2022 Department Report | UCSF | Obstetrics, Gynecology & Reproductive Sciences

OUR MISSION

TO IMPROVE THE LIVES AND HEALTH OF ALL WOMEN THROUGH EXCELLENCE, INNOVATION AND LEADERSHIP IN PATIENT CARE, SCIENTIFIC DISCOVERY, EDUCATION, ADVOCACY, AND DIVERSITY, EQUITY, AND INCLUSION.

CONTENTS OVERVIEW

• News from the Chair's Office

• Reproductive Health & Access

• Department at a Glance

• Strategic Priorities

• Financial Summary

• Practice Locations

• Faculty Directory

• Staff Highlights

DIVISIONS/ORU

• Center for Reproductive Sciences

• Obstetrics, Gynecology & Gynecologic Subspecialties

• Gynecologic Oncology

• Maternal-Fetal Medicine

• Minimally Invasive Gynecologic Surgery & Urogynecology

• Reproductive Endocrinology & Infertility

• Zuckerberg San Francisco General Obstetrics & Gynecology

MISSION AREAS

• Patient Care

• Research

• Education

• Advocacy

• Equity, Inclusion & Structural Change

NOTABLE

• Recognizing & Remembering

• Help Advance Women’s Health: Make a Gift of Support

490 Illinois Street, Floor 10 San Francisco, CA 94143

https://obgyn.ucsf.edu/ @UCSF_ObGynRS

Erika Pham, Project Manager, Strategic Initiatives Wendy Turner, Communications Director

Design: Sean Brainerd/volume11creative

Photography: Matt Beardsley, Noah Berger, Gabe

Branbury,

Steve Babuljak, Elisabeth Fall, Hawkeye

Photo, Susan Merrell, Erika Pham, Barbara Ries, Wendy Turner, Tom Seawell, Lisa Wiseman

© 2022 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA

Fiscal year 2022 saw the fruition of many significant and long-awaited foundational expansions for the UCSF Department of Obstetrics, Gynecology & Reproductive Sciences.

Recognizing the specific needs for women’s healthcare outside the realm of Labor & Delivery, Department Chair Dr. Amy Murtha spearheaded the development of a women’s health service line. This critical pathway created the infrastructure necessary to provide focus and resources to women's health. Dr. Nerys Benfield was selected as inaugural Chief Medical Officer for Women’s Health and Vice Chair for Quality and Safety in the Department of Obstetrics, Gynecology & Reproductive Sciences and Erica Rajabi continues as the Vice President for Women’s Health Services at UCSF.

In addition to patient-care improvements and expansion, the creation of support systems for Department members was prioritized. Recognizing the

continued challenges of COVID-19, gun violence, racial inequities, threats to reproductive freedoms, and the increased demands on healthcare workers, attention to the collective and individual well-being and mental health of our colleagues was paramount. Dr. Murtha established the Associate Chair for Faculty WellBeing role and appointed Doctors Jennifer Kerns and Felicia Lester as co-Chairs. The important work of cultivating and elevating a culture of well-being in our Department is now well underway.

This year also meant leadership change for our Department. After four years as Chair, Dr. Murtha announced her plans to accept a new position as Dean of Rutgers Robert Woods Johnson Medical School. She leaves our Department in a position of strength, and we are

immensely grateful for her collegial and effective leadership through these incredibly challenging years. Dr. Rebecca Jackson, Director of Zuckerberg San Francisco General’s Obstetrics and Gynecology Division has been appointed interim Chair and will oversee the Department as the recruitment for a permanent Chair is underway. Dr. Jackson’s priorities for this interim period include:

Equity & Anti-Racism work at a Departmental level

· Staff & Faculty well-being

· Abortion-focus at the School of Medicine and University levels

· Stewardship of a successful chair transition

WOMEN’S HEALTH CHIEF MEDICAL OFFICER

Nerys Benfield, MD, MPH

ASSOCIATE CO-CHAIRS FOR FACULTY WELL-BEING

Jennifer Kerns, MD, MS, MPH and Felicia Lester, MD, MPH

We are extremely excited to welcome Dr. Benfield back to UCSF to lead our new Women’s Health service line and support our care teams across UCSF to provide outstanding, equitable and comprehensive care to our patients.

I look forward to working with teams across the health system to ensure high-quality, accessible, and innovative women's healthcare for our patients. UCSF is leading again in thinking of the infrastructure necessary to bring the needed level of focus and resources to women's health.”

Recognizing the need to address the depletion and exhaustion physicians experienced due to the overwhelming demands upon healthcare providers during the COVID-19 pandemic, an Associate Chair for Faculty Well-Being was established.

It is our intention to work as a team to create an infrastructure where faculty can thrive at the department level as well as to lead the way at the university, medical center, UC-system, and national levels.”

REPRODUCTIVE HEALTH & ACCESS

Nearly 50 years after the U.S. Supreme Court guaranteed a person's right to end a pregnancy in Roe v. Wade, this protection was effectively overturned in the Court’s 2022 ruling on Dobbs.

In anticipation of this reversal, UCSF Magazine published “Preparing for a Post-Roe America: What happens when abortion is illegal in half the country?” by Ariel Bleicher. This piece highlighted the work of numerous Department members’ contributions to the ongoing battle for reproductive access and autonomy.

UCSF Department of Obstetrics, Gynecology & Reproductive Sciences statement on the severe restrictions on access to abortion care in the wake of the Supreme Court’s decision in Dobbs

As experts in the care of pregnant patients, we have watched with outrage as state after state has banned or severely restricted access to safe abortion care. We know that policies that make abortion difficult or impossible to access harm women and those with the capacity for pregnancy. We know that health outcomes, including maternal mortality, will worsen as people are forced to continue unwanted pregnancies to term; socioeconomic outcomes will also worsen, pushing more people into poverty. We also know that Black, Indigenous, and other people of color, as well as those living on low incomes, will disproportionately suffer more harm in the face of these bans.

As we navigate our role in this emerging crisis, we proudly state our commitment to address these challenges across all the pillars of our Department’s mission. As providers of high-quality, evidencebased abortion care, including later in pregnancy and for patients with complex medical conditions, we will strive to expand our services to meet the demand for care among those unable to obtain it where they live. As educators of the next generation of abortion providers, we will work to ensure training for all ob-gyn physicians, including those unable to acquire these skills where they are based; we will also work to provide learning opportunities for advanced practice clinicians and physicians in other specialties interested in training and who could help to meet the demand for services. As researchers, we will document the harms of these restrictive policies, as well as test

innovative strategies aimed at improving care. And as advocates, we will stand up for policies both in California and nationally that help to mitigate the harm of these restrictions. As with all our work, we aspire to make equity the focus of our actions and partner with those who are most affected by these policies to ensure our work responds to their priorities.

The impact of the Dobbs decision likely will be felt for decades, dramatically changing health care in the US. In this new reality, we in the UCSF Department of Obstetrics, Gynecology & Reproductive Sciences aim to be leaders in our field and look forward to partnering with colleagues across the country to respond to this public health and human rights crisis.

UCSF BIXBY CENTER FOR GLOBAL REPRODUCTIVE HEALTH

Bixby Center is responding to the fallout with cutting edge research, compassionate clinical care, essential training and advocacy to promote access to abortion care.

INNOVATING EDUCATION IN REPRODUCTIVE HEALTH

IERH generates, curates, and disseminates free curricula and learning tools about sexual and reproductive health, including abortion, in order to transform the education of health professionals.

When Abortion is Not Available

ADVANCING NEW STANDARDS IN REPRODUCTIVE HEALTH

ANSIRH is a leading research program informing the most pressing debates on abortion and reproductive health. ANSIRH works to educate policy makers, advocates, the media, and the general public to influence public discourse and improve policies and practices. With the fall of Roe, ANSIRH research on the harms of abortion denial and the potential of medication abortion featured prominently in the political and public conversation. ANSIRH is now investigating how the end of Roe will impact people in restricted care states, including patients, providers, and clinics, with studies such as the End of Roe, #WeCount, and Care Post-Roe

Abortion is healthcare.”

THE RYAN RESIDENCY PROGRAM

Bixby Year End Review

2022 brochure

Bixby Center programs addressing critical issues in reproductive health redoubled efforts in support of abortion access, education, research, care, policy, and medical training.

The Ryan Residency Program is working with 30 Texas ob-gyn residents looking to travel out of state for abortion training. Fifteen Ryanaffiliated residency programs across the country have already stepped forward to host these residents.

We are leveraging our technical expertise and network to ensure that training programs step up to protect evidence-based reproductive healthcare and continue to ensure future obstetrician-gynecologists have abortion training.”

