Esl - San Diego College Of Continuing Education
ESLEnglish as aSecond LanguageIntermediate/AdvancedStudent GuideLastFirstStudent CSIDInstructorInstructorRoomRoomClass levelClass levelTimeTimeThis ESL Student Guide was developed bythe ESL Learner Persistence Committee.Welcome to our program
Table of ContentsESL Online Resources. 2General Program Information. 3-6ESL Destinations (Pathways to other programs). 7Short-term Goals. 8Short-term and Long-term Goals. 9Classroom Reminders. 10Useful English Expressions. 11Phrasal Verbs. 12Cultural Tips and U.S. Laws.13-14Irregular Verb Chart.15-18English Verb Tenses. 19Parts of Speech. 20CASAS Test Practice. 21Test Record Fall Semester. 22Test Record Spring Semester. 23Map of Continuing Education Campuses. back coverand Community CollegesESL online ngrules(2)Citizenshipwww.uscitizenpod.comEL Civicsprograms.sdce.edu/elcivics
GENERAL PROGRAMINFORMATIONGeneral Information7. How do I get a parking permit?Is there a fee?1. What is the name of our school?Every campus is different, so youshould ask your instructor. You mayneed to ask your instructor to verifyyour enrollment in the class.8. How long is the parking permit valid?The name of our school is.We are part of San Diego ContinuingEducation.2. How many Continuing Educationcampuses (schools) are there?There are seven main campusesin San Diego (see back cover).3. How much does it cost to take classes?All ESL classes are free.4. Where do I get a student CSID card?Our school does notgive student ID cards,but you can get astudent CSIDattendance card at your campus.5. Can I bring my children to classwith me?No, children are notallowed inthe classroom.6. Is there a club for students?Some campuses have AssociatedStudent Body (ASB) groups. Askyour counselor.The parking permit is valid forone semester.9. What should I do if I get a parkingticket?You can pay the ticket by mail oronline at www.paysdccd.comYou will need the citation numberand license plate number.If you want to appeal the ticket, youcan go online at www.paysdccd.com10. What does this sign mean?San Diego ContinuingEducation wants to preventhate on campus. If you feeldiscriminated against(harassed) or unsafe atschool, you can complete aconfidential report online atwww.sdce.edu/organization/birt/report-form11. How can I find out if the school is closedbecause of an emergency situation?You can go to the websitewww.sdce.edu for information.(3)
GENERAL PROGRAMINFORMATIONESL Classes1. How many levels of ESLclasses are there?There are 7 levels ofESL classes.Sometimesa class ismulti-level.1,2,3 Beginning4,5 Intermediate3. When are the ESLclasses?You can attendESL classes inthe morning,afternoon andevening. Somecampuses haveFriday night andSaturday classes.6,7 Advanced4. Can I attend more than one class?2. What kind of certificate can I receivefor taking an ESL class?There are three types ofCertificates that a student mayreceive at the end of the semester:» Certificate ofParticipationthat showshow manyhours youattended class» Certificate of Course Completion ifyou complete the requirementsfor levels 1, 2, 3, 4, 5, 6, 7,Advanced VESL or Citizenship.» Certificate of Program Completionif you complete the requirementsfor Beginning ESL (level 3),Intermediate ESL (level 5),Advanced ESL (level 7) orAdvanced VESL.(4)Yes, you can attend more thanone class.5. How long are the classes?Most classes are 2 or 3 hours long.Some are shorter. Most classes are18 weeks long (one semester).Fall Semester September to JanuarySpring Semester Summer Session to Juneto
6. How do I know my level?The ESL Registration Office givesyou a test to place you in thecorrect level of English. Eachclass reviews the English fromlower levels.7. Can I change to a different level duringthe semester?If the class is not right for you,talk to your instructor or yourcounselor, or go to the ESLregistration office.8. How long can I stay in a level?You can stay in the same ESL classuntil you are ready to move.10. Do I need to buya book?In most ESL classesyou need to buya book.11. What tests will I take in ESL classes?You will take areading and/orlistening testtwice eachsemester.It is importantto take at leasttwo tests tosee yourprogress.Your instructor will also give youtests on the lessons in your class.9. How long does it take to finish a level?There is no time limit to completea level. It depends on your progress.(5)
