The UC San Diego Jacobs Medical Center serves as a tertiary referral center, cancer center, and hospital for geriatric patients. Because the Moores Cancer Center is located adjacent to Jacobs Medical Center, there is a large volume of both GI cancer patients (esophagus, stomach, colorectal, and pancreato-biliary) as well as GI complications of non-GI cancers (graft vs. host disease in bone marrow transplant patients, biliary or bowel obstruction from metastatic tumors).
Jacobs Medical Center also serves as a regional GI referral center for inflammatory bowel disease, hereditary colon cancer, pancreatico-biliary diseases (pancreatitis, choledocholithiasis, gallstone disease), and advanced interventional GI procedures (such as ERCP, EUS, capsule endoscopy, Barrett's ablation, and small bowel double balloon enteroscopy). As this rotation is typically assigned to third-year fellows, it is assumed that they have more autonomy running the service than on other inpatient GI rotations.
All cases are presented to attending GI physicians and rounds occur on a daily basis. During all endoscopic procedures, there is a GI Attending in the room supervising the fellow. Thornton Pavilion has full radiological (CT, MRI, US), pathologic, and surgical services for patient care.
|Jacobs Medical Center