2023 Department Report | UCSF | Obstetrics, Gynecology & Reproductive Sciences

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UCSF DEPARTMENT OF OBSTETRICS, GYNECOLOGY & REPRODUCTIVE SCIENCES D E PA RT M E N T R E P O RT 2 0 2 3


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

DIVISIONS/ORU

• News from the Chair’s Office • Reproductive Access Update • 150th Anniversary Timeline • Department at a Glance • Strategic Priorities • Financial Summary • Practice Locations • Faculty Directory • Staff Highlights

• Center for Reproductive Sciences • Obstetrics, Gynecology & Gynecologic Subspecialties • Gynecologic Oncology • Maternal-Fetal Medicine & Reproductive Genetics • Minimally Invasive Gynecologic Surgery & Urogynecology • Reproductive Endocrinology & Infertility • Zuckerberg San Francisco General Obstetrics & Gynecology

2 | UCSF Obstetrics, Gynecology & Reproductive Sciences


MISSION AREAS

NOTABLE

• Patient Care • Research • Education • Advocacy • Equity, Inclusion & Structural Change

• A Legacy of Leadership • 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 Amanda Martinez, Digital Communications Specialist Design: Sean Brainerd/volume11creative Photography: Elisabeth Fall, Susan Merrell, Erika Pham, Tom Walters, Lisa Wiseman

© 2023 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA

Department Report 2023 | 3


NEWS FROM THE CHAIR’S OFFICE

Rebecca Jackson & Andrea V. Jackson

NEWS FROM THE CHAIR’S OFFICE 2023 marks our Department’s 150th anniversary. It was in 1873 that Hugh Toland appointed Richard Beverly Cole as the first chair of UCSF’s “obstetrical department.” The lives and accomplishments of those who preceded us on this path reveal themes of curiosity, innovation, excellence, and collaboration.

Throughout this report you will see the demonstrated advancement of the priorities set by interim Chair Dr. Rebecca Jackson.

These characteristics persist as a throughline in our Department’s story. Over the years, the connecting threads of integrity, compassion, and respect have strengthened and expanded this narrative. There is much to be proud of, as our historical timeline showcases.

In August of this year, School of Medicine Dean Talmadge King announced the selection of Dr. Andrea V. Jackson as Chair.

We uphold the traditions of excellence and innovation, today prioritizing health equity and centering our patients, knowing that it’s not only what we do, but how we do it that matters.

Dr. Jackson joined the Department as a complex family planning fellow at Zuckerberg San Francisco General Hospital where she became Medical Director of the Obstetrics, Gynecology and Midwifery Clinic.

We have come to this place because we are passionate about women’s health (acknowledging the ever-expanding definition of our patient population). With “meaning” as our motivation, I prioritize the following: • Equity & Anti-Racism • Faculty & Staff Well-being • Abortion Focus at the UC level • Successful chair transition -Rebecca Jackson

4 | UCSF Obstetrics, Gynecology & Reproductive Sciences

In 2013 she joined our faculty within the Obstetrics, Gynecology and Gynecologic Subspecialties Division where she most recently served as division chief. She describes herself as a proud generalist and abortion provider with an interest in providing racially concordant care to Black-identifying patients. We are thrilled to move forward together to continue this Department’s proud legacy, and in so doing to create a more inclusive future.


REPRODUCTIVE ACCESS UPDATE

REPRODUCTIVE ACCESS UPDATE This fiscal year, challenges to contraception and abortion access persisted across our country, amplifying the critical nature of our work. With threats to reproductive autonomy on the rise, the intensity of our commitment increased, and tangible evidence of our efforts emerged. Our experts were interviewed and quoted; our research was cited and invoked to shape policies. The demand for our clinical care grew and as the need for training and skills-sharing burgeoned, our faculty crossed state lines to go where the needs were greatest.

Data from the #WeCount project shows compared to the average monthly number of abortions observed in a 2-month preDobbs period, there were 25,640 cumulative fewer abortions from July 2022 to March 2023. We know from The Turnaway Study that the impact of abortion denial on people’s lives can be devastating.

Every abortion ban is an assault on people’s autonomy. Every person deserves to have the type of abortion they want, without barriers or stigma.” -Jennifer Kerns wrote about what a mifepristone ban would mean for patients in The Daily Beast.

As a provider, I’ve seen patients experience abortion as something more than just bodily integrity. It’s their lives, their families, their futures.” -Eleanor Drey, MD

The Dobbs decision continues to devastate abortion access across the country, especially in states where abortion has been heavily restricted or banned.” -Ushma Upadhyay #WeCount co-chair

It’s a cascading, rippling effect. Obviously, it's affecting patients who aren't able to have the access to the health care they need and they deserve.” -Ashley Jeanlus on the impact of losing abortion training in Teen Vogue

ANSIRH & BIXBY CENTER ASSESS ABORTION ACCESS AFTER ROE’S REVERSAL

ANSIRH's “One Year Since the Fall of Roe” ANSIRH’s newsletter from June 2023 examines the abortion landscape across the United States in the wake of the Supreme Court’s striking down of Roe v. Wade.

Bixby: “Working for a brighter future post-Dobbs” “Care Post-Roe: Documenting cases of poor-quality care since the Dobbs decision” Daniel Grossman and ANSIRH researchers authored a report documenting the drop in quality of clinical care and the deepening of health care inequities for people of color.

The Bixby Center’s update one-year post-Dobbs focuses on Bixby member efforts using research, clinical care, training and advocacy to support those who need abortion care.

