DIVISION OF GENERAL PEDIATRICS

 

General Pediatrics Team

Back Row: Shahram Yazdani, Jim Korb, Daisy Vinzon, Martin Anderson, Claudia Wang, John Fricker, Young Nam-Choi Front Row: Karen Fond, Charlene Huang, Robert Morris, Heide Woo, Alfred Pennisi, Janet Kim, Stuart Slavin and Daphne Wong

Division Highlights 

The Division of General Pediatrics continues to expand its community network:
1) A General Pediatrics Faculty office was opened in the Pacific Palisades.
2) Drs. Tarle, Sacks and Woo of Santa Monica Pediatrics joined our community network in March 1999. Drs. Sharon Kaminker and Chiaki Jutabha (UCLA graduates) joined their practice.

Research in the Division focuses on health services. Highlights for this year include:
1) The Agency for Healthcare Research and Quality award to study communication techniques that physicians can use to resist antibiotic over-prescribing.
2) Bayer Institute award to identify a communication technique to enhance parent satisfaction in the face of not receiving expected antibiotics.
3) Outline future directions for asthma policy in the USA (Robert Wood Johnson Foundation).
4) Ethnicity in childhood asthma: what accounts for the variation among Hispanic children (Agency for Health Care Policy and Research).
5) The UCLA/RAND Center for Adolescent Health Promotion was awarded two major grants:The first project, funded by the National Institute of Mental Health (NIMH), is a four-year study to develop and evaluate a worksite parenting program for parents of adolescents. The program will help parents develop skills to improve communication with their adolescents, particularly about sexual issues; and to develop other parenting skills to reduce adolescent sexual risk behavior. The second project, Healthy Futures: A Longitudinal Study of Adolescent Health, is funded by the CDC and will be conducted in collaboration with sites in Texas and Alabama. Each site will enroll 3,000 eight year olds and follow them annually until they are age 20 and every decade thereafter. The goal will be to: (1) identify etiologic factors and developmental pathways for health risk behaviors and related health outcomes; (2) explain disparities in behaviors and outcomes across racial/ethnic and socio-economically diverse groups; and (3) apply findings to the development of interventions for children and adolescents and, eventually, adults.

Faculty Profiles

ACOSTA, OLGA

Faculty Member Since:	1998
Degrees:	MD, University of Illinois Medical School, Chicago Illinois BS, Stanford University
Rank:	Clinical Instructor

ANDERSON, MARTIN M.

Faculty Member Since:	1988
Degrees:	MD, BS, University of California, Davis MPH, University of California, Berkeley
Rank:	Associate Professor of Clinical Pediatrics Director, Adolescent Medicine Program
Research Interests:	Alcohol and other drugs of abuse in adolescents, HIV and other risk behaviors
Grant Support:	1994-2000 Children's Hospital of Los Angeles 1999-2000 Orthopaedic Hospital
Departmental Teaching:	Med 190B Field Studies Seminar in Health Outreach Issues and Interventions N438A Advanced Nursing Practice in the Primary Care of Children I CHS289 Drug Abuse in Pregnancy: Special Focus on Adolescents and Utilizing Secondary Data Sources. School of Public Health CHS 236B Child health Programs and Policies. School of Public Health CHS 238 Evolving Paradigms of Prevention: Interventions in Adolescence. School of Public Health CHS 426 School-Linked Services: Integrated Health, Education and Social Services for Children in Communities. School of Public Health PE 325. Course Chairman, Adolescent Medicine Medical Student elective Doctoring 1, 2, 3. School of Medicine Eating Disorders Program, School of Medicine Human Sexuality Basic Training Course, School of Medicine Adolescent Medicine Friday Lecture Series Adolescent Medicine Clinic
University Service:	Review Committee, UCLA AIDS Institute Seed grant applications
Professional Committees:	Advisory Board & Faculty, Westside C.O.P.E. Advisory Board, Venice Family Clinic Medical Policy Committee, Venice Family Clinic Adolescent Scientific Committee of the Pediatric AIDS Clinical Trial Group AAP Section on Adolescence AAP Section on Child Abuse AAP Chapter 2 Committee on Adolescents

BARTHAUER, LINDA

Faculty Member Since:	1998
Degrees:	MD, MPA, University of Pittsburg BA, Bucknell University
Rank:	Clinical Instructor
Research Interests:	Child Health Policy

