Southern California Telemedicine Learning Center
UCSD SOM and CETC CTEC UCSD School of Medicine

T-LINC


Telemedicine Learning Through an Interactive Network in California

Past Sessions


If you would like the presentation from a T-LINC session sent to you, please email your request specifying the presentation title to ExecTelemedTraining@ucsd.edu.
Using Mobile and Social Technologies
to Improve Health Outcomes

Dr. Patrick’s research focuses on the use of mobile and social technologies to measure and improve health behaviors. This presentation will provide an overview of several research projects in this area being conducted by The Center for Wireless and Population Health Systems, a lab located in the California Institute for Telecommunications and Information Technology (Calit2) at the University of California, San Diego. Calit2 Researchers include experts in preventive medicine, computer science, software engineering, electrical engineering, cognitive science, social networks, experimental psychology, exercise science and active living research.


Dr. Patrick is a Senior Advisor to the Robert Wood Johnson Foundation (RWJF) Active Living Research program and a member of the National Advisory Committee of the RWJF Health Games Research initiative. He has served on the Secretary’s Council for Health Promotion and Disease Prevention of the US Department of Health and Human Services and on the Armed Forces Epidemiological Board. Dr. Patrick is Co-founder of Santech, Inc. of La Jolla, California, which is developing web and mobile systems for health promotion and wellness.

Telehealth 101, 201 & 301
Christine Martin is the Executive Director of the California Telemedicine & eHealth Center (CTEC), the federally designated Telehealth Regional Resource Center for California. Ms. Martin has served as Executive Director of CTEC for the last two years. She works with a variety of organizations, locally and nationally, toward the development and expansion of telemedicine networks and increased access to healthcare services. Ms. Martin has over 13 years experience developing and operating telemedicine programs. In 1996, Ms. Martin developed the California Department of Corrections Telemedicine Services Program, the largest telemedicine program in California and served as the managing director for 11 years. She has extensive experience in all aspects of planning, developing, operating and evaluating telemedicine programs.

Ms. Martin has over 30 years experience in health program administration. She served as the Deputy Director of Strategic Development for the California Department of Corrections Health Care Division and Chief of Policy Planning for the California Department of Health Services. She was Deputy Director of Program Operations for the South Carolina Health and Human Services Finance commission.

Ms. Martin holds a Masters of Business Administration in Health Services Management and a Bachelors of Science in Clinical Laboratory Technology. She is also a certified Project Management Professional.
Informatics and Community Building – Sustainable Technologies for Promoting Global Health

Dr. Aronoff-Spencer’s current research concerns informatics and diagnostic solutions to support medical care in resource limited settings. His background in Infectious Diseases and Physical and Computational science informs his perspective and provides him with a unique skill set for tackling global health issues. He has clinical experience working in both South America and Southern Africa and this has driven his research toward “need-based” projects with concrete goals for facilitating healthcare. He is now working within a collaborative effort between the divisions of Bioinformatics and Infectious Diseases to implement electronic medical records, medical content and decision support systems in the developing world, with special emphasis on Maputo, Mozambique. Efforts are aimed at building sustainable resources for content as well as multinational collaborations that foster education and building in resource poor settings. In addition, he is leading a collaborative effort with the UCSD Center for Aids Research to produce cell-based biosensors which may provide cost-effective and renewable diagnostic modalities for use at the point of care.

Dr. Aronoff-Spencer earned his M.D. and Ph.D. degrees from the Albert Einstein College of Medicine in 2006. He is doing his post-doctoral fellowship in the Department of Internal Medicine, Division of Infectious Diseases at UCSD.


Dr. Preziosi is currently a clinical infectious disease fellow at UCSD. He spent last year living in Maputo, Mozambique working to build a collaboration between UCSD and Eduardo Mondlane University medical school. He is interested in medical education and epidemiology.

Overview of Sleep Apnea and Telemedicine

Dr. Carl Stepnowsky’s program of research has focused on bridging behavioral medicine and sleep medicine, and more recently incorporating health information technology, with the goal of developing new methods to help increase sleep treatment adherence. In particular, Dr. Stepnowsky has focused on sleep apnea and its primary treatment, continuous positive airway pressure (CPAP) therapy.