Department Report 2023 | 5


150TH ANNIVERSARY TIMELINE

1800s

1910s

Department founded; Dr. Richard Cole is named 1st Chair of Obstetrics

1st woman graduates from UCSF School of Medicine (Dr. Lucy Wanzer)

Dr. Frank Lynch becomes Chair; adds “Gynecology” to department name

1900s

70s

1st prenatal test for sickle cell anemia developed at UCSF

Lyon Martin Health Services est. as 1st free-standing clinic in country to serve lesbian and other women

80s

1st C-section performed at Parnassus

Dr. Robert Jaffe became Chair; adds "Reproductive Sciences" to department name

SFGH Nurse-Midwifery Service starts 1st nursemidwifery education program in California

SFGH doctors publish 1st report of legal abortion on women’s health

Reproductive Genetics Unit est. – world’s premiere prenatal diagnosis and in-utero treatment center

UCSF Ob/Gyns and certified nurse midwives establish San Francisco’s 1st hospital-based midwifery program at MZ SFGH 1st public hospital in region to establish an Alternative Birth Center; MZ follows with 1st private facility

90s

1st Fetal Treatment Center and world’s 1st in-utero maternal fetal surgery

Ethics in obstetrics and perinatal medicine prioritized

100th IVF baby is born at UCSF

Reproductive Endocrinology Center recognized by NIH as a major population and reproduction research center

6 | UCSF Obstetrics, Gynecology & Reproductive Sciences

1st Residency program est. Two women selected as 1st residents

Roe v Wade federally protects right to abortion

SFGH opens nation’s 1st hospital-based, family planning clinic (now Pregnancy Options Center) SFGH midwives’ advocacy influences new statute to license nurse midwives

Ryan Residency Training Program in Abortion and Contraception and the national Fellowship in Family Planning est.

University of Zimbabwe-UCSF Collaborative est. Dr. Eugene Washington becomes 1st Black Chair; defines Department by divisions

Center for Reproductive Health and Policy (now the UCSF Bixby Center) est.

National Center of Excellence in Women’s Health (CoE) designated by federal Department of Health and Human Services


150TH ANNIVERSARY TIMELINE

40s Dr. Herbert Traut (co-developer of Pap smear) becomes Chair

Department receives 1st research training grant from NIH for ob/gyn

Dr. John Kerner promotes value of Pap smear under American Cancer Society

50s

#1 in NIH funding for 17+ years

Dr. Ernest Page becomes Chair; quadruples research efforts SFGH est. as West Coast center for birth control and sterilization research

60s

“San Francisco Nine” (2 from UCSF) accused of performing illegal therapeutic abortions

1st woman to complete 4-year ob/gyn residency at UCSF (Dr. Emily Lutz)

Laparoscope surgical methods introduced to California (Dr. Ed Hill)

1st therapeutic abortion is performed at SFGH

Gynecologic endocrinology clinic est.

2000s

UCSF/SFGH advocacy influences new California law legalizing abortion (preceding Roe) 1st oral contraceptive approved (FDA)

2020s

Stem Cell Initiative begins; UCSF leads embryonic stem cell research

Advancing New Standards in Reproductive Health (ANSIRH) est.

Dr. Linda C. Giudice becomes 1st female Chair

Program on Reproductive Health & the Environment (PRHE) est.

National leadership for 30+ years with Reproductive Scientist Development Program (RSDP)

Family AIDS Care and Education Services (FACES) in western Kenya est.

2010s

Center for Reproductive Health named #1 fertility clinic in the West #2 in the country by Newsweek

Reversal of Roe v Wade

The UCSF California Preterm Birth Initiative (PTBi) est. Dr. Amy P. Murtha becomes Chair; est. Women’s Service Line

Dr. Andrea V. Jackson becomes Chair

FDA approves first over-thecounter birth control pill

Department Report 2023 | 7


OUR DEPARTMENT AT A GLANCE

#4

Obstetrics and Gynecology Program in Schools of Medicine, 2024 by U.S. News & World Report

OBGYN & RS – CAMPUS EMPLOYEES

2% Recall Faculty 3% Faculty Emeriti 17% Faculty

37% Staff

28% Volunteer/WOS

3,609 Deliveries

11% Residents, Trainees, PostDocs, Students

11

2% Non-Faculty Academics

62

Faculty Hires

Staff Hires

FACULTY AND STAFF BY DIVISION/GROUP 4% Central Administration 1% CoE

489

7% CRS

27% Volunteer/Emeritus

2% GynOnc

Total Publications in FY23

15% MFM

6% Trainee 6%

8% OGGS 7% REI 22% ZSFG

$54.5m Total Extramural Grants and Contracts Revenue in FY23

1% MGS/Urogyn

DIVERSITY BY CATEGORY 23% Faculty

% UIM (2022)

21%

% UIM (2021)

22%

% UIM (2020) UIM: underrepresented in medicine

38% 37%

Staff

33%

157,266

45% 51%

Patients Visited*

*Includes Telehealth Visits

50%

Residents

PostDocs

30% 30% 25%

8 | UCSF Obstetrics, Gynecology & Reproductive Sciences


STRATEGIC PRIORITIES

DEPARTMENT EXECUTIVE LEADERSHIP

STRATEGIC PRIORITIES

• Rebecca Jackson, MD, Interim Department Chair; Interim Vice Chair, Education

CENTER FOR REPRODUCTIVE SCIENCES DIRECTOR RECRUITMENT

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

• Identify a new, permanent Director

• Andrea V. Jackson, MD, MAS, Division Director, Obstetrics, Gynecology & Gynecologic Subspecialties • Lee-may Chen, MD, FACS, FACOG, Division Director, Gynecologic Oncology • Juan M. González Vélez, MD, PhD, Division Director, Maternal-Fetal Medicine & Reproductive Genetics • 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

COMPLEX FAMILY PLANNING FELLOWSHIP • Explore philanthropic avenues for long-term funding

RECRUITMENT OF UIM RESEARCH FACULTY CLUSTER • Increase the diversity of research faculty and improve capacity to support trainees from historically excluded groups

• Jody Steinauer, MD, PhD, Interim Division Director, Zuckerberg San Francisco General

DEVELOPMENT OF A UC-WIDE REI COLLABORATION

• Daniel Grossman, MD, Vice Chair, Advocacy

• Align with other UC Health Systems to establish a competitive REI presence statewide

