The clinical experiences at UCSD/Rady Children’s Hospital San Diego (RCHSD) exposes Fellows to an unparalleled diversity in pathophsysiology. RCHSD is the largest children’s hospital in California (3rd largest in the US) and the only Pediatric hospital in the area, providing care for a diverse population of over 4 million people in the 5th largest county and 8th largest city in the United States. The patient population is extremely diverse with a near majority Hispanic population, three generations of Southeast Asian immigrant populations, and recent east African refugee populations; spanning a broad socioeconomic spectrum. The program’s catchment area extends north to Riverside/Orange Counties, south across the Mexico border (the busiest international border in the world), east to western Arizona, and west to the Pacific islands. Within this large geographic area, essentially all children with infectious diseases are cared for by the Pediatric Infectious Disease service at UCSD/RCHSD. As a result, Pediatric Infectious Disease Fellows are exposed to both “bread and butter” and “zebra” infectious processes on a daily basis and are comfortable managing children with both high acuity and chronic infectious diseases.
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