Inpatient Rotations

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

UC San Diego Medical Center in Hillcrest

Ward rotations

• Five daytime teams rotate in a call cycle
  
• Dedicated non-teach service that functions as an overflow service 
  
• Team members: one hospitalist attending, one resident, two interns, and one to three third- or fourth-year medical students
  
• 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 overnight admissions 
  

Medical ICU (MICU) Rotation

• 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, and multiorgan failure and perform procedures
  
• Call schedule includes both night float and 28-hour call shifts
  
• Team members respond to all Code Blue situations called in the hospital
  

VA San Diego Healthcare System

Ward rotations

• Five daytime teams rotate in a call cycle
• Dedicated non-teach service that functions as an overflow service
• Team members: one hospitalist attending, one resident, two interns, and one to three third- or fourth-year medical students
  
• 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 overnight admissions 
  

VA San Diego ICU/CCU (VICU) rotation

• Combined inpatient cardiology and pulmonary & critical care service
  
• VICU team: four residents, two interns, one critical care fellow, one cardiology fellow, one pulmonary and critical care attending, and one cardiology attending
  
• Residents learn the fundamentals of pulmonary and critical care medicine and inpatient and critical care cardiology
  
• Call schedule includes both night float and 28-hour call shifts for senior residents. Interns will not take 28-hour call
  
• Team members respond to all Code Blue situations called in the hospital
  

UC San Diego Medical Center in La Jolla

Ward rotations

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

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

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

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 solid tumor and hematologic malignancy care, among other topics. 

Available elective consultation services include:

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