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UCSF Earns High Marks for Efforts to Limit Drug Industry Influence

August 6, 2009

UCSF was one of just nine medical schools nationwide to receive an A grade in a recent report evaluating how well academic medical centers govern drug industry interaction with their students, faculty and physicians... Read more of Robert Hindery's article at:

Report of the AAMC Task Force on Industry Funding of Medical Education to the AAMC Executive Council

May 11, 2009

The AAMC Task Force on Industry Funding of Medical Education has issued its final report. The task force was charged with examining the benefits and pitfalls associated with industry funding of medical education, and developing principles, recommendations, and guidelines to assist members in refashioning industry relationships to better conform to high standards of medical professionalism.

AAMC Task Force Report: Industry Funding of Medical Education
(PDF, 43 pages)

Online Presentation
An Update on Influenza A (H1N1): Update for Physicians

April 30, 2009

Please visit the following link to view the online presentation.

Influenza A (H1N1): Information from UCSF CME

April 28, 2009

Dear UCSF CME colleague,

As you know, there is substantial concern about new cases of swine flu in the United States, Mexico, and Europe. In order to help disseminate up-to-date information, we are sending you both the California Department of Health and the CDC swine flu web sites:

These sites will be updated regularly. They contain information in multiple formats (print, podcast, etc) and include educational material in Spanish.

We will continue to share educational resources and tools as they become available.

Robert Baron, MD, MS

CME Requirement Update

  1. CME & Cultural Competency
    1. Article About AB1195
    2. Tips for Planners
    3. Cultural Competency Resources
    4. Handout Materials for Distribution
  2. CME Pain Management and End-of-Life Care
  3. CME and Conflict of Interest


Cultural Competency

  1. Infuse epidemiology, risk factors specific to cultural groups
  2. Include information about health care disparities for cultural groups (e.g., age, race, gender). Present how symptom presentation or management will differ in specific subgroups (e.g., men vs. women, specific ethnicities).
  3. Include diagnosis and treatment topics. Incorporate patient centered care and/or how management should be adjusted or will differ for specific cultural groups.
  4. Include complimentary and holistic approaches, if appropriate, (e.g., use of acupuncture or chiropractic care in low back pain).
  5. Demonstrate how culture (e.g., health beliefs, linguistic barriers) is relevant to the therapeutic area/topic.

Linguistic Competency

  1. Teach how to work with an interpreter
  2. Teach how to assess patient literacy
  3. Develop medically focused CME-based second language training



January 2006

With the passage of Assembly Bill 1195, physicians licensed in California must incorporate cultural competency and linguistics into their continuing medical education program of study. The bill, which goes into effect on July 1, 2006, was designed to encourage physicians, surgeons, and CME providers to meet the cultural and linguistic concerns of a diverse patient population through appropriate professional development.

AB 1195 differs from both the pain and geriatric legislation by not requiring the completion of a set number of credits in a given time period. There are three principle ways that a CME provider may satisfy the requirement to offer educational activities under the new law. A provider may address both the cultural competency and the linguistic aspects or just one of them. Following are the key ways a CME program can include relevant content consistent with AB 1195.

1. To address cultural competency, defined as a set of integrated attitudes, knowledge, and skills that enables health care professionals to care effectively for patients from diverse cultures, groups, and communities, a CME provider may offer specifically designed and focused activities. At a minimum such activities would include these four elements:

    A. Applying linguistic skills to communicate effectively with the target population
    B. Utilizing cultural information to establish therapeutic relationships
    C. Eliciting and incorporating pertinent cultural data in diagnosis and treatment
    D. Understanding and applying cultural and ethnic date to the process of clinical care


2. To address linguistic competency, defined as the ability of a physician or surgeon to provide patients who do not speak English or who have limited ability to speak English, direct communication in the patient’s primary language, a CME provider may incorporate translation/interpretation resources and/or strategies into materials for a CME activity.


3. A CME provider may incorporate a review and explanation of relevant federal and state laws and regulations regarding linguistic access.

The UC CME Consortium is working with UC’s legislative analyst to develop resources for inclusion in activity materials for the five CME programs within the UC system. Once the materials are available, they will be distributed to course chairs, program representatives, grand rounds coordinators, and other interested constituents. They will also be posted to our website.

For answers to questions you may have about AB 1195, please contact the Office of CME at 415.476.4251.

--posted 1/26/06

May 2005

Dear SOM Faculty,

As most of you know, the UCSF School of Medicine certifies 200 CME activities for credit each year including live courses, enduring materials, and regularly scheduled conferences and grand rounds. Each activity is planned, presented and evaluated in accordance with national standards developed by the Accreditation Council for CME (ACCME).

Earlier this year, the ACCME published the Updated Standards for Commercial Support (SCS) designed to further insure that all CME is free of commercial bias. UCSF CME activities already have an extremely strong, documented track record of being free of commercial bias. Nonetheless, the new SCS require several adjustments in our CME planning process that will affect all UCSF CME planners and faculty.

    1. All faculty involved with planning CME activities must sign conflict of interest disclosure forms prior to planning the CME activity. In most instances, planning and disclosure will take place 6-12 months prior to the activity.
    2. All faculty teaching in a CME activity must sign a conflict of interest faculty disclosure form prior to teaching. Without faculty disclosure there can be no CME activity. In most instances, faculty disclosure forms should be completed no later than 4-6 weeks prior to the activity.
    3. All faculty involved with planning or teaching who disclose a conflict of interest must resolve that conflict prior to the CME activity.

Our new UCSF Faculty Disclosure form carefully lists the ACCME definitions of conflict of interest. The form also lists 5 strategies for resolving conflict of interest. These include attestation to the use of "best evidence" in preparation of the activity, limiting the scope of the presentation to areas without a conflict, and the use of peer review (by the activity chair or designee, or by CME Governing Board members) to resolve conflicts. We anticipate that UCSF faculty (and other invited faculty) with defined conflicts of interest will be able to readily resolve such conflicts allowing the educational activity to proceed as planned in virtually all instances.

The new Standards for Commercial Support and the new UCSF Faculty Disclosure form can be reviewed at

The Office of CME staff will be discussing these new requirements with each of the staff in your department that are involved in planning accredited CME activities (including grand rounds) and will remain available to you and to them to assist in this transition.

Please let me know if you have any questions or concerns and if there is any way that I can help.

Best regards,

Bobby Baron MD MS
Professor of Medicine and Associate Dean for CME

--posted 6/28/05

CME and Pain Management and End-of-Life Care

pain imageWith the passage of California Assembly Bill 487 in October 2001, physicians licensed in California must complete 12 hours of CME in topics associated with pain management and/or end-of-life care by December 31, 2006. Due to limited patient interaction, radiologists and pathologists are exempt from this requirement. This is a one-time requirement meant to be completed by the end of 2006.

UCSF also offers Challenges of Managing Pain Symposium (ChaMPS) at our Pain Management Center at Mt. Zion, offering a bimonthly seminar in Herbst Hall (Room B-248) focused on various topics of pain, and are designed to meet the requirements of AB487. You may call ChaMPS at 415.885.7272.

For those unable to attend a live course, you may purchase an Enduring Material to meet the CME requirements.

If you have questions about this new CME requirement, please contact the UCSF Office of CME at 415.476.4251.

--posted 11/10/04-updated 4/13/06, 11/21/06

Contact Information

UCSF Office of Continuing Medical Education
3333 California Street, Room 450
San Francisco, CA 94118
Phone: 415-476-4251
Fax: 415-502-1795
Registration: 415-476-5808

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