• Mary Norton, MD, Vice Chair, Clinical & Translational Genetics • LaMisha Hill Weller, PhD, Vice Chair, Equity, Inclusion & Structural Change • Verónica Noemí Álvarez, MPA, PMP, Vice Chair, Equity, Inclusion & Structural Change (May 2023) • Vanessa Jacoby, MD, MAS, Vice Chair, Research • Nerys Benfield, MD, MPH, Chief Medical Officer for Women’s Health; Vice Chair for Quality and Safety; Interim Chief Medical Officer for Adult Services (June 2023) • 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 • 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

Department Report 2023 | 9


FINANCIAL SUMMARY ANNUAL FUNDING

FY23 REVENUE & EXTRAMURAL FUNDS

CATEGORY

FISCAL 2023

REVENUE

Clinical Enterprise Revenues

53%

Clinical Enterprise Revenues Extramural Funds

UCSF Health

58,292,807

41% 3%

Gifts & Endowment Income

Other Clinical Revenue (PSA, etc.)

2,007,091

2%

Other Revenue (e.g. IDCR, STIP, Rech

1%

State General Fund

ZSFG Affiliation Agreement & Profee

10,247,689 70,547,588

Extramural Funds Federal

24,645,325

Local

848,569

Private

25,341,438

State

2,304,714

Industry Sponsored

1,318,414

53%

Clinical Enterprise Revenues

41%

Extramural Funds

3%

Gifts & Endowment Income

2%

Other Revenue (e.g. IDCR, STIP, Recharge)

1%

State General Fund

54,458,461 EXTRAMURAL FUNDS

Gifts & Endowment Income Gifts/Endowments

4,510,880 4,510,880

Other Revenue (e.g. IDCR, STIP, Recharge)

3,213,655

State General Fund

1,875,418 5,089,073

Grand Total

10 | UCSF Obstetrics, Gynecology & Reproductive Sciences

134,606,001 45%

Federal

<1%

Local

47%

Private

4%

State

2%

Industry Sponsored

45%

Federal

<1%

Local

47%

Private

4%

State

2%

Industry Sponsored


PRACTICE LOCATIONS

4

4

Satellite Practices SANTA ROSA

Satellite Practices GREENBRAE

4 4

Satellite Practices BERKELEY

4

Satellite Practice FREMONT

4 4 MOUNT ZION CAMPUS

2 1

ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL & TRAUMA CENTER

MISSION BAY CAMPUS

Satellite Practices SAN MATEO

Satellite Practices OAKLAND

3

4

1 MISSION BAY CAMPUS

2

MOUNT ZION CAMPUS

4

SATELLITE PRACTICES

Center for Reproductive Health

Women’s Health Building

499 Illinois Street, 6th Floor

2356 Sutter Street

Greenbrae, Berkeley

Betty Irene Moore Women’s Hospital

Helen Diller Cancer Center

Prenatal Diagnostic Center

Gynecologic Oncology

1855 Fourth Street

Fremont, Greenbrae, Monterey, Santa Rosa, San Mateo, Berkeley, Oakland

Bakar Precision Cancer

Fetal Treatment Center

Medicine Building 1825 Fourth Street, 6th Floor

Bakar Cancer Hospital

1600 Divisadero

Satellite Practice MONTEREY

3

ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL & TRAUMA CENTER

1855 Fourth Street

1001 Potrero Avenue

Owens Street Practice

2500 18th Street

1500 Owens Street, Suite 380

Oakland (BCH)

Obstetrics, Gynecology Berkeley, San Mateo

Minimally Invasive Gynecologic Surgery & Urogynecology Greenbrae, Berkeley

Department Report 2023 | 11


FACULTY DIRECTORY CENTER FOR REPRODUCTIVE SCIENCES OB, GYN & RS 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 Steven Hall, PhD Diana Laird, PhD Synthia Mellon, PhD Paolo F. Rinaudo, MD, PhD Joshua Robinson, PhD Dan Wagner, PhD 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 Bethan C. Powell, MD Karen Smith-McCune, MD, PhD Megan Swanson, MD, MPH Stefanie Ueda, MD, FACOG MATERNAL-FETAL MEDICINE & REPRODUCTIVE GENETICS Rebecca Hess Amirault, CNM, WHNP *Emilia Basilio, MD, MPH Tammy Brunk, DNP, CNM, FNP-BC *Arianna Cassidy, MD Jacquelyn Chyu, MD Katherine Connolly, MD Jennifer Duffy, MD, MHS Sheri Foote, CNM, RN, MSN Stephanie Gaw, MD, PhD Neda Ghaffari, MD Juan M. González Vélez, MD, PhD Roxanna Irani, MD, PhD Deborah Karasek, PhD Miriam Kuppermann, PhD, MPH Daisy Leon-Martinez, MD Ben C. Li, MD Divya Mallampati, MD, MPH Mary E. Norton, MD

Amy Padula, PhD, MSc *Elizabeth Patberg, MD, MA Annalisa Post, MD Larry Rand, MD Patricia Robertson, MD 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 Katherine Swanson, MD 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 *Jessica Kim, MD Abner Korn, MD Jeannette Lager, MD, MPH 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 Mindy Goldman, MD Joanne Gras, DO Mitzi Hawkins, MD Tushani D. Illangasekare, MD Andrea V. Jackson, MD, MAS Vanessa Jacoby, MD, MAS *Ashley Jeanlus, MD Robyn Lamar, MD, MPH Felicia Lester, MD, MPH, MS *Serena Liu, MD Nancy Milliken, MD Malini Nijagal, MD, MPH Gaetan Pettigrew, MD Tami Rowen, MD, MS Nicholas Rubashkin, MD, MA, PhD(c) George F. Sawaya, MD Tania Basu Serna, MD, MPH Vasiliki Tatsis, MD, MS, MBA Yolanda Tinajero, MD Sara Whetstone, MD, MHS Tricia Wright, MD, MS Stacy Young, MD

