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    Daniel Ciccarone, MD, MPH

    SchoolUCSF School of Medicine
    DepartmentFamily Community Medicine
    Address500 Parnassus Avenue, MU
    San Francisco CA 94143
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      Collapse Biography 
      Collapse Education and Training
      University of California, San FranciscoResidency School of Medicine
      UC BerkeleyM.P.H.Public Health1998
      SUNY Stony BrookM.D.School of Medicine1987
      Collapse Awards and Honors
      UCSF2014Chancellor’s Advisory Committee on Sustainability: Annual Sustainability Faculty Award
      UCSF School of Medicine2009Essential Core Teaching Award, Outstanding Lecture (class of 2011)
      UCSF School of Medicine2006Essential Core Teaching Award, Outstanding FPC Facilitator
      UCSF2005Elected, Academy of Medical Educators

      Collapse Overview 
      Collapse Overview
      My research is centered on the contextual issues of treatment and prevention of HIV/AIDS, and related diseases, in socially marginalized populations. My long-term objective is to combine ethnographic and epidemiological research to explore the intricate socio-behavioral-medical issues of medication adherence, access to care and risk taking behaviors, particularly related to drug use and drug users. My work, including collaborations, has been published in JAMA, NEJM, PLoS Medicine, AJPH, JAIDS and other peer-reviewed journals.

      My recent research is in exploring the different medical consequences of use of various sources and forms of heroin. The US has recently entered a new heroin epidemic, this time fueled by the recent opioid pill epidemic. My team is exploring the economic, anthropological, historical, clinical and public health dimensions of this crisis.

      In my activities as a medical educator, I have largely worked towards improving the social, behavioral and prevention science content within the undergraduate medical school curriculum. In 2009, I became Co-Director for the Foundations of Patient Care (FPC) course. In this role, I design and administrate FPC during the Organs Block of the Essential Core course. I am also Director of the Transitional Clerkship, a two-week immersion into the clinical wards for finishing second year medical students transitioning to their clinical training years. In these roles, I am responsible for designing extensive curricula, editing syllabi, recruiting faculty, hosting sessions and direct teaching, as well as, designing and leading assessment activities.