GENERAL PROGRAMINFORMATION(continued)Attending and Missing ClassesComputers and Technology1. Do I have to stay for the whole class?1. Can I learn how to use a computerin my ESL class?It is important to come on time andstay for the whole class. If you needto miss some class time, please tellyour instructor.You may learn some computerskills in your ESL class. You mayalso learn computer skills in the ESLcomputer labs. Most campuses haveESL computer labs.2. Do I have to come to class every day?You can attend class even if youcannot come everyday. If you will beabsent, please tell your instructor.If you are in a Managed Enrollmentclass, you are required to attend atleast 80% of the classes.3. What should I do if I willbe absent a few days?If you are absent a fewdays, notify yourinstructor by telephoneor e-mail.--2. What are the requirements to use thecomputer labs?Any ESL student can attend an ESLcomputer lab. You may also attenda computer class through theBusiness Information Technology(BIT) department if your ESL level isintermediate or advanced.3. Can I use a school computer forchecking my e-mail?You may only use school computersto do projects or activities assignedby your instructor.4. Are cell phones allowed?4. What should I do if I am absent for along time and want to return to school?You should go to the ESL RegistrationOffice or talk to your instructor.You are welcome to return to schoolanytime if there is space in theclassroom.If you are in a Managed Enrollmentclass, you can re-enter the class thefirst week of the next session if spaceis available.(6)You are not permitted to make orreceive phone calls in the classroom.If it is urgent, please step outsideof the classroom to make or receivea call.
ESL DESTINATIONSPathways from ESL classes to other Continuing Educationprograms and college classes.Visit sdce.edu for more informationGED PreparationHigh School Diploma/EquivalencyBasic SkillsCollege Credit ESL ClassesCertificate Programs» City CollegeAccounting/BusinessInformation Worker» Mesa College» Miramar CollegeAutomotive TechnicianAuto Body andPaint TechnicianBusinessAdvanced VocationalESL (VESL)Child DevelopmentStudents who want to learn English forjob training or employment can studyin a vocational ESL class (VESL). In thisclass you will develop your Englishlanguage skills and study about a job.You can learn English for the following:Computers, InformationTechnology andDigital MediaCulinary andBakeshop Academy» Auto Mechanics» Family Home Day CareElectronics» Food Service Worker» Nursing Assistant/Home Health AideFashion and TextilesHVAC (Heating, Ventilationand Air ConditioningHealthcare CareersPlumbing7 Advanced ESL6 Advanced ESL5 Intermediate ESL» Office SkillsAdvancedVocational ESL(VESL)4 Intermediate ESL» Personal Care Assistant/Caregiver» Retail/CashierSpecial Classes/Other Free ClassesESL Transitionto r LabsWritingUpholsteryWelding/Metal Fabrication3 Beginning ESL2 Beginning ESLGrammar1 Beginning ESL(7)
My Short-Term GoalsComplete at the beginning of the semester. Put a check next to your goals for the semester.Workget a jobstay at my current jobenter job trainingget a promotion on my jobimprove work skillsenter the militaryother work goals:Communityenter a Citizenship classget my U.S. Citizenshipregister to votevote in an electionparticipate in community activitiesother community goals:Personal/Familyvisit my children’s schoolvolunteer in my child’sclassroom or schoolread to my childrenhelp my children with homeworktake my children to the librarygo to school meetingsother personal goals:Educationlearn computer skillsenroll in the next ESL levelenroll in Basic Skillsenroll in GED orHigh School Diploma classenroll in collegeenroll in certificate program classother educational goals:Complete at the end of the semester. Put a check next to your goals for the semester.Workgot a jobstayed at my current jobentered a certificate programgot a promotion on my jobimproved work skillsentered the militaryother work goals:Communityentered a Citizenship classgot my U.S. Citizenshipregistered to votevoted in an electionparticipated in community activitiesother community goals:(8)Personal/Familyvisited my children’s schoolvolunteered in my child’sclassroom or schoolread to my childrenhelped my children with homeworktook my children to the librarywent to school meetingsother personal goals:Educationlearned computer skillsenrolled in the next ESL levelenrolled in Basic Skillsenrolled in GED orHigh School Diploma classenrolled in collegeenrolled in certificate program classother educational goals:
My Short-Term and long-term GoalsDirections: Refer to ESL Destinations Chart on page 7.Examples of Educational Goals:This semester:I want to improve my English.How will you reach that goal?I will attend ESL class at least 4 days each week and review my lessons every day.Next semester:I want to enroll in the VESL class and study English for Certified Nurse Assistant (C.N.A.).How will you reach that goal?I will improve my CASAS reading score and complete ESL level 4.Next year:I want to enroll in the C.N.A. Training Class.How will you reach that goal?I will complete the VESL class and pass the required reading test.In five years:I want to get a job as a Licensed Vocational Nurse (L.V.N.).How will you reach that goal?I will work as a C.N.A. and complete an L.V.N. Program.Complete the sentences about your short-term and long-term goals. Refer to yourshort-term goals on page 8 and the ESL Destinations Chart on page 7 that givesinformation about pathways from ESL to other programs and college classes.This semester I want toHow will you reach that goal?I willNext semester I want toHow will you reach that goal?I willNext year I want toHow will you reach that goal?I willIn five years I want toHow will you reach that goal?I will(9)
CLASSROOMREMINDERS1. Prepare for class.2. When you enter,Bring paper,find a seat.textbook, pencils,Do not savepens, and a binder.chairs forOrganize yourother students.papers in a binder.3. If you enter classlate, please enterquietly and donot interruptthe lesson.4. Return to classon time afterthe break.5. Be polite.Listen whenthe instructoror other studentsare speaking.7. Do not use a cellphone in theclassroom. Turnthe ringer off.Put the phoneon vibrate.8. Do not use acell phone nearthe classroom.6. Raise yourhand when youwant to speakor answer aquestion.Elevator9. When you takea test, do yourown work. Donot look at yourclassmate’s test.10. Stay on theright-hand sideof stairs.11. Let studentsexit beforeyou enteran elevator.12. Push the topbutton to go up.Push the bottombutton to godown.16.13. If your campushas an evacuationdrill, stay calmand follow theevacuation route.Do not run or push.(10)14. Do not use theelevator whenan alarm ringsor during anevacuation.15. In an evacuationpay attentionand followdirectionscarefully.
USEFUL ENGLISHEXPRESSIONS2. Offering to Help1. Initiating ConversationMay/Can I help you?Do you need any help?Let me give you a hand.Could you do me a favor?What’s up?What’s new?Have you heard the news?You look familiar. Have we met before?3. Asking for Clarification4. Expressing ClarificationWhat doesmean?Could you repeat/say that again?Could you explain/pronounce/spell that?Could you clarify that?Could you elaborate on that?What I mean isWhat I’m saying isLet me put it this way.Let me try to explain in a differentway.5. Asking an OpinionWhat do you think aboutWhat is your opinion aboutHow do you feel about6. Expressing an Opinion?7. Agreeing/Affirming.You made a good/strong point.I would predict thatMy prediction is thatMy guess would be.11. Expressing PreferencesI would like/prefer toI would ratherMy preference isI disagree. I don’t agree.I have a different opinion.That’s a good/valid point, butlook/read what it says here.10. Making a Prediction9. Offering AdviceIf I were in your shoes, I’d.I believe/think thatIn my opinion,I feel8. DisagreeingI agree.I feel the same way.I really liked your idea/point aboutI think you shouldI think you ought toI suggest/recommend that you.12. Summarizing.Finally,In conclusion,To sum it upTo conclude,.(11)
PHRASALVERBS1. CROSS OUT: to draw a line througha mistake.The instructorwants us tocross out the mistakes.2. GET INTO: to join.We often getinto groups.3. LEAVE OUT: to omit.Students often leave out the e-mailaddress on the application.4. BUBBLE IN: to fill in a bubble ona form or test.Did you bubble in the semesteron your form?5. pass out/HAND OUT: to distribute.Could you passout the papers,please?6. turn in/HAND IN: to submit a paperor an assignment.I turn in myhomework atthe beginningof class.(12)7. FIGURE OUT:to understand, tosolve a problem.I cannot figure outmy paystub.8. GO OVER: to review, to look at.The teacher likes to go over theprevious day’s lesson at thebeginning of class.9. LOOK UP: to use a resource to findthe information.The students alwayslook up the meaningof new words inthe dictionary.10. MOVE ON: to continuewith something else.Let’s move on to thenext lesson.11. shut down: toturn the power off.It’s time to shutdown thecomputers.12. watch out: to be careful,to givea warning.Watch out!The floor is wet.