12 | UCSF Obstetrics, Gynecology & Reproductive Sciences

REPRODUCTIVE ENDOCRINOLOGY & INFERTILITY Yanett Anaya, MD Hakan Cakmak, MD, PhD Marcelle I. Cedars, MD Víctor 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 *Maren Shapiro, 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 C. M. Roberts, DrPH Corinne Rocca, PhD, MPH Dominika Seidman, MD, MAS Jody Steinauer, MD, PhD Naomi Stotland, MD Ushma Upadhyay, MPH, PhD *Josie Urbina, MD Dilys Walker, MD Savanah Washington CNM, MSN (SFDPH) Gabrielle Westergren, CNM (SFDPH) *Start date in Fall 2023


STAFF HIGHLIGHTS

STAFF HIGHLIGHTS AROUND THE DEPARTMENT SHINE Mentoring Program • 1st cohort • 17 participants

ZSFG Division Administrator Mary Beth Blasnek awarded the Chancellor Award for Exceptional University Management

MARY BETH BLASNEK I think sometimes when you are in management or administration, you can feel a little bit removed from the front lines. But what I really like to try to remember is that everything I do is allowing our physicians and our researchers and our trainees and our other staff to do cutting edge patient care, cutting edge research to get messages out there that actually impact and change policy.”

I had no clue the depth of career development opportunities available at UCSF. I was introduced to so many programs, tools, and opportunities for professional development and career advancement. It felt amazing to carve out some time to focus on myself at work. And I loved the dedicated time to develop a new 1:1 working relationship." - SHINE mentoring program participant

SHINE Recognition Program & Stats • $3,975 awarded • 327 campus staff recognitions • 19% department-wide participation

Staff Executive Leadership

26

STAR Achievement Award Recipients

MARISSA CASTORO

FACULTY & STAFF WELL-BEING

•C o-Chairs for Faculty Well-Being, Felicia Lester & Jenn Kerns surveyed faculty to better understand areas of need • Clinical divisions and research groups hosted retreats and opportunities for connection and inspiration • Department Managers gathered for community and team building in June • SHINE committee incentivized UCSF’s Recognize program • UCSF Staff Engagement Survey numbers show increases in all areas

Marissa Castoro, and her two sons

As a cancer survivor who works in a high-risk OBGYN office, I sometimes meet patients that have had very similar treatments to what I went through 14 years ago. Being able to empathize with them while actively listening to their concerns and fears helps them understand that they are not alone in this journey. It creates a safe space for them to open up and form a trusting bond with me and other providers throughout their care with us.”

Department Report 2023 | 13


DIVISIONS CENTER FOR REPRODUCTIVE SCIENCES (CRS)

Interim ORU Director: Synthia Mellon, PhD

The Center for Reproductive Sciences is a research unit of scientific leaders from multiple UCSF departments whose work focuses on the foundations of reproduction. CRS facilitates the transfer of concepts developed in the laboratory to clinical applications and is a proud training program for future leaders in the field of reproductive sciences.

22

total Faculty; 12 from Ob, Gyn & RS

34

Staff members from Ob, Gyn & RS

59

total Post Docs; 31 from Ob, Gyn & RS

44

total Graduate Students; 24 from Ob, Gyn & RS

LOOKING AHEAD · Recruiting for a permanent CRS Director

14 | UCSF Obstetrics, Gynecology & Reproductive Sciences


DIVISIONS

OBSTETRICS, GYNECOLOGY & GYNECOLOGIC SUBSPECIALTIES (OGGS)

Division Director: Andrea V. Jackson, MD, MAS

In the OGGS Division our physicians and nurse practitioners are leaders in their field and provide gynecological care from the annual exam, problems with menstruation, and managing menopause to complex gynecological surgical needs. Our obstetric clinicians and hospitalists guide our pregnant patients with care and expertise through their pregnancies and labors. As a division we are committed to providing excellence in whole-person obstetrical and gynecological care that is evidence based and equitable.

23

Faculty

16

Staff Members

NUMBER OF PATIENTS:

21,000+ visits annually LOOKING AHEAD · Felicia Lester, MD, MPH to serve as interim Division Director beginning October 2023 · Recruitment for a permanent Division Chief · Hiring faculty member with expertise in vulvar dermatology and complex vaginitis

GYNECOLOGIC ONCOLOGY (GYNONC)

Division Director: Lee-may Chen , MD, FACS, FACOG

The GynOnc Division specializes in helping patients by delivering exceptional gynecologic cancer care with compassion. Our doctors, nurse practioners, and nurses have the most innovative research, pioneering science, and cutting -edge technology at their fingertips and our patients benefit from our ongoing collaborations with experts across many fields.

7

Faculty

3

Staff Members

NUMBER OF PATIENTS:

5,000+ visits

LOOKING AHEAD · Moving new discoveries in lab to clinical trials · Continuing to collaborate with hereditary cancer colleagues on how to best serve unique population · Continuing to investigate early detection of cancer · Investigating how to minimize opiate prescriptions for post-surgical patients

Department Report 2023 | 15


DIVISIONS

MATERNAL-FETAL MEDICINE & REPRODUCTIVE GENETICS (MFMRG)

Division Director: Juan M. González Vélez, MD, PhD

Providers in our MFMRG division deliver care and expertise to patients who have experienced high risk pregnancies, have chronic health conditions, or who developed unexpected problems during their pregnancy. We provide care in all aspects of maternal care and fetal disorders through our robust precision medicine and midwifery program and train future leaders in Maternal- Fetal Medicine.

LOOKING AHEAD

32

Faculty

40

Staff Members

Over 2,500 deliveries at our Mission Bay facility NUMBER OF PATIENTS:

34,000+ OB visits

(including visits done by MFM and OGGS providers as well as postpartum visits)

· Hiring two additional clinical faculty · Growing the Perinatal Research Program · Continuing to build our presence in the East Bay

MINIMALLY INVASIVE GYNECOLOGIC SURGERY & UROGYNECOLOGY (MIGS/UROGYN)

Interim Division Director: Jeannette Lager , MD, MPH

Our MIGS/Urogyn team provides expertise and personal care to patients with gynecological, urinary, or reproductive tract issues. Our minimally invasive gynecology surgeons provide care through the comprehensive Fibroid Center and Multidisciplinary Endometriosis Center, while our expanded urogynecology team provides a broad range of treatments for bladder conditions and pelvic organs along with the muscle and tissues that support them.

