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UCSF Department of Medicine Grand Rounds

Medical Grand Rounds generally takes place once a week at Parnassus, SFGH, and the VA.

An archive of previous medical grand rounds is available here.

Here is a list of upcoming medical grand rounds:

See All | Parnassus/Mt Zion | SFGH

Tue Oct 13 Management of C difficile: New Weapons and the Beginning of 'Microbiome Management'
SFGH: Carr Auditorium noon - 1:00 pm

Neil Stollman

Thu Oct 15 In Search of Joy in Practice: Innovations in Ambulatory Care
Parnassus: HSW-300 noon - 1:00 pm

Christine Sinsky, MD, FACP
Member of American Medical Association’s Advisory Panel on Physician Satisfaction
Internist at Medical Associates Clinic and Health Plans
Director with the American Board of Internal Medicine

*Learn at least one simple change to improve access and efficiency in your own practice
*Adopt elements of planned care appointments and pre-appointment preparation in your outpatient practice
*Strengthen clinical processes through use of teamwork
*Develop office systems for streamlined prescription management
*Become inspired about the possibilities of reclaiming the joy in practice

Dr. Sinsky is the Vice President of Professional Satisfaction at the American Medical Association. A board certified internist, she also practices at Medical Associates Clinic and Health Plans in Dubuque, IA.

Dr. Sinsky is a Director with the American Board of Internal Medicine (ABIM). She is also a member of the Board of Trustees of the ABIM Foundation and serves as the Secretary/Treasurer. She is a Fellow of the American College of Physicians (ACP) and the recipient of the Iowa ACP 2013 Laureate Award. Dr. Sinsky is a member of the National Advisory Council for Improving Primary Care through Industrial and Systems Engineering; and has served on the national advisory councils for the Centers for Medicare & Medicaid Services’ Innovation Center’s Comprehensive Primary Care Initiative and the Veterans Administration’s Patient Aligned Care Team initiative, and the National Committee for Quality Assurance’s Committee on Physician Programs, with oversight of the Patient-Centered Medical Home. From 2011 to 2012, she led “In Search of Joy in Practice,” a primary care project of the ABIM Foundation.

Dr. Sinsky is a co-author of the Institute of Medicine’s 2011 report, “Health IT and Patient Safety: Building Safer Systems for Better Care,” and has twice provided testimony to the Office of the National Coordinator for Health Information Technology regarding the role of electronic health records in care coordination and usability.

A frequent invited lecturer on practice innovation, redesign and physician satisfaction, Dr. Sinsky has presented to groups including the AMA, the ACP, the Institute for Healthcare Improvement and the Patient-Centered Primary Care Collaborative, as well as to private and academic medical centers.

Dr. Sinsky received her bachelor’s and medical degrees from the University of Wisconsin, and completed her post-graduate residency at Gundersen Medical Foundation/La Crosse Lutheran Hospital in LaCrosse, Wisconsin, where she served as Chief Medical Resident.


Tue Oct 20 “Clinical Problem Solving: A systemically ill man with some false leads”
SFGH: Carr Auditorium noon - 1:00 pm

Andrew Gross, MD

Thu Oct 22 7 Assumptions that Drive Too Much Medical Care
Parnassus: HSW-300 noon - 1:00 pm

H. Gilbert Welch MD, MPH
General Internist and Professor of Medicine, Dartmouth Institute for Health Policy and Clinical Research in the Geisel School of Medicine
Professor of Public Policy at Dartmouth College
Professor of Business Administration at the Amos Tuck School

*Consider 7 assumptions that drive too much medical care:
1. All risks can be lowered.
2. It is always better to fix the problem.
3. Sooner detection is always better.
4. It never hurts to get more information.
5. Action is always better than inaction.
6. Newer is always better.
7. It is all about avoiding death.

Dr. Welch is a general internist and professor of Medicine at the Dartmouth Institute for Health Policy and Clinical Research in the Geisel School of Medicine. He is also a professor of Public Policy at Dartmouth College and a professor of Business Administration at the Amos Tuck School.

For the 25 years he has been practicing medicine, Dr. Welch has been asking hard questions about his profession. His arguments are frequently counter-intuitive, even heretical, yet have regularly appeared in the country's most prestigious medical journals — Annals of Internal Medicine, Journal of the American Medical Association, the New England Journal of Medicine and the Journal of the National Cancer Institute — as well as in op-eds in the Los Angeles Times and the New York Times. His most recent book is LESS MEDICINE, MORE HEALTH – 7 ASSUMPTIONS THAT DRIVE TOO MUCH MEDICAL CARE.

