UTHSCSA Faculty Profiles v1.0

Lopez, Cynthia

School of Medicine

Service: I currently practice and teach as a clinical assistant professor at the University Health System (UHS) Robert B. Green (RBG) Pavilion Children?s Health Center. The center is comprised of two resident teaching clinics, the Resident Acute Care Clinic (ACC) and the Resident Continuity Clinic for Pediatric residents from the UT Health San Antonio program. The Acute Care Clinic addresses pediatric urgent care issues, including illness and injuries. Embedded in the ACC is the Newborn Clinic, where infants in the first week of life are evaluated as they transition to their new medical home. All pediatrics residents rotate on a monthly basis through the Acute Care Clinic. In addition to my role in the ACC, I provide care to patients as a clinical preceptor at the same site in the Resident Continuity Clinic. The Continuity Clinic is where health maintenance and chronic care management visits take place. A large portion of the children served at the RBG are of economically disadvantaged backgrounds or classified as medically fragile in status. As preceptor, I supervise three teams of four to five residents, each in a half-day clinic once a week, longitudinally through their three years of training. While providing direct patient care as a pediatric teaching physician, I participate in and supervise educational activities during the Ambulatory Care Rotation. My responsibilities include observation and evaluation of trainees rotating through the Acute Care Clinic, and the delivery of performance feedback. In 2017, I was appointed as Co-Director for the 4th year medical student Ambulatory Care elective. Every Friday afternoon, when residents depart for didactic sessions, I also see patients on my own.

I am an active member for the Texas Pediatric Society Mental Health Committee, the Texas Chapter affiliated with the American Academy of Pediatrics. This committee advocates for children of Texas who require mental health services including those with more complex medical issues and Autism. Finally, I volunteered as subcommittee (Schools) lead for the South Texas Asthma Coalition which brings forth solutions to decrease asthma hospitalizations in the city of San Antonio engaging EMS, school nurses, physicians, payors and City administrators to work towards this common goal. I am currently heading a planning committee for an asthma summit for school nurses which will require at least 40 hours of volunteer work.

Research/QI: For the past 5 years, I have mentored residents in five quality improvement (QI) projects to improve care in a Medical Home and worked on two national pediatric residency QI projects to increase uptake of Human Papilloma Virus (HPV) immunization rates in adolescents and another to survey the complexity of patients seen in Pediatric residency clinics. I have presented 3 posters at UT Health San Antonio and UT Austin on this work as well as a poster on a collaboration with our Pediatric psychiatrist at a national pediatric education conference in 2014. May 2018, I became our group?s physician lead in a QI project from the AAP via Texas Pediatric Society?s quality network (CQN) to optimize asthma care in our clinics. We have already improved our care from a baseline of 10% to almost 70% of our patients receiving optimal care.

Teaching: In 2016, I participated in both a Clinical Safety and Effectiveness course and a formal Teaching Excellence course to improve my skills in teaching and quality improvement. I have authored a number of resident teaching modules with specific interests in the areas of Attention Deficit Hyperactivity Disorder, Anxiety and Depression, Medical Home, various GI topics, and more recently Transitioning of youth to adult Medical Homes. I collaborated with our UHS Pediatric Psychiatrist to develop a plan and curriculum to increase the Texas workforce that feels comfortable managing the three most prevalent mental health issues in children: ADHD, anxiety and depression. April 2019 I was asked to present on ADHD and medications and how they interact with sedation for a group of Pediatric Dental students.

8/2013 - Present Assistant Professor/Clinical University of Texas Health Science Center at San Antonio, Pediatrics, San Antonio, TX