TRAINING IN EARLY ABORTION FOR COMPREHENSIVE HEALTHCARE

TEACH trains clinicians in reproductive health, enables them to provide abortion care, and cultivates the next generation of reproductive health champions to ensure everyone has access to comprehensive healthcare.

We trained 66 family medicine residents in comprehensive abortion care in the last academic year…”

If you are training in a state where in-clinic abortion is difficult or impossible to access, this video is for you.”

Everyone deserves safe, compassionate abortion care without the kind of political interference that has harmed people’s

We are not backing down, we are still here and prepared for all who come into our clinics seeking care, to all seeking training, and to all who wish to learn about ways to support access to evidence-based, patient-centered care. Dr. Tania Basu Serna – Prism

Photo: Gayatri Malhotra for Unsplash

Obstetrics and Gynecology Program in Graduate Schools, 2023 by U.S. News and World Report

Visited

Total Publications in FY22

EMPLOYEES 27% Volunteer/Emeritus 23% ZSFG 1% MIGS/Urogyn 8% REI 7% OGGS 14% MFM 2% GynOnc 8% CRS 1% CoE 9%

DEPARTMENT

EXECUTIVE LEADERSHIP

• Amy Murtha, MD, Department Chair

• Rebecca Jackson, MD, Interim Department Chair (July 2022); Interim Vice Chair, Education; Division Director, Zuckerberg San Francisco General

• Synthia Mellon, PhD, Interim Director, Center for Reproductive Sciences

• Andrea Jackson, MD, MAS, Division Director, Obstetrics, Gynecology & Gynecologic Subspecialties

• Lee-may Chen, MD, FACS, FACOG, Division Director, Gynecologic Oncology

• Mary Norton, MD, Vice Chair, Clinical & Translational Genetics; Division Director, Maternal-Fetal Medicine

• Juan Gonzalez, MD, MS, PhD, Division Director, Maternal-Fetal Medicine (October 2022)

• Jeannette Lager, MD, MPH, Interim Division Director, Minimally Invasive Gynecologic Surgery/Urogynecology; Medical Student Program Director

• Marcelle Cedars, MD, Vice Chair, Clinical Programs; Division Director, Reproductive Endocrinology & Infertility

• Daniel Grossman, MD, Vice Chair, Advocacy

• LaMisha Hill, PhD, Vice Chair, Equity, Inclusion & Structural Change

• Vanessa Jacoby, MD, MAS, Vice Chair, Research

• Nerys Benfield, MD, MPH, Chief Medical Office for Women’s Health; Vice Chair for Quality and Safety

• Sara Whetstone, MD, MHS, Residency Program Director

• Connie Yu, MHA, Associate Chair of Administration & Finance

DEPARTMENT ADMINISTRATIVE STAFF LEADERSHIP

• Connie Yu, MHA, Associate Chair of Administration & Finance

• Brenda Kittredge, MBA, Director of Operations; Chief of Staff

• Dianna Jouan, MBA, Senior Financial Director (November 2022)

• Mary Beth Blasnek, MS, Division Administrator, Zuckerberg San Francisco General

• Mai Nguyen, MBA, Division Administrator, Reproductive Endocrinology & Infertility

• Lan Pham, MPA, Division Administrator, Mission Bay, Mount Zion, Parnassus

• Noel Chow, MPA, Director of Research Administration

STRATEGIC PRIORITIES

NATIONAL CENTER OF EXCELLENCE IN WOMEN'S HEALTH

• Early stages of strategic planning with goal of creating structures of support for women at UCSF

• Focus on wellness and leadership skill development for women across the campus

CENTER FOR REPRODUCTIVE SCIENCES DIRECTOR RECRUITMENT

• Recruitment of and collaboration with the new Director to develop vision, priorities, and infrastructure growth

DEPARTMENT CHAIR

• Recruitment for the next Department Chair of Obstetrics, Gynecology & Reproductive Sciences

EQUITY, INCLUSION & STRUCTURAL CHANGE

• Recruitment for Associate Chair for Equity, Inclusion & Structural Change

EXPANSION OF WOMEN’S HEALTH CLINICAL FOOTPRINT

• East Bay expansion

• Surgical services –MIGS/Urogyn and GynOnc

• Partnering with UCSF Health to develop full scope women’s health services in the East Bay

FACULTY AND STAFF

WELL-BEING

• Develop initiatives to address employee burnout and well-being

RESTRUCTURING OF EDUCATIONAL LEADERSHIP

• Identify permanent Vice Chair(s) for Education

• Undergraduate and Graduate Medical Education programs

ANNUAL FUNDING

CATEGORY FISCAL 2022

FY22 REVENUE & EXTRAMURAL FUNDS

BREAKOUT OF EXTRAMURAL FUNDS

Federal, State, Local, Private, etc. (numbers pulled from chart above)

MISSION BAY CAMPUS

CENTER FOR REPRODUCTIVE HEALTH

499 Illinois Street, 6th Floor

Fertility Practice

Fertility Preservation

Polycystic Ovarian Syndrome Clinic

BETTY IRENE MOORE

WOMEN’S HOSPITAL

1855 Fourth Street

Fetal Treatment Center

Labor & Delivery

Women’s Health Resource Center

RON CONWAY FAMILY GATEWAY MEDICAL BUILDING

1825 Fourth Street, 3rd Floor

Gynecologic Surgical Oncology Clinic

Antenatal Testing Center

Obstetrics Practice

Prenatal Diagnostic Center

BAKAR CANCER HOSPITAL

1855 Fourth Street

Gynecologic Oncology Surgeries

OWENS STREET PRACTICE

1500 Owens Street, Suite 380

Gynecology Practice

Minimally Invasive Gynecologic Surgery (MIGS)

Urogynecology

ZUCKERBERG

SAN FRANCISCO

GENERAL HOSPITAL & TRAUMA CENTER

1001 Potrero Avenue

Family Birth Center

Gynecologic Oncology

Obstetrics/Gynecology

Obstetrics, Midwifery, and Gynecology

Women’s Option Center

2500 18th Street

New Generation Health Center

MOUNT ZION CAMPUS

WOMEN’S HEALTH BUILDING

2356 Sutter Street

Black Wellness Clinic

Center for Reproductive Health

Dysplasia Clinic

General Obstetrics Practice

Gynecology Practice

Women’s Health Primary Care

Women’s Option Center

Young Women’s Practice

HELEN DILLER CANCER CENTER

1600 Divisadero

Gynecologic Oncology Practice

SATELLITE PRACTICES

GYNECOLOGIC ONCOLOGY

Greenbrae, Berkeley

PRENATAL DIAGNOSTIC CENTER

Fremont, Greenbrae, Monterey, Santa

Rosa, San Mateo, Berkeley, Oakland

FETAL TREATMENT CENTER

Oakland (BCH)

OBSTETRICS, GYNECOLOGY

Berkeley, San Mateo

MINIMALLY INVASIVE

GYNECOLOGIC SURGERY & UROGYNECOLOGY

Greenbrae, Berkeley

CENTER FOR REPRODUCTIVE SCIENCES

DEPARTMENT OF OB, GYN & RS

Aditi Bhargava, PhD

Marcelle I. Cedars, MD

Marco Conti, MD

Susan Fisher, PhD

Katherine Fuh, MD, PhD

Jennifer Fung, PhD

Stephanie Gaw, MD, PhD

Roy Gerona, PhD

Linda C. Giudice, MD, PhD, MSc

Diana Laird, PhD

Synthia Mellon, PhD

Paolo F. Rinaudo, MD, PhD

Joshua Robinson, PhD

Frederick Schaufele, PhD

Dan Wagner, PhD

DEPARTMENTS, SCHOOL OF MEDICINE

Robert Blelloch, MD, PhD (Urology)

Adrian Erlebacher, MD, PhD (Laboratory Medicine)

Holly Ingraham, PhD (Cellular Molecular Pharmacology)

Jingjing Li, PhD (Neurology)

Tippi Mackenzie, MD (Surgery)

Emin Maltepe, MD, PhD (Pediatrics)

Todd Nystul, PhD (Anatomy)

Aleksander Rajkovic, MD, PhD (Pathology)

Nadia Roan, PhD (Urology)

Marina Sirota, PhD (Pediatrics)

