attend; what school are you attending now?
-What kind of doctor do you want to be?
-What influenced you to do your job?
-Was the income a part of why you chose this profession?
-Did you have any childhood heroes who inspired you?
-What exactly are you looking forward to becoming?
-Why did you chose to be who you are today?
-Who was your biggest role model growing up?
-How long did it take you to get to this career?
-What has been your greatest accomplishment?
-Why did you choose to study this field?
-If for some reason you weren’t able to have studied what you did, what are some other options you’ve had encountered?
-What are the minimum requirements for anyone to get into the school that you are currently at?
-What did it take to become what you are today?
-Have you ever saved a life?
-Do you like the communication you have with the people around you?
-Did you have support from your family?
-What do you do?
-Are you happy where you are now?
-What are your future goals?
-What is your main motivation?
-If you could do anything different during your education decisions what would you change?
-What is one thing you dislike about your career choice?
-If you could change one thing in your past what would it be?
-Where do you live?
-What do you love about your job?
-What motivated you to go on with your education despite obstacles?
-Did you face any economic problems while acquiring your career?
-What exactly do you do in your job?
-If you had another opportunity, would you choose to pursue the same career?
-What is the basic requirement to get the job that you have?
-Do you have any hobbies or what do you do on your free time?
-What did you want to be when you were a kid or what was your dream?
-Who is your biggest role model?
-How has your career influenced the person you are today?
-How many years does it take to get your degree? What are the requirements?
-What made you choose this type of career?
-Is there anything you regret not doing that would have helped you?
-Have you ever seen someone die in the hospital?
-What type of education did you need to get into your profession?
-Do you play any sports?
-Have you ever been really nervous while working?
-What was one of your biggest accomplishments?
-Do you think you are important to your field?
-What types of people do you think will like your field?
-Is working in the medical field stressful?
-What qualities do you need to have to work in the medical field?
-How long did it take for you to know what you wanted to do with your life?
-How did you know you wanted to be what you are now?

Highschool
-what was your overall GPA in highschool?
-What classes did you take in high school?
–      
Application & Acceptance to College
– how many universities did you get accepted into?

College life
– what was your major?
-why did you choose your major?
-What did you miss the most about being at home
-What college did you go to?
-How many majors did you go through in your time in college
-Was the college you attended hard to get into?
-What did it take for you to be able to attend the college that you liked?
-How many years did it take for you to get your degree?
-What college did you go to and what were your grades and SAT scores that got you into that college?
-Was the college you attended your first choice?
-Did you find it easy to go to college/university?
-Did you have financial aid while attending college?
-What college or university did you attend? How long?
-What did you like most about going to college?
-How is college life like? Is it like highschool?

Medical School
– why did you choose the university you are currently attending?
– what are some of your hobbies on your spare time?
– how many yeas will it take for you to graduate?
– is UCSF a good medical school?
– what are the requirements you need in order to get in?
– what  classes are you taking in order to become a doctor?

Career
– what will be the minimum salary you will receive
– what is your current monthly income?
– what’s the hardest thing about your job?
– what do you like about your job?
– why did you choose this career?
– what do you dislike about your job?
– what’s your annual income?
– is the medical field interesting?
– how many years of education do you have?
– what kind of education do you need in order to get to your job?
– what helped you decide on your career?
– do you like your job?
– what are the good and bad things about your job?
– how many years do you have to attend school to get to where you are now?
– what field do you want to get into?
–  was it easy or hard to keep up with your career and be working at the same time?
– knowing or thinking of having a career in the medical field… is there anything you suggest that I should know in order to be ready?
– was your profession your first choice of a career?
– what are some of the things you don’t like about your job?
– what were your thoughts about your career before?
– what made you interested in the medical field?
– what do you like the most about your job?
– do you enjoy your job?
– why did you choose this career?
– what kind of career can you choose from?
– why did you choose this career?
– what benefits do you get from your job?
– what do you like about your job?
– what is the hardest part of your job?
– what inspired you or influenced you toward your career?
– what rewards or lessons do you get out of your job?
– what’s the best part about your job?
– what classes did you have to take in order to be able to become what you are?
– is it an all year job?
– is it a stressful job?
– Do you ever get into arguments with someone about what should be done?
– how did you get interested in studying your career?
– do you enjoy what you do?
– do you get along with everyone in your job?
– what risks did you take in order to accomplish your goals?
– how is it like seeing so many people with different needs?

