
Director of the LCOE
Associate Dean of Population Health and Health Equity
Professor, Department of Medicine
M_MED-ZSFG-DGIM
Alicia Fernández, MD is a Professor of Medicine at UCSF in the Division of General Internal Medicine at Zuckerberg San Francisco General Hospital and Trauma Center. Dr. Fernández has expertise in health and health care disparities, with a strong focus on diabetes, Latinx health, immigrant health, and language barriers. In addition to being the Director of the LCOE, she is also the co-director of two LCOE programs: FUEGO and PROF-PATH. She also serves as a faculty mentor for the UCSF ALAS program.
Publications
Language Serving Hospitals and their Impact on Readmission for Surgical Patients with a Non-English Primary Language: A Retrospective Cohort Study.
Annals of surgery
Variations in digital health literacy for pediatric caregivers of hospitalized children: implications for digital health equity.
Journal of the American Medical Informatics Association : JAMIA
Patient Safety Event Risk and Language Barriers: A Scoping Review.
Joint Commission journal on quality and patient safety
Challenges to Video Visits for Patients With Non-English Language Preference: A Qualitative Study.
JAMA network open
Patient Safety Event Risk and Language Barriers: a Scoping Review.
The Joint Commission Journal on Quality and Patient Safety
Facilitators and barriers of alcohol goals for Latinx men hospitalized with alcohol use disorder seen by an Addiction Consult Team.
Annals of medicine
The Impact of Language Discordance on Acquiring Broad Social History: A Qualitative Study of Patients, Clinicians, and Interpreters.
Journal of general internal medicine
An update on the impact of the COVID-19 pandemic on children's health behaviors.
Academic pediatrics
Changes in BMI prior to and during the COVID-19 pandemic among children: a retrospective cohort study in San Francisco, CA.
BMC public health
A comparative analysis of patients with breast cancer with and without language barriers.
Journal of Clinical Oncology
Association of pain assessment method and postepidural pain levels in labouring patients with limited English proficiency.
Canadian journal of anaesthesia = Journal canadien d'anesthesie
The Association Between Social Determinants of Health and Distal Radius Fracture Outcomes.
The Journal of hand surgery
Are Clinical Practice Guidelines Representative of Patients With Distal Radius Fractures? A Review of Patient Demographics and Patient-Reported Outcome Measures Used to Inform Guidelines.
The Journal of hand surgery
Keep Your Eyes on the Prize - Focusing on Health Care Equity.
The New England journal of medicine
Are Orthopaedic Clinical Trials Linguistically and Culturally Diverse? A Systematic Review.
JBJS Reviews
Adoption of Internal Medicine Milestone Ratings and Changes in Bias Against Black, Latino, and Asian Internal Medicine Residents.
Annals of internal medicine
Aspiring physicians program: description and characterization of the support processes for an undergraduate pathway program to medicine.
Medical education online
Academic Leadership Academy Summer Program: Clerkship Transition Preparation for Underrepresented in Medicine Medical Students.
Teaching and learning in medicine
Barriers and facilitators to mental health promotion for Mexican immigrants in the U.S. through the Ventanillas de Salud program.
Frontiers in public health
A Review of Community Health Worker Interventions for Latinx/o/a Individuals With Unhealthy Alcohol Use.
Journal of addiction medicine
Association of Language Barriers With Perioperative and Surgical Outcomes: A Systematic Review.
JAMA network open
The Impact of Patient-Physician Racial and Gender Concordance on Patient Satisfaction with Outpatient Clinic Visits.
Journal of racial and ethnic health disparities
The 7-day Beverage Intake Questionnaire for Latino Children: Validation of a Culturally Tailored Tool.
Journal of nutrition education and behavior
A multi-method evaluation of the Futuros Fuertes intervention to promote healthy feeding, screen time and sleep practices.
Academic pediatrics
Racial and ethnic disparities in obstetric anesthesia: a scoping review.
Canadian journal of anaesthesia = Journal canadien d'anesthesie
Disparities in Treatment of Closed Distal Radius Fractures in Patients Aged 18-64 Years and ≥65 Years by Insurance Type.