GYNECOLOGIC ONCOLOGY

Edwin A. Alvarez, MD

Stephanie Cham, MD

Jocelyn Chapman, MD, FACS, FACOG

Lee-may Chen, MD, FACS, FACOG

Katherine Fuh, MD, PhD

Karen Smith-McCune, MD, PhD

Megan Swanson, MD, MPH

Stefanie Ueda, MD

MATERNAL-FETAL MEDICINE

Rebecca Hess Amirault, CNM, WHNP

Tammy Brunk, DNP, CNM, FNP-BC

Jacquelyn Chyu, MD

Katherine Connolly, MD

Daisy De Leon-Martinez, MD

Jennifer Duffy, MD, MHS

Sheri Foote, CNM, RN, MSN

Kate Frometa, CNM, MSN

Stephanie Gaw, MD, PhD

Neda Ghaffari, MD

Juan M. Gonzalez, MD, MS, PhD

Roxanna Irani, MD, PhD

Deborah Karasek, PhD

Miriam Kuppermann, PhD, MPH

Ben C. Li, MD

Divya Mallampati, MD, MPH

Amy Murtha, MD

Mary E. Norton, MD

Amy Padula, PhD, MSc

Annalisa Post, MD

Larry Rand, MD

Patricia Robertson, MD

Frederico Rocha, MD, MS

Melissa Rosenstein, MD, MAS

Suzanne Seger, CNM, MTS

Nasim Sobhani, MD

Camila Soto-Espinoza, CNM, WHNP

Teresa Sparks, MD, MAS

Alison Starling, CNM, RN, WHNP, MPH

Martha Tesfalul, MD

Mari-Paule Thiet-Akram, MD

Carol Thomason, CNM

Vanessa Tilp, CNM, WHNP

Laura Weil, CNM, MSN, MPH

Tracey Woodruff, PhD, MPH

Sasha Yamnik, CNM, MSN

Amanda Yeaton-Massey, MD

Marya G. Zlatnik, MD, MMS

MINIMALLY INVASIVE GYNECOLOGIC SURGERY & UROGYNECOLOGY

Traci Ito, MD

Alison F. Jacoby, MD

Abner Korn, MD

Jeannette Lager, MD, MPH

Jessica Opoku-Anane, MD, MS

Caitlyn Painter, DO

Abigail Shatkin-Margolis, MD

Wenjia Zhang, MD

OBSTETRICS, GYNECOLOGY & GYNECOLOGIC SUBSPECIALTIES

Amy (Meg) Autry, MD

Nerys Benfield, MD

Sloane Berger-Chen, MD

Katherine Brown, MD, MAS

Adwoa Christy, MD

Naghma Farooqi, MD

Elena Gates, MD

Mindy Goldman, MD

Joanne Gras, DO

Mitzi Hawkins, MD

Tushani D. Illangasekare, MD

Andrea Jackson, MD, MAS

Vanessa Jacoby, MD, MAS

Robyn Lamar, MD, MPH

Felicia Lester, MD, MPH, MS

Nancy Milliken, MD

Malini Nijagal, MD, MPH

Gaetan Pettigrew, MD

Tami Rowen, MD, MS

Nicholas Rubashkin, MD, MA, PhD(c)

George F. Sawaya, MD

Karen Scott, MD, MPH

Tania Basu Serna, MD, MPH

Vasiliki Tatsis, MD, MS, MBA

Yolanda Tinajero, MD

Sara Whetstone, MD, MHS

Tricia Wright, MD, MS

Stacy Young, MD

REPRODUCTIVE ENDOCRINOLOGY & INFERTILITY

Yanett Anaya, MD

Hakan Cakmak, MD, PhD

Marcelle I. Cedars, MD

Victor Y. Fujimoto, MD

Linda C. Giudice, MD, PhD, MSc

Heather G. Huddleston, MD

Eleni Greenwood Jaswa, MD, MSc

Evelyn Mok-Lin, MD

Martha Noel, MD

Paolo F. Rinaudo, MD, PhD

Mitchell P. Rosen, MD, HCLD

Thalia Segal, MD

ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL

Emily Beck, CNM (SFDPH)

Amber Bell, CNM (SFDPH)

Antonia Biggs, PhD

Carol Camlin, PhD, MPH

Deborah Cohan, MD, MPH

Craig Cohen, MD, MPH

Kim Dau, CNM (SFDPH)

Ana Delgado, CNM, MS

Julio Diaz-Abarca, CNM, MSN (SFDPH)

Eleanor Drey, MD, EdM

Alison El Ayadi, ScD, MPH

Vanessa Evers, CNM

Diana Greene Foster, PhD

Lori Freedman, PhD

Asmara Gebre, CNM, MS

Waru Gichane, PhD, MSPH

Daniel Grossman, MD

Cynthia Harper, PhD

Margy Hutchison, CNM, MSN

Rebecca Jackson, MD

Carole Joffe, PhD

Jennifer Kerns, MD, MS, MPH

Katrina Kimport, PhD

Abner Korn, MD

Karen Lopez-Acero, RN, CNM

Deena Mallareddy, CNM (SFDPH)

Mary Mays, CNM (SFDPH)

Karen Meckstroth, MD, MPH

Biftu Mengesha, MD, MAS

Alexandra Mitchell, CNM

Kara Myers, CNM, MS

Sara Newmann, MD, MPH

Andrea Pfeffer, CNM, MSN (SFDPH)

Lauren Ralph, PhD, MPH

Carmen Rivera, CNM, MS (SFDPH)

Sarah CM Roberts, DrPH

Corinne Rocca, PhD, MPH

Dominika Seidman, MD, MAS

Jody Steinauer, MD, PhD

Naomi Stotland, MD

Ushma Upadhyay, MPH, PhD

Dilys Walker, MD

Savanah Washington CNM, MSN (SFDPH)

Gabrielle Westergren, CNM (SFDPH)

STAFF HIGHLIGHTS

GALLUP ENGAGEMENT

UCSF’s Staff Engagement Survey conducted by Gallup presents a variety of metrics including growth, individual needs, and teamwork. These results provide critical feedback for improving staff experiences and engagement.

SUPPORTING HEALTH (EQUITY), INNOVATION, NETWORKING, AND ENGAGEMENT (SHINE)

Events & Recognition Co-Chairs

Current Initiative

Launch of the Staff Recognition Program to increase visibility of good work, recognition of staff efforts, and general good will in the department.

STAFF AT-LARGE (SAL) Representatives

Current Initiative

Monthly Staff Development Series featuring guest speakers on various topics including candidate presentations for the VC Equity, Inclusion & Structural Change role.

STAFF AWARDS & HIGHLIGHTS

Molly Battistelli awarded the Chancellor Award for Exceptional University Management

Purba Chatterjee awarded the Dean’s Commendation for Exceptional Volunteerism & Community Service

Tiffany Louie awarded the PRIDE Award: Clinical Support Category

Nicole Nguyen completed the School of Medicine Leadership Development Program

Anaïs Ryken accepted the role of Director for Women's Health, Ambulatory Services

Judy Young, MPH selected as Staff Equity Advisor by the Office of Diversity & Outreach

Professional Development Co-Chairs

Current Initiative

Inaugural Mentorship Program to launch in FY23.

STAR Achievement Award Recipients

Ob, Gyn & RS UCSF

Veronica Alvarez, MPA, PMP Jaontra “JJ” Henderson

Molly Battistelli, MPH

Purba Chatterjee, MSc

Vashti Sinigayan, MPA Courtney Cooper, MPH

Hilary Bunlert, MA Jackie Wren

DIVISIONS

CENTER FOR REPRODUCTIVE SCIENCES (CRS)

The Center for Reproductive Sciences is a research unit comprised of scientific leaders from multiple UCSF departments whose work focuses on the foundations of reproduction. The mission of the Center is threefold:

• Promoting high quality, cutting edge research in the field of reproductive sciences

• Facilitating the transfer of concepts developed in the laboratory to clinical applications

• Providing an integrated, interdisciplinary training program for future leaders in the field of reproductive sciences

25 total Faculty; 15 from Ob, Gyn & RS

23 Staff members from Ob, Gyn & RS

42 total Post Docs; 16 from Ob, Gyn & RS

23 total Graduate Students;

6 from Ob, Gyn & RS

LOOKING AHEAD

• Recruitment for a permanent CRS director is underway

2021-22 HIGHLIGHTS (OB, GYN & RS FACULTY)

• Dan Wagner, PhD and Diana Laird, PhD: Selected as 2022 Chan Zuckerberg Biohub Investigators (along with Teresa Sparks)

• Linda Giudice, MD, PhD, MSc: Received funding for a P01: UCSF Stanford Endometriosis Center

• Jennifer Fung, PhD: TRDRP award; Graduate student Eric Navarro received the Mel Jures Award for the best biophysics presentation

• Paolo Rinaudo, MD, PhD: Grant from the Open Philanthropy Foundation; Associate Editor for Fertility and Sterility

• Roy Gerona, PhD: Co-investigator on an R01 (The impact of genetic and environmental factors on meiotic prophase in the human female) and R21 (Assessing the accuracy of exposure measurements for common endocrine disrupting chemicals)

