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