Michael Steinman, MD

Professor In Residence
Medicine
+1 415 221-4810 ext. 3677

Dr. Steinman received his medical school training at Harvard Medical School and completed a residency in primary care internal medicine at UCSF. He then joined the UCSF Division of Geriatrics for fellowships in the VA National Quality Scholars Program and the UCSF Clinical Geriatrics Fellowship. Dr. Steinman has been a member of the faculty at UCSF since 2004.

Dr. Steinman is a national leader in identifying and improving the quality of medication prescribing in clinically complex older adults. He devotes most of his time to research, while also maintaining an active clinical practice in the geriatrics clinic and inpatient general medicine service at the San Francisco VA Medical Center. Dr. Steinman's research program focuses on improving how doctors prescribe medications for older adults, and is supported by grants from the National Institutes of Health and other funders. His research interests also include pharmaceutical industry marketing and the impacts of marketing on physicians and trainees.

Dr. Steinman is Co-Director for Research, Director of Research Training, and T32 research fellowship director for the UCSF Division of Geriatrics, and is leader of the Data, Measures, and Accrual Core for the UCSF Pepper Center for Aging Research. He also has leadership roles with several national organizations, including service as co-chair of the American Geriatrics Society Beers Criteria guideline panel.

Publications: 

Distinct Physical Function Profiles in Older Adults Receiving Cancer Chemotherapy.

Journal of pain and symptom management

Miaskowski C, Wong ML, Cooper BA, Mastick J, Paul SM, Possin K, Steinman M, Cataldo J, Dunn LB, Ritchie C

Bringing functional status into a big data world: Validation of national Veterans Affairs functional status data.

PloS one

Brown RT, Komaiko KD, Shi Y, Fung KZ, Boscardin WJ, Au-Yeung A, Tarasovsky G, Jacob R, Steinman MA

Association of ß-Blockers With Functional Outcomes, Death, and Rehospitalization in Older Nursing Home Residents After Acute Myocardial Infarction.

JAMA internal medicine

Steinman MA, Zullo AR, Lee Y, Daiello LA, Boscardin WJ, Dore DD, Gan S, Fung K, Lee SJ, Komaiko KD, Mor V

Beta-Blocker Use in U.S. Nursing Home Residents After Myocardial Infarction: A National Study.

Journal of the American Geriatrics Society

Zullo AR, Lee Y, Daiello LA, Mor V, John Boscardin W, Dore DD, Miao Y, Fung KZ, Komaiko KD, Steinman MA

Trends in Drug Utilization, Glycemic Control, and Rates of Severe Hypoglycemia, 2006-2013.

Diabetes care

Lipska KJ, Yao X, Herrin J, McCoy RG, Ross JS, Steinman MA, Inzucchi SE, Gill TM, Krumholz HM, Shah ND

Changes in Medication Use After Dementia Diagnosis in an Observational Cohort of Individuals with Diabetes Mellitus.

Journal of the American Geriatrics Society

Sarkar U, Lyles C, Steinman M, Huang ES, Moffet HH, Whitmer RA, Warton EM, Karter AJ

Polypharmacy-Time to Get Beyond Numbers.

JAMA internal medicine

Steinman MA

Use of Renally Inappropriate Medications in Older Veterans: A National Study.

Journal of the American Geriatrics Society

Chang F, O'Hare AM, Miao Y, Steinman MA

How to Use the American Geriatrics Society 2015 Beers Criteria-A Guide for Patients, Clinicians, Health Systems, and Payors.

Journal of the American Geriatrics Society

Steinman MA, Beizer JL, DuBeau CE, Laird RD, Lundebjerg NE, Mulhausen P

Changing Patterns of Glucose-Lowering Medication Use in VA Nursing Home Residents With Diabetes, 2005 to 2011.

Journal of the American Medical Directors Association

Lee SJ, Stijacic-Cenzer I, Barnhart C, McClymont K, Steinman MA

Weight Loss Associated with Cholinesterase Inhibitors in Individuals with Dementia in a National Healthcare System.

Journal of the American Geriatrics Society

Sheffrin M, Miao Y, Boscardin WJ, Steinman MA

The Course of Functional Impairment in Older Homeless Adults: Disabled on the Street.