• Diana Laird, PhD: Postdoctoral fellow Carolyn Doherty received a Jane Coffin Childs fellowship

• Dan Wagner, PhD: Postdoctoral fellow Nicole Aponte-Santiago received an NIH F32 fellowship

• Synthia Mellon, PhD: Awarded 3 grants from the DoD to study mitochondrial function, metabolomics, and mediators of inflammation in PTSD; former postdoc (new Asst. Prof at UCSF)

Ryan Rampersaud received K08 ("Gut Microbiota Dysbiosis in Major Depressive Disorder is Associated with Altered Production of Aryl Hydrocarbon Receptor Ligands and Altered Microglia Function")

Synthia Mellon, PhD Interim ORU Director

25 Faculty

3 Fellows

12 Staff members

Number of patients: 21,000+ visits annually

Fellowship Programs: UCSF/ Kaiser Hospitalist Fellowship Program, General Obstetrics & Gynecology Research Fellowship Program

Fellowship Programs under the Department of Internal Medicine: VA Fellowship in Women's Health Program, HEAL Fellowship Program

OBSTETRICS, GYNECOLOGY & GYNECOLOGIC SUBSPECIALTIES (OGGS)

The OGGS Division offers patients the full range of gynecologic and obstetric services. Our physicians and nurse practitioners are leaders in their fields and provide gynecologic care from the annual exam, problems with menstruation, and managing menopause symptoms, to complex gynecologic surgical needs. Our skilled and knowledgeable teams partner with our patients to maintain health, treat disease, and discuss sexual health, reproductive, and birth control options. Our division is home to many national and local experts in reproductive health including the treatment of abnormal pap smears, racial healthcare inequities, care of gender and sexual minorities, sexual health, and breast cancer survivorship. As a division we are committed to providing excellence in whole-person obstetrical and gynecologic care that is evidencedbased and equitable.

Vice President Kamala Harris met with leaders of EMBRACE OGGS’ clinical program developed by Andrea Jackson, Melinda Fowler, and Markita Barideaux to provide perinatal care for Black mothers, Black pregnant individuals and families from an angle of racial consciousness. VP Harris spoke with EMBRACE participants, physicians, doulas, midwives and other Black care providers about the need to address the nation’s racial disparities in health care and declared the program “a model of cultural competent care…to ensure that the care fits the needs of the community.”

2021-22 HIGHLIGHTS

• Gaetan Pettigrew, MD completed a Gender Affirmation Fellowship

• Naghma Farooqi, MD promoted to UCSF Labor & Delivery Director

• Mitzi Hawkins, MD awarded 2022 SASGOG Faculty Award

• Nick Rubashkin, MD, MA, PhD(c) received a WRHR Award

• Katherine Brown, MD, MAS & Yolanda Tinajero, MD selected as Watson Scholars

• Felicia Lester, MD, MPH named Associate Division Chief, OGGS

• Robyn Lamar, MD, MPH Mount Zion Gynecology Medical Director

• Tami Rowen, MD, MS named Perioperative Medical Director

LOOKING AHEAD

• An intradisciplinary clinic addressing the reproductive needs of complex pediatric and adolescent patients at Benioff Children’s Hospital is being developed by Sloane Berger-Chen, and is scheduled to launch mid 2023.

• The new Breast Surgery and Cancer Survivorship Fellowship, led by Mindy Goldman, MD, launches July 2023 with inaugural fellow, Tamandra Morgan, MD.

Andrea Jackson, MD, MAS Division Director; Grace Marie Waldrop Chair of Obstetrics/Gynecology

2021-22 HIGHLIGHTS

• Lee-may Chen, MD, FACS, FACOG: Received a UCSF Health Exceptional Physician Award and was selected as the SGO Liaison to the ACOG Board of Directors

• Stefanie Ueda, MD, FACOG: Performed the first HIPEC procedure for recurrent ovarian carcinoma at UCSF and was selected as an APGO Surgical Education Scholar

• Katherine Fuh, MD, PhD: Joined the faculty as the Director of Basic and Translational Research in Gynecologic Oncology, and was also appointed as the John A. Kerner Endowed Chair in Gynecologic Oncology.

• Stephanie Cham, MD: Joined the faculty as a WRHR scholar

• Edwin Alvarez, MD: Appointed to the Alliance Cooperative Group Gynecologic subcommittee

• The Division: Held its 10th annual Gynecologic Patient Education Symposium

GYNECOLOGIC ONCOLOGY (GYNONC)

The GynOnc Division specializes in helping patients by providing high quality cancer care and treatment. Our compassionate doctors, nurse practitioners, and nurses have the most innovative research, pioneering science, and cutting-edge technology at their fingertips. Patients benefit from our ongoing collaborations with experts in many fields, including genetics, research, and patient-safety, and have access to clinical trial opportunities and specialized genetics services. Our team knows that every individual and situation is different, and the care our patients receive is just as personalized and unique. We use evidence and data to guide us, and patient safety for better outcomes is always our goal.

7 Faculty

3 Fellows

4 Staff members

Number of patients: 6,000+ visits and nearly 800 new patients Fellowship Programs: UCSF/KPSF Gynecologic Oncology Fellowship Program

LOOKING AHEAD

• Expansion of gynecologic oncology services in the East Bay

• Increasing research across all settings— basic/translational, clinical trials, global health implementation

• Hiring additional Gynecologic Oncology faculty and advanced practice providers

Lee-may Chen, MD, FACS, FACOG Division Director; John A. Kerner, MD Distinguished Professorship in Gynecologic Oncology

MATERNAL-FETAL MEDICINE (MFM)

Providers in our MFM Division deliver care and expertise to patients who have experienced high risk pregnancies in the past, have chronic health conditions, or who develop unexpected problems during their pregnancy.

Our division provides a full scope of MFM preconception care, prenatal diagnosis, antepartum and birth center care, maternal medicine, diagnosis and advanced treatment of fetal complications, and postpartum care. We offer care to patients in the Bay Area and beyond with our outreach program. We advocate to provide equitable prenatal care.

Prenatal services help direct treatment to improve outcomes. We provide unique care through our robust precision medicine and

midwifery programs and train future leaders in Maternal-Fetal Medicine, offering the highest level of complex care for patients. Researchers contribute to our expertise in maternal-fetal health, laying the foundation for specialty programs.

37 Faculty

14 Fellows

44 Staff members

Over 2,500 deliveries at our Mission Bay facility

Number of patients: 35,000+ OB visits (including visits done by MFM and OGGS providers as well as postpartum visits)

Fellowship Programs: MaternalFetal Medicine (MFM) Fellowship Program, Combined MFM/Clinical Genetics Program, UCSF Preterm Birth Initiative Fellowship Program, Clinical Informatics Fellowship

2021-22 HIGHLIGHTS

• 7 presentations and 20 posters featured at SMFM

• Juan M. González Vélez, MD PhD to serve as Division Director beginning October 2022

• Jennie Duffy, MD: Highland Hospital clinical growth & expansion

• Kate Connolly, MD: Prenatal Diagnostic Center Medical Director

• Annalisa Post, MD: Oakland Fetal Treatment Center site Medical Director

• Amanda Yeaton-Massey, MD: Perinatal Wellness Program for maternal perinatal health and San Mateo Prenatal Diagnostic Center Medical Director

• Ben Li, MD: Haile T. Debas Academy of Medical Educators in 2021

LOOKING AHEAD

• Launch of the Center for Complex Obstetric Medicine

• Hiring 3-4 additional Maternal-Fetal Medicine clinical faculty

Mary Norton, MD

Division Director; Vice Chair of Clinical and Translational Genetics; and David E. Thorburn, MD, and Kate McKee Thorburn Endowed Chair in Perinatal Medicine and Genetics

MINIMALLY INVASIVE GYNECOLOGIC SURGERY & UROGYNECOLOGY (MIGS/UROGYN)

Our MIGS/Urogyn team provides expertise and personal care to patients with gynecologic, urinary, or reproductive tract issues. Our minimally invasive gynecology surgeons provide care through the Comprehensive Fibroid Center and Multidisciplinary Endometriosis Center. We use a multidisciplinary approach with our pelvic floor physical therapists, radiologists, reproductive endocrinologists, colorectal surgeons, urology surgeons, pain medicine specialists and integrative care to provide individualized care for patients. Our research studies focus on fibroids and endometriosis.

The expanded urogynecology team provides a broad range of treatments for bladder conditions and pelvic organs, along with the muscles and tissues which support them. Our providers have expertise in surgical and nonsurgical treatment, including behavioral and biofeedback therapies. Current research studies focus on recovery after pelvic organ prolapse repair, and education efforts focus on surgical training for residents and fellows at Zuckerberg San Francisco General Hospital and UCSF.

