Our work includes addressing the evolving issues of HIV and aging, disparities in HIV care among people of color, and implementing cost-efficient technology to increase our outreach to community clinics.
Dr. Bryn Boslett is an infectious disease specialist with an interest in HIV and Hepatitis C care. She is motivated to bring the newest treatments for Hep C to patients of the UCSF 360 Wellness Center, with a goal of 100% elimination of this disease. In addition, Bryn performs acute care within the 360 clinic and also treats a broad range of infectious problems within the UCSF Infectious Diseases Clinic.
Bryn earned an MD from Temple University and completed her Internal Medicine residency at Massachusetts General Hospital before moving to San Francisco for training in Infectious Diseases at UCSF. Bryn’s commitment to the HIV community extends to the UCSF School of Medicine, where she is engaged in several educational projects and works to inspire the next generation of physicians towards this important specialty area.
In her free time, Bryn enjoys hiking around the Bay Area, practicing photography with her aging Canon, watching several addictive TV series, and trying new restaurants from the Eater Heatmap.
Al Paschke, BSN RN joined UCSF Medical Center as the Nurse Manager for the 360 Wellness Center/ Women’s Specialty Health Clinic in March, 2015. Al graduated from St. Olaf College, Northfield Minnesota (yes there is a college called St. Olaf). Al has been a successful leader in the Bay Area Mental Health Community for greater that 25 years working as the Director of Behavioral Health Services at El Camino Hospital in Mountain View, California for 15 years. Al then worked as the Director of Behavioral Services at Community Hospital of the Monterey Peninsula, Monterey, California for 10 years.
Prior to joining UCSF Medical Center, Al partnered with a startup company serving as the Executive Director/Director of Nursing to open a Residential Eating Disorder Treatment Center in the Monterey area. Al brings a wealth of management experience to the 360 Clinic and is dedicated to providing excellent patient care and customer service. "It is exciting to be a manager in an innovative ambulatory care environment that brings multiple health disciplines into a single environment providing primary care, social services, mental health services, nursing, pharmacy, nutritional counseling and other community services and partnerships."
When not at work Al loves to walk/hike or spoil a good walk trying to play golf. (Al has been an avid golfer for 30 years.)
Dr. Malcolm John, an infectious disease expert specializing in HIV care, is a Clinical Professor of Medicine at UCSF. He works closely with patients to help them meet their health and wellness goals including HIV prevention/treatment.
After earning an MD at Harvard Medical School and a graduate degree in public health at UC Berkeley, Malcolm completed his training in Infectious Diseases at UCSF. Malcolm’s passion for caring for those with HIV and ending HIV health disparities led him to UCSF 360 in 2000 where he developed the Men of Color/Black Health programs as well as the HIV & Aging program. He is excited about new efforts to help stop the epidemic including starting UCSF 360’s HIV Pre-exposure Prophylaxis (PrEP) program and focusing on sexual wellness for all regardless of HIV status in UCSF 360’s Sexual Health Program.
“Working at UCSF 360 is my way of making sure everyone has access to the highest quality care, whether they have HIV or trying to protect themselves while being freely intimate with their partners. Helping patients from all sorts of backgrounds overcome challenges to be healthy and thriving in all aspect of their lives is the most rewarding work I can imagine,” says Malcolm.
Malcolm enjoys tinkering with computers, watching old movies and everything sci-fi, spending time with family, cuddling with the family dog Theo, and reminiscing about his glory days as a sabre fencer at Yale University.
Dr. Cristina Brickman is extremely excited to join UCSF 360 Wellness Center as a new provider! Originally from Madrid, Spain, Cristina earned her Medical Degree and completed her internal medicine residency at Columbia University. She then pursued fellowship training in Infectious Diseases and obtained a Master’s degree in clinical epidemiology at the University of Pennsylvania. While there, she developed an interest in the long-term care of HIV-infected patients and strategies to prevent cancer within this group.
In addition to the 360 Wellness Center, Cristina is also a provider at the UCSF Anal Neoplasia Clinic; a center that specializes in anal cancer prevention, particularly among HIV-infected men and women. Cristina strives to provide compassionate and practical medical care while pursuing clinical research to understand the mechanisms leading to anal cancer development.
During her free time, she enjoys flying many, many hours to visit her parents, sister and family dog (Lucy) back in Madrid.
Dr. David Sears in an infectious diseases specialist with particular interests in clinical quality improvement and medical education. David earned his medical degree from Brown University and completed his infectious diseases fellowship at UCSF. Along the way he has worked on quality improvement and medical education projects in Uganda, the Dominican Republic, Bolivia, Liberia, and Anchorage, Alaska. David runs the two-year training program at the 360 Clinic for physicians interested in becoming HIV specialists. He is passionate about addressing the impending HIV provider shortage by training physicians in the provision of high-value HIV primary care.