6

Faculty

1

Staff Members

NUMBER OF PATIENTS: nearly

7,000+ annually

LOOKING AHEAD · Onboarding new division chief, Olga Ramm in January 2024. · Continuing project with Radiology Department to improve the identification of Endometriosis

16 | UCSF Obstetrics, Gynecology & Reproductive Sciences


DIVISIONS

REPRODUCTIVE ENDOCRINOLOGY & INFERTILITY (REI)

Division Director: Marcelle Cedars , MD

The REI Division focuses research and education on fertility and the hormonal conditions that may affect reproductive health. Our Center for Reproductive Health (CRH) offers a broad range of reproductive services from childhood to menopause and together we strive to help all individuals meet their family building desires.

11

Faculty

32

Staff Members

NUMBER OF PATIENTS VISITS:

34,000+ annually

LOOKING AHEAD · Continuing to grow our clinical footprint · Increasing collaboration with our basic/translational colleagues · Building a UC consortium for REI divisions across the UC system · Starting a multi-disciplinary clinic for recurrent pregnancy loss

ZUCKERBERG SAN FRANCISCO GENERAL OBSTETRICS AND GYNECOLOGY (ZSFG) The mission at Zuckerberg San Francisco General Obstetrics and Gynecology division is to promote justice, quality, and equity in women's health care. We seek to eliminate barriers to good health for women in San Francisco and around the world. Interim Division Chief: Jody Steinauer , MD, PhD

LOOKING AHEAD · Developing a Black midwifery fellowship

37

Faculty

100+ Staff Members Nearly

1,200

deliveries at ZSFG

NUMBER OF VISITS: nearly

14,000 annually

· Hiring two physicians to support clinical care efforts focused on equity · Expansion of abortion care training in restrictive states through The Ryan Residency Training Program

Department Report 2023 | 17


MISSION AREAS 18 18 || UCSF UCSFObstetrics, Obstetrics,Gynecology Gynecology&&Reproductive ReproductiveSciences Sciences


Dr. Reyes, Research Associate Lawrence, and Dr. Glendening, 1974

Nurse practitioners listening to fetal heartbeat, 1973

Irene Flores in Delivery Room, 1971

Department Report 2023 | 19


PATIENT CARE

PATIENT CARE EXPANDED SUPPORT FOR PREGNANT PEOPLE • Center for Complex Obstetric Medicine brings specialized MFM care together with perinatologists, obstetric anesthesia experts, nurses and social workers • Multidisciplinary Approach to the Placenta Service (MAPS) Program offers a multidisciplinary team of specialists to support patients with placenta accreta spectrum • EMBRACE gives Black pregnant people an opportunity to receive prenatal care from an intentional angle of racial consciousness Lee-may Chen with Resident Rachel Levy in GynOnc Clinic

What distinguishes us? We are good at personalized patient care and collaboration. That collaboration includes genetics, research, and patient safety experts, but most importantly, it includes patients.” – Lee-may Chen

• Mission Bay L&D Brings obstetric and addiction specialists together to support prenatal and postpartum patients with substance use disorders

US World & News Report rates UCSF ovarian cancer surgery & uterine cancer surgery within their top “20 High-Performing Procedures and Conditions”

POST-ROE CLINICAL CARE UPDATES • Pregnancy Options Centers at ZSFG and MZ continue to serve patients traveling within California and from other states

• Bixby educates providers about protecting their patients from criminalization for managing their own abortion care.

• Bixby supports services that are newly offering medication abortion within UCSF and with outside partners

20 | UCSF Obstetrics, Gynecology & Reproductive Sciences

• Family & Pregnancy Pop-Up Village welcomes pregnant people and families to celebrate in community, engage in self-care, and receive valuable resources and services • Black Centering makes Black Midwifery-led care accessible in SF to Black people & their loved ones during pregnancy, postpartum, & beyond. • Team Lily provides care for pregnant people affected by substance abuse, homelessness, and mental illness


PATIENT CARE

PATIENT EDUCATION PTBI webinars offering “Uplifting Black Breastfeeding with Community Resources, Culturally Concordant Care, Legal Aid, and Hospital Policy”

UCSF Center for Reproductive Health named as #1 Fertility Clinic in California and #2 in the Nation by Newsweek Magazine

REI & CRH Experts Deepen our Understanding of Fertility through webinars: Infertility 101: Issues & Treatment Options for Family Building and Fertility Options & Benefits and in the UCSF Magazine article “Mythbuster: Can We Control Our Own Fertility?"

Finally on set and filming @ucsfobgyn residents who helped create, deliver, and promote endometriosis education for patients and Med students. I love my job!” - Traci Ito

Artist: Nimisha Doongarwal, "Let's Be Notorious" (detail)

Serenity The ‘Serenity’ series at UCSF National Center of Excellence in Women’s Health invites artists to showcase a body of work that inspires relaxation, wellbeing and calm. MOUNT ZION HEALTH FUND GRANTS AWARDED FOR PROGRAM EXPANSION

Traci Ito with residents filming endometriosis education video for patients

UCSF National Center of Excellence In Women’s Health • Black Women’s Patient Family Advisory Council • Perinatal Care fund OGGS • Pediatric & Adolescent Reproductive Health Patients • Junior Faculty Development This was the best OBGYN appointment I have ever had. Her student assistant was also excellent. Both were friendly, interested, responsive, and informative.” -OGGS patient, 2023

Edelmira Diaz receives a belly check from midwife Deena Mallareddy

PROGRAM FEATURES Our Zuckerberg San Francisco General Hospital Midwifery program was featured in the UCSF article, “How Midwifery Went From Radical Concept to Transformative Care: UCSF’s Midwifery Partnership with Zuckerberg San Francisco General Changed the Game for Access and Agency in Childbirth” Department Report 2023 | 21


RESEARCH

RESEARCH

Mary Norton and team joined the Maternal-Fetal Medicine Units Network (MFMU), the premier obstetrical clinical trials network in the world. The partnership aims to contribute the multidisciplinary expertise of UCSF investigators to MFMU goals of improving obstetric care, pregnancy health and outcomes.