5 Faculty

3 Fellows

1 Staff members

Number of patient visits: 6,000+ annually

Fellowship Program: Minimally Invasive Gynecologic Surgery & Urogynecology Program , Female Pelvic Medicine and Reconstructive Surgery (FPMRS)

2021-22 HIGHLIGHTS

New faculty hires: Wenjia Zhang, MD (MIGS); Abigail Shatkin-Margolis, MD (Urogynecology)

LOOKING AHEAD

• Recruitment underway for MIGS/Urogyn Division Chief

• Expansion of Center for Urogynecology and Female Pelvic Health in the East Bay

Jeannette Lager, MD, MPH Interim Division Director

REPRODUCTIVE ENDOCRINOLOGY & INFERTILITY (REI)

The REI Division focuses research on fertility and the hormonal conditions that may affect reproductive health. The Center for Reproductive Health (CRH) offers a broad range of reproductive services from childhood through menopause. The CRH’s Fertility Preservation Program sees patients diagnosed with cancer offering options for future conception. It is the largest program nationally and has a complementary broad research portfolio. Fertility preservation has been expanded to include transgender patients or those with genetic risk for early menopause. Increasingly, CRH is working with adolescents and teens with hormonal or anatomic abnormalities, or with recurrent pregnancy loss to identifying critical genetic fingerprints that might affect normal development or prevent successful pregnancy. Also situated within the REI division is the UCSF Multidisciplinary Clinic for Women with Polycystic Ovarian Syndrome (PCOS). This first of its kind clinic offers comprehensive care and clinical trial opportunities to women with PCOS. All REI clinical programs serve as a platform for research and education, and the division is committed to training a new generation of REI specialists through its robust fellowship program.

12 Faculty

6 Fellows

40 Staff members

Number of patient visits: 40,000+ annually

Fellowship Program: Reproductive Endocrinology and Infertility (REI) Program

2021-22 HIGHLIGHTS

• Completed enrollment for the ASPIRE study – nationwide study of early pregnancy during COVID-19

• New grants in endometriosis and recurrent pregnancy loss

• Appointment of new Fellowship Director Hakan Cakmak, MD

LOOKING AHEAD

• Continuing to grow our clinical footprint

• Increasing collaboration with our basic/ translational colleagues

• Starting a multi-disciplinary clinic for recurrent pregnancy loss

Marcelle Cedars, MD

Division Director; Vice Chair of Clinical Programs; Laura Ambroseno and Raffaele Savi Family Presidential Chair in Reproductive Health

ZUCKERBERG SAN FRANCISCO GENERAL OBSTETRICS AND GYNECOLOGY (ZSFG)

The Division of Obstetrics and Gynecology at ZSFG provides comprehensive obstetric, midwifery, and gynecologic services to San Francisco families. The division is located at Zuckerberg San Francisco General and Trauma Center and features a state-of-the-art Family Birth Center that offers births attended by midwives or physicians, labor support by trained doulas, and expert nursing care. ZSFG’s certified nurse-midwifery faculty are national experts and were the first practice in the western United States to implement CenteringPregnancy®, an innovative and patient-centered group prenatal care model.

2021-22 HIGHLIGHTS

As a certified Baby-Friendly Hospital, we are a recognized leader in breastfeeding support. The ZSFG division also focuses on creating leaders in research, teaching, and clinical skills in abortion and contraceptive care. The Bixby Center for Global Reproductive Health, housed within this division, integrates research, training, clinical care, and advocacy to advance reproductive autonomy, equitable and compassionate care, and reproductive and sexual health worldwide.

• Rebecca Jackson, MD will serve as interim Department Chair

• Jody Steinauer, MD, PhD will serve as interim Division Director

20 clinical faculty, 15 PhD faculty, and 4 PhD non-faculty academics in the Bixby Center for Global Reproductive Health

2 Family Planning Fellows

100+ Staff members

Nearly 12,000 deliveries at ZSFG

Number of visits: 14,000+ annually

Fellowship Program: Family Planning Program

• Dilys Walker, MD will serve as interim Bixby director

• Uta Landy, PhD Josiah Macy Jr. Foundation Award for Excellence in Social Mission in the Lifetime Achievement Category

LOOKING AHEAD

• Hiring two new clinical faculty

• Mariela Nevárez, MD, MPP was awarded the ZSFG Julius R. Krevans Award for Clinical Excellence

• Dr. Carole McKindley-Alvarez led a 5-session Racial Equity training for all staff

• In-person Centering Pregnancy groups restarted

• Expanding critical research related to abortion care, access, and education

• Creating standards for equitable global health research partnerships

• Expanding clinical care efforts focused on justice and equity

Rebecca Jackson, MD Division Chief Zuckerberg San Francisco General Hospital & Bixby Reproductive Global Health Center; Robert B. Domush, MD, Chair in Obstetrics and Gynecology Education

MISSION AREAS

PATIENT CARE

UCSF Women's Health Resource Center

WHRC offers a range of resources from the Great Expectations Pregnancy program with prenatal/postpartum classes, support groups and webinars. Hospital grade pump rentals, access to post-partum & prenatal guidebooks, and a library of webinars are available to keep patients engaged about prenatal, gynecological and fertility care. A Third Trimester webinar is offered to answer those questions unique to the birthing process.

Multidisciplinary Approach to the Placenta Service (MAPS) Program

The MAPS program offers patients the benefit of a unique collaboration with multidisciplinary teams to diagnose and care for people with placenta accrete spectrum disorder (PASD). The team of specialists includes gynecologic surgeons, maternal-fetal medicine specialists, anesthesiologists, interventional radiologists, neonatologists, pathologists, the birth center nursing team, operating room and intensive care nursing, diagnostic radiology, and others.

Jocelyn Chapman (GynOnc) was named as co-lead of the Multidisciplinary Approach to the Placenta Service (MAPS) team along with Jo Gras (OGGS)

Katherine Brown, MD, and a medical student during an OBGYN surgery at the Betty Irene Moore Women's Hospital

Black Wellness Clinic

UCSF BLACK WELLNESS CLINIC

In June, the Black Women’s Health & Livelihood Initiative launched the Black Wellness Clinic at Mount Zion under the direction of Dr. Katherine Brown. This specialty clinic is open twice monthly for Black patients to see Black providers. The Black Wellness clinic offers reproductive justice framed care and longer appointment times in a setting culturally and artistically designed to support Black well-being. Black providers working in the clinic experience the benefit of cultural connection and networking during the clinic.

Pregnancy Pop-up Village

Co-led by the SF Respect Initiative, the SF Pop-Up Village completed its first successful year of events, bringing together city, public health, government and community-based organizations to deliver services as a monthly one-stop-shop, in an environment intentionally designed to be uplifting, celebratory and responsive community needs. This community-institutional partnered initiative aims to disrupt standard anti-Black and ineffective systems of care, that place excessive burden on the individuals they are there to serve. By the end of the first year, participating organizations had almost doubled and the experience of community was clear.

FB+IG: @popupresourcevillage

BLACK WELLNESS CENTER

The Black Wellness Center, located on the 1st floor in the Women’s Health Center at Mount Zion provides a welcoming, relaxing space for Black patients, community members, staff, trainees, students, and providers. The Black Wellness Center is open for wellness events and other scheduled events for the Black community. Wellness events including meditation, grounding activities, poetry and writing workshops, sound healing, and apothecary are currently held on the first and third Friday of each month and will expand in 2023.

Preterm Birth Initiative supported San Francisco-based Expecting Justice to launch and evaluate the Abundant Birth Project, the nation’s first perinatal income supplement program focused on supporting Black and Pacific Islander pregnant persons.

PTBi executive director Alexis Cobbins and Community Advisory Board member Michelle Poole will facilitate a regular meet-up for Black pregnant people launched by “Voices for Birth Justice” to help fill the gaps in support available in San Francisco.

It’s an uplifting experience; that your pregnancy was a positive thing to be celebrated. In other places, it’s looked down upon”

Program on Reproductive Health and the Environment (PRHE) and EaRTH Center designed and released a handout for pregnant patients that answers the question “What can I do to avoid harmful chemicals?” by providing 10 clear ways to do so: https://bit. ly/3Tum2Kp

Jackson MD, MAS

UCSF specialty clinic where black patients see black providers. Building community, morale, and pride among black staff, providers, trainees, students and patients.

Gaetan Pettigrew, MD OB/GYN

Building community, morale, and pride among black staff, providers, trainees, students and patients.

Team Lily, a multidisciplinary care team, offers perinatal navigation, mental health services, substance use treatment, pregnancy, and postpartum services to pregnant people in San Francisco affected by substance use, homelessness, and significant mental illness. Team Lily cared for a record number of patients this year - over 120 individual clients.

