Alicia Fernandez, MD

SchoolUCSF School of Medicine
Address1001 Potrero Ave
San Francisco CA 94110
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    Alicia Fernandez, M.D., is a Professor of Clinical Medicine at UCSF and an attending physician in the General Medical Clinic and the Medical Wards at San Francisco General Hospital. Her research focuses on health and health care disparities, and she is particularly interested in diabetes, Latino health, immigrant health, and language barriers. In addition to her research and clinical practice at San Francisco General Hospital, she is an active mentor of students, residents, fellows, and faculty. She has received several honors and awards, including the Arnold P. Gold Professorship for Humanism in Medicine. She has served as an advisor to the Robert Wood Johnson Foundation, The California Endowment, The National Quality Forum, The Commonwealth Fund, The American Medical Association, The American Board of Internal Medicine, and other organizations on projects focused on health care disparities, Latino health, and limited English proficiency populations. She was a standing member of the Agency for Healthcare Research and Quality (AHRQ) Health Care Quality and Effectiveness study section (2006-2010) and is currently a member of NIH Health Services Organization and Delivery (HSOD) study section. Most recently, Dr. Fernandez was appointed to the Board of Governors of the Patient Centered Outcomes Research Institute (PCORI), and to the Institute of Medicine Roundtable on Literacy.

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    UCSF Research in Implementation Sciences for Equity (RISE)
    NIH/NHLBI R25HL126146Sep 15, 2014 - May 31, 2018
    Role: Co-Principal Investigator
    Mentoring in the Context of Improving Care for Latinos with Diabetes
    NIH/NIDDK K24DK102057May 1, 2014 - Mar 31, 2019
    Role: Principal Investigator
    Enhancing Mexican Capacity for CVD Policy Research
    NIH/FIC R03TW009061Mar 20, 2013 - Feb 29, 2016
    Role: Co-Principal Investigator
    Promoting Research Opportunities Fully--Prospective Academics Transforming Health
    NIH/NIMHD R25MD006832Jul 14, 2011 - Apr 30, 2016
    Role: Principal Investigator
    Effective Care of Latinos with Diabetes and Limited English Proficiency
    NIH/NIDDK R01DK090272Mar 1, 2011 - Feb 28, 2014
    Role: Principal Investigator
    Improving the Care of Frequently Hospitalized Urban Poor
    NIH/NCRR K23RR018342Aug 15, 2003 - Jul 31, 2009
    Role: Principal Investigator

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    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. Sánchez-Romero LM, Penko J, Coxson PG, Fernández A, Mason A, Moran AE, Ávila-Burgos L, Odden M, Barquera S, Bibbins-Domingo K. Projected Impact of Mexico's Sugar-Sweetened Beverage Tax Policy on Diabetes and Cardiovascular Disease: A Modeling Study. PLoS Med. 2016 Nov; 13(11):e1002158. PMID: 27802278.
      View in: PubMed
    2. Chaufan C, Karter AJ, Moffet HH, Quan J, Parker MM, Kruger J, Schillinger D, Fernandez A. Identifying Spanish Language Competent Physicians: The Diabetes Study of Northern California (DISTANCE). Ethn Dis. 2016 Oct 20; 26(4):537-544. PMID: 27773981.
      View in: PubMed
    3. Young CA, Stookey J, Patel AI, Chan C, Evans J, Cohn K, Agana L, Yen IH, Fernandez A, Cabana MD. San Francisco childcare centers' preparedness in the prevention and management of asthma among preschool-aged children. J Asthma. 2016 09; 53(7):691-8. PMID: 27164036.
      View in: PubMed
    4. Ngai KM, Grudzen CR, Lee R, Tong VY, Richardson LD, Fernandez A. The Association Between Limited English Proficiency and Unplanned Emergency Department Revisit Within 72 Hours. Ann Emerg Med. 2016 Aug; 68(2):213-21. PMID: 27033142; PMCID: PMC4958500 [Available on 08/01/17].
