Curriculum

​Residents alternate every three months between the Department of Medicine and the Department of Pediatrics, assuming graduated responsibilities over the four-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 4 days when on MICU, every 5-7 days on PICU
  • Interns will only work 24 hours shifts when on MICU (every 4-5 days) and one 24 hour shift when on the Cardiovascular Center Rotation to enhance continuity of care; otherwise shifts will remain 16 hours for interns

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 with one “intern-level” month early in the second year in the MICU as further preparation for the supervisory role the residents take on as R3s in the MICU

Night Float

  • Provides 5pm-7am coverage of ward patients from the day teams to allow night teams to focus on new admissions

Vacation

  • Four weeks of paid vacation per year, divided into two 2-week blocks

SCHEDULE - FOUR-YEAR CURRICULUM

TOTAL NUMBER OF 4-WEEK BLOCK ROTATIONS

Medicine

BLOCKS

BLOCKS

Pediatrics

Inpatient Wards

6

6

Inpatient Wards

Intensive Care

4

​​

2/1

NICU / PICU

ED

1

2

ED

Gynecology/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 and Development

Electives

9

6

Electives

Total

24

24

Total

SCHEDULE - YEAR BY YEAR

Medicine PGY-1

4-WK BLOCKS

Pediatrics PGY-1

Inpatient Wards

2

2

Inpatient Wards

MICU/Cardiovascular Center (CVC)

2

1

Neonatal IC​​U

Night Float

0.5

1

Newborn Nursery

Gynecology

0.5

1

PCC

Owen (HIV)
0.5
 
1
Mercy Ambulatory
Elective
0.5
   

 

 

Medicine PGY-2

4-WK BLOCKS

Pediatrics PGY-2

Inpatient Wards

​1

1

Inpatient Wards

MICU "Resitern"

1

1

Neonatal ICU

CVC(supervisory)

1

1

PCC (​s​upervisory)

ED (VA)

0.5

1

ED

Musculoskeletal
0.5

1

Behavior and Development

Elective

2

1

Elective

 

 

Medicine PGY-3

4-WK BLOCKS

Pediatrics PGY-3

Inpatient Wards

1

2

Inpat​ient Wards

MICU

1

1

Pediatric ICU

ED

0.5

1

Adolescent

Night Float(AOD-VA)

0.5

Outpatient Electives

1.5

Electives

1.5

2

Electives

 

 

Medicine PGY-4

4-WK BLOCKS

Pediatrics PGY-4​

Inpatient Wards

1.5

​​1

Inpatient Wards

Inpatient Consult

0.5

1

Kaiser Ambulatory

Neurology/Geriatrics

1.5

1

ED

Inpatient Electives

0.5

Outpatient Electives
2

3

Electives