UCSF Care for Addiction in the Perinatal Period (CAPP)

The CAPP team is comprised of obstetric and addiction medicine specialists who recognize that trauma-informed and anti-racist approaches to perinatal medicine are necessary to achieve equitable care for those with at-risk substance use and substance use disorders. We care for pregnancy capable patients across the life span, with a focus on those in the prenatal and postpartum period.

Several of our patient care providers were chosen for “Women of UCSF Health” Spotlights

Amanda YeatonMassey, MD Assistant Professor, Maternal-Fetal

Medicine

"Amanda is absolutely committed to maternal mental health and builds strong partnerships across psychiatry, OB, and the community. She is amazing!"

Roxanna Irani, MD, PhD Assistant Professor, Maternal-Fetal Medicine

HIVE HIVE provides preconception and prenatal care to women and couples affected by HIV. Our multidisciplinary team relies on a patient-centered approach to care. We share videos and resources to support the sex life and family our patients want.

Perinatal Wellness Program

The Perinatal Wellness Program expanded embedded mental health services for patients receiving obstetric care at UCSF in addition to providing training opportunities. We offer short term individual therapy through our CORP program, and group therapy for pregnant and postpartum patients. Next year we will offer 6 pregnant support groups and 6 postpartum support groups, serving approximately 120 patients. We also have provided training and supervision for 5 psychiatry residents and 1 psychiatric consult liaison fellow.

"Roxanna Irani helps support the diverse Divisions, Faculty and staff of OB/GYN and Reproductive Sciences in the outpatient setting. She strives to improve our services, safety and patient experience, and shares a passion for Women's Health and the ever-growing patient population we serve."

Ana Delgado, CNM, MS, RN Clinical Professor, Zuckerburg San Francisco General

"Ana is a fierce advocate for patients and comes to her work with a trauma-informed approach prioritizing respectful care. Coworkers consider her an excellent role model and teacher, and are inspired by her dedication to patients, diversity, and equity."

#1 NIH funded Ob/Gyn dept in the country for 15+

RESEARCH

The Bixby Center hosted a Brown Bag “Protecting Research Participants Privacy after Dobbs” featuring Edward Kuczynski, Director of the Human Research Protection Program at UCSF.

Linda Giudice, MD, PhD was featured in the American Journal of Obstetrics and Gynecology's "Giants in Ob/Gyn Series" and as a ‘Giant in IVF” by the American Society for Reproductive Medicine. She recently received an NIH P01 Center Grant award for the UCSF Stanford Endometriosis Center for Discovery, Innovation, Training and Community Engagement (ENACT) www.enactcenter.org

Teresa Sparks, MD, MAS was selected as one of 40 American Society for Clinical Investigation awardees to receive a 2022 ASCI Council Young PhysicianScientist Award. She received a new R01 from the NIH/NICHD, a Doris Duke Charitable Foundation Clinical Scientist Development Award, and was selected as one of 15 new Chan Zuckerberg Biohub junior investigators to receive funding for a 5-year term to support innovative research focused on non-immune hydrops fetalis and prenatal treatments for genetic diseases.

Diana Greene Foster, PhD launched The End of Roe study, a follow up to the Turnaway Study. The End of Roe focuses on those denied abortion due to restrictions allowed under the Dobbs decision and those who received an abortion just before restrictions went into place.

Deb Karasek, PhD, MPH was selected to join the 2022 Class of Deans' Population Health & Health Equity Scholars. This award supports innovative research or programming already underway and led by scholars. She was also selected as a 2022 Hellman Fellow, to explore the impacts of income support policies on maternal health equity.

GLOBAL RESEARCH

University of Zimbabwe-UCSF Clinical Trials Unit (UZ-UCSF CTU)

• Conducted >50 Phase 1-4 clinical trials

• 248 staff + 18 co-investigators

• Research funding portfolio ~$14M

• Currently: 15 active & 10 pending protocols

• 2400+ enrolled clinical trials participants

• Current priorities: HIV and COVID-19 prevention & treatment

CLINICAL TRIAL FOR IN UTERO ENZYME REPLACEMENT THERAPY

The Center for Maternal-Fetal Precision Medicine launched a first-in-humans clinical trial of in utero enzyme replacement therapy for fetuses diagnosed with lysosomal storage diseases. The US Food and Drug Administration approved the phase I safety and feasibility clinical trial, and the team, which includes Juan Gonzalez, Teresa Sparks, and co-Directors Mary Norton and Tippi MacKenzie, was awarded a five-year, $2.5 million grant from the National Institutes of Health (NIH).

CONGRATULATIONS

Lori Freedman, Lauren Ralph, and Ushma Upadhyay on receiving Abortion Rapid Response Grants

PRHE FINDINGS

· Environmental influences on Child Health Outcome (ECHO) Program. This study found more than 9-in-10 pregnant women had potentially harmful chemicals in their bodies.

· Published commentary: EPA’s implementation of amended TSCA did not incorporate key scientific/methodological factors , underestimating health risks of chemical exposures, particularly to susceptible populations.

· Postdoc Dimitri Abrahamsson, PhD spearheaded a study which detected 109 chemicals in a cohort of pregnant women, including 55 chemicals never before reported in people, and 42 “mystery chemicals,” whose sources and uses are unknown.

CONGRATULATIONS

Stephanie Gaw, Andrea Jackson, and Josh Robinson on being awarded the Chancellor's Faculty Resource Award.

CDC's National Center for Chronic Disease Prevention and Health Promotion named a publication by George Sawaya , MD and his CDC-based research colleagues as the year's "Most Influential Paper"

PTBI STUDIES AND PUBLICATION

• The Metabolic PRediction Of Maturity, Morbidity, and Mortality in PreTerm Infants (PROMPT) study examines how metabolic, immune, and microbiome factors in babies with early preterm birth predict risk for mortality/morbidity.

• PTBi Discovery collaborative include partners from around the world and elucidates populationlevel patterns of preterm birth, related complications, and race/ethnic inequities to inform interventions at the individual, family, institutional, and community levels.

• Engaging Mothers and Babies − Reimagining Antenatal Care for Everyone (EMBRACE) examines prenatal care models to determine which results in fewer preterm births, better mental health, and a better experience of care among low-income, primarily Latinx and Black pregnant and birthing people in Fresno, California.

• Promoting Shared Decision Making in Periviable Care is a randomized controlled trial of the GOALS Decision Support Tool for pregnant people facing threatened periviable delivery, to help them make values-concordant decisions regarding whether to purse resuscitation or comfort care.

• Using Collective Impact to Advance Birth Equity: A Comparison of Two Cross-Sector Efforts in California

ANSIRH PUBLICATIONS

• ANSIRH published 75+ peerreviewed articles in major journals such as JAMA, American Journal of Public Health, PLOS ONE, Contraception, and Obstetrics and Gynecology (Green Journal).

• ANSIRH researcher Dr. Katrina Kimport published her book, No Real Choice: How culture and politics matter for reproductive autonomy, which looks at how issues impact a woman’s ability to choose - from the perspective of women who considered, but did not choose abortion.

• ANSIRH report: Trends in Abortion Care in the United States, 20172021, provides an overview of the abortion facility landscape and services available in the United States from 2017-2021 and has been a major resource for reporters and researchers seeking aggregated state and regional data on abortion care.

EDUCATION

US News Best Grad Schools ranked our OBGYN program #1

CONTINUING MEDICAL EDUCATION (CME)

Our robust CME program holds Grand Rounds throughout the academic year and has successfully transitioned to a hybrid model with guest speakers both in person and remote.

CME COURSES & CONFERENCES:

• AIM

• OB/Gyn What Does the Evidence Tell Us

• Fundamentals of Critical Care Support: Obstetrics course (with Anesthesia Dept.)

• Perinatal Mental Health Symposium (with Psychiatry Dept.)