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      Collapse In The News
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      Collapse Bibliographic 
      Collapse Publications
      Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact us for help.
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      1. Mars SG, Fessel JN, Bourgois P, Montero F, Karandinos G, Ciccarone D. Heroin-related overdose: The unexplored influences of markets, marketing and source-types in the United States. Soc Sci Med. 2015 Sep; 140:44-53. PMID: 26202771.
        View in: PubMed
      2. Ciccarone D, Harris M. Fire in the vein: Heroin acidity and its proximal effect on users' health. Int J Drug Policy. 2015 Nov; 26(11):1103-10. PMID: 26077143.
        View in: PubMed
      3. Unick G, Rosenblum D, Mars S, Ciccarone D. The relationship between US heroin market dynamics and heroin-related overdose, 1992-2008. Addiction. 2014 Nov; 109(11):1889-98. PMID: 24938727.
        View in: PubMed
      4. Rosenblum D, Castrillo FM, Bourgois P, Mars S, Karandinos G, Unick GJ, Ciccarone D. Urban segregation and the US heroin market: a quantitative model of anthropological hypotheses from an inner-city drug market. Int J Drug Policy. 2014 May; 25(3):543-55. PMID: 24445118; PMCID: PMC4062603 [Available on 05/01/15].
      5. Mars SG, Bourgois P, Karandinos G, Montero F, Ciccarone D. "Every 'never' I ever said came true": transitions from opioid pills to heroin injecting. Int J Drug Policy. 2014 Mar; 25(2):257-66. PMID: 24238956; PMCID: PMC3961517 [Available on 03/01/15].
      6. Messac L, Ciccarone D, Draine J, Bourgois P. The good-enough science-and-politics of anthropological collaboration with evidence-based clinical research: Four ethnographic case studies. Soc Sci Med. 2013 Dec; 99:176-86. PMID: 23664236; PMCID: PMC3775979 [Available on 12/01/14].
      7. Unick GJ, Rosenblum D, Mars S, Ciccarone D. Intertwined epidemics: national demographic trends in hospitalizations for heroin- and opioid-related overdoses, 1993-2009. PLoS One. 2013; 8(2):e54496. PMID: 23405084; PMCID: PMC3566161.
      8. Ciccarone D. Saying goodbye to high-dead-space syringes. Int J Drug Policy. 2013 Jan; 24(1):15-6. PMID: 23127666.
        View in: PubMed
      9. Ciccarone D, Yu T, Nye H, Chang A. A technology-enhanced medical note-writing workshop. Med Educ. 2012 Nov; 46(11):1121-2. PMID: 23078711.
        View in: PubMed
      10. Ciccarone D. . Review of The World Heroin Market: Can Supply Be Cut? (Oxford, 2009) by Letizia Paoli, Victoria A. Greenfield and Peter Reuter. Asian Journal of Criminology. 2012; 7(1):95-97.
      11. Hettema JE, Ratanawongsa N, Manuel JK, Ciccarone D, Coffa D, Jain S, Lum PJ. A SBIRT curriculum for medical residents: development of a performance feedback tool to build learner confidence. Subst Abus. 2012; 33(3):241-50. PMID: 22738001; PMCID: PMC3412302.
      12. Ciccarone D. Henceforth harm reduction? Int J Drug Policy. 2012 Jan; 23(1):16-7. PMID: 21852090; PMCID: PMC3691071.
      13. Ciccarone D. Stimulant abuse: pharmacology, cocaine, methamphetamine, treatment, attempts at pharmacotherapy. Prim Care. 2011 Mar; 38(1):41-58, v-vi. PMID: 21356420; PMCID: PMC3056348.
      14. Ciccarone D, Unick GJ, Kraus A. Impact of South American heroin on the US heroin market 1993-2004. Int J Drug Policy. 2009 Sep; 20(5):392-401. PMID: 19201184; PMCID: PMC2719678.
      15. Ciccarone D. Heroin in brown, black and white: structural factors and medical consequences in the US heroin market. Int J Drug Policy. 2009 May; 20(3):277-82. PMID: 18945606; PMCID: PMC2704563.
      16. Hoffman A, Utley B, Ciccarone D. Improving medical student communication skills through improvisational theatre. Med Educ. 2008 May; 42(5):537-8. PMID: 18412916; PMCID: PMC2597306.
      17. Ciccarone D, Jain S, Bourgois P. Understanding illicit substance use in the real world. Med Educ. 2008 May; 42(5):532. PMID: 18412911; PMCID: PMC2597378.
      18. Gilbert P, Ciccarone D, Gansky SA, Bangsberg DR, Clanon K, McPhee SJ, Calderón SH, Bogetz A, Gerbert B. Interactive "Video Doctor" counseling reduces drug and sexual risk behaviors among HIV-positive patients in diverse outpatient settings. PLoS One. 2008; 3(4):e1988. PMID: 18431475; PMCID: PMC2292251.
      19. Cooper HL, Brady JE, Ciccarone D, Tempalski B, Gostnell K, Friedman SR. Nationwide increase in the number of hospitalizations for illicit injection drug use-related infective endocarditis. Clin Infect Dis. 2007 Nov 1; 45(9):1200-3. PMID: 17918083; PMCID: PMC2567828.
      20. Bourgois P, Martinez A, Kral A, Edlin BR, Schonberg J, Ciccarone D. Reinterpreting ethnic patterns among white and African American men who inject heroin: a social science of medicine approach. PLoS Med. 2006 Oct; 3(10):e452. PMID: 17076569; PMCID: PMC1621100.