    5. Paul-Emile K, Smith AK, Lo B, Fernández A. Dealing with Racist Patients. N Engl J Med. 2016 Feb 25; 374(8):708-11. PMID: 26933847.
      View in: PubMed
    6. Fernández A, Pérez-Stable EJ. ¿Doctor, habla español? Increasing the Supply and Quality of Language-Concordant Physicians for Spanish-Speaking Patients. J Gen Intern Med. 2015 Oct; 30(10):1394-6. PMID: 26209178; PMCID: PMC4579210 [Available on 10/01/16].
    7. Young CA, Chan C, Stookey J, Patel AI, Evans J, Cohn K, Agana L, Yen IH, Fernandez A, Cabana MD, et al. Development of a Tool to Evaluate Asthma Preparedness and Management in Child-Care Centers. Pediatr Allergy Immunol Pulmonol. 2015 Jun 01; 28(2):121-128. PMID: 26155370.
      View in: PubMed
    8. Jih J, Vittinghoff E, Fernandez A. Patient-physician language concordance and use of preventive care services among limited English proficient Latinos and Asians. Public Health Rep. 2015 Mar-Apr; 130(2):134-42. PMID: 25729102; PMCID: PMC4315854.
    9. Tang AS, Kruger JF, Quan J, Fernandez A. From admission to discharge: patterns of interpreter use among resident physicians caring for hospitalized patients with limited english proficiency. J Health Care Poor Underserved. 2014 Nov; 25(4):1784-98. PMID: 25418242.
      View in: PubMed
    10. Seligman R, Mendenhall E, Valdovinos MD, Fernandez A, Jacobs EA. Self-care and Subjectivity among Mexican Diabetes Patients in the United States. Med Anthropol Q. 2015 Mar; 29(1):61-79. PMID: 24942832.
      View in: PubMed
    11. Iten AE, Jacobs EA, Lahiff M, Fernández A. Undocumented immigration status and diabetes care among Mexican immigrants in two immigration "sanctuary" areas. J Immigr Minor Health. 2014 Apr; 16(2):229-38. PMID: 23114690.
      View in: PubMed
    12. Naranjo DM, Jacobs EA, Fisher L, Hessler D, Fernandez A. Age and glycemic control among low-income Latinos. J Immigr Minor Health. 2013 Oct; 15(5):898-902. PMID: 22843322.
      View in: PubMed
    13. Hudson DL, Karter AJ, Fernandez A, Parker M, Adams AS, Schillinger D, Moffet HH, Zhou J, Adler NE. Differences in the clinical recognition of depression in diabetes patients: the Diabetes Study of Northern California (DISTANCE). Am J Manag Care. 2013 May; 19(5):344-52. PMID: 23781889; PMCID: PMC3703822.
    14. Davis E, Tamayo A, Fernandez A. "Because somebody cared about me. That's how it changed things": homeless, chronically ill patients' perspectives on case management. PLoS One. 2012; 7(9):e45980. PMID: 23029350; PMCID: PMC3461032.
    15. Mendenhall E, Fernandez A, Adler N, Jacobs EA. Susto, coraje, and abuse: depression and beliefs about diabetes. Cult Med Psychiatry. 2012 Sep; 36(3):480-92. PMID: 22539060.
      View in: PubMed
    16. Slean GR, Jacobs EA, Lahiff M, Fisher L, Fernandez A. Aspects of culturally competent care are associated with less emotional burden among patients with diabetes. Med Care. 2012 Sep; 50(9 Suppl 2):S69-73. PMID: 22895234.
      View in: PubMed
    17. Seligman HK, Fernandez A, Stern RJ, Weech-Maldonado R, Quan J, Jacobs EA. Risk factors for reporting poor cultural competency among patients with diabetes in safety net clinics. Med Care. 2012 Sep; 50(9 Suppl 2):S56-61. PMID: 22895232; PMCID: PMC3466108.