FATTA L OVED

Faculty Member Since:	1968
Degrees:	MD, (Case) Western Reserve University BA, Wayne (State) University
Rank:	Clinical Professor
Research Interests:	Graduate and Postgraduate Medical Education
Current Projects:	Investigating efficacy of albuterol versus epinephrine versus saline for the treatment of bronchiolitis in a blinded randomized clinical trial at Olive View-UCLA Medical Center. Proposal completed; pending human subject protection approval.
Teaching:	Course Chair, PE 351.01 Ambulatory Pediatric Subinternship Attending Pediatrician: Pediatric Inpatient Wards, Pediatrics Continuity Clinic Pediatric Primary Care Clinic, The Venice clinic, The Burke Clinic Lecturer, UCLA School of Nursing Mentor, UCLA School of Nursing, Nurse Practitioner Students
University Service:	Pediatric Resident Progress Committee
Professional Committees:	Member of the Board, The American Board of Pediatrics

FRICKER, JOHN A.

Faculty Member Since:	1968
Degrees:	MD, (Case) Western Reserve University BA, Wayne (State) University
Rank:	Clinical Instructor
Research Interests:	Graduate and Postgraduate Medical Education
Current Grant Support:	1995-97 Trainee in Child and Family Health -Maternal and Child Health Bureau
Teaching:	Course Chair, PE 351.01 Ambulatory Pediatric Subinternship Attending Pediatrician: Pediatric Inpatient Wards, Pediatrics Continuity Clinic Pediatric Primary Care Clinic, The Venice clinic, The Burke Clinic Lecturer, UCLA School of Nursing Mentor, UCLA School of Nursing, Nurse Practitioner Students
University Service:	Pediatric Resident Progress Committee
Professional Committees:	Member of the Board, The American Board of Pediatrics

HUANG, CHARLENE

Faculty Member Since:	1996
Degrees:	MD, Columbia College of Physicians & Surgeons MPH, University of California, Los Angeles MS, BS, Stanford University
Rank:	Clinical Instructor
Research Interests:	Eating Disorders, medical Education regarding sexuality of disabled and non-disabled patients, delivery of and access to primary care services for chronically ill adolescents
Grant Support:	UCLA/RAND Center for Adolescent Health Promotion and Disease Prevention- Centers for Disease Control, 1998
Teaching:	Preceptor in Adolescent Medicine- Culver City Youth Health Center, San Fernando High School, UCLA Adolescent Clinic, Venice Health Center Core Adolescent Medicine Lectures: "Contraception for Adolescents", "Abnormal Vaginal Bleeding in Adolescents", "Risk Reduction" and weekly adolescent medicine teaching rounds Pediatric Noon Conference: " Sexuality in the Developmentally Disabled" UCLA Undergraduate Medicine 190- recurrent guest lecturer "Mental Health Issues in Adolescence"
University Service:	Coordinator of Adolescent Education, UCLA Adolescent Medicine Program
Professional Committees:	Society for Adolescent Medicine- Local Planning Committee '98-99 Culver City Youth Health Center Steering Committee ICAN Task Force on Intragency Response to Pregnant and Parenting Adolescents
Community Service:	Medical Director of Culver City Youth Health Center UCLA Primary Care Network- recurrent speaker "How to Talk to Your Teens About Sex"
Honors:	Dr. Morton K. Rubenstein Award for Outstanding Service to the Community from the Venice Family Clinic May 23, 1999

KAMINKER, SHARON

Faculty Member Since:	1998
Degrees:	MD, Indiana University School of Medicine BS, Indiana University, Bloomington
Rank:	Clinical Instructor

KIM, JANET

Faculty Member Since:	1996
Degrees:	MD, Pusan National University College of Medicine, S. Korea
Rank:	Clinical Instructor

KORB, JAMES D.

Faculty Member Since:	1991
Degrees:	MD, BS, University of California, Los Angeles
Rank:	Assistant Clinical Professor