Dr. Stepnowsky earned his Ph.D. from the UCSD/SDSU Joint Doctoral Program in Clinical Psychology in 2000. After doing his psychology internship in New Mexico, he did his post-doctoral fellowship in the Department of Psychiatry at UCSD.

Care across the wire:
Operational considerations in Telemedicine

Dr. Joshua Lee joined the Division of Hospital Medicine in 2003. He is responsible for ongoing enhancements to the clinical systems as well as the implementation of the enterprise electronic medical record at UCSD Medical Center.  Furthermore, Dr. Lee was named one of San Diego’s top Doctors for 2008.  Dr. Lee’s major research interests include ways to optimize online clinical documentation and to improve patient safety through online order entry.  He serves as the Chair of the Medical Records and Informatics Committee and is the Medical Director of Information Services for the Medical Center.


Dr. Lee earned his M.D. degree at the University of California, San Francisco, where he was elected to the AOA Honor Society.  After completing his internal medicine residency at Brigham and Women’s Hospital in Boston, Massachusetts, he devoted an additional year as chief resident.  After completing his residency training, Dr. Lee spent four years on the faculty of the Section of General Internal Medicine at Dartmouth-Hitchcock Medical Center in Lebanon, New Hampshire.

Integrating Telemedicine with an EMR
Chris Clarke spent 12-years in communications systems in the broadcast and satellite telecommunications field.  He joined UC San Diego in 1992 as a member of the Health Information Management team facilitating migration from an environment driven by manual processes to automated systems.  For the past eight-years, Chris has managed deployment of integrated systems solutions at the corporate level, including hardware support for COPE, Medication Administration, front-end voice recognition solution and ambulatory and inpatient EMR systems.  Most recently Chris manages the technical and logistical deployment of the telemedicine at UC San Diego.  He has a BA in Communications from California State University, Northridge.


Before joining UC San Diego, Kris Kajewski designed and created an EHR for the Southern Indian Health Council. While there he transitioned the organization from paper to integrated systems – resulting in reduced risk, improved external audit results and conversion of the organization’s pharmacy to an exempt status.  Overall, his efforts contributed to improved operational savings and enhanced Federal funding opportunities.  Kris joined UC San Diego with a focus on rolling out Epic Link to more than 20 community sites.  He has coordinated numerous HL-7 interfaces supporting appointment scheduling, results reporting and order entry capability to external healthcare organizations.  He has a BS in Business Administration & Management from San Diego State University.
Telemedicine in Neurocritical Care
Dr. Paul Vespa is the Director of the Neurocritical Care Program at the Ronald Reagan UCLA Medical Center, and Professor of Neurosurgery and Neurology at the David Geffen School of Medicine at UCLA.

As a neurointensive care specialist, Dr. Vespa focuses on critical care for the treatment of neurosurgical and stroke patients.

Dr. Vespa is a Diplomate of the United Council of Neurologic Subspecialties in Neurocritical Care and a Diplomate of the American Board of Psychiatry and Neurology. He is a Society of Critical Care Medicine Award Winner and a Fellow of the American College of Critical Care Medicine.

Dr. Vespa received his medical degree from the Ohio State University College of Medicine.
Telepsychology Update
Dr. Eve-Lynn Nelson has a joint appointment as Assistant Director at Kansas University Center for Telemedicine & Telehealth and as Associate Professor in the Department of Pediatrics at the University of Kansas Medical Center. She began at KUMC after completion of a psychology internship at the University of Miami/Jackson Memorial Hospital and graduation from the clinical psychology program at the University of Kansas in 2002.

Her research has focused on health services delivery using telemedicine, particularly telemental health. She has served as PI and evaluator on several federal and foundation grants including a randomized trial of childhood depression treatment over televideo, an evaluation of provider-patient communication using telemedicine, and studies of team-based telemedicine clinics for ADHD, youth depression, and autism. Most recently she is PI on two HRSA grants integrating distance education and telemedicine services for geriatric populations and for pediatric epilepsy. She is a frequent speaker concerning telemental health and has particular interest in telemental health outcome, practice using technology, and policy implications. She serves as co-chair for the American Telemedicine Association committee publishing telemental health guidelines in 2009 and recently completed NIH training related to cross systems research.

