General Medicine Wards
Academic Hospitalists in our division staff approximately 80% of the University Teaching Service along with some of our outstanding sub-specialist colleagues who have been recognized for their teaching and clinical care. The service consists of 6 ward teams, each of which is composed of one senior resident, two interns, a case manager/social worker, often a pharmacist, as well as medical students rotating through their core and sub-I rotations.
The medicine wards serves as the backbone of the rotations for the medicine residents. In addition to clinical rounds and bedside teaching, our hospitalists also enhance the educational experience for residents and students through multiple modalities including teaching conferences, simulation and other quality improvement projects that directly affect patient care on the wards.
Medicine Consult Team
The Medicine Consult/Procedure Team is also staffed by faculty in the Hospitalist Division. This team consists of 1 senior resident and a hospitalist and assists with medical consultation for any service at SHC or LPCH that is not staffed by a hospitalist co-manager.
The Procedure Service is integrated into the Medical Consult team and serves to educate and support the inpatient medicine teams to reduce procedure-related complications. All procedures are done with the assistance of bedside ultrasound and trainees receive training in our simulation center in advance. Commonly performed procedures include:
- Central venous line access
- Lumbar Puncture
- Knee joint arthrocentesis
- Abscess I&D
Surgical Co-Management Services
The Stanford Divison of Hospital Medicine Surgical Co-management (SCM) programs were created in partnership with their respective departments of surgery, representing a significant partnership between the Division of Hospital Medicine to the Stanford community beyond the Department of Medicine. Current partnerships are with the Departments of Orthopedic Surgery, Neurosurgery and Ears, Nose and Throat (ENT). The goal of the program is to provide the highest quality care to surgical patients by combining the strength of medicine and surgery. SCM has successfully improved reduced perioperative medical complications in a cost-effective manner for both of these service lines. The Orthopedic Co-management team also operates the Hospitalist Consult Clinic (HCC) for the assessment and optimization of medical conditions prior to surgery.
SCM is also involved in medical education by serving as preceptors to Internal Medicine resident and Geriatric Medicine fellowship trainees, which affords unique exposure to perioperative medicine.
The nocturnist section offers afterhours coverage and support for divisions across the School of Medicine. Our faculty and moonlighters provide in-hospital coverage for 13 services including heart transplant, VAD, electrophysiology, lung transplant, cystic fibrosis, pulmonary hypertension, renal transplant, gastroenterology/hepatology, and hematology/oncology (Med9). In addition the group assists our surgical co-management colleagues with urgent patient care issues that arise overnight. Nocturnists also serve to support and educate internal medicine residents as they rotate on nights.
The Stanford ValleyCare Hospitalist Group was formed in 2015. The team aims to forward Stanford's missions of excellence in clinical care, quality improvement, teaching, and research. Stanford Health Care - ValleyCare is a 167 bed hospital located in Pleasanton,California that serves the Tri-Valley and surrounding communities. The Stanford ValleyCare hospitalist team has multiple active education programs: Stanford Internal Medicine Resident rotation (Hospitalist Elective), Stanford HealthCare ValleyCare PA/NP Visiting Student Rotation, Stanford Physician Assistant Student Rotation, and the Stanford HealthCare ValleyCare Clinical Academy (Pre-medical summer experience).