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Neurohospitalist Program

Inpatient Transfers

Dr. S. Andrew Josephson has established the UCSF Neurohospitalist Program, one of the first of its kind nationally and a leading force in this emerging specialty. Dr. Josephson is trained in neurohospitalist neurology as well as dementia and stroke. He authored the first paper on neurohospitalists, edited the first textbook on the topic (Neurohospitalist Medicine, Cambridge University Press) and is a nationally recognized leader in the field. A frequent presenter on the subject at conferences and symposiums, Dr. Josephson has had several of his papers on the subject selected by distinguished journals. He is the inaugural recipient of the Carmen Castro Franceschi and Gladyne K. Mitchell Neurohospitalist Distinguished Professorship.

In 2014, US News and World Reports ranked UCSF's Neurology Department fifth — with a highest rating for patient safety. Dedicated neurohospitalists, expert in neurologic inpatient care, have transformed UCSF into the premier inpatient facility for those suffering from neurologic disorders. Patients who have difficult-to-diagnose neurological problems currently are transferred to UCSF from throughout the state and across the nation. In addition, patients with increasingly common but still under-treated neurologic disorders such as dementia, stroke, and seizures are transferred to UCSF for the unique, high-quality care that our neurohospitalists offer.

What is a hospitalist?
A hospitalist is a physician who specializes in the care of patients in the hospital. In Internal Medicine, hospitalists have been shown to improve efficiency and improve the quality of care in the hospital. Dr. Josephson and his colleagues were the first group to prove the same for neurohospitalists through their research.

Why do we need neurohospitalists?
Neurological disorders are diverse, complex — and common, significantly affecting nearly 50 million (one in five) Americans per year and costing the nation more than $600 billion in direct and indirect costs each year. Hospitals have been under pressure for decades to reduce admissions, which means most patients who do get admitted are sicker and in need of more complex decision making and care planning(1). Neurology patients tend to have higher rates of complications such as confusion, pneumonia and death when they are admitted to the hospital. For older patients, any hospitalization can result in a decline in cognitive abilities — even if cognition was seemingly normal before, and even if the hospitalization was non-critical. As our population ages, more and more of us will find ourselves in the emergency room in a neurological crisis. The need for specialized testing, diagnosis and treatment is imperative. We need to be able to be cared for by experts in inpatient neurologic care; hence the creation of a neurohospitalist model of care here at UCSF.

Neurohospitalist Fellowship at UCSF
One of the first of its kind, the UCSF neurohospitalist fellowship seeks to train future national leaders in the burgeoning field of neurohospitalist neurology. Applications are actively accepted and can be sent to S. Andrew Josephson, M.D., Director, Neurohospitalist Program, Department of Neurology, UCSF, Box 0114, San Francisco, CA, 94143-0114. Typically positions are filled 12-18 months prior to the July 1 start date. Read more.

Friends of the Neurohospitalist Program at UCSF
Launched in October 2009 thanks to gifts from the Ruth E. Raskin Fund and Susan and Bill Bridges. Read more.