The Journal of hand surgery
The PhenX Toolkit: Measurement Protocols for Assessment of Social Determinants of Health.
American journal of preventive medicine
Racial and sociodemographic predictors of COVID-19 compared with influenza, appendicitis, and all-cause hospitalization: retrospective cohort analysis.
Ethnicity & health
Limited English Proficiency in Older Adults Referred to the Cardiovascular Team.
The American journal of medicine
Patients Who Have Limited English Proficiency Have Decreased Utilization of Revision Surgeries After Hip and Knee Arthroplasty.
The Journal of arthroplasty
Evaluation of Commercially Available Machine Interpretation Applications for Simple Clinical Communication.
Journal of general internal medicine
A matter of trust: Commitment to act for health equity.
Healthcare (Amsterdam, Netherlands)
Limited English proficiency correlates with postoperative complications after knee arthroplasty.
Musculoskeletal care
COVID-19 Vaccination Perceptions Among Young Adults of Color in the San Francisco Bay Area.
Health equity
The Association of Limited English Proficiency With Morbidity and Mortality After Trauma.
The Journal of surgical research
Assessing Medical Student Readiness to Navigate Language Barriers in Telehealth: Cross-sectional Survey Study.
JMIR medical education
Worker Perspectives on COVID-19 Risks: A Qualitative Study of Latino Construction Workers in Oakland, California.
International journal of environmental research and public health
Association of Language Barriers With Process Outcomes After Craniotomy for Brain Tumor.
Neurosurgery
Limited English Proficiency Associated With Suboptimal Pain Assessment in Hospitalized Trauma Patients.
The Journal of surgical research
Response to Letter: Clinician Educator and Clinician Researcher Collaborations.
Journal of general internal medicine
Impacto sanitario de la prohibición total de publicidades de tabaco en argentina.
Global health promotion
A Window Into Mental Health: Developing and Pilot-Testing a Mental Health Promotion Intervention for Mexican Immigrants Through the Ventanilla de Salud Program.
Frontiers in public health
JAMA Health Forum
Physician–Public Health Practitioners—The Missing Academic Medicine Career Track
All in the Family: A Qualitative Study of the Early Experiences of Adults with Younger-Onset Type 2 Diabetes
JAMA network open
Association of English Language Proficiency With Hospitalization Cost, Length of Stay, Disposition Location, and Readmission Following Total Joint Arthroplasty.
JAMA network open
Factors associated with adherence to guideline-recommended cardiovascular disease prevention among HIV clinicians.
Translational behavioral medicine
Evaluating the Impact of Language Concordance on Coronavirus Disease 2019 Contact Tracing Outcomes Among Spanish-Speaking Adults in San Francisco Between June and November 2020.
Open Forum Infectious Diseases
Inequity in Discharge Pain Management for Trauma Patients with Limited English Proficiency.
The journal of trauma and acute care surgery
No One Size Fits All: A Qualitative Study of Clerkship Medical Students' Perceptions of Ideal Supervisor Responses to Microaggressions.
Academic medicine : journal of the Association of American Medical Colleges
Weight Gain during the COVID-19 Pandemic in a High-Risk Cohort of Children in San Francisco, CA.
Childhood obesity (Print)
Does NAFLD mediate the relationship between obesity and type 2 diabetes risk? evidence from the multi-ethnic study of atherosclerosis (MESA).
Annals of epidemiology
Modelling the impact of plain packaging of tobacco products on cardiovascular disease in Argentina.
Tobacco control
Using incident reporting to understand and characterize sexual harassment of physicians by patients.
Journal of general internal medicine
Excess mortality among Latino people in California during the COVID-19 pandemic.
SSM - population health
Racial Disparities in 7-Day Readmissions from an Adult Hospital Medicine Service.
Journal of racial and ethnic health disparities
Impact of the COVID-19 pandemic on parents' perception of health behaviors in children with overweight and obesity.
Academic pediatrics
Addressing Gaps in Interpreter Use: Time for Implementation Science Informed Multi-Level Interventions.
Journal of general internal medicine
Variation in SARS-CoV-2 Infection Risk and Socioeconomic Disadvantage Among a Mayan-Latinx Population in Oakland, California.
