Inpatient Rotations
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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
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