    18. Fernandez A, Seligman H, Quan J, Stern RJ, Jacobs EA. Associations between aspects of culturally competent care and clinical outcomes among patients with diabetes. Med Care. 2012 Sep; 50(9 Suppl 2):S74-9. PMID: 22895235.
      View in: PubMed
    19. Stern RJ, Fernandez A, Jacobs EA, Neilands TB, Weech-Maldonado R, Quan J, Carle A, Seligman HK. Advances in measuring culturally competent care: a confirmatory factor analysis of CAHPS-CC in a safety-net population. Med Care. 2012 Sep; 50(9 Suppl 2):S49-55. PMID: 22895231; PMCID: PMC3466106.
    20. Schenker Y, Fernandez A, Kerr K, O'Riordan D, Pantilat SZ. Interpretation for discussions about end-of-life issues: results from a National Survey of Health Care Interpreters. J Palliat Med. 2012 Sep; 15(9):1019-26. PMID: 22788909; PMCID: PMC3422051.
    21. Reuland DS, Ko LK, Fernandez A, Braswell LC, Pignone M. Testing a Spanish-language colorectal cancer screening decision aid in Latinos with limited English proficiency: results from a pre-post trial and four month follow-up survey. BMC Med Inform Decis Mak. 2012 Jun 12; 12:53. PMID: 22691191; PMCID: PMC3483183.
    22. Lynch EB, Fernandez A, Lighthouse N, Mendenhall E, Jacobs E. Concepts of diabetes self-management in Mexican American and African American low-income patients with diabetes. Health Educ Res. 2012 Oct; 27(5):814-24. PMID: 22641792.
      View in: PubMed
    23. Reuland DS, Slatt LM, Alemán MA, Fernandez A, Dewalt D. Effect of Spanish language immersion rotations on medical student Spanish fluency. Fam Med. 2012 Feb; 44(2):110-6. PMID: 22328477.
      View in: PubMed
    24. Seligman HK, Jacobs EA, López A, Tschann J, Fernandez A. Food insecurity and glycemic control among low-income patients with type 2 diabetes. Diabetes Care. 2012 Feb; 35(2):233-8. PMID: 22210570; PMCID: PMC3263865.
    25. Schenker Y, Smith AK, Arnold RM, Fernandez A. "Her husband doesn't speak much English": conducting a family meeting with an interpreter. J Palliat Med. 2012 Apr; 15(4):494-8. PMID: 22107068; PMCID: PMC3647542.
    26. Vijayaraghavan M, Jacobs EA, Seligman H, Fernandez A. The association between housing instability, food insecurity, and diabetes self-efficacy in low-income adults. J Health Care Poor Underserved. 2011 Nov; 22(4):1279-91. PMID: 22080709.
      View in: PubMed
    27. Parker MM, Moffet HH, Schillinger D, Adler N, Fernandez A, Ciechanowski P, Karter AJ. Ethnic differences in appointment-keeping and implications for the patient-centered medical home--findings from the Diabetes Study of Northern California (DISTANCE). Health Serv Res. 2012 Apr; 47(2):572-93. PMID: 22091785; PMCID: PMC3290714.
    28. Seligman HK, Jacobs EA, Lopez A, Sarkar U, Tschann J, Fernandez A. Food insecurity and hypoglycemia among safety net patients with diabetes. Arch Intern Med. 2011 Jul 11; 171(13):1204-6. PMID: 21747017; PMCID: PMC4230711.
    29. Moffet HH, Parker MM, Sarkar U, Schillinger D, Fernandez A, Adler NE, Adams AS, Karter AJ. Adherence to laboratory test requests by patients with diabetes: the Diabetes Study of Northern California (DISTANCE). Am J Manag Care. 2011 May; 17(5):339-44. PMID: 21718081; PMCID: PMC3189790.
    30. Guendelman S, Fernandez A, Thornton D, Brindis C. Birthplace, language use, and body size among Mexican American women and men: findings from the National Health and Nutrition Examination Survey (NHANES) 2001-2006. J Health Care Poor Underserved. 2011 May; 22(2):590-605. PMID: 21551936.