Dr. Nelson has several telemental health clinics, including a multidisciplinary training clinic related to treating children with depression over telemedicine. The clinic provides telemedicine service across urban and rural Kansas schools and clinics and has recently added Community Health Center participation to reach underserved Kansans. She also teaches a grant-supported online depression course for trainees across the health professions as well as several graduate psychology courses.
Telemedicine and International Health
Dr. Amanda Gosman is a Board Certified plastic surgeon with a busy surgical practice treating both adults and children in need of reconstructive surgery. She is Assistant Professor and Director of Pediatric Plastic Surgery at the University of California San Diego and Rady Children’s Hospital of San Diego. She is the Plastic Surgery Residency Training Program Director at UCSD.

Dr. Gosman is particularly interested in international applications for telemedicine and currently utilizes telemedicine technology to perform weekly patient evaluations from her office in La Jolla to clinics in Tijuana and Guatemala via remote live videoconferencing. She is also involved in promoting telemedicine as a teaching tool for medical students and residents by producing interactive telemedicine broadcasts of her craniofacial clinic and surgeries at Hospital Infantil in Tijuana. Current plans are underway to produce live videoconferencing during her surgical tour of India this coming March.

Dr. Gosman is dedicated to building an international telemedicine network to provide educational opportunities and reconstructive surgical consultations to underserved clinics on a global scale.
Home Telehealth
Dr. Nilesh Shah graduated from the University of Michigan-Ann Arbor for undergraduate work and the University of Missouri-Columbia for medical school. His residency training was at UCSD. He has been on the faculty at the VA San Diego Healthcare System (VASDHS) since 2004 and has served as VASDHS Director of Telemedicine since 2008.
Telehealth 101, 201 & 301
Christine Martin is the Executive Director of the California Telemedicine & eHealth Center (CTEC), the federally designated Telehealth Regional Resource Center for California. Ms. Martin has served as Executive Director of CTEC for the last two years. She works with a variety of organizations, locally and nationally, toward the development and expansion of telemedicine networks and increased access to healthcare services. Ms. Martin has over 13 years experience developing and operating telemedicine programs. In 1996, Ms. Martin developed the California Department of Corrections Telemedicine Services Program, the largest telemedicine program in California and served as the managing director for 11 years. She has extensive experience in all aspects of planning, developing, operating and evaluating telemedicine programs.

Ms. Martin has over 30 years experience in health program administration. She served as the Deputy Director of Strategic Development for the California Department of Corrections Health Care Division and Chief of Policy Planning for the California Department of Health Services. She was Deputy Director of Program Operations for the South Carolina Health and Human Services Finance commission.

Ms. Martin holds a Masters of Business Administration in Health Services Management and a Bachelors of Science in Clinical Laboratory Technology. She is also a certified Project Management Professional.
Update on Robotic Surgery and NOTES
Dr. Mark Talamini specializes in gastrointestinal disease including gastric, colon, and pancreatic cancer, and his primary research interests include the biology of the pneumoperitoneum used in virtually all minimally invasive surgical procedures, new applications of minimally invasive surgery, and clinical aspects of pancreatobiliary malignancies. He pioneered the use of robotic technology in the performance of laparoscopic procedures and is an acknowledged leader in the development and application of robotics and minimally invasive surgery.

Dr. Talamini earned his undergraduate degree at Johns Hopkins University, and his doctor of medicine at Johns Hopkins University School of Medicine in 1981. He trained in the Halsted General Surgery Service at The Johns Hopkins Hospital, completing his residency in 1987, and joining the faculty in 1988. With more than 100 peer-reviewed articles and book chapters to his credit, Dr. Talamini also holds a National Institutes of Health grant to study the basic biological mechanisms involved with minimally invasive surgery. He has held a number of leadership positions nationally. From 2008-2009, he served as President of the Society of American Gastrointestinal Endoscopic Surgeons (SAGES), which represents a worldwide community of surgeons who can bring minimal access surgery, endoscopy and emerging techniques to patients. He also has held key roles with other organizations, including the American College of Surgeons and the Association for Academic Surgery. Dr. Talamini also serves on the editorial boards of several prominent surgical journals, and is the Editor for Surgical Endoscopy.

