UCSF Medical Center

 

Moffitt/Long Hospital (UCSF)

The 600-bed Moffitt/Long Hospital serves as the centerpiece of the UCSF Medical Center campus, and is a major tertiary and quaternary referral center for patients from around Northern California, the West Coast, and across the nation. The variety and complexity of diagnoses encountered here are unsurpassed, and the UCSF culture of continuous teaching and collegiality makes this a fantastic hospital in which to train.

There are four services at Moffitt: Neurovascular, Epilepsy, General Neurology Ward, and the Consult Service. Junior residents spend one month each on one of these services.  Our open Intensive Care Unit arrangement allows for a broad exposure to critical care in all of the rotations.

The ward service takes care of between 5 and 15 inpatients with primary neurological disorders and are cared for as part of our comprehensive Neurohospitalist Program. Cases here include many diagnostically challenging tertiary care referrals.

The neurovascular service usually has 5-15 patients hospitalized for stroke, ICH, subarachnoid hemorrhage, and post-procedure care after interventional neuroradiology procedures. About half of the patients on the neurovascular service are in the ICU.

The epilepsy service usually admits 5-10 patients for monitoring throughout the week. In addition to time spent in the epilepsy monitoring unit (EMU), the resident on this rotation also attends epilepsy clinic, learns the rudiments of EEG interpretation, and observes intraoperative cortical mapping and Wada testing.

The consult service covers all of the neurology consults for the hospital, including the ED and urgent care consults.

Direct supervision on the epilepsy and neurovascular services is provided by fellows and attendings. The consult and ward services are run by a senior resident. Each of the four services has their own attending rounds and teaching conferences. Residents do not take any call when they are on ward service months. There is a night float system (2 weeks on) that covers the service 5 days per week; the other two days are covered by rotating residents on other services.