LARA, MARIA ELENA

Faculty Member Since:	1995
Degrees:	MD, Harvard University MPH, University of California, Los Angeles BS, Massachusetts Institute of Technology
Rank:	Assistant Professor In Residence
Research Interests:	Asthma outcomes for Latino children, Access to appropriate primary care services for asthmatic children who use the emergency room, Asthma Policy
Grant Support:	7/1/96-6/30/00 Robert Wood Johnson Minority Medical Faculty Development Program (#029213) "Improving Asthma Outcomes in Poor and Minority Children: A Community-Based Health Care and School Approach" 10/1/99-9/30/00 Agency for Health Care Policy and Research and Health Resources and Services Administration, "Ethnicity in Childhood Asthma: What Accounts for the Variation among Hispanic Children?" 10/1/99-9/30/00 Robert Wood Johnson Foundation (#37143), "Policy Options to Improve Pediatric Asthma Outcomes in the U.S."
Teaching:	Attending, UCLA Mattel's Children's Hospital, General Pediatrics
University Service:	Attending, Olive View Medical Center Pediatric Asthma Clinic
Professional Committees:	Asthma Technical Advisory Group, American Lung Association of California Pediatric Asthma Initiative National Management Committee, Robert Wood Johnson Foundation Reviewer, Journal of the American Medical Association Reviewer, Journal of Health Care for the Poor and Underserved Fellow, American Academy of Pediatrics Fellow, Robert Wood Johnson Minority Medical Faculty Development Program

MANGIONE-SMITH, RITA M.

Faculty Member Since:	1995
Degrees:	MPH, University of California, Los Angeles, School of Public Health BS, University of Michigan MD, Wayne State University School of Medicine
Rank:	Clinical Instructor

MORRIS, ROBERT E.

Faculty Member Since:	1986
Degrees:	BS, Biology, Georgetown University, Washington, D.C., MD, Temple University Medical School, Philadelphia, PA
Rank:	Associate Professor of Pediatrics
Research Interests:	Juvenile Health, Correctional Health Care, HIV Risk Behaviors
Grant Support:	HIV Behavioral Change and Skill Building Project. #206718. Funded by the Office of AIDS Programs and Policy, Los Angeles County. CDC Funds Domestic Assistance 93940. 9/30/97-9/29/02. National Programs to Prevent HIV Infection and Other Priority Health Problems Among Large Populations of Youth in High Risk Situations. For the National Commission on Correctional Health Care Program entitled, "HIV Education and Prevention for Incarcerated Youth." 97-99 Comprehensive HIV Education and Prevention for Incarcerated Youth." National Commission on Correctional Health Care, a Training Grant, Cooperative Agreement #765, Centers for Disease Control & Prevention.
Teaching:	Adolescent/Developmental Issues. Presentation, Drug Abuse Research Training Program, UCLA Drug Abuse Research Center, Los Angeles, CA. 01/11/99 Noon Conference, UCLA Housestaff, UCLA Adolescent Conference Medical Student Third Year Clinical Core Lecture School of Nursing. 238B. "Sports Medicine". Lecture to Pediatric Nurse Practitioner students.
University Service:	1991-present Child Abuse and Neglect Policy Committee of the Medical Staff 1992-present Member, UCLA Physician Relations Visiting Speakers Program 1991-present Faculty Host: "Well Being Dinner Seminars" for UCLA Medical Students 1995-present Executive Committee, Utilization Review of the Medical Staff 1996-present Quality Assessment Executive Committee of the Medical Staff
Professional Committees:	American Association for the Advancement of Science American Medical Association Los Angeles Pediatric Society National Commission on Correctional Care, Committee on Juvenile Health Southern California Child Sexual Abuse Examiners Group Society for Adolescent Medicine, Special Interest Groups Leader: Juvenile Justice, Special Interest Groups Leader: HIV/AIDS, President, Local Chapter (1995-Present)
Professional Consulting:	Appointed by the Court of the District of Columbia to evaluate medical care in D.C. juvenile detention facilities and suggest remedies to improve services.

NAM-CHOI, YOUNG

Faculty Member Since:	1995
Degrees:	MD, BS, New York University
Rank:	Assistant Clinical Professor
Teaching:	Doctors program, Attends general pediatrics wards, attends nursing supervise PCC, continuity clinic
Professional Committees:	Member of AAP

PATTERSON, BYRON

Faculty Member Since:	1998
Degrees:	MD, BS, University of California, Davis
Rank:	Clinical Instructor

PENNISI, ALFRED J.

Faculty Member Since:	1983
Degrees:	MD, State University of NY, Downstate BS, City College of New York
Rank:	Associate Professor
Research Interests:	Health services management research
Teaching:	Attending, Continuity Clinic Attending, General Pediatric Acute Care Clinic Ward Attending, Pediatric Wards
University Service:	Member, DPGP Executive Board Member, Practice Plan Review Committee Operations Committee, Medical Group, Vice-Chair Managed Care Oversight Committee
Professional Committees:	Children's Health Consultant Advisory Committee _ LA Care

SCHUSTER, MARK A.

