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Inpatient Rotations

​Inpatient rotations take place at three of our three hospital sites: UC San Diego Medical Center in Hillcrest, the VA San Diego Healthcare System, and UC San Diego Jacobs Medical Center. 

UC San Diego Medical Center in Hillcrest

Ward rotations

  • Five daytime teams rotate on-call cycle
  • Team members: one hospitalist attending, one resident, and two interns
  • Dedicated non-teach service that functions as an overflow service 
  • Night-float system: 
    • One cross-cover intern and one intern dedicated to night admissions 
    • Senior resident assists with admissions and supports cross-cover 
    • Nocturnist staffs all admissions 

Medical ICU (MICU) Rotation

  • The MICU service is a closed ICU caring for critically ill patients
  • MICU team: four residents, four interns, one critical care fellow, and one attending
  • Residents learn to manage vasoactive drips, mechanical ventilation, multi-organ failure, and perform procedures
  • Call schedule includes both night float and 28-hour call cycles
  • Team members respond to all Code Blue situations called in the hospital

VA San Diego Healthcare System


Ward rotations

  • Four daytime teams rotate on call cycle
  • Each team has one hospitalist attending, one resident and two interns
  • Dedicated non-teach service that functions as an overflow service
  • Night-float system: 
    • One cross-cover intern and one intern dedicated to night admissions 
    • One senior resident assists with admissions and supports cross-cover
    • One admitting nocturnist who staffs all admissions 

VA San Diego ICU/CCU rotation (VICU)

  • Combined inpatient cardiology and pulmonary/critical care service
  • VICU team: four residents, four interns, one critical care fellow, one cardiology fellow, and pulmonary and cardiology attendings
  • Residents learn fundamentals of pulmonary/critical care medicine and inpatient and critical care cardiology
  • Call schedule includes both night float and 28 hour call cycles
  • Team members respond to all Code Blue situations called in the hospital 

UC San Diego Jacobs Medical Center


Inpatient Cardiology/CCU rotation at Sulpizio Cardiovascular Center (CVC)

  • Cares for all inpatient cardiology and ICU-level cardiology patients at the CVC
  • Residents manage a variety of complex cardiac pathology:
    • Acute coronary syndrome
    • Complex arrhythmias
    • Complex percutaneous interventions
    • Valvular disorders
  • Residents work closely with dedicated heart failure service, interventional cardiology, and electrophysiology teams
  • CVC team: four residents, four interns, one cardiology fellow, one cardiology attending
  • Call schedule includes both night float and 28 hour call cycles

Ward rotations

  • Internal medicine service at Jacobs Medical Center for senior residents
  • Residents work one-on-one with a hosptialist attending
  • “Admitter - rounder” system:
    • Dedicated admissions team with one resident and several physician extenders
    • Several “rounder” teams with dedicated clinical focuses: solid-tumor oncology, cystic fibrosis, palliation

Inpatient elective rotations

At each of our three hospital sites, subspecialty inpatient and consultative rotations expose residents to advanced endoscopy, mechanical assist devices, post-transplant infectious diseases, advanced pulmonary hypertension, and liquid and solid tumor malignancy care, among others. 

Available elective consultation services include:

  • Cardiology
  • Advanced heart failure and mechanical assist devices
  • Gastroenterology and hepatology
  • Pulmonology
  • Pulmonary Hypertension and CTEPH
  • General and transplant nephrology
  • General, hematology/oncology, and transplant -related infectious diseases
  • Critical Care (JMC)
  • Bone marrow transplantation (JMC)
  • Hematology/Oncology
  • HIV/AIDS
  • Palliative Care
  • Neurology
  • Neurocritical Care
  • Psychiatry
  • Toxicology
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