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    Jess Waldura

    TitleAssociate Clinical Professor
    SchoolUCSF School of Medicine
    DepartmentFamily Community Medicine
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      Collapse Biography 
      Collapse Education and Training
      University of California, San FranciscoM.A.S. in Clinical Research Graduate Division (Advance Training in Clinical Research)2012
      Collapse Awards and Honors
      UCSF Clinical and Translational Science Institute2011Mentored Career Development KL2 Award
      UCSF Department of Epidemiology and Biostatistics2011Award of Excellence in Teaching in the Methods of Clinical Research
      San Francisco General Hospital2000Julius R. Krevins Award for Clinical Excellence
      UCSF School of Medicine1999Alpha Omega Alpha Medical Honor Society

      Collapse Overview 
      Collapse Overview
      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.

      Collapse Interests
      Primary care, Human sexuality, Provider-patient communication, Stigma, Health disparities, HIV, STIs, Clinical Research, Implementation science, Epidemiology

      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. Barnes R, Koester KA, Waldura JF. Attitudes about providing HIV care: voices from publicly funded clinics in California. Fam Pract. 2014 Dec; 31(6):714-22. PMID: 25121978.
        View in: PubMed
      2. Weber S, Waldura JF, Cohan D. Safer conception options for HIV serodifferent couples in the United States: the experience of the National Perinatal HIV Hotline and Clinicians' Network. J Acquir Immune Defic Syndr. 2013 Aug 1; 63(4):e140-1. PMID: 23807158.
        View in: PubMed
      3. Waldura JF, Neff S, Dehlendorf C, Goldschmidt RH. Teleconsultation improves primary care clinicians' confidence about caring for HIV. J Gen Intern Med. 2013 Jun; 28(6):793-800. PMID: 23371417; PMCID: PMC3663958.
      4. Waldura JF, Neff S, Goldschmidt RH. Teleconsultation for clinicians who provide human immunodeficiency virus care: experience of the national HIV telephone consultation service. Telemed J E Health. 2011 Jul-Aug; 17(6):472-7. PMID: 21612517; PMCID: PMC3166793.
      5. Waldura JF. Prevention of perinatal HIV transmission: the Perinatal HIV Hotline perspective. Top Antivir Med. 2011 Feb-Mar; 19(1):23-6. PMID: 21852713.
        View in: PubMed
      6. Mahoney MR, Fogler J, Weber S, Goldschmidt RH. Applying HIV testing guidelines in clinical practice. Am Fam Physician. 2009 Dec 15; 80(12):1441-4. PMID: 20000306.
        View in: PubMed
      7. Fogler J, Cohan D, Weber S, Goldschmidt RH. Delivery options for prevention of perinatal HIV transmission. Am Fam Physician. 2009 Dec 15; 80(12):1356. PMID: 20000297.
        View in: PubMed
      8. Fogler J, Weber S, Mahoney MR, Goldschmidt RH. Clinicians' knowledge of 2007 Food and Drug Administration recommendation to discontinue nelfinavir use during pregnancy. J Int Assoc Physicians AIDS Care (Chic). 2009 Jul-Aug; 8(4):249-52. PMID: 19506052.
        View in: PubMed
      9. Fogler JA, Weber S, Goldschmidt RH, Mahoney MR, Cohan D. Consultation needs in perinatal HIV care: experience of the National Perinatal HIV Consultation Service. Am J Obstet Gynecol. 2007 Sep; 197(3 Suppl):S137-41. PMID: 17825645.
        View in: PubMed
      10. Goldschmidt RH, Fogler JA. Opportunities to prevent HIV transmission to newborns. Pediatrics. 2006 Jan; 117(1):208-9. PMID: 16396878.
        View in: PubMed
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