      21. Mannheimer SB, Mukherjee R, Hirschhorn LR, Dougherty J, Celano SA, Ciccarone D, Graham KK, Mantell JE, Mundy LM, Eldred L, Botsko M, Finkelstein R. The CASE adherence index: A novel method for measuring adherence to antiretroviral therapy. AIDS Care. 2006 Oct; 18(7):853-61. PMID: 16971298; PMCID: PMC2567829.
      22. Duru OK, Collins RL, Ciccarone DH, Morton SC, Stall R, Beckman R, Miu A, Kanouse DE. Correlates of sex without serostatus disclosure among a national probability sample of HIV patients. AIDS Behav. 2006 Sep; 10(5):495-507. PMID: 16779659; PMCID: PMC2567832.
      23. Gerbert B, Danley DW, Herzig K, Clanon K, Ciccarone D, Gilbert P, Allerton M. Reframing "prevention with positives": incorporating counseling techniques that improve the health of HIV-positive patients. AIDS Patient Care STDS. 2006 Jan; 20(1):19-29. PMID: 16426152; PMCID: PMC2567830.
      24. Seal KH, Thawley R, Gee L, Bamberger J, Kral AH, Ciccarone D, Downing M, Edlin BR. Naloxone distribution and cardiopulmonary resuscitation training for injection drug users to prevent heroin overdose death: a pilot intervention study. J Urban Health. 2005 Jun; 82(2):303-11. PMID: 15872192; PMCID: PMC2570543.
      25. Kral AH, Lorvick J, Ciccarone D, Wenger L, Gee L, Martinez A, Edlin BR. HIV prevalence and risk behaviors among men who have sex with men and inject drugs in San Francisco. J Urban Health. 2005 Mar; 82(1 Suppl 1):i43-50. PMID: 15738321; PMCID: PMC3456175.
      26. Schackman BR, Finkelstein R, Neukermans CP, Lewis L, Eldred L, Ciccarone D et al. . The cost of HIV medication adherence support interventions: Results of a cross-site evaluation. AIDS Care. 2005; 17(8):927-37.
      27. Ciccarone D. . The Political Economy of Heroin: Regional Markets, Practices and Consequences. Int J Drug Policy. 2005; 16(5):289-90.
      28. Ciccarone D, Coffin P, Preer G. Integrating HIV risk reduction into the medical curriculum. Med Educ. 2004 Nov; 38(11):1197-8. PMID: 15507033; PMCID: PMC2579263.
      29. Charlebois ED, Perdreau-Remington F, Kreiswirth B, Bangsberg DR, Ciccarone D, Diep BA, Ng VL, Chansky K, Edlin BR, Edlin B, Chambers HF. Origins of community strains of methicillin-resistant Staphylococcus aureus. Clin Infect Dis. 2004 Jul 1; 39(1):47-54. PMID: 15206052; PMCID: PMC2567833.
      30. Ciccarone D, Bourgois P. Explaining the geographical variation of HIV among injection drug users in the United States. Subst Use Misuse. 2003 Dec; 38(14):2049-63. PMID: 14677781; PMCID: PMC1343535.
      31. Seal KH, Downing M, Kral AH, Singleton-Banks S, Hammond JP, Lorvick J, Ciccarone D, Edlin BR. Attitudes about prescribing take-home naloxone to injection drug users for the management of heroin overdose: a survey of street-recruited injectors in the San Francisco Bay Area. J Urban Health. 2003 Jun; 80(2):291-301. PMID: 12791805; PMCID: PMC3456285.
      32. Ciccarone DH, Kanouse DE, Collins RL, Miu A, Chen JL, Morton SC, Stall R. Sex without disclosure of positive HIV serostatus in a US probability sample of persons receiving medical care for HIV infection. Am J Public Health. 2003 Jun; 93(6):949-54. PMID: 12773361; PMCID: PMC1447876.
      33. Ciccarone D. . With Both Eyes Open: Notes on a Disciplinary Dialogue between Ethnographic and Epidemiological Research among Injection Drug Users. Int J Drug Policy. 2003; 14(1):115-8.
      34. Edlin BR, Seal KH, Lorvick J, Kral AH, Ciccarone DH, Moore LD, Lo B. Is it justifiable to withhold treatment for hepatitis C from illicit-drug users? N Engl J Med. 2001 Jul 19; 345(3):211-5. PMID: 11463019; PMCID: PMC1510901.
      35. Murphy EL, DeVita D, Liu H, Vittinghoff E, Leung P, Ciccarone DH, Edlin BR. Risk factors for skin and soft-tissue abscesses among injection drug users: a case-control study. Clin Infect Dis. 2001 Jul 1; 33(1):35-40. PMID: 11389492.
        View in: PubMed
      36. Bangsberg DR, Hecht FM, Clague H, Charlebois ED, Ciccarone D, Chesney M, Moss A. Provider assessment of adherence to HIV antiretroviral therapy. J Acquir Immune Defic Syndr. 2001 Apr 15; 26(5):435-42. PMID: 11391162.
        View in: PubMed
      37. Ciccarone D, Bamberger J, Kral A, Hobart CJ, Moon A, Edlin BR, Harris HW, Young DM, Bourgois P, Murphy EL. . Soft Tissue Infections Among Injection Drug Users - San Francisco, California, 1996-2000. JAMA. 2001; 285(21):2707-2709.
      38. Lurie P, Avins AL, Phillips KA, Kahn JG, Lowe RA, Ciccarone D. The cost-effectiveness of voluntary counseling and testing of hospital inpatients for HIV infection. JAMA. 1994 Dec 21; 272(23):1832-8. PMID: 7990217.
        View in: PubMed
      39. Phillips KA, Lowe RA, Kahn JG, Lurie P, Avins AL, Ciccarone D. The cost-effectiveness of HIV testing of physicians and dentists in the United States. JAMA. 1994 Mar 16; 271(11):851-8. PMID: 8114240.
        View in: PubMed
      40. Lurie P, Lowe RA, Avins AL, Phillips KA, Kahn JG, Franks PE, Ciccarone DH. Undiagnosed HIV infection in acute care hospitals. N Engl J Med. 1992 Dec 17; 327(25):1815-6. PMID: 1435939.
        View in: PubMed
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