      View in: PubMed
    31. Rosenthal A, Wang F, Schillinger D, Pérez Stable EJ, Fernandez A. Accuracy of physician self-report of Spanish language proficiency. J Immigr Minor Health. 2011 Apr; 13(2):239-43. PMID: 20151191; PMCID: PMC3056130.
    32. Wang S, Quan J, Kanaya AM, Fernandez A. Asian Americans and obesity in California: a protective effect of biculturalism. J Immigr Minor Health. 2011 Apr; 13(2):276-83. PMID: 21153765; PMCID: PMC3056137.
    33. Fernandez A, Ettinger KM, Lo B. Case 34-2010: A woman with an incorrect operation. N Engl J Med. 2011 Mar 03; 364(9):883; author reply 883. PMID: 21366488.
      View in: PubMed
    34. Hauer KE, Fernandez A, Teherani A, Boscardin CK, Saba GW. Assessment of medical students' shared decision-making in standardized patient encounters. J Gen Intern Med. 2011 Apr; 26(4):367-72. PMID: 21108048; PMCID: PMC3055961.
    35. Fernandez A, Schillinger D, Warton EM, Adler N, Moffet HH, Schenker Y, Salgado MV, Ahmed A, Karter AJ. Language barriers, physician-patient language concordance, and glycemic control among insured Latinos with diabetes: the Diabetes Study of Northern California (DISTANCE). J Gen Intern Med. 2011 Feb; 26(2):170-6. PMID: 20878497; PMCID: PMC3019330.
    36. Fernandez A. Improving the quality of informed consent: it is not all about the risks. Ann Intern Med. 2010 Sep 07; 153(5):342-3. PMID: 20820045.
      View in: PubMed
    37. Hauer KE, Boscardin C, Gesundheit N, Nevins A, Srinivasan M, Fernandez A. Impact of student ethnicity and patient-centredness on communication skills performance. Med Educ. 2010 Jul; 44(7):653-61. PMID: 20636584.
      View in: PubMed
    38. Prakash S, Rodriguez RA, Austin PC, Saskin R, Fernandez A, Moist LM, O'Hare AM. Racial composition of residential areas associates with access to pre-ESRD nephrology care. J Am Soc Nephrol. 2010 Jul; 21(7):1192-9. PMID: 20558541; PMCID: PMC3152235.
    39. Mendenhall E, Seligman RA, Fernandez A, Jacobs EA. Speaking through diabetes: Rethinking the significance of lay discourses on diabetes. Med Anthropol Q. 2010 Jun; 24(2):220-39. PMID: 20550094.
      View in: PubMed
    40. Ross PT, Wiley Cené C, Bussey-Jones J, Brown AF, Blackman D, Fernández A, Fernández L, Glick SB, Horowitz CR, Jacobs EA, Peek ME, Wilkerson L, Lypson ML. A strategy for improving health disparities education in medicine. J Gen Intern Med. 2010 May; 25 Suppl 2:S160-3. PMID: 20352512; PMCID: PMC2847114.
    41. Glick SB, Fernandez L, Irby DM, Harleman E, Fernandez A. Teaching about health care disparities in the clinical setting. J Gen Intern Med. 2010 May; 25 Suppl 2:S95-101. PMID: 20352501; PMCID: PMC2847100.
    42. Schenker Y, Fernandez A, Sudore R, Schillinger D. Interventions to improve patient comprehension in informed consent for medical and surgical procedures: a systematic review. Med Decis Making. 2011 Jan-Feb; 31(1):151-73. PMID: 20357225.
      View in: PubMed
    43. Schenker Y, Karter AJ, Schillinger D, Warton EM, Adler NE, Moffet HH, Ahmed AT, Fernandez A. The impact of limited English proficiency and physician language concordance on reports of clinical interactions among patients with diabetes: the DISTANCE study. Patient Educ Couns. 2010 Nov; 81(2):222-8. PMID: 20223615; PMCID: PMC2907435.
