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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

  • Four 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, four 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
  • 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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