Uploaded February 2026 | Updated September 2026, 2 weeks ago
Primary care sits at an inflection point, strained by workforce shortages, administrative burden, and rising patient complexity. This year’s Reza Gandjei Lecture will explore the forces driving fragmentation and burnout, as well as how emerging models and redesigned workflows offer a path forward. The session will begin with brief presentations by the speakers, followed by a panel discussion bringing together perspectives from primary care delivery, digital transformation, and workforce sustainability.
This lecture series is in memory of Reza Gandjei, a UCSF medicine resident who passed away soon after training. Reza was a Marshall and Rhodes Scholar with a passion for healthcare ethics and policy.
Speakers:
Maria Byron, MD, is a professor of medicine in the UCSF Health Divisions of General Internal Medicine (DGIM) and Clinical Informatics and Digital Transformation (DoC-IT). She is the associate chief medical information officer for ambulatory care at UCSF Health, providing strategic leadership for the design and implementation of digital solutions across outpatient settings.
Mitchell Feldman, MD, MPhil, is a professor of medicine and chief of DGIM at UCSF Health. He is president of the Association of Chiefs and Leaders in General Internal Medicine and founder of the UCSF Faculty Mentoring Program. Feldman is the former co–editor-in-chief of the Journal of General Internal Medicine and co-editor of the textbook Behavioral Medicine: A Guide for Clinical Practice.
Megan Mahoney, MD, MBA, is the Hellman endowed professor and chair of the UCSF Department of Family and Community Medicine. She previously served as president of the medical staff and chief of primary care at Stanford Health Care, where she led systemwide efforts in health equity, practice transformation, and population health.
Lisa Rotenstein, MD, MBA, is an associate professor of medicine in DGIM and DoC-IT at UCSF Health. She is the medical director of ambulatory quality and safety for the UCSF Faculty Practice Organization and the inaugural director of the Center to Advance Digital Physician Practice Transformation at UCSF.
Program:
Bob Wachter, MD: Introduction
5:00-16:10 — Mitchell Feldman, MD, MPhil
16:10-24:15 — Megan Mahoney, MD, MBA
24:15-31:00 — Lisa Rotenstein, MD, MBA
31:00-40:15 — Maria Byron, MD
40:15-1:03:31 — Q&A
See previous Medical Grand Rounds:
February 10: Healthcare AI in 2026: From Novelty to Normalcy — A Fireside Chat
• youtu.be/zmPW0PqZIlY
February 3: Common Neurologic Problems, Changing Decisions: Updates for Internal Medicine
• youtu.be/M9YzG7cM9Xg
January 27: Hollander Rounds: A Clinical Problem-Solving Case
• youtu.be/Ff8qOsJEaA4
January 20: Eat Your Ice Cream: Re-Examining Wellness in Medicine
• youtu.be/zUiQ7CZq6UY
Primary care sits at an inflection point, strained by workforce shortages, administrative burden, and rising patient complexity. This year’s Reza Gandjei Lecture will explore the forces driving fragmentation and burnout, as well as how emerging models and redesigned workflows offer a path forward. The session will begin with brief presentations by the speakers, followed by a panel discussion bringing together perspectives from primary care delivery, digital transformation, and workforce sustainability.
This lecture series is in memory of Reza Gandjei, a UCSF medicine resident who passed away soon after training. Reza was a Marshall and Rhodes Scholar with a passion for healthcare ethics and policy.
Speakers:
Maria Byron, MD, is a professor of medicine in the UCSF Health Divisions of General Internal Medicine (DGIM) and Clinical Informatics and Digital Transformation (DoC-IT). She is the associate chief medical information officer for ambulatory care at UCSF Health, providing strategic leadership for the design and implementation of digital solutions across outpatient settings.
Mitchell Feldman, MD, MPhil, is a professor of medicine and chief of DGIM at UCSF Health. He is president of the Association of Chiefs and Leaders in General Internal Medicine and founder of the UCSF Faculty Mentoring Program. Feldman is the former co–editor-in-chief of the Journal of General Internal Medicine and co-editor of the textbook Behavioral Medicine: A Guide for Clinical Practice.
Megan Mahoney, MD, MBA, is the Hellman endowed professor and chair of the UCSF Department of Family and Community Medicine. She previously served as president of the medical staff and chief of primary care at Stanford Health Care, where she led systemwide efforts in health equity, practice transformation, and population health.
Lisa Rotenstein, MD, MBA, is an associate professor of medicine in DGIM and DoC-IT at UCSF Health. She is the medical director of ambulatory quality and safety for the UCSF Faculty Practice Organization and the inaugural director of the Center to Advance Digital Physician Practice Transformation at UCSF.
Program:
Bob Wachter, MD: Introduction
5:00-16:10 — Mitchell Feldman, MD, MPhil
16:10-24:15 — Megan Mahoney, MD, MBA
24:15-31:00 — Lisa Rotenstein, MD, MBA
31:00-40:15 — Maria Byron, MD
40:15-1:03:31 — Q&A
See previous Medical Grand Rounds:
February 10: Healthcare AI in 2026: From Novelty to Normalcy — A Fireside Chat
• youtu.be/zmPW0PqZIlY
February 3: Common Neurologic Problems, Changing Decisions: Updates for Internal Medicine
• youtu.be/M9YzG7cM9Xg
January 27: Hollander Rounds: A Clinical Problem-Solving Case
• youtu.be/Ff8qOsJEaA4
January 20: Eat Your Ice Cream: Re-Examining Wellness in Medicine
• youtu.be/zUiQ7CZq6UY