Diana Greene Foster has been named a 2023 MacArthur Fellow for her influential research on women's health exploring the impact of restricted abortion access.

RESEARCH BY THE NUMBERS

More than

33%

of faculty spend over 1/2 their effort doing research

107

research grants submitted last year

40%

of Department revenue comes from research

ADVANCING THE CONVERSATION: PUBLICATIONS HIGHLIGHT · A study from Advancing New Standards in Reproductive Health (ANSIRH) found that young people ages 15-19 are able to accurately self-assess the duration of their pregnancy compared to other age groups. The publication found in JAMA Pediatrics is titled, “Accuracy of Self-assessment of Gestational Duration Among Adolescents Seeking Abortion Using Information in Addition to Date of Last Menstrual Period.” ·O ne of PRHE's papers, “Suspect Screening, Prioritization, and Confirmation of Environmental Chemicals in Maternal-Newborn Pairs from San Francisco,” was honored with a “Best Paper Award for Environmental Science” from the Environmental Science & Technology Journal. · I n the research article, “Giving a Voice to the Unheard: Latinx Attitudes, Decision-Making, and Experiences with Abortion,” Josie Urbina, adds a Latinx perspective to the understanding of experiences around abortion care in the Obstetrics & Gynecology Journal.

22 | UCSF Obstetrics, Gynecology & Reproductive Sciences

Training Sessions with Shamba Maisha farmers

GLOBAL RESEARCH SPOTLIGHT: TAKING ON HIV ACROSS AFRICA ·T he UCSF Shamba Maisha project continues to do research looking to improve health in families affected by HIV in rural Kenya. Their latest research focuses on food insecurity and HIV health outcomes. ·T he University of Zimbabwe-UCSF research collaboration is expanding HIV prevention for high- risk adolescent females and expanding their role in cervical cancer screening, management, and precancer treatment for women living with HIV.


RESEARCH

RESEARCH COMMITTEE The Research Committee meets monthly to develop programs, services, and infrastructure to support the department’s research enterprise. Some notable events included a Department Research Retreat, a Spring mixer, and a Black Womxn Researcher Mixer.

Zebrafish are a fantastically powerful vertebrate model system for genetic studies. Zebrafish embryos are experimentally accessible as they develop rapidly outside of mother and, in the first 24 hours form all the major organ systems. Lessons we learn in zebrafish are relevant to understanding the molecular genetic basis of human birth defects.” - Dan Wagner Center for Reproductive Sciences: Energetic Approaches to Research Dan Wagner

As a physician-scientist, one minute I’ll be in the clinic seeing patients and then in the afternoon I'll be in the laboratory speaking to students, guiding them and showing them what they need to do to make that really exciting discovery.” - Katherine Fuh

Center for Reproductive Sciences: Supporting Emerging Researchers Katherine Fuh and lab assistants

Department Report 2023 | 23


EDUCATION

EDUCATION RESIDENCY PROGRAM SEEN ON SOCIAL

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. In our continuous efforts to support our learners, we have partnered with Marvin Teletherapy to offer therapy to all residents. Residency Leadership • Sara Whetstone, Residency Program Director

I intentionally worked to build the residency program that I wanted and needed when I was a learner — one that was filled with Black and Brown trainees, that allowed Underrepresented in Medicine residents to lean on and learn from one another, and that offered experiences providing racially and socially conscious care to our communities.” -Sara Whetstone

• Biftu Mengesha, Associate Residency Program Director Resident’s Instagram Page @ucsfobgyn

Awesome times this past weekend celebrating the Match Class of 2023. Celebrating your achievements and time spent pursuing your future career as an OBGYN. As Naomi Stotland said best, your patients are lucky to have you as their providers—you did it!

• Tushani Illangaskare, Assistant Residency Program Director, Director of OBGYN Simulation • Nasim Sobhani, Director of Residency Research and Scholarship • Katherine Brown, Director of OBGYN Resident Didactics

Read more from Sara in her opinion piece, Reflections of a Black Program Director, in the New England Journal of Medicine.

BY THE NUMBERS

50%

of our interns are first generation college students

68%

of our residents identify as under-represented in medicine

32%

of our residents identify as LGBTQ+

100%

of residents who applied to ACGME-accredited fellowships matched in the subspecialty of their choice

I wanted a program with a strong dedication to reproductive justice, equity and advocacy!” -Resident Caroline Nore

MedEd's Instagram Page @ucsfobgynmeded

The Undergraduate Research Internship (URI) Celebrates 15 years: a pathway program for underrepresented Berkeley students pursuing careers in medicine.

Resident Caroline Nore in L&D with Naghma Farooqi, Director of Labor & Delivery

24 | UCSF Obstetrics, Gynecology & Reproductive Sciences


EDUCATION

UNDERGRADUATE MEDICAL EDUCATION Medical Student Leadership • Katherine Brown, Co-Director of Undergraduate Research Internship • Amariah Flagg, F1 and URI administrator • Neda Ghaffari, PISCES liaison • Stephanie Tillery, Clerkship Coordinator

• Kristin Olson, MedEd Team manager • Jeannette Lager, and Kristin Olson, F2 Operations Committee in the School of Medicine as all-Faculty Lead and all-Staff Lead, respectively

FELLOWSHIP PROGRAMS GynOnc • UCSF / KPSF Gynecologic Oncology Fellowship Program MFM • Joint UCSF Neonatology / PTBi Fellowship • Clinical Informatics Fellowship • Maternal-Fetal Medicine Fellowship Program • Maternal-Fetal Medicine / Preterm Birth Initiative Fellowship MIGS/Urogyn • Urogynecology and Reconstructive Pelvic Surgery Fellowship Programs • The Kaiser Permanente East Bay / UCSF Female Pelvic Medicine & Reconstructive Surgery Fellowship Training Program

8th Annual Fellowship Research Day Presentations This year the graduating fellows were joined by Laura E. Riley, Chair of OBGYN at Weill Cornell Medicine. Riley's presentation covered the present and future of maternal vaccinations. Fellow presentations included a Beta study on Black experiences after Telehealth for abortion and an evaluation of increased blood transfusion rates at UCSF - Mission Bay.

