UCSF Medical Center

Moffitt/Long Hospital (UCSF)

The 600-bed Moffitt/Long Hospital serves as the centerpiece of the UCSF Parnassus Heights 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 an ideal hospital in which to train future leaders in academic neurology.

There are four services at Moffitt: Neurovascular, Neurohospitaist Ward, Neurohospitalist Consult, and the Epilepsy Monitoring Unit. Junior residents spend one month each on the first three services, while rotating on the Epilepsy Monitoring Unit is elective.  Our open Intensive Care Unit arrangement allows for a broad exposure to critical care in all of the rotations.

The neurohospitalist ward service takes care of between 5-14 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 5-12 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 neurohospitalist consult service covers all of the neurology consults for the hospital, including the ED.

Direct supervision on the services is provided by attendings and, in some cases, fellows along with senior and junior residents. Each of the four services has their own attending rounds and teaching conferences. Residents do not take any call when they are on service months. There is a night float system that covers the services 7 days per week, 365 days per year.