|Title||Associate Clinical Professor|
|School||UCSF School of Medicine|
|Department||Family Community Medicine|
|University of California, San Francisco||M.A.S. in Clinical Research|| Graduate Division (Advance Training in Clinical Research)||2012|
|UCSF Clinical and Translational Science Institute||2011||Mentored Career Development KL2 Award|
|UCSF Department of Epidemiology and Biostatistics||2011||Award of Excellence in Teaching in the Methods of Clinical Research |
|San Francisco General Hospital||2000||Julius R. Krevins Award for Clinical Excellence|
|UCSF School of Medicine||1999||Alpha Omega Alpha Medical Honor Society|
My research focuses on improving primary care practice in the domain of human sexuality and I have a special interest in populations that are marginalized or stigmatized.
I began my career as a family physician and HIV specialist, serving as Director of the Family HIV Clinic at San Francisco General Hospital from 2002-2009. I worked as an HIV consultant for the National HIV/AIDS Clinicians’ Consultation Center’s HIV Warmline, providing telephone consultation to U.S. clinicians from 2002-2012, and I served as Director of the National Perinatal HIV Hotline from 2004-2012.
Over the years, I became increasingly interested in developing clinical tools for primary care clinicians, which would enable them to deliver competent, compassionate care to patients with sensitive or stigmatizing conditions. My first line of research focused on tools to help primary care clinicians gain confidence and skill in caring for HIV-infected patients. In 2011 I was awarded a UCSF-CTSI mentored career development K award, which allowed me to transition into a full-time research position.
Through my work in HIV I became interested in researching other sexuality-related issues of importance to primary care providers. I am currently focusing on two distinct populations, both with a large unmet need for care at the intersection of primary care and sexuality: women in midlife, and patients with alternative sexual practices.
Sexual health in women 45-65 years old is an important area of research because women in this demographic have continued HIV/STI risk and high rates of distressing sexual dysfunction. However, conversations about these issues rarely occur in the primary care setting. My long-term goal is to develop tools to improve HIV/STI prevention counseling and increase diagnosis of sexual dysfunction for middle-aged and older women seen in the primary care setting.
I am interested in patients with alternative sexual practices (such as bondage, sadism/masochism, or sexual fetishism) because such practices are estimated to occur in 2-10% of the population (and possibly higher in certain urban cohorts, such as gay men in San Francisco), and may have important health implications, yet primary care clinicians receive virtually no training in the care of these patients. My long-term goal here is to produce research that better describes the mental and physical healthcare needs of these stigmatized patients, sheds light on issues of access to care (including under-use of available services due to fear of discrimination), and strengthens the health partnerships between patients and their primary care providers.
Primary care, Human sexuality, Provider-patient communication, Stigma, Health disparities, HIV, STIs, Clinical Research, Implementation science, Epidemiology
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