Curriculum
Residents alternate every 3 months between the Department of Medicine and the Department of Pediatrics, assuming graduated responsibilities over the 4-year course of training. The inpatient experience is gained in a variety of hospital settings (see Facilities) with exposure to a very diverse population with equally diverse pathology. A large variety of outpatient settings are available for all ambulatory care experiences, ranging from smaller community clinics to University-based subspecialty clinics. Elective and subspecialty rotations round out the educational experience of our residents. Where appropriate, residents on subspecialty services will see both adult and pediatric patients, enabling them to better appreciate the changing spectrum of illness.
One of the strengths of our pediatric training at UC San Diego is having the free-standing Rady Children's Hospital which serves the entire San Diego County. In addition, residents are able to do rotations in one of the largest HMOs in California, Kaiser Permanente, as well as many other sites. Residents maintain continuity clinics in both pediatrics and internal medicine, with the choice of combined or separate clinic settings.
Schedule: Features
- Call Schedule: 24-hour call every 7 days only on VA ICU for 1 month as an R2 , and every 7 days on PICU for 1 month as an R3. No other rotations have 24-hour call.
- Shifts: Inpatient wards are staffed with day teams and night teams, with a well-established sign out system
- Rotation Duration: Thirteen 4-week blocks, sometimes divided into two 2-week blocks
- Cross-cover Call: Established to cover residents for illness and family emergencies
- Length of Intern Year: 12 months
- Night Float: Provides 5 p.m. – 7 a.m. coverage of ward patients from the day teams to allow night teams to focus on new admissions
- Vacation: 4 weeks of paid vacation per year, divided into two 2-week blocks
Schedule: 4-Year Curriculum
All Rotations
Total Number of 4-Week Block Rotations
|
Medicine |
Blocks |
Pediatrics |
||
|---|---|---|---|---|
|
Inpatient Wards |
6 |
6 | Inpatient Wards |
|
| Intensive Care |
4 |
2/1 | NICU / PICU | |
|
ED |
1 |
2 | ED | |
| Gender Health / MSK | 1 | 4 | Primary Care Pediatrics | |
| Neurology / Geriatrics | 1.5 | 1 | Adolescent | |
| HIV Medicine | 0.5 | 1 | Newborn Nursery | |
| Night Float / Admit | 1 | 1 | Behavior & Development | |
|
Electives |
9* | 6* |
Electives |
|
| Total | 24 | 24 | Total | |
Schedule: Year by Year
PGY-1
|
Medicine PGY-1 |
4-wk Blocks |
Pediatrics PGY-1 |
||
|---|---|---|---|---|
|
Inpatient Wards |
2 |
2 | Inpatient Wards (includes 2 weeks of night admitting) |
|
| MICU / Cardiovascular Center (CVC) |
2 |
1 | Neonatal ICU | |
|
Night Float / VA ED |
1 |
1 | Newborn Nursery | |
| Gender Health | 0.5 | 1 | PCC | |
| Elective | 0.5 | 1 | North Park (FQHC site) Ambulatory | |
PGY-2
|
Medicine PGY-2 |
4-wk Blocks |
Pediatrics PGY-2 |
||
|---|---|---|---|---|
|
Inpatient Wards |
1 |
1 | Inpatient Wards |
|
| VA ICU (Supervisory) |
1 |
1 | Neonatal ICU | |
|
CVC |
1 |
1 | Primary Care (Supervisory) |
|
| ED (UCSD) | 0.5 | 1 | ED | |
| Musculoskeletal | 0.5 | 1 | Behavior & Development | |
| Elective | 2 | 1 | Elective | |
PGY-3
|
Medicine PGY-3 |
4-wk Blocks |
Pediatrics PGY-3 |
||
|---|---|---|---|---|
|
Inpatient Wards |
1 |
2 | Inpatient Wards (includes 2 weeks of night admitting) |
|
| MICU |
1 |
1 | Pediatric ICU | |
|
Outpatient Electives |
2 |
1 | Adolescent | |
| Electives | 2.5 | 2 | Electives | |
PGY-4
|
Medicine PGY-4 |
4-wk Blocks |
Pediatrics PGY-4 |
||
|---|---|---|---|---|
|
Inpatient Wards |
1.5 |
1 | Inpatient Wards | |
| Inpatient Consult/Electives |
0.5 |
1 | Kaiser Ambulatory | |
|
Neurology/Geriatrics/Substance Use Disorder Training |
2 |
1 | ED | |
| Outpatient Electives | 2 | 3 | Electives | |