Faculty Member Since:	1995
Degrees:	PhD, RAND Graduate School MD, Harvard University MPP, Kennedy School of Government BA, Yale University
Rank:	Assistant Professor In Residence
Research Interests:	Adolescent risk prevention Parental influence on child risk and health behaviors Quality of care measurement Children of HIV-infected adults
Grant Support:	9/30/99-9/29/03A Worksite Parenting Program for Parents of Adolescents, National Institute of Mental Health, R01 MH61202-01 9/30/99-9/29/03 Longitudinal Study of Adolescent Health, Healthy Futures Research Center, Centers for Disease Control and Prevention 9/30/98-9/29/03 UCLA/RAND Center for Adolescent Health Promotion, Centers for Disease Control and Prevention 9/1/98-8/31/99 Quality Assurance for Public Health Care, LA County Department of Health Services #G2498/PQ40243
Teaching:	Attending, Pediatric Care Clinic Attending, Residents' Continuity Clinic Attending, General Pediatric Wards Supervisor, Summer Pediatric Internships Classroom Lectures, School of Public Health
University Service:	Pediatrics Grand Rounds Committee Medical Student Summer Research Mentor Venice Family Clinic Research Committee Eastside Master Plan Committee on the Library Interinstitutional Pediatric Fellows Presentations Committee California Health Interview Survey Child Core Questionnaire Technical Advisory Committee Adolescent Core Questionnaire Technical Advisory Committee Working Group on Access to Care Short Term Training Program, Mentor and Judge Stein-Oppenheimer Award Reviewer
Professional Committees:	California State Office of Family Planning Clinical Practice Committee RAND Human Subjects Protection Committee Foundation for Accountability Getting Better Task Force Healthy Students Partnership, Standards of Care Committee, LA Unified School District Department of Public Social Services Long Term Self-Sufficiency Planning Process Good Health Work Group LA Youth Teen Wellness Task Force RAND Human Subjects Protection Committee
Honors:	Child Health Congress, selected as a New Pediatric Leader

SLAVIN, STUART J.

Faculty Member Since:	1987
Degrees:	MD, St. Louis University Medical School MEd, University of Southern California BS, Haverford College, Biology
Rank:	Associate Professor
Research Interests:	Medical education
Teaching:	Pediatric residency Pediatric clerkship Doctoring 2 Clinical Fundamentals
Professional Committees:	Education Committees 1998-Present Council on Medical Student Education in Pediatrics 1998-Present (National Organization) Executive Committee 1992-Present UCLA School of Medicine Medical Education Committee 1995-Present Co-Chair, Medical Education Committee 1996-Present Third Year Clerkship Chairs Committee, Subcommittee of the MEC, Chair 1996-Present Dean's Education Council 1995-Present Pediatric Clerkship Committee, Chair 1990-Present UCLA Residency Review Committee 1989-Present UCLA House Officer/Medical Center Liaison Committee 1986-Present Pediatric Grand Rounds Committee 1995-Present Pediatric CME Committee 1986-Present Pediatric Resident Selection Committee 1986-Present Pediatric Resident Promotion Committee Pediatrics Committees 1997-Present Department of Pediatrics Executive Committee 1986-Present Pediatric Grand Rounds Committee
Honors:	1998-2000 National Pediatric Faculty Development Scholar April 1999 Ambulatory Pediatric Assoc. 1999 Teaching Award for the UCLA Pediatric Undergraduate Program June 1999 Golden Apple Award for excellence in teaching from the UCLA School of Medicine Class of 1999

VINZON, DAISY L.

Faculty Member Since:	1993
Degrees:	MD, BS, University of California, Los Angeles
Rank:	Assistant Clinical Professor

WANG, CLAUDIA

Faculty Member Since:	1991
Degrees:	MD, Indiana University BS, Purdue University
Rank:	Assistant Clinical Professor

WONG, DAPHNE

Faculty Member Since:	1998
Degrees:	MD, University of Utah BA, Carleton College
Rank:	Clinical Instructor

WOO, HEIDE

Faculty Member Since:	1996
Degrees:	MD, University of Chicago BA, Northwestern University
Rank:	Clinical Instructor
Grant Support:	US DHHS/ agency for health policy and research for study: Commercial Telephone Triage vs. Physician on call Advice
Professional Committees:	Grand Rounds committee

Division Publications

1. Anderson MM and Morris RE. Principles of Adolescent Medicine for Psychiatrists. In: Rosner R (ed), Textbook of Adolescent Psychiatry. American Psychiatric Press, Washington, D.C. (In press).

