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Residents rotate through UC San Diego Medical Center in Hillcrest, the Veterans Affairs San Diego Healthcare System (VASDHS) in La Jolla, the Jacobs Medical Center at UC San Diego Health in La Jolla, and the Sulpizio Cardiovascular Center at UC San Diego Health in La Jolla.
In the intern year: 8-9 blocks; in the second year: 5-6 blocks; and in the third year: 3-4 blocks.
Residents have the opportunity to rotate through several different clinic sites including outpatient clinics at UC San Diego, the VA San Diego Healthcare System, Kaiser Permanente (one of the largest HMO organizations), Federally Qualified Health Centers, and refugee clinic sites.
All categorical residents will be assigned to a continuity clinic for their three years at UC San Diego. At the majority of the sites, you will have your own patient panel and be the primary doctor for these patients. On average, you will have one full continuity clinic day per month during wards and ICU rotations and 1-2 days of continuity clinic per week for outpatient or consult rotations. This is done to minimize the burden of continuity clinic while on inpatient rotations, while maintaining a larger percentage of time available for elective rotations. We have ten primary care sites for the continuity clinic rotation, including multiple UC San Diego Health and VASDHS locations. For those interested in clinics for Spanish-speaking or underserved patients, those options are available as well.
Currently, UC San Diego does not use "X+Y" scheduling for internal medicine continuity clinics. This is to reserve as much time as possible for consult and outpatient electives instead of using outpatient time for the "+Y" continuity clinic weeks. The traditional scheduling of continuity clinics also provides for more potential scheduling flexibility for residents as well as for better resident continuity during inpatient rotations. To help mitigate the demands of continuity clinic during inpatient rotations, UC San Diego utilizes an "accordion" schedule for continuity clinics. For inpatient rotations, residents attend continuity clinic for one full day per month. This full day of clinic eliminates the need for rushed inpatient work during the continuity clinic day and the need for midday driving to a clinic site. For outpatient and consult rotations, continuity clinic is more frequent and averages 1-2 days per week.
Our patient population is very diverse. UC San Diego Medical Center in Hillcrest is a safety net hospital that cares for the underserved community, including significant homeless, immigrant, and HIV/AIDS populations. The Jacobs Medical Center and Sulpizio Cardiovascular Center at UC San Diego Health in La Jolla are referral centers for the greater San Diego area, including many desert communities east of San Diego with large Hispanic populations. These experiences provide opportunities to speak Spanish on a regular basis, although interpreter services are always available.
At UC San Diego Medical Center in Hillcrest, we also have a dedicated HIV outpatient clinic (Owen Clinic). Owen Clinic attendings also lend their expertise as consultants for patients with HIV who are admitted to the inpatient service, and these attendings work closely with the housestaff. VASDHS provides exposure to San Diego's very large veteran population, which tends to be younger, be more ethnically diverse, and has a higher percentage of females than many other VA referral areas. At the Jacobs Medical Center in La Jolla, the patient population includes quaternary referrals from communities all over California, the United States, and beyond, including patients requiring services in organ transplantation, bone marrow transplantation, advanced oncology, and advanced heart failure.
Morning conference is held at both UC San Diego Medical Center in Hillcrest and VASDHS four mornings per week. The exception is Wednesday morning, when we have Medicine Grand Rounds. At the VA, we also have radiology rounds on Friday mornings. At noon, we have a weekly Excellence in Quality Improvement and Patient Safety (EQIPS) or Clinical Reasoning Conference (CRC), weekly faculty lunch lecture, and weekly intern report. In addition, we have our Friday School on Friday afternoons and a primary care curriculum during the first 30 minutes of each continuity clinic day.
Friday School is a protected time for focused sessions on specialties within internal medicine. We spend 8 weeks on each specialty, which allows us to cover important topics in more depth. These sessions are intended to be more interactive and often involve skills workshops (ultrasound or injections, for example) and evidence-based journal clubs.
Mentorship is an important part of your training, and there are many great mentors who are accessible at UC San Diego. As an intern, you will be assigned to a faculty member interested in mentorship. This will be your first mentor at UC San Diego, but you will be able to identify others as you establish your specialty and research interests. During the fall of intern year, the program hosts specialty and career meetings to help connect residents to research and career mentors.
All categorical residents may do two months of research during their second or third year. These two months can be consecutive or separate. All residents who participate in a research block make presentations at an Annual Resident Research Symposium held in April or May.
Yes, a vast majority of our residents present research at regional and national meetings, and most publish their research in peer-reviewed journals. To support these endeavors, all residents get three academic days for attending conferences. The residency program also reimburses for costs associated with traveling to conferences, up to $750 over the course of the training.
We have a well-established relationship and bidirectional exchange program with Maputo Central Hospital in Mozambique. Prior to the pandemic, all categorical residents had the opportunity to go to Mozambique for 1-2 months whether they were in the Global Health Pathway or not. Given the current global situation, travel to Mozambique through the residency program is on a hold, but we hope to resume this opportunity soon. Please check back to learn more about this opportunity.
Residents live in many neighborhoods in San Diego. Most live in Hillcrest or La Jolla/University Towne Center. Other neighborhoods where residents live include North Park, the Gaslamp District (Downtown), Little Italy, Pacific Beach, Ocean Beach, and Mission Valley.
All residents receive an annual $6000 housing stipend, paid in two installments in October and February. There is also an annual $500 educational stipend that you can use at your discretion for professional association memberships, abstract submissions, poster printing, and the like.
The program also offers $750 over the course of the program for conference travel, and up to $299 in reimbursement for MKSAP books. Please contact the residency office for reimbursement details.
Postgraduate Training License and USMLE Step 3 fees are reimbursed once your PTL is issued.
All interns and residents get four weeks of vacation each year, in the form of two 2-week blocks per year.
The program provides lunch at both UC San Diego Medical Center in Hillcrest and VASDHS three days a week (during EQIPS and CRC conferences, faculty lunch lectures, and intern report). You also receive money for food for overnight shifts at both locations.
All interns/residents are able to purchase a UC San Diego& "B" parking pass for $90/month or a "A" parking pass for $103/month. This allows for easy parking at all three hospital sites.
Graduates of the UC San Diego Internal Medicine Residency Training Program are highly trained internists who have successfully pursued a wide variety of career paths, ranging from fellowships to hospital medicine, primary care medicine, or global health.
Approximately 2/3 of the graduating housestaff seek subspecialty training. In the past three years, 63% of our graduates have pursued fellowship training following completion of residency. The majority of our residents obtain their top choices for fellowship training at prestigious programs around the country, including many who choose to stay at UC San Diego.
Please see the Career Pathways page of this website for further details.