CULTURAL TIPSAND U.S. LAWSAdjusting to a New Culture/Culture ShockAdjusting to a new culture can be aconfusing experience. As a result, you maymiss your family and friends. Most peoplewho come to a new country feel the sameway. This is called “cultureshock,” and it is temporary.Here are some ideas to helpyou deal with culture shock:1. Go to ESL classes regularly. Make friendsin class and ask for their e-mail addressor telephone number.Social Habits1. In the U.S., people usually form linesto wait their turn for services.2. Some people are uncomfortableanswering questions about privateissues such as salary, age, weight,money, sex, politics, and religion.3. Some hand gestures are OK in the U.S.but they are not OK in other countries.These gestures are OK in the U.S.:2. Find an activity you like to do suchas cooking or gardening.3. Exercise.4. Visit interesting places, such asBalboa Park, San Diego Zoo, museums,or beaches.5. Talk to your instructor, your counseloror a friend.Time4. People generally like more personalspace than people from many othercountries. People like to stand threefeet (or more) away from each otherwhen talking.5. When people talk, they make eyecontact. They are uncomfortable whenpeople do not make eye contact.People in the United States (U.S.)think it is very important to beon time (punctual).1. At work, the rules for being on time arevery strict. If work begins at 8:00 a.m.,your boss will say you are late if youarrive at 8:01 a.m.2. You should arrive at your ESL class ontime. If you are not on time, take thefirst available seat as quickly andquietly as possible.(13)
CULTURAL TIPSAND U.S. LAWS(continued)Child’s SchoolDriving/Driving Safety1. Parents are encouraged to get involvedin their child’s school and education.1. The driver and all passengersin a moving car must wearseat belts at all times.2. Parents are invited to attend parentteacher conferences, Open House orBack-to-School Night and PTA meetingsto get information about their child’sprogress, class and school.3. If you have any questions or concerns,you can make an appointment withthe teacher, counselor, or principal.4. Make sure the teacher and school haveyour current telephone number(s).5. Tell the school if your child takesmedicine or has medical conditionssuch as, asthma, diabetesor food allergies.Women and Men1. In the U.S., women and men have thesame rights.2. There are laws about physically hurtingothers, such as disciplining children.3. Sexual harassment is illegal.2. If you are stopped and anyone in the caris without a seat belt, you will be fined.3. It is against the law to drive withouta valid driver’s license.4. If you have a foreign driver’s license,it is not valid after three months.5. Driving under the influence of alcoholor drugs is a very serious crime in theUnited States.6. In California, you are not allowed touse a handheld cell phone while driving.7. If a police officer stops you whiledriving, remain in the car and followthe officer’s instructions. Offeringmoney to a police officer is illegal.Environment1. It is illegal to litter. Put trash,gum, food, and cigarettebutts in the trash container.2. Please recycle. Put paper,plastic, and aluminum cansin the blue recycle container.3. Smoking is not allowedon any campus.(14)
IRREGULARVERB CHARTPresentPastParticiplePractice1. am/is/are was/were been2. becomebecamebecome3. beginbeganbegun4. bitebitbitten5. blowblewblown6. breakbrokebroken7. bringbroughtbrought8. buildbuiltbuilt9. buyboughtbought10. catchcaughtcaught11. choosechosechosen12. comecamecome13. costcostcost14. cutcutcut15. dodiddone16. drawdrewdrawn17. drinkdrankdrunk18. drivedrovedriven19. eatateeaten20. fallfellfallen21. feedfedfed22. feelfeltfelt(15)
IRREGULARVERB CHART(continued)PresentPastParticiple23. fightfoughtfought24. findfoundfound25. fitfitfitPractice26. flyflewflown27. forgetforgotforgotten28. forgiveforgaveforgiven29. freezefrozefrozen30. getgotgotten31. givegavegiven32. gowentgone33. growgrewgrown34. hanghunghung35. havehadhad36. hearheardheard37. hidehidhidden38. hithithit39. holdheldheld40. hurthurthurt41. keepkeptkept42. knowknewknown43. laylaidlaid44. leadledled(16)
