Inpatient Rotations
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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
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Four daytime teams rotate on call cycle
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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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