JAMA internal medicine

Cimino T, Steinman MA, Mitchell SL, Miao Y, Bharel M, Barnhart CE, Brown RT

Health Outcomes of Obtaining Housing Among Older Homeless Adults.

American journal of public health

Brown RT, Miao Y, Mitchell SL, Bharel M, Patel M, Ard KL, Grande LJ, Blazey-Martin D, Floru D, Steinman MA

Response to Einhorn and colleagues.

Journal of the American Geriatrics Society

Makam AN, Steinman MA

Case 38-2014: A man with sore throat, hoarseness, fatigue, and dyspnea.

The New England journal of medicine

Brown RT, Steinman MA

Potential overtreatment of diabetes mellitus in older adults with tight glycemic control.

JAMA internal medicine

Lipska KJ, Ross JS, Miao Y, Shah ND, Lee SJ, Steinman MA

Police on the front line of community geriatric health care: challenges and opportunities.

Journal of the American Geriatrics Society

Brown RT, Ahalt C, Steinman MA, Kruger K, Williams BA

Use of opioids and other analgesics by older adults in the United States, 1999-2010.

Pain medicine (Malden, Mass.)

Steinman MA, Komaiko KD, Fung KZ, Ritchie CS

Identification of risk factors for elevated transaminases in methotrexate users through an electronic health record.

Arthritis care & research

Schmajuk G, Miao Y, Yazdany J, Boscardin WJ, Daikh DI, Steinman MA

Prescribing quality in older veterans: a multifocal approach.

Journal of general internal medicine

Steinman MA, Miao Y, Boscardin WJ, Komaiko KD, Schwartz JB

Risk of thiazide-induced metabolic adverse events in older adults.

Journal of the American Geriatrics Society

Makam AN, Boscardin WJ, Miao Y, Steinman MA

Long-term cognitive and functional effects of potentially inappropriate medications in older women.

The journals of gerontology. Series A, Biological sciences and medical sciences

Koyama A, Steinman M, Ensrud K, Hillier TA, Yaffe K

Managing chronic disease in hospitalized patients.

JAMA internal medicine

Steinman MA, Auerbach AD

Polypharmacy and the management of the older cancer patient.

Annals of oncology : official journal of the European Society for Medical Oncology / ESMO

Balducci L, Goetz-Parten D, Steinman MA

Reasons for not prescribing guideline-recommended medications to adults with heart failure.

Medical care

Steinman MA, Dimaano L, Peterson CA, Heidenreich PA, Knight SJ, Fung KZ, Kaboli PJ

The 'worthy' patient: rethinking the 'hidden curriculum' in medical education.

Anthropology & medicine

Higashi RT, Tillack A, Steinman MA, Johnston CB, Harper GM

Ten-year trajectory of potentially inappropriate medications in very old women: importance of cognitive status.

Journal of the American Geriatrics Society

Koyama A, Steinman M, Ensrud K, Hillier TA, Yaffe K

Geographic variation in outpatient antibiotic prescribing among older adults.

Archives of internal medicine

Zhang Y, Steinman MA, Kaplan CM

Patterns of multimorbidity in elderly veterans.

Journal of the American Geriatrics Society

Steinman MA, Lee SJ, John Boscardin W, Miao Y, Fung KZ, Moore KL, Schwartz JB

Regional differences in prescribing quality among elder veterans and the impact of rural residence.

The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association

Lund BC, Charlton ME, Steinman MA, Kaboli PJ

Influence of patient age and comorbid burden on clinician attitudes toward heart failure guidelines.

The American journal of geriatric pharmacotherapy

Steinman MA, Sudore RL, Peterson CA, Harlow JB, Fried TR

A clinically guided approach for improving performance measurement for hypertension.

Medical care

Steinman MA, Lee SJ, Peterson CA, Fung KZ, Goldstein MK

Age and sex variation in prevalence of chronic medical conditions in older residents of U.S. nursing homes.

Journal of the American Geriatrics Society

Moore KL, Boscardin WJ, Steinman MA, Schwartz JB

Industry support of CME--are we at the tipping point?

The New England journal of medicine

Steinman MA, Landefeld CS, Baron RB

Beers criteria as a proxy for inappropriate prescribing of other medications among older adults.