MEDICAL STUDENT HIGHLIGHTS

• In 2022, 9 students matched in to OBGYN

• MS3 Sophie Kupeic-Weglinski designed and 3D printed a uterine model which has been used for pre-clerkship clinical skills sessions. Printed versions were used for adolescent gyn demonstrations with Dr. Sloane Berger-Chen

• MS4 Elyse Katz is working on a Genderaffirming language project to craft genderaffirming pronouns and ensure gender neutral language in all F2 OBGYN learning modes across the School of Medicine

• MS4 Christina Schmidt recently presented at APGO FDS on setting up and administering an Ob/Gyn Near Peer Mentorship Program

• MS4 Jessica Valdez was initiated into the Gold Headed Cane Society, inducted and introduced by Dr. Patricia Robinson

• URI Alumna and current UC Davis MS3 Oliver Guevarra is collecting data for a project titled Analyzing URI outcomes and evaluation program's impact on students' self-efficacy (to be presented in 2024)

MEDICAL STUDENT LEADERSHIP

• Katherine Brown, MD, Co-Director of Undergraduate Research Internship

• Neda Ghaffari, MD, PISCES liaison

• Stephanie Tillery, Clerkship Coordinator

• Kristin Olson, MedEd Team manager

• Jeannette Lager, MD, MPH and Kristin Olson, F2 Operations Committee in the School of Medicine as all–Faculty Lead and all–Staff Lead, respectively

Biftu Mengesha, MD, MAS: GME Excellence and Innovation Award

Fellow Fatima Reyes, MD: Awarded $25k for palliative care project

Fellow Diana Robles, MD: Outstanding Fellow Award

RESIDENCY PROGRAM

The UCSF OBGYN residency program is one of the premier programs in the country, is the most diverse program in our institution, and has unprecedented state funding to address workforce issues in California.

RESIDENCY 2021-22 APPLICATION SEASON

Our residency experienced a nearly

50%

247

applications were from individuals who are underrepresented in medicine

100% 30%

increase in applications with over of applicants identifying as under-represented in medicine

Among those residents who applied for fellowship, matched in their subspecialty of choice

65% 90% 25%

of our residents identified as under-represented in medicine, and

of our interns identified as under-represented in medicine, and over

of our residents identified as LGBTQ+

RESIDENCY LEADERSHIP

• Sara Whetstone, MD, Residency Program Director

• Biftu Mengesha, MD, MAS, Residency Associate Program Director

• Tushani Illangaskare, MD, Assistant Residency Program Director

• Meg Autry, MD, Interim Chief of the Ob/ Gyn Department at UCSF Fresno

FELLOWSHIP NEWS

• All fellowship programs had successful matches including: Urogyn, GynOnc, MFM, REI, Family Planning, and Hospitalist fellowships

RESIDENT MATCHES TO FELLOWSHIPS

• Chiara Corbetta-Rastelli, MD: MaternalFetal Medicine, UCSF

• Kelsey Loeliger, MD, PhD: Complex Family Planning, UCSD

• Tamandra Morgan, MD, ScM: Breast Surgery and Cancer Prevention, UCSF

• Aileen Portugal, MD: Reproductive Endocrinology & Infertility, Washington University Barnes-Jewish Hospital

• Marley Rashad, MD: Maternal-Fetal Medicine/Preterm Birth Initiative, UCSF

• Fellowship College occurs quarterly with fellows from all subspecialties discussing overarching development topics

Gaetan Pettigrew, MD with Residents Carrie Crook, MD, MPH & Alisha Othieno, MD

Chief Resident Graduation

ADVOCACY

Daniel Grossman, MD recipient of the Chancellor Award for Public Service

Dr. Daniel Grossman, Professor in the ZSFG Division, and Director of Advancing New Standards in Reproductive Health (ANSIRH) received the Chancellor Award for Public Service in the faculty category. This award honors members of the University who have performed outstanding service to the community.

A special UCSF Town Hall addressing abortion was held July 8, 2022. "After SCOTUS: The Future of Abortion Access” featured the expertise of Department members:

• Overview of Supreme Court Decision: Daniel Grossman, MD

• Impact on Care: Eleanor Drey, MD

• Midwifery Perspective: Asmara Gebre, CNM

• Impact on Education: Biftu Mengesha, MD, MAS

• Role of Research: Diana Greene Foster, PhD

• Role of Advocacy: Daniel Grossman, MD

ADVANCING NEW STANDARDS IN REPRODUCTIVE HEALTH (ANSIRH)

ANSIRH Celebrating 20 Years

In 2002, motivated by the increasing politicization of reproductive health issues in American society, Felicia Stewart, MD, and Tracy Weitz, PhD, MPA, cofounded ANSIRH to create research evidence that could inform reproductive health policies, practices, and culture. Twenty years later, ANSIRH is a leading voice for science in the most pressing debates on reproductive health, rights, and justice.

We define Advocacy as activities aimed to influence policy or practice that ultimately benefits our patients.”

UCSF marked ANSIRH’s 20th Anniversary with an event bringing together past and present ANSIRH researchers, colleagues, and partners.

TUMULTUOUS TIMES FOR ABORTION CARE & REPRODUCTIVE HEALTH

ANSIRH’s research was a critical part of the debates and conversations:

· Featured in: 480+ media stories

· Produced: 20 op-eds

· Appeared in: New York Times, Los Angeles Times, and Washington Post

ANSIRH’s research supported policy makers, advocacy partners, and legal teams. The Turnaway Study cited by:

· Treasury Secretary Janet Yellen in testimony to the Senate Banking Committee

· Rep. Katie Porter during a livestream of a House Oversight Committee hearing

ENSURING CALIFORNIA REMAINS A “REPRODUCTIVE FREEDOM” STATE

ANSIRH worked with the California Future of Abortion Council (FAB) and provided letters of support, op-eds, and expert testimony for several bills that were signed into law:

· AB 2223 which protects a pregnant person who chooses to end a pregnancy from prosecution

· AB 2626 which would prevent the state medical board from suspending or revoking the license of a clinician who is punished in another state for performing an abortion

ANSIRH IMPACT

• Citing research by Dr. Berglas and Dr. Sarah Roberts, New Jersey passed new rules to allow nurses and physician assistants to perform abortions.

• Dr. Lauren Ralph and Dr. Biggs testified against Illinois’ Parental Notification of Abortion Act, which was later repealed in the Illinois legislature.

• ANSIRH submitted evidence to the FDA for the elimination of restrictions on mifepristone; ANSIRH research was cited several times in the FDA’s final ruling letter

• ANSIRH co-led and filed the social science amicus brief for the Supreme Court case Dobbs v. Jackson Women’s Health Organization with the Texas Policy Evaluation Project.

• Dr. Ushma Upadhyay received the Beacon of Science Award from the Society for Family Planning for visionary contributions towards just and equitable abortion and contraception informed by science and was featured in their abortion care video resource presenting options proven safe and effective by research including telehealth abortion or clinic-based care.

Program on Reproductive Health and the Environment (PRHE)

PRHE’s Science Action Network hosted a talk by Dr. Monica Unseld about how and why scientists should become activists and why the myth of objectivity no longer suits what today's society needs.

Discovering more methylene chloride deaths than EPA acknowledged

PRHE helped raise awareness on the dangers of methylene chloride, pressuring major retailers to remove the toxic paint stripping chemical from store shelves. While EPA restricted the chemical for consumer use, it allowed for occupational use, leaving workers vulnerable. Further study generated major news coverage and provided evidence for EPA to update the rule and protect workers from methylene chloride.

Elevating environmental justice

EaRTH Center's two initiatives to help health care professionals explore systemic solutions and alleviate harms:

• Environmental Justice MiniMedical School series to examine environmental contributors to human health and disease through the lens of vulnerable populations.

• The Environmental Scholars Program supporting medical and nursing students as they research solutions to community-based environmental health problems

Preterm Birth Initiative

• PTBi's policy team appeared before the San Francisco Board of Supervisors Land Use and Transportation Committee to request that the board consider policy recommendations outlined in their report, “Housing Insecurity and Health of Pregnant Women and People: A Research Brief for Policymakers.”

• PTBi was contracted by the San Francisco and Fresno County departments of public health to lead aspects of state-funded Perinatal Equity Initiative.

• To augment hospital qualityimprovement work, a three-part online series, “Diagnosing and Dismantling Obstetric Racism in Birthing Hospitals,” was developed in collaboration with Karen A. Scott, MD, MPH, FACOG, chief Black feminist physician-scientist and founding CEO and owner of Birthing Cultural Rigor, LLC.

• In Fresno County, a public awareness campaign on Black infant mortality adopted PTBisponsored Voices for Birth Justice (VBJ) campaign

• Virtual Rally for Black Birth Justice speakers included Los Angeles County Board Supervisor Holly Mitchell, California State Senator Nancy Skinner, California State Board of Equalization chair Malia Cohen, and San Francisco Mayor London Breed.

• PTBi partnered with Twilio to co-host our first Hackathon for Birth Justice.

The PTBi team speaking at City Hall about the need for more protections for housing insecure pregnant people.

EQUITY, INCLUSION & STRUCTURAL CHANGE

LaMisha Hill, PhD, has been selected as the inaugural Vice Chair for Equity, Inclusion, and Structural Change.