PresentPastParticiple45. leaveleftleft46. lendlentlent47. loselostlost48. makemademade49. meanmeantmeant50. meetmetmet51. paypaidpaid52. putputput53. readreadread54. rideroderidden55. ringrangrungPractice56. riseroserisen57. runranrun58. saysaidsaid59. seesawseen60. sellsoldsold61. sendsentsent62. shakeshookshaken63. showshowedshown64. shrinkshrankshrunk65. singsangsung66. sitsatsat(17)
IRREGULARVERB CHART(continued)PresentPastParticiple67. sleepsleptslept68. speakspokespoken69. spendspentspent70. standstoodstood71. stealstolestolen72. stickstuckstuck73. stingstungstung74. sweepsweptswept75. swimswamswum76. taketooktaken77. teartoretorn78. teachtaughttaught79. telltoldtold80. thinkthoughtthought81. throwthrewthrown82. understand understood understood83. wakewokewoken84. wearworeworn85. winwonwon86. writewrotewritten87.88.(18)Practice
English Verb TensesEnglish verbs give information about the type and time of action.PresentSimplePastFutureSimple Present Simple Past Simple Futurehabitual actions;general knowledgeaction happenedat a specific timeaction will happenat a specific timeEx: I walk to schooleveryday.Ex: I walked to thepark yesterday.Ex: I will walk orI am going to walkto my friend’s houseafter school.Add: “ed” to verbPut “will” or “to begoing to” before verbProgressivePresent ProgressivePast ProgressiveFuture Progressiveto be V ingaction in progressat present timeaction was inprogress at specifictime in pastaction will be inprogress at a specifictime in futureEx: I am walkingnow.Ex: I was walking toschool when I saw anaccident.Ex: I will bewalking to schooltomorrow.PerfectPresent PerfectPast PerfectFuture Perfectto have past participleexact time of whenaction happened isnot importantaction ended beforeanother action inthe pastaction will be finishedbefore anotheraction takes place inthe futureEx: I have alreadywalked a mile today.Ex: I had walkeda mile when it startedto rain.Ex: I will havewalked two milesbefore class starts.PerfectPROGRESSIVEPresent PerfectProgressiveto have been V ingaction has beenin progressPast PerfectProgressiveaction was in progressbefore another eventhappened in the pastFuture PerfectProgressiveaction will be inprogress beforeanother eventhappens in the futureEx: I had beenwalking for 30minutes when myfriend drove by andgave me a ride.Ex: I will havebeen walking for twohours by the time myfriend joins me.Ex: I have beenwalking all morning.(19)
Parts of speechParts of function example example sentencesSpeech wordsVerbaction: make,study, walk,ride writeI walk to school every day, butmy friend rides her bicycle.state of being:be, seem, feelYou seem a little tired today.Do you feel ok.person, place, thing,qualityor ideamanager, store,San Diegoworkers,honesty,reliabilityI am a manager of a small store inSan Diego.Adjectivedescribes/modifies a noungood, big, blue,new, colorful,beautifulThose birds are so beautiful.They have colorful feathers.Adverbdescribes a verb,adjective or adverbquickly, slowly,well, badly,very, more,really, usuallyMy little brother usually eatsquickly. When he is very tired,he eats more slowly.Pronounreplaces a nounI, you, he, she,it, we, they,me, him, herSangeeta is Indian. She is funny andvery smart. I saw her yesterday.Prepositionshows place, time,direction; may showthe connection of twonouns or pronounsto, at after, onabout, ofWe went to school on Monday.The movie was about Africa.I like the color of your dress.Conjunctionconnects parts ofsentences, phrasesor clausesand, but, when,since, becauseI like birds and cats. Xiang likesbirds, but he doesn’t like cats. Hehas been an avid bird watcher sincehe was a little boy.Interjectiona word or phrasethat expresses anexclamation such assurprise or painOh!, Ouch!,Wow!I just hit my thumb with thehammer. Ouch! That hurts!Wow! I watched an exciting soccergame last night.Noun(20)describes anaction or stateof beingThe name of our school isSan Diego Continuing Education.When I hire new workers, I valuehonesty and reliability.