Dr. Welch is very much part of the “Dartmouth School” that questions the assumption that more medical care is always better. His research has focused on the assumption as it relates to diagnosis: that the best strategy to keep people healthy is early diagnosis – and the earlier the better. He has delineated the side-effects of this strategy: physicians test too often, treat too aggressively and tell too many people that they are sick. Much of his work has focused on overdiagnosis in cancer screening: in particular, screening for melanoma, thyroid, lung, breast and prostate cancer.


Tue Oct 27 Lyme Disease- Convention and Controversies
SFGH: Carr Auditorium noon - 1:00 pm

Richard Jacobs

Thu Oct 29 Improving Diagnosis in Health Care: IOM Report and Implications
Parnassus: HSW-300 noon - 1:00 pm

Urmimala Sarkar, MD, MPH
Associate Professor, UCSF Division of General Internal Medicine
Primary Care Physician, SFGH Richard H. Fine People's Clinic

*Identify the 8 IOM recommendations for improving diagnosis in health care
*Apply the recommendations to clinical internal medicine
*Construct several clinical, educational, and policy strategies to address the IOM recommendations

Urmimala Sarkar MD, MPH is Associate Professor of Medicine at the University of California, San Francisco (UCSF) in the Division of General Internal Medicine, a core faculty member of the UCSF Center for Vulnerable Populations, and a primary care physician at San Francisco General Hospital’s Richard H. Fine People’s Clinic. Dr. Sarkar’s research focuses on patient safety in outpatient settings, including adverse drug events, missed and delayed diagnosis, and failures of treatment monitoring, health information technology and social media to improve the safety and quality of outpatient care, and implementation of evidence-based innovations in real-world, safety-net care settings. She is the principal investigator of a Patient Safety Learning Laboratory which applies design thinking and interdisciplinary, iterative approaches to characterize and address safety gaps in outpatient settings (Agency for Healthcare Research and Quality P30HS023558), which she has recently received funding to expand to other safety-net sites. She leads an implementation and dissemination network to support innovations to improve the safety and quality of care in safety-net settings across California (Agency for Healthcare Research and Quality R24HS022047). Dr. Sarkar is an associate editor for Patient Safety Net (psnet.ahrq.gov), the most comprehensive national web-based resource for patient safety, and a member of the editorial board of the Joint Commission Journal of Quality and Patient Safety. Dr. Sarkar completed clinical training in internal medicine and health services research fellowship training at UCSF, holds an MPH degree in epidemiology at University of California, Berkeley, an MD degree at University of California, San Diego, and BS degree with honors in biological sciences from Stanford University.


Tue Nov 03 Tweet Worthy Updates in #Geriatrics and #Palliative Medicine
SFGH: Carr Auditorium noon - 1:00 pm

Weic Widera @ewidera

Thu Nov 05 TBA
Parnassus: HSW-300 noon - 1:00 pm


Tue Nov 10 Stroke Management 2015: New Advances
SFGH: Carr Auditorium noon - 1:00 pm

S. Andrew Josephson

Thu Nov 12 TBA
Parnassus: HSW-300 noon - 1:00 pm


Tue Nov 17 Cutaneous Infections
SFGH: Carr Auditorium noon - 1:00 pm

Kanade Shinkai

Thu Nov 19 TBA
Parnassus: HSW-300 noon - 1:00 pm



Parnassus Statement


The University of California San Francisco, School of Medicine (UCSF) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

This live activity is designated for a maximum of 1 AMA PRA Category 1 credit. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

You must sign in to qualify for CME credit.

Course Number MGR15002

*Faculty Relationship Disclosure

All speakers listed above have declared that neither they, nor any immediate member of their family, have a financial arrangement or other relationship with the manufacturers of any commercial products except *.

* All conflicts of interest have been resolved in accordance with the ACCME's Standards for Commercial Support.

Medical Grand Rounds Commercial Support Disclosure

No commercial support received for Medical Grand Rounds.

SFGH Statement

The speaker(s) declare that neither they nor any immediate family have financial or other arrangements with the manufacturers of any pharmaceutical products or medical devices discussed in this CME activity. The speaker(s) indicate that they do not intend to discuss investigational or off label use of pharmaceutical products or medical devices.

UCSF is accredited b the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians and allied health care professionals. -- CME credit is one hour.

No commercial support was received for this CME activity.

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