High-quality, timely, hospital-based care. The first true surgical hospitalist model for general surgical care in the U.S.

General surgical departments at academic medical centers are confronted by obstacles to the three traditional academic missions of education, scientific research, and the provision of high-quality care. The growing popularity of specialization has added to the problem by fragmenting the practice of general surgery. Emergency surgical care is time-intensive and associated with prolonged lengths of stay, often requiring specialized procedures to be performed in the middle of the night or on weekends.

In 2005, we reorganized our acute general surgical service at UCSF Medical Center into a hospitalist model  to address these challenges.Our mission is to provide high quality and timely care to all patients being evaluated with emergency surgical conditions. UCSF is the first academic teaching hospital in the nation to employ this new model. The surgical hospitalist model is an innovative new strategy for addressing the crisis in access to emergency surgical care in the U.S.

Recent Publications

Maa J, Wachter RM, Gosnell JE, Harris HW
The future of general surgery.
JAMA : the journal of the American Medical Association, Mar-05-2008; 2999: 1015; author reply 1015-6.
Maa J, Carter JT, Gosnell JE, Wachter R, Harris HW
The surgical hospitalist: a new model for emergency surgical care.
Journal of the American College of Surgeons, Nov-01-2007; 2055: 704-11.  Epub 2007 Jul 20.
Maa J, Gosnell JE, Carter JT, Wachter RM, Harris HW
The surgical hospitalist: a new solution for emergency surgical care?.
Bulletin of the American College of Surgeons, Nov-01-2007; 9211: 8-17.
Maa J, Gosnell JE, Gibbs VC, Harris HW
Exporting excellence for Whipple resection to refine the Leapfrog Initiative.
The Journal of surgical research, Apr-01-2007; 1382: 189-97.  Epub 2007 Feb 9.
Wachter RM, Goldman L
Implications of the hospitalist movement for academic departments of medicine: lessons from the UCSF experience.
The American journal of medicine, Feb-01-1999; 1062: 127-33.
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