PracticeQuestionsCASAS test practicePracticeQuestionsA B C D1.2.3.Example test questions:A B C D1.2.3.1.TeleHealth ServiceNow you can obtain healthinformation 24 hours a daydirectly from your hometelephone. Call in to our toll-freenumber and choose one of over200 recorded messages that giveyou information on everythingfrom common diseases toimmunizations to loweringcholesterol.What does TeleHealth offer?A. home health careB. information on healthC. 24-hour appointment lineD. direct access to medical staffPracticeQuestionsA B C D1.2.3.2.Instructions:1. Take out the screw that holds down the cover. Lift off the cover.2. Pull out the filter and discard it. Put in a new filter.3. Replace the cover and fasten it with the screw.What do you do after you put in a new filter?A. take the cover offB. pull the filter outC. remove the screwD. put the cover on3.The Westview Health Care Centeris planning to offer a four-weekprogram to educate teens aged13 to 18 on healthy weight-lossstrategies and good nutrition.The focus will be on self-image,fitness, and food. Participantswill identify healthy meals,develop exercise plans, andexamine lifestyle choices.What does TeleHealth offer?A. to provide nutritious mealsfor childrenB. to interest teenagers in healthcare careersC. to learn about the healthproblems of teenagersD. to teach young people howto control their weight and eathealthy foodCASAS Scores and READING LEVELS0181191201-180190200210 Reading 1 Reading 2 Reading 3 Reading 4211 - 220221 - 235236 - 245 Reading 5 Reading 6 Reading 7 2009 Comprehensive Adult Student Assessment Systems (CASAS). All rights reserved.(21)
Test Record fall 2016/2017Unit Test DateScoreOther Test ASAS Tests (or TABE Tests)Speaking/Writing AssessmentsCASAS #ScoreEl Civics ObjectiveCASAS #ScoreCASAS #ScoreEl Civics PassNo PassCASAS #ScoreOral PresentationScoreTABE Score(22)Writing Assessment Score
Test Record Spring 2017Unit Test DateScoreOther Test ASAS Tests (or TABE Tests)Speaking/Writing AssessmentsCASAS #ScoreEl Civics ObjectiveCASAS #ScoreCASAS #ScoreEl Civics PassNo PassCASAS #ScoreOral PresentationScoreTABE ScoreWriting Assessment Score(23)
San Diego Continuing Educationcampus locationsContinuing Education CampusesCollege CampusesNorth CityMiramar College location10440 Black Mtn. RoadSan Diego CA 92127619-388-78255Miramar CollegeMiramar CollegelocationContinuing Education at:Mesa College7350 Armstrong PlaceSan Diego CA 92111619-388-1950North City8355 Aero DriveSan Diego CA 92123619-388-18001552163Mesa College8City College94West City3249 Fordham StreetSan Diego CA 92110619-388-1873Mid-City3792 Fairmount AvenueSan Diego CA 92105619-388-4500805EducationalCultural Complex4343 Ocean View BoulevardSan Diego CA 92113619-388-4956César E. ChávezChávez1901 MainStreet1960NationalAvenueSan Diego CACA grams/eslESL program information: eslinfo@sdccd.eduSan Diego Community College DistrictAdministrative Offices3375 Camino del Rio SouthSan Diego, California 92108-3883The San Diego Community College District (SDCCD) includes San DiegoCity College, San Diego Mesa College, San Diego Miramar College, andSan Diego Continuing Education. The SDCCD is governed by its Board ofTrustees. No oral or written representation is binding on the San DiegoCommunity College District without the express approval of the Board ofTrustees. SDCE Public Information Office (06/2016)President, Continuing EducationCarlos O. Turner Cortez, Ph.D.Board Of TrusteesMary GrahamRich GroschBernie RhinersonMaria Nieto Senour, Ph.D.Peter ZschiescheChancellor, SDCCDConstance M. Carroll, Ph.D.
college credit Esl classes » City College »Information Worker Mesa College » Miramar College ESL Transition to College Citizenship 2 Beginning ESL Computer Labs Grammar ESL DESTINATIONS Pathways from
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Transition from noncredit ESL at Continuing Education to credit ESL or English at City, Mesa or Miramar College. Attended 8 or more hours of noncredit ESL within the immediate year prior to enrolling in credit ESL/English Fifty‐six percent are first generation to college students.
Ariane Kerestesy, Program Lead, UC San Diego Health . Nicole May, PMO Director, UC San Diego Health . Marlene Millen, MD, Ambulatory Care CMIO, UC San Diego Health . Dean Pham, PharmD, MBA, Ambulatory Clinical Systems Director, UC San Diego Health . Marc Sylwestrzak, IS Director of Experience and Digital Health, UC San Diego Health .
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