Following are several press pieces related to the latest innovative surgery performed by Dr. Talamini and Dr. Santiago Horgan, Director, Minimally Invasive Surgery, UCSD Department of Surgery. More information on Dr. Talamini, the Department of Surgery, and additional innovative surgeries conducted here can be found at: http://surgery.ucsd.edu/default.aspx.
Breaking Down Barriers to Health
Alexander H. Vo, Ph.D., is the executive director of the Center for Telehealth Research and Policy at the University of Texas Medical Branch (UTMB). Concurrently, he also serves as an IPA consultant and Contract Officer Representative for the U.S. Army Medical Research and Material Command – Telemedicine and Advanced Technology Research Center (TATRC). Prior to assuming the executive director position at the Center, he served as Science Director for the Henry Jackson Foundation-Comprehensive Neuroscience Program (CNP) in Bethesda, MD. Before becoming Science Director at the CNP, Dr. Vo served as an officer in the U.S. Army at the Walter Reed Army Institute of Research (WRAIR) in the Division of Neuroscience. At the WRAIR, he also completed the Army’s Medical Research Fellowship. Dr. Vo has co-authored book chapters and a number of scientific manuscripts in peer-reviewed journals such as Neurosurgery, Journal of Trauma, Journal of Neurosurgery: Pediatrics, Archives of Physical Medicine and Rehabilitation, Archives of General Psychiatry, Journal of Psychiatric Research, Movement Disorders, Journal of Neurocritical Care, Parkinsonism and Related Disorders, Headache and Pain, Neurology, Journal of Neurology, Aviation, Space, and Environmental Medicine, Military Medicine, and Telemedicine and eHealth.

UTMB has a long-standing history of advancing the use of telecommunications technology for the purpose of improving healthcare delivery. From humble beginnings of providing limited services to prison populations, UTMB has grown and developed into a world leader in using technology to provide remote medical services. With a current average of over 60,000 telemedicine encounters per year over the past several years, UTMB is considered one of the largest operational telemedicine programs in the world.
School-Based Telehealth
Jenny Kattlove is the Director of Strategic Health Initiatives at The Children’s Partnership, where she manages its telehealth program. She is also responsible for coordinating and managing health policy projects related to ensuring access to affordable, comprehensive health insurance for all California children.

Before her position with The Children’s Partnership, Ms. Kattlove worked in Ohio, where she served as the Health Advocate for KidsOhio.org and the Children’s Defense Fund. In these roles, she led efforts to increase access to health care for low-income children and families through advocacy, coalition building, outreach and education.

Jenny received her undergraduate degree from Lewis and Clark College in Portland, Oregon, and has a Masters of Science in Social Administration from Case Western Reserve University in Cleveland, Ohio.
The California Telehealth Network
Jana Katz-Bell has an appointment in both the School of Medicine and the Betty Irene Moore School of Nursing as Assistant Dean, Interprofessional Programs. In this capacity, she has responsibility for the administrative infrastructure of the School of Nursing, partially funded by a $100 million commitment from the Gordon and Betty Moore Foundation, a grant which Jana co-wrote. The Center for Health and Technology and the Center for Virtual Care also report up through her with her focus on state-wide initiatives to advance telehealth and medical education.

Prior to this role, Jana was the Assistant Dean for Administration for the School of Medicine, and served for 11 years as the Chief Administrative Officer for the UC Davis Center for Health and Technology. Under her leadership, the CHT won national and worldwide attention as one of the best telemedicine programs in the United States. During her past thirteen years with UC Davis Health System, Jana has also managed the Sacramento County Contract, a $25 million/year contract to provide services to medically indigent adults, managed the Heart Center, and worked on a number of other strategic initiatives.
Teleneurology Stroke Care
Dr. Meyer is currently the co-director of the UCSD Stroke Center specializing in acute cerebrovascular disease therapies, evaluation and treatment techniques at UCSD Medical Center. He has also been appointed director of the newly established UCSD Stroke Unit.