“I welcome the opportunity to continue our partnership in fostering a climate of inclusion within the Department of Obstetrics, Gynecology, and Reproductive Sciences. While advancing diversity requires sustained collective action, I applaud the strategic vision of Department leadership and the many voices that supported the creation of this role. The Vice Chair of Equity, Inclusion, and Structural Change role is integral in achieving the Department’s mission across the pillars of health equity, workforce development, and community transformation.”

ZSFG PROGRAMMING

• Black Centering Midwifery-Led Group Care offers prenatal care while building trust, belonging, community, and resource-sharing in a racially and culturally safe space.

• BIPOC Aspiring Midwives

Program supports BIPOC aspiring midwives on their individual journey to an education in midwifery through shadowing, mentorship, & community building.

• BIPOC Midwifery Student Mentorship & Belonging Program at UCSF & Cal-State Fullerton (co-created & co-lead by Asmara Gebre and Kim Dau) pairs BIPOC students with BIPOC midwives to support their growth & success.

Michelle Poole, (left) Perinatal Patient Navigator and PTBi Community Advisory Board member, speaks with Furtuna Williams, a first-time mother expecting twins.

First in-person Black Centering Community Gathering at the MoAD

Chancellor Award for Diversity

Ana Delgado, RN, CNM, MS received the "Dr. Martin Luther King Jr. Leadership" Chancellor Award for Diversity given to individuals who have demonstrated outstanding commitment and service to the ideals of diversity, equity, and inclusion beyond the scope of their job, area of research, or training, and whose contributions align with UCSF's Anti-Racism Initiative

“A

Dialogue at the Intersection of Race, Gender, Disability and Sexual Orientation”

Judy Young, MPH & Cassandra Carver, MPA were invited to be panelists in a dialogue about everything at the intersection of race, gender, disability and sexual orientation. This event was in honor of International Women’s Month and was sponsored by the UCSF Committee on the Status of Women in partnership with the UCSF LGBTQ Committee.

Health Equity Editor in Chief

Monica McLemore, RN, PhD, FAAN appointed editor-in-chief of Health Equity. Monica is a tenured associate professor in the Family Health Care Nursing Department, an affiliated scientist with Advancing New Standards in Reproductive Health (ANSIRH), a member of the Bixby Center for Global Reproductive Health, and a frequent partner with Preterm Birth Initiative (PTBI).

“Equitable Global Health Partnerships” meetings were held in Nairobi to discuss equity in UCSF global partnerships. Representatives from our Department, Purba Chatterjee, Carol Camlin, and Dilys Walker, partnered with others from Epidemiology & Biostatistics and Global Health Sciences Departments to engage in critical and challenging conversations with the goal of contributing new insights to inform the broader movement towards greater equity in global health.

ANSIRH

• Roadmap for Change

ANSIRH finalized a roadmap of DEI and anti-racism steps and activities for ANSIRH members after working with an outside consulting group.

• Diversify the Workforce of Scholars

ANSIRH hired two postdoctoral fellows, Dr. Maryani Palupy Rasidjan (an anthropologist) and Dr. Andréa Becker (a sociologist), from groups underrepresented in research/medicine.

• ANSIRH

Abortion

Researcher Incubator

ANSIRH held its fifth Abortion Researcher Incubator in collaboration with the Scholars Strategy Network (SSN), convening social scientists from around the US interested in abortion research, with a focus on scholars of color, from conservative or underrepresented states, and from varied disciplines.

Mitzi

ZSFG

As a part of their strategic plan, the ZSFG division explicitly committed to their communities, faculty, staff, and learners to be anti-racist, intersectional, and antioppressive. Efforts include:

• Equity Cohort (prioritizing skill-building and professional development for underrepresented minorities)

• Community Accountability Board

• Supervisor 360 Review Pilot

• Training with VISIONS offered to all faculty and staff

• Leadership training with group coaching to address complex intersectionalities, and their impact on health and societal outcomes.

PTBi

The UCSF California Preterm Birth Initiative is dedicated to ending racial disparities in preterm birth. “Nothing about us without us!” describes what PTBi considers the best approach to research for improving birth outcomes in the United States.

PTBi uses research justice protocols to create more democratic research processes so that experiential, cultural, and spiritual knowledge are equal to scientific knowledge.

• PTBi and the Los Angelesbased Cherished Futures for Black Moms & Babies have been awarded a $150,000 grant from Health Net to build a statewide coalition to advance Black birth justice

• PTBi supported Expecting Justice’s groundbreaking Abundant Birth Project

Led by Zea Malawa, it is the first unconditional basic income program for Black and Pacific Islander pregnant people in the U.S.

The California Prevention Training Center provided training to the disease intervention workforce responding to COVID-19, funded by a CDC grant from 2020-2022:

• We stepped up to the COVID-19 emerging public health emergency and made significant impact through training and infrastructure building.

• We offered 261 courses including case investigation, contact tracing, team leadership, and learning collaboratives. Our trainings centered equity, access, and anti-racism.

• An immense amount of training curricula and materials were developed and approved by the CDC in record time

• A COVID-19 resources and support webpage was developed for trainers, constituents, and interested persons to provide resources, job aids, and other materials related to contact tracing

Hawkins, Bennett Lareau-Meredith and Gaetan Pettigrew providing advanced reproductive health care to transgender patients in UCSF Gender Affirming Health Program led and founded by Dr. Maddie Deutsch.

PTBi Team outside of San Francisco City Hall.

NOTABLE

RECOGNIZING NANCY MILLIKEN

Honoring a Powerful Legacy

For over 30 years, Dr. Nancy Milliken has served as a dedicated physician and leader at UCSF, benefiting patients, families, and community members through her insightful care and advocacy, and mentoring numerous trainees and faculty members.

As founding director of the UCSF National Center of Excellence in Women’s Health – one of the first federally designated centers created to advance women’s health and transform their lives – Dr. Milliken ushered UCSF to the forefront of women’s health care, spearheading innovations in the field and offering comprehensive, patient-centered care to meet the diverse, individual needs of women.

Upon her retirement this past summer, she was featured in the Bay Times, and fittingly celebrated in the meditation garden she helped build at Mount Zion. We hope to honor her legacy by creating the Nancy Milliken Endowed Professorship for Women’s Health Leadership, to be held by the director of the UCSF National Center of Excellence in Women’s Health.

This new professorship will acknowledge Dr. Milliken’s incredible contributions to UCSF and benefit the Center of Excellence in Women’s Health for generations to come.

REMEMBERING REBEKAH KAPLAN

In November of 2021 we were deeply saddened by the passing of our colleague Rebekah Kaplan. Rebekah was a clinical professor in Family Health Care Nursing, and a highly respected certified nurse-midwife, educator, and faculty member with UCSF for nearly 30 years. Her clinical practice was at Zuckerberg San Francisco General Hospital’s Birth Center and Obstetrics, Midwifery and Gynecology Clinic, where she served thousands of patients. She was a compassionate, empathetic, skilled midwife who clearly loved her work – loved bringing new life into the world. Her patients adored her, as did her colleagues and students.

At the School of Nursing, she was associate director of the Nurse-Midwifery specialty, leading efforts in curriculum development, student admissions and evaluation, and faculty and preceptor support. She developed innovative curricula on interprofessional education, addressing racial bias among other topics. Rebekah received the Excellence in Teaching Award from the American College of Nurse Midwives Foundation Inc. in 2000, 2002, 2006 and 2017. In addition, she was honored with the school’s peer-nominated Excellence in Clinical Mentoring Award in 2017. Rebekah was a bright light, renowned for her quick wit, optimism, wisdom, and generosity of spirit. She is dearly missed.

HELP ADVANCE WOMEN'S HEALTH: MAKE A GIFT OF SUPPORT

Philanthropic contributions from patients and friends help drive the UCSF Department of Obstetrics, Gynecology & Reproductive Sciences to make even greater strides in developing new treatments and cures that make a difference. Your giving also empowers us to continue attracting and educating the brightest young minds in science. Join us today to ensure that our department remains a place where patients can count on the very best care. Together, we will make a difference in the lives of women in the Bay Area and worldwide.

HOW TO MAKE A GIFT:

• By Mail: Mail a check payable to UCSF Foundation to the address below. Please include instructions on the memo line or attach a note telling us how you would like to designate your gift (e.g. Women’s Health or name a specific program or faculty member).

UCSF Foundation PO Box 45339 San Francisco, CA 94145-0339

• Online: Make a gift online using a major credit card at makeagift.ucsf.edu/womenshealth

• By Phone: Please call (877) 499UCSF (877-499-8273) to give by credit card over the phone.

• Payroll Deduction (for UCSF employees): Learn more about the Employee Giving Program at giving.ucsf.edu/employee-giving

Please contact Cia Glover at Cia.Glover@ucsf.edu with questions or for information on other giving options, including gifts of stock, wire transfers, and planned gifts.