The Annals of pharmacotherapy

Lund BC, Steinman MA, Chrischilles EA, Kaboli PJ

Confined to ignorance: the absence of prisoner information from nationally representative health data sets.

Journal of general internal medicine

Ahalt C, Binswanger IA, Steinman M, Tulsky J, Williams BA

Inappropriate medication use in older adults undergoing surgery: a national study.

Journal of the American Geriatrics Society

Finlayson E, Maselli J, Steinman MA, Rothberg MB, Lindenauer PK, Auerbach AD

Beyond the prescription: medication monitoring and adverse drug events in older adults.

Journal of the American Geriatrics Society

Steinman MA, Handler SM, Gurwitz JH, Schiff GD, Covinsky KE

Age and receipt of guideline-recommended medications for heart failure: a nationwide study of veterans.

Journal of general internal medicine

Steinman MA, Harlow JB, Massie BM, Kaboli PJ, Fung KZ, Heidenreich PA

Clinician attitudes about commercial support of continuing medical education: results of a detailed survey.

Archives of internal medicine

Tabas JA, Boscardin C, Jacobsen DM, Steinman MA, Volberding PA, Baron RB

Geriatric conditions, medication use, and risk of adverse drug events in a predominantly male, older veteran population.

Journal of the American Geriatrics Society

Steinman MA, Lund BC, Miao Y, Boscardin WJ, Kaboli PJ

Do geriatric conditions increase risk of adverse drug reactions in ambulatory elders? Results from the VA GEM Drug Study.

The journals of gerontology. Series A, Biological sciences and medical sciences

Steinman MA, Hanlon JT, Sloane RJ, Boscardin WJ, Schmader KE

Conducting high-value secondary dataset analysis: an introductory guide and resources.

Journal of general internal medicine

Smith AK, Ayanian JZ, Covinsky KE, Landon BE, McCarthy EP, Wee CC, Steinman MA

Volunteering, driving status, and mortality in U.S. retirees.

Journal of the American Geriatrics Society

Lee SJ, Steinman MA, Tan EJ

A taxonomy of reasons for not prescribing guideline-recommended medications for patients with heart failure.

The American journal of geriatric pharmacotherapy

Steinman MA, Patil S, Kamat P, Peterson C, Knight SJ

Coronary risk assessment by point-based vs. equation-based Framingham models: significant implications for clinical care.

Journal of general internal medicine

Gordon WJ, Polansky JM, Boscardin WJ, Fung KZ, Steinman MA

When tight blood pressure control is not for everyone: a new model for performance measurement in hypertension.

Joint Commission journal on quality and patient safety / Joint Commission Resources

Steinman MA, Goldstein MK

Choice of initial antiepileptic drug for older veterans: possible pharmacokinetic drug interactions with existing medications.

Journal of the American Geriatrics Society

Pugh MJ, Vancott AC, Steinman MA, Mortensen EM, Amuan ME, Wang CP, Knoefel JE, Berlowitz DR

Suicide-related behaviors in older patients with new anti-epileptic drug use: data from the VA hospital system.

BMC medicine

VanCott AC, Cramer JA, Copeland LA, Zeber JE, Steinman MA, Dersh JJ, Glickman ME, Mortensen EM, Amuan ME, Pugh MJ

Commercial influence and learner-perceived bias in continuing medical education.

Academic medicine : journal of the Association of American Medical Colleges

Steinman MA, Boscardin CK, Aguayo L, Baron RB

Variation in outpatient antibiotic prescribing in the United States.

The American journal of managed care

Steinman MA, Yang KY, Byron SC, Maselli JH, Gonzales R

Medication prescribing practices for older prisoners in the Texas prison system.

American journal of public health

Williams BA, Baillargeon JG, Lindquist K, Walter LC, Covinsky KE, Whitson HE, Steinman MA

Agreement between drugs-to-avoid criteria and expert assessments of problematic prescribing.

Archives of internal medicine

Steinman MA, Rosenthal GE, Landefeld CS, Bertenthal D, Kaboli PJ

Physician use of brand versus generic drug names in 1993-1994 and 2003-2004.

The Annals of pharmacotherapy

Kwo EC, Kamat P, Steinman MA

The Neurontin legacy--marketing through misinformation and manipulation.

