|Title||Professor in Residence|
|School||UCSF School of Medicine|
|Address||4150 Clement Street|
San Francisco CA 94143
Ken completed medical school at UCSF, residency in Internal Medicine at Johns Hopkins, and fellowship in General Internal Medicine and Health Outcomes Research at Beth Israel Hospital. He was recruited back to UCSF in 1998 to lead and develop the vision for the research programs in the Geriatrics Division. Working with Division Chief, Seth Landefeld, the Geriatrics Division has developed a nationally recognized research program that improves health and quality of life in older persons. Ken and Seth's primary strategy for building our research program focused on identifying research scientists passionate about older persons early in their careers and supporting them with the best possible mentorship. Some of the first Geriatrician-Scientists we supported, including Louise Walter and Mike Steinman, have become national leaders in Geriatric Medicine, and now co-lead our research programs with Ken. We work to create a people-focused environment that provides exceptional mentorship and support for our faculity and trainees. We seek to create a scholary culture that is driven by our devotion to older patients, in which we are challenged to question existing paradigms.
Ken's research interests focus on understanding the determinants of health outcomes in older persons. He is particularly interested in the importance of functional status. His work has shown that the ability to basic tasks of daily living is a more determinant of health in older persons than their disease diagnoses. His work has also described the factors that lead to loss of functioning in older persons, including the role of acute illness. His work is funded by R01 grants from the National Institute on Aging and the National Institute on Nursing Research, and a K24 mentoring grant from the NIA. He has won several awards that recognize his accomplishments mentoring including the Society of General Internal Medicine Midcareer Mentoring Award. He sees patients in the Geriatrics clinic at the San Francisco VA Medical Center, where he also attends on the inpatient Medical Service.
Ken's research focuses on understanding health outcomes in older persons. His work shows how to combine information about medical, psychological, social, and economic factors to predict health outcomes. He uses these factors in prognostic models that can be used to improve health care in older persons.
Ken has special expertise in disability-the ability of older persons to function independently. He has shown that the functional status of older people, such as the degree of difficulty doing basic activities of daily living, is a more important predictor of health outcomes than illness diagnoses. This work has been used to teach health professionals the importance of asking their patients about functional difficulties. His research has identified factors that predict disability such as depression. His work has also shown that disability in older persons is often precipitated by hospitalization
Ken's clinical activities are based at the San Francisco VA Medical Center. He has an outpatient practice focused on the care of older patients. He also attends and teaches on the inpatient medical service
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