JAMA network open
Excess Mortality in California During the Coronavirus Disease 2019 Pandemic, March to August 2020.
JAMA internal medicine
Guiding Academic Clinician Educators at Research-Intensive Institutions: a Framework for Chairs, Chiefs, and Mentors.
Journal of general internal medicine
A mentor training workshop focused on fostering diversity engenders lasting impact on mentoring techniques: Results of a long-term evaluation.
Journal of clinical and translational science
Primary nonadherence to statin medications: Survey of patient perspectives.
Preventive medicine reports
Predicting Non-Alcoholic Fatty Liver Disease for Adults Using Practical Clinical Measures: Evidence from the Multi-ethnic Study of Atherosclerosis.
Journal of general internal medicine
Excess death among Latino people in California during the COVID-19 pandemic.
medRxiv : the preprint server for health sciences
Perceptions of Patients with Primary Nonadherence to Statin Medications.
Journal of the American Board of Family Medicine : JABFM
Medical Education's Wicked Problem: Achieving Equity in Assessment for Medical Learners.
Academic medicine : journal of the Association of American Medical Colleges
Trends in sugar-sweetened beverage consumption among California children - CORRIGENDUM.
Public health nutrition
Resident Physician Experiences With and Responses to Biased Patients.
JAMA network open
Experimentally Manipulated Low Social Status and Food Insecurity Alter Eating Behavior Among Adolescents: A Randomized Controlled Trial.
Obesity (Silver Spring, Md.)
A Qualitative Exploration of Barriers and Facilitators to Physical Activity Among Low-Income Latino Adolescents.
Hispanic health care international : the official journal of the National Association of Hispanic Nurses
The Unacceptable Pace of Progress in Health Disparities Education in Residency Programs.
JAMA network open
Addressing Patient Bias Toward Health Care Workers: Recommendations for Medical Centers.
Annals of internal medicine
Trends in sugar-sweetened beverage consumption among California children.
Public health nutrition
Interventions to Improve Patient Comprehension in Informed Consent for Medical and Surgical Procedures: An Updated Systematic Review.
Medical decision making : an international journal of the Society for Medical Decision Making
Physician and Trainee Experiences With Patient Bias.
JAMA internal medicine
Further Incorporating Diversity, Equity, and Inclusion Into Medical Education Research.
Academic medicine : journal of the Association of American Medical Colleges
Language, culture and preventable readmissions: pragmatic, intervention studies needed.
BMJ quality & safety
Evaluation of a Medical Student Research and Career Development Program to Increase Diversity in Academic Medicine.
Academic medicine : journal of the Association of American Medical Colleges
Medical Students' Perceptions of and Responses to Health Care Disparities During Clinical Clerkships.
Academic medicine : journal of the Association of American Medical Colleges
Changes in Perceptions of Discrimination in Health Care in California, 2003 to 2017.
JAMA network open
Unsound Evaluations of Medical Machine Translation Risk Patient Health and Confidentiality-Reply.
JAMA internal medicine
How Does Acculturation Influence Smoking Behavior Among Latinos? The Role of Education and National Background.
Ethnicity & disease
Assessing the Use of Google Translate for Spanish and Chinese Translations of Emergency Department Discharge Instructions.
JAMA internal medicine
After-visit summaries in primary care: mixed methods results from a literature review and stakeholder interviews.
Family practice
Challenges and Successes with Food Resource Referrals for Food-Insecure Patients with Diabetes.
The Permanente journal
How Does Acculturation Influence Smoking Behavior Among Latinos? The Role of Education and National Background
Ethnicity and Disease
Update of the cardiovascular disease policy model to predict cardiovascular events in Argentina.
Medicina
How Small Differences in Assessed Clinical Performance Amplify to Large Differences in Grades and Awards: A Cascade With Serious Consequences for Students Underrepresented in Medicine.
Academic medicine : journal of the Association of American Medical Colleges
Language barriers and LDL-C/SBP control among Latinos with diabetes.
The American journal of managed care
Health Literacy and Power.
Health literacy research and practice
Collaborative Care for Depression among Patients with Limited English Proficiency: a Systematic Review.
