Residents alternate every three months between the
Department of Medicine and the
Department of Pediatrics, assuming graduated responsibilities over the four-year course of training. The inpatient experience is gained in a variety of hospital settings (see
Facilities) with exposure to a very diverse population with equally diverse pathology. A large variety of outpatient settings are available for all ambulatory care experiences, ranging from smaller community clinics to University-based subspecialty clinics. Elective and subspecialty rotations round out the educational experience of our residents. Where appropriate, residents on subspecialty services will see both adult and pediatric patients, enabling them to better appreciate the changing spectrum of illness.
One of the strengths of our pediatric training at UC San Diego is having the free-standing
Rady Children's Hospital which serves the entire San Diego County. In addition, residents are able to do rotations in one of the largest HMOs in California,
Kaiser Permanente, as well as many other sites. Residents maintain continuity clinics in both pediatrics and internal medicine, with the choice of combined or separate clinic settings.
SCHEDULE - FEATURES
Call Schedule | - 24-hour call every 4 days when on MICU and Cardiovascular Center rotation (CVC), every 5-7 days on PICU
- Interns will only work 24 hours shifts when on MICU (every 4-5 days), two 24 hour shifts when on the CVC to enhance continuity of care, and two 24-hour shifts on NICU for continuity of care. Otherwise, shifts will remain 16 hours for interns
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Shifts | - Inpatient wards are staffed with day teams and night teams, with a well-established sign out system
|
|
Rotation Duration | - Thirteen 4-week blocks, sometimes divided into two 2-week blocks
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Cross-cover Call | - Established to cover residents for illness and family emergencies
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Length of Intern Year | - 12 months with one “intern-level” month early in the second year in the MICU as further preparation for the supervisory role the residents take on as R3s in the MICU
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Night Float | - Provides 5pm-7am coverage of ward patients from the day teams to allow night teams to focus on new admissions
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Vacation | - Four weeks of paid vacation per year, divided into two 2-week blocks
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SCHEDULE - FOUR-YEAR CURRICULUM
TOTAL NUMBER OF 4-WEEK BLOCK ROTATIONS
Inpatient Wards |
6 | |
6 |
Inpatient Wards |
Intensive Care |
4 | |
2/1 |
NICU / PICU |
ED |
1 | |
2 |
ED |
Gynecology/MSK |
1 | |
4 |
Primary Care Pediatrics |
Neurology/Geriatrics |
1.5 | |
1 |
Adolescent |
HIV Medicine |
0.5 | |
1 |
Newborn Nursery |
Night Float/Admit |
1 | |
1 |
Behavior and Development |
Electives |
9 | |
6 |
Electives |
Total |
24 | |
24 |
Total |
SCHEDULE - YEAR BY YEAR
Inpatient Wards |
2 | |
2 |
Inpatient Wards |
MICU/Cardiovascular Center (CVC) |
2 | |
1 |
Neonatal ICU |
Night Float |
0.5 | |
1 |
Newborn Nursery |
Gynecology |
0.5 | |
1 |
PCC |
Elective |
1 | |
1 |
North Park (FQHC site) Ambulatory |
Medicine PGY-2 |
4-WK BLOCKS |
Pediatrics PGY-2 |
|---|
Inpatient Wards |
1 | |
1 |
Inpatient Wards |
MICU "Resitern" |
1 | |
1 |
Neonatal ICU |
CVC(supervisory) |
1 | |
1 |
Primary Care (supervisory) |
ED (UCSD) |
0.5 | |
1 |
ED |
Musculoskeletal |
0.5 | |
1 |
Behavior and Development |
Elective |
2 | |
1 |
Elective |
Inpatient Wards |
1 | |
2 |
Inpatient Wards |
MICU |
1 | |
1 |
Pediatric ICU |
VA Night Admitting
| 0.5
|
|
1 |
Adolescent |
Outpatient Electives |
1.5 | | | |
Electives |
2 | |
2 |
Electives |
Medicine PGY-4 |
4-WK BLOCKS |
Pediatrics PGY-4 |
|---|
|
Inpatient Wards |
1.5 | |
1 |
Inpatient Wards |
Inpatient Consult |
0.5 | |
1 |
Kaiser Ambulatory |
Neurology/Geriatrics |
1.5 | |
1 |
ED |
Inpatient Electives |
0.5 | | | |
Outpatient Electives |
2 | |
3 |
Electives |