The New England journal of medicine

Landefeld CS, Steinman MA

Polypharmacy and the balance of medication benefits and risks.

The American journal of geriatric pharmacotherapy

Steinman MA

Rebuttal: Is CME a drug-promotion tool?: YES.

Canadian family physician Me´decin de famille canadien

Steinman MA, Baron RB

Is continuing medical education a drug-promotion tool?: YES.

Canadian family physician Me´decin de famille canadien

Steinman MA, Baron RB

Number of medical conditions and quality of care.

The New England journal of medicine

Steinman MA

Age affects outcomes in chronic kidney disease.

Journal of the American Society of Nephrology : JASN

O'Hare AM, Choi AI, Bertenthal D, Bacchetti P, Garg AX, Kaufman JS, Walter LC, Mehta KM, Steinman MA, Allon M, McClellan WM, Landefeld CS

What's in a name? Use of brand versus generic drug names in United States outpatient practice.

Journal of general internal medicine

Steinman MA, Chren MM, Landefeld CS

Characteristics and impact of drug detailing for gabapentin.

PLoS medicine

Steinman MA, Harper GM, Chren MM, Landefeld CS, Bero LA

Attitudes of preclinical and clinical medical students toward interactions with the pharmaceutical industry.

Academic medicine : journal of the Association of American Medical Colleges

Hyman PL, Hochman ME, Shaw JG, Steinman MA

Conflicts and concordance between measures of medication prescribing quality.

Medical care

Steinman MA, Rosenthal GE, Landefeld CS, Bertenthal D, Sen S, Kaboli PJ

Evolution of medication use in Jerusalem elders: Results from the Jerusalem Longitudinal Study.

Drugs & aging

Steinman MA, Maaravi Y, Walter LC, Hammerman-Rozenberg R, Stessman J

Polypharmacy and prescribing quality in older people.

Journal of the American Geriatrics Society

Steinman MA, Landefeld CS, Rosenthal GE, Berthenthal D, Sen S, Kaboli PJ

Narrative review: the promotion of gabapentin: an analysis of internal industry documents.

Annals of internal medicine

Steinman MA, Bero LA, Chren MM, Landefeld CS

Age and rising rates of cyclooxygenase-2 inhibitor use. Results from a national survey.

Journal of general internal medicine

Steinman MA, McQuaid KR, Covinsky KE

Mortality risk stratification in chronic kidney disease: one size for all ages?

Journal of the American Society of Nephrology : JASN

O'Hare AM, Bertenthal D, Covinsky KE, Landefeld CS, Sen S, Mehta K, Steinman MA, Borzecki A, Walter LC

Quality of ambulatory care for women and men in the Veterans Affairs Health Care System.

Journal of general internal medicine

Jha AK, Perlin JB, Steinman MA, Peabody JW, Ayanian JZ

Fluoroquinolone prescribing in the United States: 1995 to 2002.

The American journal of medicine

Linder JA, Huang ES, Steinman MA, Gonzales R, Stafford RS

Clinician awareness of adherence to hypertension guidelines.

The American journal of medicine

Steinman MA, Fischer MA, Shlipak MG, Bosworth HB, Oddone EZ, Hoffman BB, Goldstein MK

Office evaluation and treatment of elderly patients with acute bronchitis.

Journal of the American Geriatrics Society

Steinman MA, Sauaia A, Maselli JH, Houck PM, Gonzales R

[Our experience with the medical rehabilitation of homeless-disabled people].

Harefuah

Steinman M, Heruti RJ, Goldin D, Livshitz A, Shemesh F, Ohry A

Changing use of antibiotics in community-based outpatient practice, 1991-1999.

Annals of internal medicine

Steinman MA, Gonzales R, Linder JA, Landefeld CS

Donepezil for nursing home patients with dementia: a reinterpretation of the evidence.

Journal of the American Geriatrics Society

Steinman MA, Covinsky KE

Finding the target: getting started with quality of care and health services research.

Quality management in health care

Steinman MA, Landefeld CS

Self-restriction of medications due to cost in seniors without prescription coverage.

Journal of general internal medicine

Steinman MA, Sands LP, Covinsky KE