2. Asarnow J, Carlson G, Schuster M, Miranda J, Jackson-Triche M, Wells K. Youth Partners in Care: Clinician Guide to Depression Assessment and Management among Youth in Primary Care Settings. Los Angeles, CA, UCLA 1999.
3. Costantino M, Hanning B and Slavin SJ. How Important are the Boards? Resident Selection Criteria Used by Pediatric Program Directors, AAMC RIME meeting , 10/99.
4. Diamant AL, Schuster MA, McGuigan K, Lever J. "Lesbians' Sexual History with Men: Implications for Taking a Sexual History." Arch Int Med. 159:2730-2736. 1999.
5. Feldman JD, Vazirani R, Beerman E and Slavin SJ. Attitudes of Pediatric Housestaff Towards Death and Dying, Year 4. Crit. Care Med. 27:A99, 1999.
6. Huang C. "Discussing sex with disabled patients" Western Journal of Medicine 171(2):76-77, 1999. "
7. Huang C. "Eating Disorders in Adolescents" interviewed for Vital Signs 1999.
8. Kuo AA and Slavin SJ. Clerkship Curricular Revision Based on the Ambulatory Pediatric Association and Council on Medical Student Education in Pediatrics Guidelines: Does it Make a Difference? Pediatrics, 103 (4 part 2): 898-901, 4/99.
9. Lara M, Allen F, and Lange L. Physician Perceptions of Barriers to Care for Inner-City Latino Children with Asthma. J Health Care Poor Underserved. 10(1): 27-44 1999.

10. Lara M, Morgenstern H, Duan N, and Brook RH. Elevated Asthma Morbidity in Puerto Rican Children: A Review of Possible Risk and Prognostic Factors. West J Med. 170:75-84, 1999.

11. Mangione-Smith R, O'Leary J, McGlynn EA. The Health and Cost-Benefits of Chlamydia Screening in Young Women. Sexually Transmitted Diseases, 26(6): 309-316 1999.
12. Mangione-Smith R, McGlynn EA, Elliott MN, Krogstad P, Brook RH. The Relationship Between Perceived Parental Expectations and Pediatrician Antimicrobial Prescribing Behavior. Pediatrics, 103: 711-718, 1999.
13. Schuster MA, Franke TM, Bastian A, Sor S, Halfon N. "Firearm Storage Patterns in Homes with Children in the United States." Am J Public Health. In press, 1999.
14. Schuster MA, McGlynn EA. "Measuring and Improving Quality of Care in Pediatrics," in McMillan JA, DeAngelis C, Feigin RD, Warshaw JB, eds., Oski's Pediatrics: Principles and Practice, 3rd Edition, Philadelphia, PA: Lippincott-Raven Publishers; 1999.
15. Schuster MA, McGlynn EA, Pham CB, Spar MD, Brook RH. The Quality of Health Care in the United States: A Review of Articles Since 1987: Prepared for the Institute of Medicine's Technical Advisory Panel on the State of Quality. 1/99.
16. Shapiro MF, Berk ML, Berry SH, Emmons CA, Athey LA, Hsia DC, Leibowitz AA, Maida CA, Marcus M, Perlman JF, Schur CL, Schuster MA, Senterfitt JW, and Bozzette SA. "National Probability Samples in Studies of Low-Prevalence Diseases. Part I: Perspectives and Lessons from the HIV Cost and Services Utilization Study." Health Services Research. 34:951-968, 1999.
17. Shapiro MF, Morton SC, McCaffrey DF, Senterfitt JW, Fleishman JA, Perlman JF, Athey LA, Keesey JW, Goldman DP, Berry SH, Bozzette SA, Andersen RM, Cunningham WE, Hays RD, Leibowitz AA, Marcus M, Wenger NS, Brown JA, Burnam A, Duan N, Hays RD, Kanouse DE, Schuster MA, Lefkowitz D, Emmons C, Frankel MR, Smith SM, McCutchan JA, Berk ML, Bing EG, Cleary PD, Frankel DR. "Variations in the Care of HIV-Infected Adults in the United States: Results from the HIV Cost and Services Utilization Study." JAMA. 281:2305-2315, 1999.
18. Skootsky SA, Slavin SJ and Wilkes MS. Attitudes Toward Managed Care and Cost Containment Among Primary Care Trainees at Three Training Sites. American Journal of Managed Care 5 (11) 11/99.
19. Slavin SJ. Reforming Higher Specialist Training: a View from Pediatrics in the United States, Medical Education, 1/99.

Division Presentations