Kevin Miles graduated from the UCSF Nurse Practitioner program with a specialty in HIV/AIDS in 2016. He is credentialed with the American Academy of HIV Medicine. Prior to becoming a nurse, Kevin studied pharmaceutical strategies aimed at reducing HIV transmission and substance use in San Francisco as a research associate and harm reduction counselor at the Department of Public Health.
Kevin encourages his patients to take an active role in their heath and focuses on providing ample information so that patients can make the best healthcare decisions for themselves. He understands that in medicine there is no one size fits all; and different people benefit from different solutions depending on their values, concerns, culture, interests, and all the things that make each of us an individual. This is one reason Kevin enjoys working with diverse populations with life stories similar and different from his own.
In his free time Kevin enjoys exercise, weight lifting, reading non-fiction books, watching Rachel Maddow, and spending time with family and friends. He is learning to sculpt with clay and hopes to have a dog one day soon.
Michelle graduated from UCSF as a Family Nurse Practitioner with a specialty in HIV/AIDS. She is board credentialed as an HIV specialist with the American Academy of HIV Medicine. Prior to becoming a clinician, Michelle received her Master of Public Health in Epidemiology and Global Health from Columbia University. Michelle advocated for improved HIV biomedical prevention technologies with AVAC in New York City, spent nearly a year in Peru working with the iPrEX Pre-Exposure Prophylaxis (PrEP) clinical trial that ultimately led to FDA approval for the use of Truvada for PrEP, and managed clinical trials focused on HIV cure strategies with UCSF at San Francisco General Hospital.
Michelle is passionate about human connection and listening to each patient’s unique story in order to provide personalized patient-centered care and help improve one’s overall health and wellbeing. Michelle believes in meeting her patients where they are at and aims to create a non-judgmental empathic space where healing and wellness can thrive.
In her free time, Michelle enjoys practicing yoga, playing the violin in a community symphony, taking photos, checking out the latest art exhibits, and spending time with loved ones.
Roland Zepf is the clinical nurse researcher at UCSF 360 Wellness Center. His research includes the clinic’s HIV and aging project and trauma and substance use among men of color living with HIV. He earned his PhD in Nursing from UCSF.
He earned his registered nursing degree in Zurich, Switzerland and moved to San Francisco in 1998. He worked on the HIV unit at Laguna Honda Hospital where he also became a nurse manager. Ultimately, he was recruited by the UCSF Positive Health Program at San Francisco General Hospital, also known as Ward 86, and worked there as the clinic nurse manager for 7 years.
Roland likes to ride his bicycle (every day), run, and swim.
Dr. Erick Hung is the Director of the Adult Psychiatry Residency Training Program, the Director of Curricular Affairs for GME for the UCSF School of Medicine, and a member of the Academy of Medical Educators. He completed his medical school, psychiatry residency, and forensic psychiatry fellowship training at the University of California, San Francisco and joined the faculty at UCSF in 2009.
He has held past leadership positions as the Associate Chief of the Mental Health Service and Director of the Telemental Health Program for the San Francisco VA Medical Center. He actively teaches in the areas of risk assessment, medical education, forensic psychiatry, and ethics. His interests include primary care and mental health integration, the interface between mental health and the legal system, inter-professional collaboration and training, HIV psychiatry, LGBT mental health, and medical education. His educational scholarship interests include competency-based assessment and near-peer learning in the workplace setting.
Kate Melino is the co-director of the Psychiatric Mental Health Nurse Practitioner (PMHNP) program at the UCSF School of Nursing. She is also the UCSF director for the collaborative VANAP-GE PMHNP Residency Training Program with the San Francisco VAHCS. In addition to ongoing curriculum development, her teaching foci include therapeutic communication and trauma-informed care.
Kate has U.S. and international experience as a psychiatric provider across the continuum of mental health services, in both clinical and administrative leadership roles. Her clinical interests include integration of primary and behavioural health care, concurrent treatment of mental health and substance use disorders, geriatric psychiatry, and LGBTQ mental health.
In her spare time, Kate can be found working on her Olympic weightlifting and/or poring over the Sunday New York Times crossword.
Dr. Ed Santana is a psychotherapist serving patients at UCSF's 360 Clinic in San Francisco. He is also a therapist at UCSF Langley Porter Psychiatric Hospital in the Adult Inpatient/Intensive Outpatient Programs and works in private practice. He previously managed clinical programs for LGBTQ youth, incarcerated youth, and worked on the CDC’s first public education campaign on the HIV/AIDS epidemic in the early 90’s. He is the author of "Jung and Sex: Re-visioning the Treatment of Sexual Issues" (Routledge/Taylor & Francis, 2016).
Meredith Greene is an Assistant Professor in the Department of Medicine, Division of Geriatrics at the University of California San Francisco. She is a board certified internist, geriatrician and American Academy of HIV Medicine Specialist who is interested in improving healthcare for vulnerable older adults.
