Faculty Inpatient Service (FIS)
The Faculty Inpatient Service (FIS) is the Division of Hospital Medicine’s direct care inpatient service. FIS is staffed by attending hospitalists with assistance from nurse practitioners, and is responsible for providing around-the-clock oversight of the inpatient medicine service. The FIS directly cares for approximately one-third of medicine service inpatients, and provides comanagement support to the Orthopedic Surgery service and general medical consultations for all other clinical services throughout ZSFG. The FIS also cares for all hospitalized COVID-19 ward patients.
The Faculty Inpatient Service is covered by six hospitalists over three shifts. The day shift consists of three hospitalists providing direct patient care, supported by two nurse practitioners, and one hospitalist providing consultative and co-management support. The swing shift consists of one hospitalist that is responsible for triaging, admitting new patients, cross-covering existing patients and providing in-house attending support for on-call residents. Lastly, the night shift consists of one hospitalist, who supervises the overnight residents and provides admitting and cross-cover services. All faculty hospitalists rotate on the FIS day and swing services, and dedicated nocturnists cover most night responsibilities.
The core tenets of the service include providing high value care to our underserved patient population, establishing strong interdisciplinary relationships, and leading quality improvement initiatives to enhance the environment we practice in and the experience we share as clinicians. Finally, we aim to learn and educate ourselves and others regarding the social determinants of health and how we can better support our patients within the safety net of the city of San Francisco.