About the Hospitals
The University of California San Francisco (UCSF) Neurosurgery Service
The UCSF Neurosurgery Service has an average daily census of 50 patients in the 560-bed Moffitt and Long Hospitals at UCSF. There is also a 16-bed Neurosurgery/Neurology Intensive Care Unit (ICU), with 36 extra ICU beds available on a temporary basis, as needed. The UCSF Children's Hospital is a separately functioning unit contained within the Moffitt-Long Hospitals. Moffitt-Long has facilities for interstitial radiation therapy patients, Gamma Knifeâ and Cyberknifeâ radiosurgery units, and an Epilepsy Monitoring Unit. The academic administrative offices of the full-time Neurosurgery staff are located on the seventh floor of Moffitt Hospital. Neurosurgery has the scheduled use of 4 operating rooms on Mondays and 2 on Thursdays in Moffitt Hospital, and of 4 operating rooms on Tuesdays, Wednesdays, and Fridays in Long Hospital. In addition, there are 2 separate pediatric operating rooms. The neurosurgery private practice occupies a suite of offices in the medical complex. The Neurosurgery Service performed a total of 2960 operations at Moffitt-Long Hospitals during the last full academic year. The Department has finished renovation of its outpatient clinics for adult and pediatric neurosurgery as well as for the Neuro-Oncology Program, and now maintains a clinic totaling almost 11,000 square feet of examination and office space.
San Francisco General Hospital Medical Center (SFGH)
SFGH is the only designated Level I Trauma Center in the San Francisco Peninsula. Owned by the City and County of San Francisco, this 564-bed hospital receives all trauma patients from San Francisco and Northern San Mateo Counties and provides the full scope of care to all City and County residents, regardless of their ability to pay. The Neurosurgery staff consists of two full-time Attending Neurosurgeons, a neurosurgery junior resident, one mid-Ievel Chief Resident, two Interns, two Nurse Practitioners, and one Clinical Nurse Specialist. Teaching sessions include a weekly Neurology-Neurosurgery-Neuroradiology conference in addition to regular Neuropathology and Stroke Conferences, and a monthly Spine Conference. Attending teaching rounds with the house staff and medical students are conducted daily. The scope of neurosurgical practice includes brain and spinal trauma (including complex spine), cerebrovascular and skull-base surgery, brain and spinal tumors, pediatric neurosurgery, and degenerative spine and peripheral nerve surgery- with approximately 500 surgical procedures and 700-800 consults performed yearly. A total of 16 ICU beds, including six dedicated Neuro-ICU beds, are available.
San Francisco Veterans Affairs Medical Center (SFVAMC)
SFVAMC, also known as the Fort Miley VA Hospital, is a 378-bed hospital that serves as the VA Neurosurgery treatment center for most of Northern California and part of Nevada. The hospital is a major teaching affiliate in the UCSF system. The Neurosurgery Service at the SFVAMC has 12 beds with surgical intensive care beds available as needed. The SFVAMC has been designated a center for stereotactic treatment of movement disorders and other functional procedures. In addition, there is major emphasis on spinal neurosurgery, vascular neurosurgery, and neuro-oncology. The Chief Resident has the opportunity to evaluate and treat a diverse population of neurosurgical patients, performing preoperative assessment and postoperative follow-up. The neurosurgery staff consists of a Chief Resident, one clinical nurse specialist, and three teaching neurosurgeons. The Radiology Department, staffed by a part-time neuroradiologist, a neuroradiology fellow, and radiology residents, performs all neuroradiologic studies including CT, MRI, and digital angiography. The neurosurgery service performed 282 operations at this Medical Center during the last full academic year. Weekly teaching sessions include conferences in neuro-radiology, neuropathology, neurology, and neurosurgery.
Children's Hospital & Research Center Oakland
CHRCO is a dedicated, comprehensive children's hospital. It is Northern California's only pediatric trauma center and possesses the region's largest pediatric intensive care unit. The Division of Neurosurgery at CHO provides a full range of inpatient and outpatient services for infants, children, and adolescents with neurological disorders. The two areas that are particularly strong are the management of pediatric trauma and craniosynostosis surgery, of which there are a large volume of cases each year.