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Inpatient rotations take place at three medical centers: UC San Diego Medical Center in Hillcrest, Sulpizio Cardiovascular Center in La Jolla, the Veterans Affairs San Diego Healthcare System hospital in La Jolla, and the Jacobs Medical Center.
Electronic medical records are in use at all three sites: CPRS (Computerized Patient Record System) at the VA and Epic at UC San Diego Medical Center in Hillcrest and Sulpizio Cardiovascular Center.
There is 24-hour availability of IV placement, phlebotomy, respiratory therapy, EKG, and blood gases.
Resident call schedules, clinic schedules, conference schedules and other reference documents are maintained on a residency program website.
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At UC San Diego Medical Center in Hillcrest, there are four traditional teams (one resident and two interns) and a fifth Flex team (staffed by two senior residents) that rotate on a daytime call cycle. Each team is attended by a UCSD hospitalist or specialist guest attending.
There is a night admitting team consisting of a senior resident and intern that admits patients overnight. There is also a night float intern who provides cross-coverage for all ward patients. A nocturnist staffs all admissions and will admit on their own to off-load the residents when necessary. Interns have an admission cap of five new patients per call day.
On the Hillcrest wards, there is a dedicated hospitalist-only non-teach service that functions as an overflow service when teaching team census numbers are high. This service can also take admissions directly when the day teams are capped prior to the arrival of the night team.
At Sulpizio Cardiovascular Center, the inpatient cardiology service is run by our residents. The general cardiology service includes patients presenting with acute coronary syndrome, arrhythmias, and valvular disorders, with a mix of critical and ward-level patients.
There are four residents and three interns on the team, working in close conjunction with the cardiology fellow and on-service attendings. Residents are responsible for primary cardiac evaluations in the Emergency Department and admitting direct transfers from other hospitals.
At the Veterans Affairs San Diego Healthcare System hospital, there are four teams (composed of one resident and two interns) that rotate on a daytime call cycle. Two of the teams alternate admissions throughout the day. All patients are staffed with a Hospital Medicine attending.
A team with one resident, intern, and attending admit patients overnight. There is a night float intern whose primary job is to provide cross-coverage for all VA ward patients. The night interns altnernate admitting and cross cover responsibilities nightly. Interns have an admission cap of five new patients per call day.
There are attending physicians in-house 24 hours per day. The attending physicians at night provide staffing for night admissions, and will do admissions themselves in the event that the night admitting teach reaches its cap.
At the Veterans Affairs San Diego Healthcare System hospital, a team comprised of four residents and three interns cares for critically ill patients requiring an ICU level of care and patients admitted to the inpatient cardiology service. The team is staffed by both cardiology and pulmonary/critical care fellows and attendings.
The ICU team responds to all codes in the hospital, and the senior resident leads resuscitative efforts with fellow and attending guidance.