His clinical research encompasses clinical stroke scale evaluations, acute and hyper-acute therapies for stroke and cerebral hemorrhage, and Internet applications of telemedicine technology for the evaluation and treatment of stroke patients.
Telemedicine Reimbursement and Financial Planning
Ms. Palumbo leads the CHT under the vision and direction of Dr. Tom Nesbitt. She oversees policy development, operations, specialty recruitment, and reimbursement. Ms. Palumbo's experience includes working with children and adults in acute home and community rehabilitation, transitional living, home health, skilled nursing, and school settings.
TACK - Telemedicine Assessment of Cognition in Kentucky
Mr. Sprang and Dr. Jicha will discuss the TACK program which provides assessment and diagnosis of patients with memory disorders via interactive videoconference technology. This innovative telehealth program provides support group services for family members and caregivers of rural patients while also providing education on telemedicine for community health professionals.
Teleophthalmalogy
Starting in 1994, Jorge Cuadros developed several programs for remote clinical diagnosis and distance learning, including programs in India, China, and Latin America. He developed EyePACS, an open access system for clinical communication in eye care that has been used for telemedicine, retinopathy screening, home care, education, and research. Current work is supported by the California Health Care Foundation for the development of a state-wide diabetic retinopathy detection network using store-and-forward telemedicine. He is also co-editor of an international collaborative book, Teleophthalmology.
Doctor-Patient Communication
An overview of issues related to doctor-patient communication; a discussion of the differences, pitfalls, and opportunities for improving doctor-patient communication during telemedicine; how a telemedicine practitioner can improve relationship building and communication during telemedicine consultations; and how practitioners can prepare patients to effectively participate in a telemedicine consultation.
February 11, 2011 Using Mobile and Social Technologies to Improve Health Outcomes info Kevin Patrick, MD MS
January 7, 14, 21, 2011 Telehealth 101, 201 & 301 info Christine Martin, M.B.A., P.M.P.
December 10, 2010 Informatics and Community Building – Sustainable Technologies for Promoting Global Health info Eliah Aronoff-Spencer, MD PhD and
Michael Preziosi, MD
November 12, 2010 Overview of Sleep Apnea and Telemedicine info Carl Stepnowsky, Ph.D.
October 8, 2010 Care across the wire: Operational considerations in Telemedicine info Joshua Lee, M.D.
September 10, 2010 Integrating Telemedicine Encounters with an EMR info Christopher Clarke, B.A. and
Kris Kajewski, B.S.
May 7, 2010 Telemedicine in Neurocritical Care info Paul Vespa, M.D.
April 9, 2010 Telepsychology Update info Eve-Lynn Nelson, M.D., Ph.D.
March 12, 2010 Telemedicine and International Health info Amanda Gosman, M.D.
February 12, 2010 Home Telehealth info Nilesh Shah, M.D.
January 8, 15, 22, 2010 Telehealth 101, 201 & 301 info Christine Martin, M.B.A., P.M.P.
December 11, 2009 Update on Robotic Surgery and NOTES info Mark A. Talamini, M.D., F.A.C.S.
November 13, 2009 Breaking Down Barriers to Health: Telehealth and Access to Care info Alexander H. Vo, Ph.D.
October 9, 2009 School-Based Telehealth: An Innovative Approach to Meeting the Health Care Needs of Children info Jenny Kattlove, M.S.S.A.
September 11, 2009 The California Telehealth Network: Creating a Healthcare Digital "Highway" throughout California info Jana Katz-Bell, M.P.H.
July 10, 2009 Telemedicine vs Telephone in Stroke: the Tortoise or the Hare info Brett Meyer, M.D.
June 12, 2009 Telemedicine Reimbursement and Financial Planning info Shelley Palumbo, M.S., CCC-SLP
April 10, 2009 TACK - Telemedicine Assessment of Cognition in Kentucky info Rob Sprang, MBA and
Gregory Jicha, M.D.
March 13, 2009 Teleophthalmalogy info Jorge Cuadros, O.D., Ph.D.
February 13, 2009 Doctor-Patient Communication info Zia Agha, M.D., M.S.
January 16, 2009 HIV/AIDS Javeed Siddiqui, M.D., M.P.H.
January 9, 2009 Business Planning Larry Friedman, M.D.
December 19, 2008 Legal Issues Anna Orlowski, J.D
December 12, 2008 Telepsychiatry Peter Yellowlees, M.D.
December 5, 2008 Telemedicine Technology Daniel Kurywchak
November 21, 2008 Managing Operations Kathy Chorba

Funding for Project T-LINC provided by the California Telemedicine & eHealth Center (CTEC).