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Edward Machtinger, M.D.

Primary care and HIV/AIDS specialist

Dr. Edward Machtinger is a professor of medicine and director of the Women's HIV Program at UC San Francisco. Machtinger earned a medical degree at Harvard University and completed his residency in internal medicine at UCSF.

Machtinger first became interested in AIDS when he moved to New York for college in 1985 at the height of the early epidemic. He was moved by the new and historic nature of the disease, especially when a number of his friends died from AIDS. Machtinger joined Gay Men's Health Crisis, first as a "buddy" to someone dying of AIDS and later as a crisis intervention worker. On his choice of profession, Machtinger said, "AIDS, for me, became a calling and was the singular reason why I chose a career in medicine and public health."

Machtinger's passion for working with HIV-positive women began when he joined the Women's HIV Program (WHP) in 2001. He realized that the rising epidemic of HIV in women had been largely overlooked and that he could make potentially transformative contributions to both HIV-positive and at-risk HIV-negative women. He also realized that he simply loved working with women. Machtinger became director of the Women's HIV Program in 2004 and continues to support the health and well-being of his patients through clinical care at WHP.

Machtinger's primary academic interest is the relationship between HIV and violence against women. His current work is centered on developing a scalable model of trauma-informed primary care. As part of this work, he has developed interventions to help women safely and publically disclose their HIV status as a means to leave or avoid abusive partners. His recent publications include a meta-analysis describing high rates of trauma and PTSD among HIV-positive women in the United States and a study demonstrating a significant association between recent trauma and HIV antiretroviral failure. Machtinger presented his research findings at the White House to the Presidential Working Group on the Intersection of HIV/AIDS, Violence against Women and Girls, and Gender-Related Health Disparities.

Machtinger presently serves on the executive committee of the AIDS Research Institute at UCSF and on the executive committee for the oversight of congressional Ryan White funds to women and children in San Francisco; is the co-chair of the San Francisco task force on HIV-positive adolescents; and has participated in many working groups at the San Francisco Department of Public Health, developing "best practices" guidelines for the care of vulnerable populations living with HIV. Machtinger was previously the director of the Sexual Health and Empowerment Program, San Francisco's prevention-with-positives program for HIV-positive women and transgender individuals, and was co-director of the UCSF fellowship in AIDS care.

Machtinger is also a respected clinician, teacher and mentor. He was recently elected by the UCSF medical school class of 2013 to receive the UCSF School of Medicine's 2013 Osler Distinguished Teaching Award.

Machtinger's other interests include the well-being of animals and the environment as well as the relationship between human health, animal welfare and environmental stewardship.

Clinics

HIV/AIDS Program
350 Parnassus Avenue, Suite 908
San Francisco, CA 94143
Phone: (415) 353-2119
Fax: (415) 353-2406

Hours: Monday to Thursday
8:30 a.m. – noon, 1 – 5 p.m.

Conditions & Treatments

More about Edward Machtinger

Additional Languages

Spanish

Education

Harvard Medical School 1996

Selected Research and Publications

  1. 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. 2014 May 10.
  2. 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.
  3. 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.
  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.
  5. 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.
  6. 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.
  7. 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.
  8. 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.
  9. 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.
  10. 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 1; 292(21):2614-21.

Publications are derived from MEDLINE/PubMed and provided by UCSF Profiles, a service of the Clinical & Translational Science Institute (CTSI) at UCSF. Researchers can make corrections and additions to their publications by logging on to UCSF Profiles.