Message from the Chief
The United States and the San Francisco Bay Area are facing multiple simultaneous challenges — the COVID-19 pandemic, the call to address police violence and systemic racism, and an economic recession. The Division of Hospital Medicine (DHM) at UCSF Health is committed to actively responding in the ways we can.
Fortunately, the Bay Area and San Francisco did not see a large spike in COVID-19 cases earlier in the Spring. Yet, we collaborated with UCSF Health to take many steps to prepare, including opening a novel Respiratory Isolation Unit (RIU) at Parnassus Heights and reopening Mount Zion Hospital to serve as another RIU. Mount Zion Hospital was previously an acute care hospital and was at the forefront of caring for patients during the flu epidemic in 1918. In the last few years, it had served as an ambulatory care site including outpatient surgeries.
With these extensive preparations, we were ready when cases began to rise in the last few weeks. We are proud of the high-quality, safe, evidence-based, equitable, patient-centered care we are providing to patients with COVID-19 and those without. We are also proud of our Research Core, which has multiple cutting-edge randomized controlled trials focused on the treatment of COVID-19. We are absolutely prepared for a potential surge in cases as well as for the reality that there may not be an effective vaccine or treatment for months or years.
It has been difficult for all of us to witness the death of George Floyd and Breonna Taylor, challenges with police violence and systemic racism, and the disproportionate impact of COVID-19 on communities of color. Years ago, our Division founded our Social Medicine Core, a group within the Division focused on diversity, equity, and inclusion, disparities in care, vulnerable patient populations, and health advocacy. We are harnessing the principles of Social Medicine to work to combat racism, eliminate racist policies, ensure equitable high-quality care for all of our patients, and create a work environment that is welcoming, inclusive, and embraces diversity. Specifically, we are seeking to enhance the diversity of our physician workforce so it more closely reflects the patients we serve.
At the same time, staying true to our Mission and Vision, we continue to be leaders in medical education, quality improvement, informatics, and research. Each of these domains has been uniquely impacted by COVID-19, and our faculty and staff have innovated in truly remarkable ways.
We are proud of the work the Division has done and will continue to do. I encourage you to look around the website at the accomplishments and successes of the Division. If you are interested in joining the Division as faculty or staff, we strongly encourage you to apply.
Thank you — be safe and be well.
Message from the Chief — March 2020
The COVID-19 pandemic is changing the world and changing healthcare. The Division of Hospital Medicine (DHM) is hard at work preparing our hospital medicine services for the potential influx of patients. In a few short weeks, we opened up a unique Respiratory Isolation Unit (RIU) on the 15th floor of Moffitt-Long Hospital. This RIU is focused on caring for patients with suspected and confirmed COVID who do not need intensive care unit (ICU) services.
Simultaneously we are working collaboratively with UCSF Health to open an RIU at Mount Zion Hospital, which currently has clinics and ambulatory surgery services but previously was an acute care hospital and was at the forefront of caring for patients during the flu epidemic in 1918.
We believe our providers should be at the front lines caring for patients with confirmed and suspected COVID who need acute care. At the same time, staying true to our Mission and Vision, we will be exploring educational issues, quality improvement, social medicine, informatics, and research as they relate to the COVID pandemic.
So far, we’ve been very lucky in San Francisco and have not seen the surge of COVID patients seen in other parts of the country and across the world. As such, members of our division were dispatched to New York to help aid in the COVID relief. As we look for other opportunities to send our providers to hard hit areas, we would like to highlight the below news coverage.
Bob Wachter and Armond Esmaili were interviewed on NBC Nightly News on a segment on "What did SF do right?"
Michelle Mourad was featured on the local ABC news discussing the implementation of iPads for connecting UCSF patients to their family and friends.
Saj Patel talked to NBC locals news about care around treating patients with COVID-19.
Niraj Sehgal provides insight on how 49ers losing the Super Bowl was a blessing in disguise.
Our hearts go out to everyone impacted by this disease. We strongly support current public health efforts by the San Francisco Department of Public Health and the Stay at Home order. For more information related to COVID, please visit the official UCSF coronavirus website.
Be safe and be well.
Original Message from the Chief
The UCSF Division of Hospital Medicine (DHM) at Parnassus was founded in 1996 after the landmark publication by Robert Wachter and Lee Goldman in the New England Journal of Medicine which was the first to describe the field of hospital medicine and coin the term "hospitalist". Since that time we have grown to our current state which includes more than 90 faculty and 30 staff members.
Our vision is to be the best division of hospital medicine by promoting excellence in each individual faculty and staff member and collectively as a group. We take tremendous pride in providing high-quality, equitable, safe, efficient, cost-conscious, and patient-centered care across all of our ten inpatient services. We also strive to excel in multiple other domains including: teaching and education, research and scholarship, quality improvement and patient safety, high-value care, global health, social medicine, and clinical informatics.
Our success as a Division is driven first and foremost by the people—we seek to recruit and hire talented individuals with passion and intrinsic motivation. We commit as a Division to maintain challenging and rewarding clinical roles and to allow individuals to pursue their academic interests. We also commit to providing the necessary mentorship, infrastructure, and methodological support. We combine all that with a culture of collaboration and collegiality and set people up for a successful and satisfying career in academic hospital medicine.
The Division of Hospital Medicine has a fundamental commitment to diversity (viewed through every lens). We seek to hire and retain faculty and staff from diverse backgrounds and meet the needs of our diverse patient population. We strive to provide equitable care and to ensure an inclusive learning environment for our trainees.
Please take a look around at the website—you will see all of the tremendous activities and achievements and get a sense of the outstanding faculty and staff in the Division. If you are interested in a faculty position or one of our fellowships, just click on the Jobs tab. If you have any questions or if I can provide any information, please feel free to reach out to me directly.>