With its four teaching campuses (UCSF Medical Center/Moffitt-Long Hospital, UCSF/Mount Zion Medical Center, Zuckerberg San Francisco General Hospital, and the Veterans Administration Medical Center), UCSF offers an unparalleled diversity of patient populations and clinical care that spans the entire spectrum of primary to quaternary care medicine.
UCSF Medical Center
UCSF Medical Center and Moffitt-Long Hospital are located on the main UCSF campus (adjacent to Golden Gate Park) in close proximity to the Schools of Medicine, Dentistry, Nursing, and Pharmacy. Moffitt-Long Hospital is a 500 bed (adults) facility and serves as a tertiary and quaternary referral center and an important provider of primary care to residents of San Francisco. In addition to regular floor beds, there are three telemetry/stepdown units and five intensive care units (ICUs). These function as "open" units; that is, the Medicine and Cardiology teams follow patients into and out off the ICU throughout their hospital stay (working closely with a dedicated ICU team).The Department of Medicine at this site has led the nation in developing academic primary care programs as well as an academic hospitalist model. Internal Medicine residents will have the opportunity to rotate on multiple inpatient services at this site including: general medicine, cardiology, liver transplant, intensive care unit, emergency medicine, and subspecialty electives.
Several times, after a call, I realized I admitted patients with diseases that med school professors said, "Oh, you'll probably never actually see this."
Resident reflection on their experience at Moffitt-Long
UCSF/Mount Zion Medical Center
The Mount Zion Medical Center is approximately one mile north of the main UCSF campus and serves as a major ambulatory training site, providing continuity clinics for our residents in conjunction with the activities of faculty in the UCSF Division of General Internal Medicine. The UCSF Cancer Center, the Center for Excellence in Women's Health, the Osher Center for Integrative Medicine, and many key ambulatory subspecialties (e.g., dermatology and sports medicine) are also located here. Residents may elect to do ambulatory experiences in each of these areas over the course of their training.
Zuckerberg San Francisco General Hospital
Zuckerberg San Francisco General Hospital (ZSFG) is consistently recognized as one of the most prominent public hospitals in the nation. Located in southeastern San Francisco, ZSFG has a long history of serving the city's underserved population; it has more than 300 inpatient beds with 31 ICU beds. ZSFGfaculty members have been leaders in developing training programs that focus on care of the underserved and homeless populations. It is also nationally recognized for its research programs in HIV disease, lung biology, and tuberculosis. Internal Medicine residents rotate on the following services at ZSFG: general medicine, ICU, emergency medicine, and subspecialty consult services. Many residents also maintain their continuity clinic at ZSFG.
Being at the General is exciting and rewarding: pretty much, anything you can think of - and some things you'd never imagine - can happen.
Resident reflection on their experience at ZSFG
San Francisco Veterans Affairs Medical Center
The San Francisco Veterans Affairs Medical Center (VAMC) provides primary and tertiary care to veterans, coordinates outreach efforts throughout the entire region, and has 135 housestaff in all specialties on site. It is located in the northwest corner of San Francisco with gorgeous views (when not too foggy) of the ocean and Golden Gate Bridge. The VAMC is a 220-bed facility, including an 18-bed ICU and a telemetry unit. The hospital is connected to the outpatient clinics, and many housestaff have their primary care clinic here and rotate through the subspecialty clinics. Internal Medicine residents rotate on inpatient general medicine and ICU medicine and many have their continuity clinic here.
With extensive past medical histories that would level mere mortals, these patients have some of the most unbelievable stories and intriguing management issues.
Resident reflection on their experience at VAMC
In addition to the four training sites, residents may also rotate at a variety of other community sites, including city clinics, public health centers, long-term nursing and rehabilitation facilities, and managed care settings to maximize their educational opportunities.