ZSFG • Complex Family Planning Fellowship Program • BIXBY Advocacy and Communications Fellows Other • VA Fellowship in Womens Health • Heal Initiative Fellowship • GloCal Health Fellowship

CONTINUING MEDICAL EDUCATION (CME) Our robust CME program holds Grand Rounds throughout the academic year and has continued a hybrid model with guest speakers both in person and remote. We are also proud to share we have two successful and long-standing department courses: Antepartum and Intrapartum Management (AIM) conference and Obstetrics and Gynecology Update: What does the Evidence tell us? conference.

ABORTION CENTERED TRAINING

OGGS • General Obstetrics & Gynecological Research Fellowship Program • UCSF / Kaiser Hospitalist Fellowship Program • Breast Cancer and Survivorship Fellowship REI • Reproductive Endocrinology and Infertility (REI) Fellowship Program

US News Best Grad Schools Obstetrics and Gynecology remains ranked #1, for best specialty education program overall.

Through philanthropic efforts, Stefanie Ueda helped to start the first incountry fellowship program in Uganda in October 2017 – serving as one of the most successful international training sites selected by the Society of Gynecologic Oncologists and the International Gynecologic Cancer Society. Nine graduates have successfully completed the program as of January 2023, including physicians from Tanzania and Liberia.

• UCSF has long been a model for abortion provision and training and The Ryan Residency Training Program has set up out-of-state abortion training rotations for over 50 ob-gyn residents in states with abortion bans and set up 12 partnering agreements between residency programs in restrictive states and access states. •T EACH and ACTIONS are leading efforts to expand abortion training opportunities for all members of the abortion care team in California. • I nnovating Education in Reproductive Health piloted a Patient Centered Abortion Care Education course with ob-gyn learners in partnership with The Ryan Program and ACOG/ CREOG.

Department Report 2023 | 25


ADVOCACY

ADVANCING ABORTION WORK AT UNIVERSITY OF CALIFORNIA

ADVOCACY ADVOCACY STRATEGY COMMITTEE

Our own interdisciplinary team of clinical, legal, and informatics experts is creating guidelines to protect the privacy of people seeking abortion services across the UC system.” - Nerys Benfield Jody Steinauer & Daniel Grossman addressed the UCSF Board of Directors to:

In January 2023, Daniel Grossman was named Vice Chair of Advocacy. Over the past year, the committee has organized an advocacyfocused grand rounds, as well as a session in March 2023 to review relevant legislation introduced in the California legislature. The committee meets monthly to share updates on advocacy activities.

• share our department’s long history of work related to abortion care in the areas of advocacy, education, research, and service delivery • highlight our current efforts addressing the crisis in abortion access

The Fishbon Endowed Chair of Family Planning and Abortion was established by Nancy Milliken and Rebecca Jackson

ANSIRH Impact ANSIRH continued to support policy makers, advocacy partners, and legal teams with the best available research evidence. Partly informed by ANSIRH’s Care Post-Roe Study report, the state of Texas quietly passed legislation backtracking from its original near-absolute abortion ban and allowing pregnant women experiencing complications to receive abortions if medically required.

Daniel Grossman testified before an FDA advisory panel on OTC contraception, successfully convincing the panel to unanimously vote in support of the Opill, and ultimately greenlight it as the first OTC daily oral contraceptive. He penned an oped in the New York Times reflecting on this win.

26 | UCSF Obstetrics, Gynecology & Reproductive Sciences


ADVOCACY

Program on Reproductive Health & the Environment (PRHE) went to Washington, DC to brief lawmakers and policy staff on how EPA can use best available science to improve the way it evaluates chemicals for potential human health harm for the Agency to better protect health, communities, and the environment. PRHE published a suite of five papers in the journal Environmental Health with recommendations for EPA to strengthen the science in their decisionmaking and outlined these recommendations at the Legislative Briefing last March in Washington, DC. PRHE staff Jessica Trowbridge and Swati Rayasam with program director Tracey Woodruff in front of the U.S. Capitol Building after the legislative briefing.

Jody Steinauer Receives Chancellor Award for Advancement of Women

Bixby advocated for bills to expand access to medication abortion, doula care, condoms, and HPV vaccines for young people as part of the California Coalition for Reproductive Freedom’s “Reproductive Freedom Week."

Since the repeal of Roe v Wade, Bixby members have: • Assisted California Future of Abortion Council craft recommendations to expand access to care and to protect patients and providers. • Testified in the state legislature in support of bills ensuring equity in medication abortion access for MediCal patients; protecting providers from disciplinary actions in restrictive states; and helping medical residents train in California. • Partnered in amicus briefs, letters, and media work around the anti-abortion lawsuit against the FDA seeking to end approval of mifepristone.

Jody Steinauer and Sara Newmann

Not acting in this crisis goes immediately against one of the first oaths we made joining the health professions: Do no harm. We don’t know what the future will look like exactly, but we do know that we must wield our collective power to advocate for and provide everyone with the compassionate, dignified reproductive healthcare they deserve.” -Biftu Mengesha in Ms. Magazine

Department Report 2023 | 27


EQUITY, INCLUSION & STRUCTURAL CHANGE

EQUITY, INCLUSION & STRUCTURAL CHANGE

EQUITY & ANTI-RACISM

Vice Chairs of Equity, Inclusion & Structural Change positions filled by LaMisha Hill Weller & Veronica Alvarez • LaMisha serves as Diversity Advisor to the Birth Center where she provides facilitation, consultation, education, and support with strategic planning. • Veronica is developing Jr. Faculty Lunch & Learn events to provide resources, trainings, and opportunities for community for new faculty.

