As a career clinician, my primary focus is providing the best possible care for patients and families through continuous learning, systems improvement, and interdisciplinary team work. As an educator and clinical coach my goal is to model this for both learners and early-career faculty.

My academic and service work at UCSF was focused on triage and patient movement and now has expanded to include emergency preparedness and clinical care as it pertains to the health impacts of climate change.

I work with the UC Center for Climate Health and Equity (CCHE) Health Systems arm to prepare the hospital and health system for climate-related heat and air quality events with the goal of mitigating patient surges and health impacts. This involves close collaboration with departments of public health and public health emergency preparedness and response groups to align thresholds, metrics and efforts. I am currently working on a K1-grant funded qualitative study assessing the preparedness of community affiliates as relates to climate change emergencies. My team has just received additional funding through GCLC to develop an electronic health record-integrated risk stratification and patient alert tool.

I am also the Director of Emergency Preparedness for our Division, preparing DHM for mass casualty incidents and working to optimize our response to patient surges requiring complex
patient movement and triage. I work with departmental and health system leadership to develop and improve emergency planning and communications pathways. I act as DHM liaison with Emergency Management and coordinate plans with the ED, ICU and surgical services. I have worked with nursing to develop clinician protocols for heat risk assessment triage, pathways for education of patients around heat illness prevention, and on discharge tools for high-risk patients during heat events. I've also worked with nursing and patient placement on protocols for patients at high risk of complications when housed on our un-cooled floors during heat waves, and belong to health system heat mitigation workgroups, ensuring patients are safely moved to cooled spaces during heat events.

Other Interests
Physician resilience
I am a member of the Division of Hospital Medicine Clinical-Improvement grant funded Project Lavender. This project used semi-structured interviews and surveys to create a program to support hospitalists with the psychological and socio-emotional impacts of the practice of hospital medicine and collected data to support advocacy around systems-level causes of significant stress and distress, as well as the implementation of several well-received interventions.

Substance Use Disorder
Worked with a group to implement CIWA protocols in our step-down unit through a Caring Wisely Grant; currently working with research faculty on funding to join a multi-center study comparing phenobarbital and benzodiazepines for inpatient withdrawal therapy.