Louise Walter, MD
|Title||Professor in Residence|
|School||UCSF School of Medicine|
|Address||4150 Clement Street|
San Francisco CA 94143
|2012||Elected into American Society for Clinical Investigation (ASCI)|
|UCSF||2010||Academic Senate Distinction in Faculty Mentoring Award|
|American Geriatrics Society||2009||Outstanding Scientific Achievement for Clinical Investigation Award|
Dr. Walter is the Interim Chief of the Division of Geriatrics and Co-Director of the UCSF Geriatrics Research Program.
Dr. Walter is a clinician-researcher who is a national leader in evaluating the real-world risks and benefits of cancer screening in older patients. Dr. Walter received her MD from Stanford University in 1995. She completed a residency in internal medicine and a fellowship in geriatrics at UCSF. Dr. Walter joined the UCSF faculty in July 2001, and she is a staff physician at the San Francisco VA where she is a primary care geriatrician for older veterans.
Dr. Walter has transformed our approach to cancer screening in older adults. She has developed novel methodology demonstrating the fundamental importance of life expectancy rather than age in determining benefits and risks of screening. Virtually every cancer screening guideline cites her research. Further, her studies of older adults in poor health documented the extent to which screening can lead to clinical harm. Her approach also forms the basis for the management of other chronic diseases (e.g., diabetes) in older adults.
In addition, Dr. Walter led a series of seminal studies demonstrating decisions to screen older adults for cancer are often dictated more by age than health such that many patients in poor health continue to undergo screening while many healthy older patients fail to get screened. Also, she discovered that cancer screening frequently leads to significant harms without benefit in patients in poor health and developed a taxonomy and quantification of screening harms. This research changed national VA quality indicators and convinced California state auditors to abandon their mandatory mammography policy for health plans that care for frail elders.
Dr. Walter is Principal Investigator of a $1.8 million R01 grant from the National Cancer Institute to investigate outcomes of prostate-specific antigen screening in older men and Principal Investigator of a K24 mentoring award from the National Institute on Aging. Dr. Walter is strongly committed to mentoring the next generation of clinical investigators as evidenced by her receipt of the 2010 UCSF Academic Senate Distinction in Mentoring Award (given annually to one Associate Professor who provides exceptional mentoring). Dr. Walter is the Associate Director of the UCSF Clinical and Translational Science Institute Career Development (KL2) Program, an Associate Editor for the JAMA series, "Care of the Aging Patient: From Evidence to Action," and Director of the San Francisco VA’s Health Services Research and Development Program to Improve Care for Veterans with Complex Comorbid Conditions.
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