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 into what was then called the hospitalist model, a first for an academic teaching hospital in the nation.
Our mission is to provide state-of-the-art acute surgical care for both common and rare conditions encountered in the ER, to address the crisis in patient access to high quality emergent care, and to develop innovative strategies to reduce morbidity and mortality.