    44. Fernandez A, Schenker Y. Time to establish national standards and certification for health care interpreters. Patient Educ Couns. 2010 Feb; 78(2):139-40. PMID: 20117487.
      View in: PubMed
    45. Schenker Y, Fernandez A, Lo B. Placebo prescriptions are missed opportunities for doctor-patient communication. Am J Bioeth. 2009 Dec; 9(12):48-50. PMID: 20013500.
      View in: PubMed
    46. Reuland DS, Frasier PY, Olson MD, Slatt LM, Aleman MA, Fernandez A. Accuracy of self-assessed Spanish fluency in medical students. Teach Learn Med. 2009 Oct; 21(4):305-9. PMID: 20183357.
      View in: PubMed
    47. Meyers K, Tang G, Fernandez A. Responding to the Language Challenge: Kaiser Permanente's Approach. Perm J. 2009; 13(3):77-83. PMID: 20740094; PMCID: PMC2911813.
    48. Diamond LC, Schenker Y, Curry L, Bradley EH, Fernandez A. Getting by: underuse of interpreters by resident physicians. J Gen Intern Med. 2009 Feb; 24(2):256-62. PMID: 19089503; PMCID: PMC2628994.
    49. Schenker Y, Lo B, Ettinger KM, Fernandez A. Navigating language barriers under difficult circumstances. Ann Intern Med. 2008 Aug 19; 149(4):264-9. PMID: 18711157.
      View in: PubMed
    50. Grubbs V, Bibbins-Domingo K, Fernandez A, Chattopadhyay A, Bindman AB. Acute myocardial infarction length of stay and hospital mortality are not associated with language preference. J Gen Intern Med. 2008 Feb; 23(2):190-4. PMID: 18043984; PMCID: PMC2359166.
    51. Smith WR, Betancourt JR, Wynia MK, Bussey-Jones J, Stone VE, Phillips CO, Fernandez A, Jacobs E, Bowles J. Recommendations for teaching about racial and ethnic disparities in health and health care. Ann Intern Med. 2007 Nov 06; 147(9):654-65. PMID: 17975188.
      View in: PubMed
    52. Saha S, Fernandez A. Language barriers in health care. J Gen Intern Med. 2007 Nov; 22 Suppl 2:281-2. PMID: 17924172; PMCID: PMC2078543.
    53. Saha S, Fernandez A, Perez-Stable E. Reducing language barriers and racial/ethnic disparities in health care: an investment in our future. J Gen Intern Med. 2007 Nov; 22 Suppl 2:371-2. PMID: 17896164; PMCID: PMC2040485.
    54. Schenker Y, Wang F, Selig SJ, Ng R, Fernandez A. The impact of language barriers on documentation of informed consent at a hospital with on-site interpreter services. J Gen Intern Med. 2007 Nov; 22 Suppl 2:294-9. PMID: 17957414; PMCID: PMC2078548.
    55. Bibbins-Domingo K, Fernandez A. BiDil for heart failure in black patients. Ann Intern Med. 2007 Aug 07; 147(3):214-5; author reply 215-6. PMID: 17679712.
      View in: PubMed
    56. Bibbins-Domingo K, Fernandez A. BiDil for heart failure in black patients: implications of the U.S. Food and Drug Administration approval. Ann Intern Med. 2007 Jan 02; 146(1):52-6. PMID: 17200222.
      View in: PubMed
    57. Grubbs V, Chen AH, Bindman AB, Vittinghoff E, Fernandez A. Effect of awareness of language law on language access in the health care setting. J Gen Intern Med. 2006 Jul; 21(7):683-8. PMID: 16808766; PMCID: PMC1924696.
    58. Saba GW, Wong ST, Schillinger D, Fernandez A, Somkin CP, Wilson CC, Grumbach K. Shared decision making and the experience of partnership in primary care. Ann Fam Med. 2006 Jan-Feb; 4(1):54-62. PMID: 16449397; PMCID: PMC1466999.