ADVANCING THE WORK: 4 PILLARS OF FOCUS FROM OUR VICE CHAIRS COMMUNITY BUILDING EXPERIENCES •T he 31st Annual Black Heritage Month Gala, hosted by the UCSF Black Caucus

• Creating Systems of Accountability • Recruitment & Retention of Underrepresented in Medicine (UIM) Faculty, Learners & Staff • Relationship Building with Diversity, Equity, and Inclusion Focus • Health Equity

Laura Camp and Cherri Wright-Taylor

•L aunch of Comunidad Latine de Ob, Gyn & RS, a place to share Latine community events, opportunities, advice, and coordinate meet ups. • The UCSF Black Wellness Center hosts dynamic and diverse wellness events twice a month. This year the center debuted its Black Art Gallery with rotating art exhibits that bear witness to the Black experience, evoking wellness and healing. UCSF Black Women’s Health & Livelihood Initiative team members

28 | UCSF Obstetrics, Gynecology & Reproductive Sciences


EQUITY, INCLUSION & STRUCTURAL CHANGE

SHINING A LIGHT ON BLACK MATERNAL HEALTH PROMOTING INCLUSION IN LEARNING & PRACTICE • J ob descriptions for new faculty now require an equity work requirement •W e recognize education as a powerful force for change and, in that spirit, we have revised Ob-Gyn curriculum to be gender inclusive as part of The School of Medicine Anti-Oppression Curriculum (AOC) Initiative. •W ebinar: Reproductive and Sexual Health Considerations for Transgender and Nonbinary People sponsored in part by CAPTC. This program focuses on the reproductive and sexual health needs of transgender and gender non-conforming people. •A Community Accountability Board (CAB) has launched in partnership between ZSFG Ob-Gyn and Solid Start to ensure authentic partnerships with the hospital community seeking reproductive healthcare. The CAB consists of ten community members, primarily BIPOC mothers who inform the direction of clinicians, researchers, and staff.

•T he UCSF Black Wellness Clinic is a reproductive justice framed specialty clinic offering a public health nurse and mental health provider alongside gynecology, obstetrics, midwifery, and maternal fetal medicine services. Patient navigators & advocates support patients as they prepare for medical visits. •T he Black Midwifery Fellowship Program will complete the one-year pilot at ZSFG and will start expansion with the official launch in January 2024. The fellowship supports early-career Black midwives with a focus in abortion care training. •T he UCSF California Preterm Birth Initiative is sharpening its focus on black maternal health and the long-standing maternal and infant health crisis in the U.S. which disproportionately impacts Black, Indigenous, and People of Color. • Team members from the California Preterm Birth Initiative (PTBI) were interviewed for the Hulu documentary Aftershock. Look for Shanell Williams, Hope Williams and former Executive Director Alexis Cobbins while watching. •K TVU's Voices for Changes series talked to Andrea Jackson about the UCSF EMBRACE program about leading the charge in Black maternal health. • H.E.A.L. Village is a free healing community that holds space for Black-identified/birthing persons who have experienced a miscarriage including assisted abortions. •T he California Coalition for Black Birth Justice (CCBBJ), co-founded by PTBi, released its agenda, Unifying the Vision for Systemic Change, at the California Black Birth Equity Summit co-hosted by PTBi in Los Angeles.

It is our job to expand the definition of health to what is important for families to thrive, and that means getting involved in efforts to address structural oppression and inequity in society.” -Ana Delgado

Department Report 2023 | 29


A LEGACY OF LEADERSHIP

A LEGACY OF LEADERSHIP Department Chairs Through the Years

1873: Dr. Richard Beverly Cole

2005: Dr. Linda C. Giudice 1956: Dr. Ernest W. Page

1915: Dr. Frank W. Lynch

2018: Dr. Amy P. Murtha 1973: Dr. Robert B. Jaffe

1942: Dr. Herbert F. Traut

2023: Dr. Andrea V. Jackson 1996: Dr. A. Eugene Washington

“ My vision is for the Department to be the national leader in reproductive health equity and justice. I know we can do it; we have the will, the commitment, and the passion.” - Dr. Andrea V. Jackson

30 | UCSF Obstetrics, Gynecology & Reproductive Sciences


REMEMBERING / GIFT OF SUPPORT

REMEMBERING DR. JOHN A. KERNER The medical community learned this year of the passing of a stalwart in the field of Obstetrics, Gynecology, and Reproductive Sciences. Dr. John Kerner, who remarkably reached the age of 104, leaves behind a legacy that reverberates through decades of dedication to women's health. Dr. Kerner's post-World War II return to his training in Obstetrics and Gynecology at UCSF marked the beginning of his endeavors to implement cervical cancer screening, a transformative step in the field. Specifically, Dr. Kerner championed Pap smear screening, directly contributing to early cancer detection. The significance of Dr. Kerner's contributions extended to the elevation of gynecologic cancer research within the broader medical landscape and Dr. Kerner played an instrumental role in ensuring that gynecologic cancer research found a strong foothold at the Mount Zion Clinical Cancer Center. To honor Dr. Kerner and his groundbreaking work, UCSF established the John A. Kerner Distinguished Professorship in Gynecologic Oncology focusing on cancer research and patient care for women. His remarkable contributions earned him numerous honors, including the Distinguished Service Award from Mount Zion, Alumnus of the Year from UCSF, and two endowed chairs in oncology that bear his name. As Dr. Kerner's journey comes to a close, his legacy lives on through the advancements he catalyzed.

HELP ADVANCE WOMEN'S HEALTH: MAKE A GIFT OF SUPPORT 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) 499-UCSF (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. giving.ucsf.edu/employeegiving 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.

Department Report 2023 | 31



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