This is a revised proposal to support leadership activities for the development of the capacity in aging research at the University of California San Francisco (UCSF) through the creation of an outstanding program in geriatrics research and the implementation of a systematic effort to create a university-wide community of researchers in aging. The proposal has three specific objectives: (1) To provide sustained support for development of a research and research training Program in Patient-Oriented Geriatrics Research to improve the processes and outcomes of care for older people, especially those with serious acute or chronic illness; (2) To provide sustained support for the development of a geriatrics research infrastructure, for opportunities for faculty development and collaboration, and for a systematic effort to create a university-wide community of researchers; (3) To integrate the new research and research training program in patient-oriented geriatrics research in the community of aging research in the Schools and Institutes of UCSF. UCSF provides an excellent environment for the development of academic geriatrics, and the university is strongly committed to this development. UCSF has well established research and training programs in the biologic, epidemiologic, and social sciences related to geriatrics. The commitment of substantial resources of money and space further strengthen the foundation for the development of academic geriatrics at UCSF. The Academic Career Leadership Award will be directed by C. Seth Landefeld, M.D. (Professor of Medicine, and of Epidemiology and Biostatistics). Dr. Landefeld has an extensive record of patient-based research and of programmatic development with the training and mentoring of young investigators. He joined UCSF in 1997 as Chief of the Division of Geriatrics and Director of the UCSF/Mt. Zion Center on Aging. Since then, Dr. Landefeld has led the foundation-building for the current proposal: interdisciplinary resources at UCSF have been identified; the Program in Patient-Oriented Geriatrics Research has been initiated with intramural and extramural start-up funding; and 20 outstanding faculty and post-doctoral trainees have been recruited. The sustained support of the proposed Academic Career Leadership Award is required to catalyze the further development of geriatric research and research training at UCSF.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Academic/Teacher Award (ATA) (K07)
Project #
5K07AG000912-05
Application #
6785304
Study Section
National Institute on Aging Initial Review Group (NIA)
Program Officer
Nayfield, Susan G
Project Start
2000-09-01
Project End
2007-08-31
Budget Start
2004-09-01
Budget End
2007-08-31
Support Year
5
Fiscal Year
2004
Total Cost
$108,000
Indirect Cost
Name
University of California San Francisco
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
094878337
City
San Francisco
State
CA
Country
United States
Zip Code
94143
Schickedanz, Adam D; Schillinger, Dean; Landefeld, C Seth et al. (2009) A clinical framework for improving the advance care planning process: start with patients' self-identified barriers. J Am Geriatr Soc 57:31-9
Steinman, Michael A; Rosenthal, Gary E; Landefeld, C Seth et al. (2009) Agreement between drugs-to-avoid criteria and expert assessments of problematic prescribing. Arch Intern Med 169:1326-32
Sudore, Rebecca L; Schickedanz, Adam D; Landefeld, C Seth et al. (2008) Engagement in multiple steps of the advance care planning process: a descriptive study of diverse older adults. J Am Geriatr Soc 56:1006-13
Boyd, Cynthia M; Landefeld, C Seth; Counsell, Steven R et al. (2008) Recovery of activities of daily living in older adults after hospitalization for acute medical illness. J Am Geriatr Soc 56:2171-9
Sudore, Rebecca L; Landefeld, C Seth; Pantilat, Steven Z et al. (2008) Reach and impact of a mass media event among vulnerable patients: the Terri Schiavo story. J Gen Intern Med 23:1854-7
Holroyd-Leduc, Jayna M; Sen, Saunak; Bertenthal, Dan et al. (2007) The relationship of indwelling urinary catheters to death, length of hospital stay, functional decline, and nursing home admission in hospitalized older medical patients. J Am Geriatr Soc 55:227-33
Lindner, Serge A; Davoren, J Ben; Vollmer, Andrew et al. (2007) An electronic medical record intervention increased nursing home advance directive orders and documentation. J Am Geriatr Soc 55:1001-6
Steinman, Michael A; Chren, Mary-Margaret; Landefeld, C Seth (2007) What's in a name? Use of brand versus generic drug names in United States outpatient practice. J Gen Intern Med 22:645-8
O'Hare, Ann M; Choi, Andy I; Bertenthal, Daniel et al. (2007) Age affects outcomes in chronic kidney disease. J Am Soc Nephrol 18:2758-65
Sudore, Rebecca L; Landefeld, C Seth; Barnes, Deborah E et al. (2007) An advance directive redesigned to meet the literacy level of most adults: a randomized trial. Patient Educ Couns 69:165-95

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