Shift Models

Wards Model

Our primary inpatient wards experience is at Rady Children's Hospital San Diego.  We have four teams for the majority of the year, and during winter months expand to add a fifth team. Each team cares for general pediatric patients on the hospital medicine service. Each team is also paired with one or more subspecialty services as below. This allows our residents to gain broad exposure to a variety of general and subspecialty diagnoses early in residency.

Team

Subspecialty

Yellow (two 2nd year residents)Nephrology, Kawasaki Disease +/- Cardiology (when Purple not on service)
Red (one senior resident & two interns)Endocrinology & Neurology
Green (one senior resident & two interns)Gastroenterology
Blue (one senior resident & two interns)Pulmonology
Purple (winter months only; two 2nd year residents)Cardiology

 

The wards experience is separated into day teams and night teams.

When on the night wards rotation, residents will only focus on admitting patients. The currently admitted patients are cared for by an overnight senior resident. Each team member can admit hospital medicine patients as well as subspecialty patients. The night team presents their newly admitted patients to the day team during rounds the following day in order to facilitate thorough hand-offs and to gain real-time teaching from attendings. The night team is made up of 4 team members:

  • One supervising senior resident
  • One second year resident
  • Two interns


NICU Model

Residents working in the Neonatal Intensive Care Unit at the UCSD Jacobs Medical Center will also be on a shift model. The NICU team will typically consist of one second year resident and two to three interns for a total of three to four residents on at any given time. On day shifts, the team is responsible for rounding on NICU patients, attending deliveries, performing resuscitations, and admitting new patients. Each resident will also spend some time doing night shifts with a NICU fellow from 6:30 pm until 7:30 am helping to cover all the neonates, as well as attending deliveries and performing new admissions. The overnight NICU resident provides overnight coverage of the newborn nursery.