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Faculty Profiles

Edward Machtinger, MD

400 Parnassus Avenue
San Francisco, CA 94117
415-502-2586 ext. 9

Edward Machtinger, MD, is a Professor of Medicine and Director of the Women's HIV Program at the University of California, San Francisco (UCSF). His primary academic interest is the relationship between HIV and violence against women.

The current focus of Dr. Machtinger's research, advocacy and clinical innovation has been towards developing, implemented and evaluating a scalable model of trauma-informed primary care. Dr. Machtinger has convened, with Positive Women's Network-USA, a national strategy group to develop the trauma-informed primary care model to guide national implementation and evaluation efforts.

His latest publications include: a conceptual framework for trauma-informed primary care in clinic settings; a meta-analysis describing high rates of trauma and PTSD among US HIV-positive woman and a study demonstrating a significant association of recent trauma and HIV antiretroviral failure. Dr. Machtinger is also interested in the healing power of reducing isolation through group trauma interventions. He recently published a studies describing the positive impacts of a new theatrical disclosure intervention for women living with HIV and histories of trauma as well as a study of a group intervention for combined substance use disorder and PTSD..

In partnership with the Robert Wood Johnson Foundation, he now leads a national demonstration site of trauma informed primary care at UCSF. His team is conducting the first implementation study of this powerful model, with the goal of publishing an evidence-based scalable blueprint any clinic can use to implement trauma-informed primary care.

Dr. Machtinger is a respected thought leader and advocate nationally for education and policy pertaining to trauma informed care and women's health. He presently serves on the NIH prioritization committee for women and girls with HIV across all institutes and led the effort to include addressing trauma as a priority for 2016. He also serves on the Substance Abuse and Mental Health Administration (SAMHSA) General Adult Trauma Screening and Brief Interventions (GATSBI) working group, providing expertise on developing best practices for trauma-informed primary care. In addition, he recently advised the Presidential Federal Working Group on the Intersection of HIV/AIDS, Violence Against Women and Gender-related Health Disparities and was a keynote speaker at the release of their 2014 report. Dr. Machtinger was also a lead presenter at the U.S. Department of Health and Human Services HIV/AIDS Bureau Conference on Women, Trauma and HIV and served on the technical expert panel convened for the Office of the Assistant Secretary for Planning and Evaluation (ASPE) and the Health Resources and Services Administration (HRSA).

Dr. Machtinger has spoken widely about trauma-informed primary care at academic conferences, on webinars, to people affected by trauma, and to students at all levels. He serves on the Executive Committee of the AIDS Research Institute (ARI) at UCSF and the Executive Committee for the oversight of Congressional Ryan White funds to women and children in San Francisco and is the Co-Chair of the San Francisco Task Force on HIV-positive adolescents.

Dr. Machtinger is also a respected clinician, teacher and mentor and was the recipient of the UCSF School of Medicine 2013 Osler Distinguished Teaching Award. He is a graduate of Harvard Medical School and performed his residency in internal medicine at UCSF. Dr. Machtinger's other interests include the well-being of animals and the environment and the relationship between human health, animal welfare, and environmental stewardship.

Education and Training

Location Degree or Training Specialty Date
Harvard University M.D. School of Medicine 1996
University of California, San Francisco Residency Internal Medicine

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Recent Articles (15)

Hessol NA, Schwarcz SK, Hsu LC, Shumway M, Machtinger EL. Gender differences in causes of death among persons with HIV/AIDS in San Francisco, California, 1996-2013. Int J STD AIDS. 2018 Feb; 29(2):135-146.

Empson S, Cuca YP, Cocohoba J, Dawson-Rose C, Davis K, Machtinger EL. Seeking Safety Group Therapy for Co-Occurring Substance Use Disorder and PTSD among Transgender Women Living with HIV: A Pilot Study. J Psychoactive Drugs. 2017 Sep-Oct; 49(4):344-351.

Machtinger EL, Cuca YP, Khanna N, Rose CD, Kimberg LS. From treatment to healing: the promise of trauma-informed primary care. Womens Health Issues. 2015 May-Jun; 25(3):193-7.

Machtinger EL, Lavin SM, Hilliard S, Jones R, Haberer JE, Capito K, Dawson-Rose C. An expressive therapy group disclosure intervention for women living with HIV improves social support, self-efficacy, and the safety and quality of relationships: a qualitative analysis. J Assoc Nurses AIDS Care. 2015 Mar-Apr; 26(2):187-98.

Machtinger EL, Wilson TC, Haberer JE, Weiss DS. Psychological trauma and PTSD in HIV-positive women: a meta-analysis. AIDS Behav. 2012 Nov; 16(8):2091-100.

Machtinger, E. L., Haberer, J. E., Wilson, T. C., & Weiss, D. S. Recent trauma is associated with antiretroviral failure and HIV transmission risk behavior among HIV-positive women and female-identified transgenders. AIDS and Behavior. 2012; 8(16):2160-2170.

Vallabhaneni S, Scott H, Carter J, Treseler P, Machtinger EL. Atraumatic splenic rupture: an unusual manifestation of acute HIV infection. AIDS Patient Care STDS. 2011 Aug; 25(8):461-4.

Fang MC, Panguluri P, Machtinger EL, Schillinger D. Language, literacy, and characterization of stroke among patients taking warfarin for stroke prevention: Implications for health communication. Patient Educ Couns. 2009 Jun; 75(3):403-10.

Machtinger EL, Wang F, Chen LL, Rodriguez M, Wu S, Schillinger D. A visual medication schedule to improve anticoagulation control: a randomized, controlled trial. Jt Comm J Qual Patient Saf. 2007 Oct; 33(10):625-35.

Machtinger EL, Bangsberg DR. Seven steps to better adherence: a practical approach to promoting adherence to antiretroviral therapy. AIDS Read. 2007 Jan; 17(1):43-51.

Schillinger D, Machtinger EL, Wang F, Palacios J, Rodriguez M, Bindman A. Language, literacy, and communication regarding medication in an anticoagulation clinic: a comparison of verbal vs. visual assessment. J Health Commun. 2006 Oct-Nov; 11(7):651-64.

Schillinger D, Wang F, Rodriguez M, Bindman A, Machtinger EL. The importance of establishing regimen concordance in preventing medication errors in anticoagulant care. J Health Commun. 2006 Sep; 11(6):555-67.

Fang MC, Machtinger EL, Wang F, Schillinger D. Health literacy and anticoagulation-related outcomes among patients taking warfarin. J Gen Intern Med. 2006 Aug; 21(8):841-6.

Resneck JS, Van Beek M, Furmanski L, Oyugi J, LeBoit PE, Katabira E, Kambugu F, Maurer T, Berger T, Pletcher MJ, Machtinger EL. Etiology of pruritic papular eruption with HIV infection in Uganda. JAMA. 2004 Dec 01; 292(21):2614-21.

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