Journal of general internal medicine
Consequences of Recent Anti-Immigration Policy-Reply.
JAMA internal medicine
Randomized Controlled Trial of a Clinic-Based Intervention to Promote Healthy Beverage Consumption Among Latino Children.
Clinical pediatrics
Perspectives of low-income chronically ill patients on complex care management.
Families, systems & health : the journal of collaborative family healthcare
How Should Physicians Respond When Patients Distrust Them Because of Their Gender?
AMA journal of ethics
Undocumented Immigrants and Access to Health Care.
JAMA internal medicine
Adherence to Newly Prescribed Diabetes Medications Among Insured Latino and White Patients With Diabetes.
JAMA internal medicine
Association of Patient-Physician Language Concordance and Glycemic Control for Limited-English Proficiency Latinos With Type 2 Diabetes.
JAMA internal medicine
Comparing Strategies for Lipid Lowering in Argentina: An Analysis from the CVD Policy Model-Argentina.
Journal of general internal medicine
Projected Impact of Mexico's Sugar-Sweetened Beverage Tax Policy on Diabetes and Cardiovascular Disease: A Modeling Study.
PLoS medicine
Identifying Spanish Language Competent Physicians: The Diabetes Study of Northern California (DISTANCE).
Ethnicity & disease
San Francisco childcare centers' preparedness in the prevention and management of asthma among preschool-aged children.
The Journal of asthma : official journal of the Association for the Care of Asthma
The Association Between Limited English Proficiency and Unplanned Emergency Department Revisit Within 72 Hours.
Annals of emergency medicine
Dealing with Racist Patients.
The New England journal of medicine
¿Doctor, habla español? Increasing the Supply and Quality of Language-Concordant Physicians for Spanish-Speaking Patients.
Journal of general internal medicine
Research in the Sociology of Health Care
"It's not the doctor - it's me." How self-blame obscures language and other structural barriers to diabetes care mong low-income Latinos with limited English Proficiency.
Development of a Tool to Evaluate Asthma Preparedness and Management in Child-Care Centers.
Pediatric allergy, immunology, and pulmonology
Patient-physician language concordance and use of preventive care services among limited English proficient Latinos and Asians.
Public health reports (Washington, D.C. : 1974)
From admission to discharge: patterns of interpreter use among resident physicians caring for hospitalized patients with limited english proficiency.
Journal of health care for the poor and underserved
Self-care and Subjectivity among Mexican Diabetes Patients in the United States.
Medical anthropology quarterly
Development and implementation of a workshop to enhance the effectiveness of mentors working with diverse mentees in HIV research.
AIDS research and human retroviruses
Undocumented immigration status and diabetes care among Mexican immigrants in two immigration "sanctuary" areas.
Journal of immigrant and minority health
Age and glycemic control among low-income Latinos.
Journal of immigrant and minority health
Differences in the clinical recognition of depression in diabetes patients: the Diabetes Study of Northern California (DISTANCE).
The American journal of managed care
Aspects of culturally competent care are associated with less emotional burden among patients with diabetes.
Medical care
Associations between aspects of culturally competent care and clinical outcomes among patients with diabetes.
Medical care
Risk factors for reporting poor cultural competency among patients with diabetes in safety net clinics.
Medical care
Susto, coraje, and abuse: depression and beliefs about diabetes.
Culture, medicine and psychiatry
Interpretation for discussions about end-of-life issues: results from a National Survey of Health Care Interpreters.
Journal of palliative medicine
Testing a Spanish-language colorectal cancer screening decision aid in Latinos with limited English proficiency: results from a pre-post trial and four month follow-up survey.
BMC medical informatics and decision making
Concepts of diabetes self-management in Mexican American and African American low-income patients with diabetes.
Health education research
"Her husband doesn't speak much English": conducting a family meeting with an interpreter.
Journal of palliative medicine
The association between housing instability, food insecurity, and diabetes self-efficacy in low-income adults.
Journal of health care for the poor and underserved
Ethnic differences in appointment-keeping and implications for the patient-centered medical home--findings from the Diabetes Study of Northern California (DISTANCE).
Health services research
Food insecurity and hypoglycemia among safety net patients with diabetes.