Dr. Greene is interested in the intersection of HIV and geriatric medicine and understanding how to improve care for older adults living with HIV infection. Specifically, her research has focused on functional impairment, multiple medication use and geriatric syndromes in older HIV-positive adults. She is a co-medical director for the website HIV-age.org a collaboration between the American Geriatrics Society, American Academy of HIV Medicine, and ACRIA. She is the associate director of the geriatric HIV consultation clinic at San Francisco General Hospital where she provides weekly geriatric consultations for patients living with HIV (part of the Golden Compass program).
Dr. Greene received her MD from Wayne State University School of Medicine and completed Residency in Internal Medicine-Primary Care at UCSF. She completed geriatrics fellowship at UCSF as well as a fellowship in HIV Research with Dr. Laurence Huang and provided HIV primary care at San Francisco General Hospital’s Positive Health Program (Ward 86).
Melody (O'Donnell) Champagne provides medical nutrition therapy for a variety of conditions, including celiac disease, HIV/AIDS, diabetes, hypertension and heart disease.
A native San Franciscan, Champagne received her Bachelor of Science degree in nutrition and dietetics from San Francisco State University. She completed her dietetic internship at UCSF and is a Certified Diabetes Educator.
Away from UCSF, Melody enjoys Giant's games, farmer's markets, bookstores and hiking along the coast with her husband and their dog.
Dr. Cristina Gruta is a clinical pharmacist specializing in the care of HIV-infected patients. She serves as a clinical pharmacist for 360: The Positive Care Clinic at UCSF. At 360 UCSF, she strives to optimize HIV and HIV-related pharmacotherapy via direct patient visits as well as provider consults. Her expertise includes resistance test interpretation, adverse effect management, drug-drug interaction analysis, and adherence support specifically through a motivational interviewing approach. She also helps to manage pharmacotherapy of HCV co-infection and primary care conditions, including hypertension and diabetes mellitus.
Dr. Gruta completed her PharmD at UCSF and subsequently did post-graduate training at Thomas Jefferson Medical Center (Pharmacy Practice) and at UCSF at San Francisco General Hospital (HIV). Aside from her work at the 360 clinic, she is a senior clinician at the Clinician Consultation Center at UCSF. She has consulted on thousands of cases involving the management of HIV and related diseases, blood-borne pathogen exposures, pre-exposure prophylaxis (PrEP), and HCV. Dr. Gruta is also an assistant clinical professor (WOS) with the UCSF School of Pharmacy.
“I relish the work I do at 360: UCSF because it is my passion to advocate for the care of the underserved population, the very population disproportionately affected with HIV. I also enjoy working with colleagues who walk an extra mile and work with such heart in helping patients realize their health goals.”
Keith Enders, Licensed Clinical Social Worker (LCSW), has been a Social Worker in the field of Mental Health for more than 20 years. Keith has both a Bachelor’s Degree and a Master’s Degree in Social Work from the University of Wisconsin, with a clinical emphasis on community mental health. Keith has been with UCSF since 2003, beginning at SF General Hospital. He has also worked at Stanford University Hospital and did contract work with California’s Department of Alcohol and Drug Programs (ADP) to provide LGBTQ/HIV best practices trainings to healthcare providers across California. Keith is excited to bring his extensive experience in inpatient psychiatry, outpatient behavioral health, emergency department, and LGBTQ/HIV health to the 360 Wellness Center.
Keith and his social work colleagues are available in clinic for support, resources, referrals, and outreach. The social work team works closely with the other disciplines of the 360 Wellness Center for patient-centered collaboration and consultation. Usually when someone says “I’m not sure who I should talk to about this…” a good place to begin is with the Social Worker.
When away from work, Keith likes to garden, either digging up his backyard or taking over his friends’ yards. Stop by Keith’s office to say hello, learn more about the 360 Social Workers, or to check out some of his potted plants.
Jackie Marzan is excited to join the UCSF 360 Wellness Center as a Program Coordinator. Jackie recently completed her Masters in Public Health degree at the University of San Francisco. While pursuing her degree, she worked as a Billing Analyst at UCSF Medical Group Business Services and has experience in charge entry, retro-adjudication, commercial and government coverage knowledge and training. In the past, Jackie volunteered with the Peace Corps in Guyana, South America as a Community Health Promoter. She worked alongside nurses and midwives and avidly promoted mother and child nutrition and breastfeeding. She was also part of the HIV/AIDS Task Force where she promoted sexual health education, ending HIV stigma in Guyana, and collaborated with her team to implement several World AIDS Day events. Her interests include health education/promotion, social justice and equity, mental health and health and wellbeing among communities of color.
In her free time, Jackie enjoys cooking, making jewlery, cheering on the Oakland A's (Rooted in Oakland), spending time with her family and boyfriend, Kwame, and tending to her indoor plants and garden.