    59. Wilson E, Chen AH, Grumbach K, Wang F, Fernandez A. Effects of limited English proficiency and physician language on health care comprehension. J Gen Intern Med. 2005 Sep; 20(9):800-6. PMID: 16117746; PMCID: PMC1490205.
    60. Bodenheimer T, Fernandez A. High and rising health care costs. Part 4: can costs be controlled while preserving quality? Ann Intern Med. 2005 Jul 05; 143(1):26-31. PMID: 15998752.
      View in: PubMed
    61. Pletcher MJ, Fernandez A, May TA, Westphal JR, Gamez CA, Hersh DF, Gonzales R. Unintended consequences of a quality improvement program designed to improve treatment of alcohol withdrawal in hospitalized patients. Jt Comm J Qual Patient Saf. 2005 Mar; 31(3):148-57. PMID: 15828598.
      View in: PubMed
    62. Fernandez A, Goldstein L. Primary care physicians who treat blacks and whites. N Engl J Med. 2004 Nov 11; 351(20):2126-7; author reply 2126-7. PMID: 15543658.
      View in: PubMed
    63. Fernandez A, Schillinger D, Grumbach K, Rosenthal A, Stewart AL, Wang F, Pérez-Stable EJ. Physician language ability and cultural competence. An exploratory study of communication with Spanish-speaking patients. J Gen Intern Med. 2004 Feb; 19(2):167-74. PMID: 15009796; PMCID: PMC1492135.
    64. Pontecorvo C, Mejía R, Aleman M, Vidal A, Majdalani MP, Fayanás R, Fernández A, Pérez Stable EJ. [Detection of domestic violence against women. Survey in a primary health care clinic]. Medicina (B Aires). 2004; 64(6):492-6. PMID: 15637825.
      View in: PubMed
    65. Pignone M, Phillips CJ, Elasy TA, Fernandez A. Physicians' ability to predict the risk of coronary heart disease. BMC Health Serv Res. 2003 Jul 11; 3(1):13. PMID: 12857356; PMCID: PMC183837.
    66. Majdalani M, Mejia R, Fayanas R, Fernandez A, Perez-Stable EJ. Educacion Medica. Residentes de primer ano de Medicina Interna: distribucion horaria de las tareas. 2003; 13(49):15-19.
    67. Fernandez A, Grumbach K, Vranizan K, Osmond DH, Bindman AB. J Gen Intern Med. Primary care physicians' experience with disease management programs. 2001; 3(16):163-7.
    68. Fernandez A, Grumbach K, Vranizan K, Osmond DH, Bindman AB. Primary care physicians' experience with disease management programs. J Gen Intern Med. 2001 Mar; 16(3):163-7. PMID: 11318911; PMCID: PMC1495185.
    69. Fernandez A, Grumbach K, Goitein L, Vranizan K, Osmond DH, Bindman AB. Friend or foe? How primary care physicians perceive hospitalists. Arch Intern Med. 2000 Oct 23; 160(19):2902-8. PMID: 11041896.
      View in: PubMed
    70. Schillinger D, Wheeler M, Fernandez A. The populations and quality improvement seminar for medical residents. Acad Med. 2000 May; 75(5):562-3. PMID: 10824850.
      View in: PubMed
    71. Mejia R, Aleman M, Férnandez A, Pérez Stable EJ. [Awareness and detection of domestic violence by clinical physicians]. Medicina (B Aires). 2000; 60(5 Pt 1):591-4. PMID: 11188898.
      View in: PubMed
    72. Fernandez A, Grumbach K, Goitein L, Vranizan K, Osmond DH, Bindman AB. Arch Intern Med. Friend or foe? How primary care physicians perceive hospitalists. 2000; 19(160):2902-8.
    73. Fernandez A . Heart Failure. Anticoagulation in Patients with Heart Failure and Atrial Fibrillation. 1997; 1:36-42.
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