Archives of internal medicine
Adherence to laboratory test requests by patients with diabetes: the Diabetes Study of Northern California (DISTANCE).
The American journal of managed care
Birthplace, language use, and body size among Mexican American women and men: findings from the National Health and Nutrition Examination Survey (NHANES) 2001-2006.
Journal of health care for the poor and underserved
Accuracy of physician self-report of Spanish language proficiency.
Journal of immigrant and minority health
Asian Americans and obesity in California: a protective effect of biculturalism.
Journal of immigrant and minority health
Case 34-2010: A woman with an incorrect operation.
The New England journal of medicine
Assessment of medical students' shared decision-making in standardized patient encounters.
Journal of general internal medicine
Language barriers, physician-patient language concordance, and glycemic control among insured Latinos with diabetes: the Diabetes Study of Northern California (DISTANCE).
Journal of general internal medicine
Improving the quality of informed consent: it is not all about the risks.
Annals of internal medicine
Impact of student ethnicity and patient-centredness on communication skills performance.
Medical education
Racial composition of residential areas associates with access to pre-ESRD nephrology care.
Journal of the American Society of Nephrology : JASN
Speaking through diabetes: Rethinking the significance of lay discourses on diabetes.
Medical anthropology quarterly
A strategy for improving health disparities education in medicine.
Journal of general internal medicine
Teaching about health care disparities in the clinical setting.
Journal of general internal medicine
Interventions to improve patient comprehension in informed consent for medical and surgical procedures: a systematic review.
Medical decision making : an international journal of the Society for Medical Decision Making
The impact of limited English proficiency and physician language concordance on reports of clinical interactions among patients with diabetes: the DISTANCE study.
Patient education and counseling
Time to establish national standards and certification for health care interpreters.
Patient education and counseling
Placebo prescriptions are missed opportunities for doctor-patient communication.
The American journal of bioethics : AJOB
Accuracy of self-assessed Spanish fluency in medical students.
Teaching and learning in medicine
Responding to the Language Challenge: Kaiser Permanente's Approach.
The Permanente journal
Getting by: underuse of interpreters by resident physicians.
Journal of general internal medicine
Navigating language barriers under difficult circumstances.
Annals of internal medicine
Acute myocardial infarction length of stay and hospital mortality are not associated with language preference.
Journal of general internal medicine
Recommendations for teaching about racial and ethnic disparities in health and health care.
Annals of internal medicine
Language barriers in health care.
Journal of general internal medicine
Reducing language barriers and racial/ethnic disparities in health care: an investment in our future.
Journal of general internal medicine
The impact of language barriers on documentation of informed consent at a hospital with on-site interpreter services.
Journal of general internal medicine
BiDil for heart failure in black patients.
Annals of internal medicine
Impact of student ethnicity and primary childhood language on communication skill assessment in a clinical performance examination.
Journal of general internal medicine
BiDil for heart failure in black patients: implications of the U.S. Food and Drug Administration approval.
Annals of internal medicine
Effect of awareness of language law on language access in the health care setting.
Journal of general internal medicine
Shared decision making and the experience of partnership in primary care.
Annals of family medicine
Effects of limited English proficiency and physician language on health care comprehension.
Journal of general internal medicine
High and rising health care costs. Part 4: can costs be controlled while preserving quality?
Annals of internal medicine
Unintended consequences of a quality improvement program designed to improve treatment of alcohol withdrawal in hospitalized patients.
Joint Commission journal on quality and patient safety
Primary care physicians who treat blacks and whites.
The New England journal of medicine
Physician language ability and cultural competence. An exploratory study of communication with Spanish-speaking patients.
Journal of general internal medicine
Physicians' ability to predict the risk of coronary heart disease.
BMC health services research
Educacion Medica
Residentes de primer ano de Medicina Interna: distribucion horaria de las tareas
Primary care physicians' experience with disease management programs.
Journal of general internal medicine
Friend or foe? How primary care physicians perceive hospitalists.
Archives of internal medicine
The populations and quality improvement seminar for medical residents.
Academic medicine : journal of the Association of American Medical Colleges
Heart Failure
Anticoagulation in Patients with Heart Failure and Atrial Fibrillation