Income
-does your work pay good money?
       

Obstacles
-what obstacles did you face to get where you are at?
-What was the hardest thing you had to encounter in order to achieve your goal in the medical field?
-What are some obstacles you had to face in order to be in the career you are in now?
-Did you have any setbacks that made you take time away from your profession?
-What was the hardest thing you went through in college?
-What was a hard obstacle you had to overcome?
-Was the road getting to college hard?
-What was the hardest obstacle you encountered when you were in high school or college?
-What obstacles did you have to overcome when you were in school?
-Where there any obstacles in your life that almost prevented you from achieving your goal?
-What obstacles did you face in your career?
-Where there times when you felt like giving up and felt you could not go on any further?
-What were some obstacles you had to overcome while growing up?
-What are some obstacles that you encountered that made it difficult to get to the point you are now
-Did you find it difficult to get where you are today?
-What obstacles did you face during your education?
-What were some of your struggles and what are some of the things you had to give up to get to where you are now?
-Talk about people who you’ve met who didn’t achieve their goals. What qualities did they have and what was the reason?

Advice
– what college do you recommend going to?
– should we take AP classes?
– what can we as students do to have a taste of future career options?

Greetings all (apologies to the 2008’s who got this already),

We’ve had good response for UCSF medical team support for the San Francisco Marathon on August 3, 2008.  We have volunteers from all kinds of specialties.  We’re still in need of a few physicians, residents or medical students as well as non-medical volunteers.  Anyone can help.  For anyone who hasn’t volunteered before, it’s a great way to help runners reach their goals and is a fun day overall.  We bring out a large team of medical volunteers so that things get busy but not too busy!  It’s a great experience and we have many repeat volunteers who get hooked!  If you have any questions please let me know.  For more information see the email below.

If you are interested, you can sign up on-line at:
http://orthosurg.ucsf.edu/sports/volunteer/ <http://orthosurg.ucsf.edu/sports/volunteer/

Keep running!

Best regards,
Anthony Luke MD

UCSF Sports Medicine
SFM Marathon Director

I found the Mini-CPX  and the CPX to be good practice. Below are some tips for how to do well.  This obviously does not tell you what will be on the Mini-CPX (I’m not allowed to do that).

– Review the small yellow book: The Database: The Medical History, Physical Exam, and Write-Up. By Drs. Rodnick and Shore. (remember, you bought this way back in first year.)

– Review H&P and assessments & plans (including differential diagnosis) for common presentations for heart, lung, neuro, GI, and musculoskeletal, etc.etc.

– Of course review your physical exam skills. Don’t skimp out. If you’re going to do a heart exam, do it as you learned it, i.e. be thorough

– Review how to deal with different psych presentations

– Review how to assess pediatric and geriatric populations

– Review your physician-patient interation skills (PEARL, etc)

– Review how you would manage different chronic diseases including prevention of complications and preventative medicine

– Practice doing the whole thing in 15 minutes. (’cause that’s all the time you have per patient!)

– Practice coming up with a plan for different presentations. If someone comes in with chest pain, what would you do (labs, imaging, etc) to help you with your diagnosis? What would you give for treatment?

– Don’t forget to discuss your plan with the patient.

– practice, practice, practice

_ Sample outline

HISTORY:

 HISTORY: chief complain, history of present illness, past medical history (including medical illness, hospitalizations, surgeries, psych, MEDS, allergies), sexual history, health related behavior, family history, social history, review of systems

MEDS: If they give you a list of medications, make sure you know why they are taking them. If not, ask. It could be a clue…

PHYSICAL EXAM:  will update this soon.

Some links:

http://medschool.ucsf.edu/academy/programs/past_funded/2004/miniCPX.aspx

If you’re reading this, please share how you prepared for or are preparing for the mini-CPX, and any general advice from your own experience.