UC San Diego Family Residency Program Rotation Schedules

Continuity Clinic

ED UC San Diego

Description: You’ll work M-Sa in the ED at the VA in La Jolla. 

FM Ward Intern

Description: This is the real deal. WARDS. Long hours but awesome learning. You'll manage our complicated FM patients. Work with a 3rd year and a co-intern, making a 3 person team. Usually start rounds around 0800 with teaching at 0730. Sign out 1830. You'll have one half day of clinic a week. Admit every day until 5pm. On weekends, one intern works and covers up to 8 patients.

Gynecology

Description: This is an outpatient rotation with a community clinic. Most patients are underserved and many are Spanish-speaking. There are annual physicals including screening for pap smears and breast exams as well as contraceptive education. You’ll also practice doing wet mounts and get lots of experience with Nexplanon and IUD placements and removals. There is also colposcopy clinic that we work in one-on-one with an attending

IM Wards

Description: This is a 4 week rotation of very typical inpatient medicine. You work on a team of 1 senior and 1 other intern with an attending. You admit patients and manage them with your team and learn a ton very quickly. You also have built in daily learning with the medicine program.

Inpatient Peds

Description: You work as part of a team of 1 intern and a senior along with an attending. You are part of a general pediatrics team as well as a specialty team (Pulm, GI, Endo, Neuro). There are daily lectures and conferences with the pediatrics program. You work three weeks of days doing admissions and patient management, and one week of nights during which you only admit patients.

Newborn

OB UCSD

Description: You function as an OB intern with exception to assisting in Cesarean sections and managing most of the high risk OB patients. You work 65-80 hours a week depending on if you are carrying the postpartum and triage pager. You work one half day a week in clinic `and can go to didactics if the census is not to large. You do most NSVDs and have the opportunity to learn many other OB procedures (place FSE, IUPC, AROM). This is a steep learning curve but the team works very hard to help you feel supported.

Ortho

Description: Rotate with amazing UCSD orthopedic surgeons in their outpatient clinic where you see patients pre- and post-op and learn about indications for orthopedic referrals and surgeries. Learn how to do a very good MSK exam and read x-rays and MRIs for common fractures and other MSK pathology.

Sports Medicine

Description: You will work alongside the Family/Sports medicine team including the fellows and faculty at various locations including the dedicated Sports Medicine clinic at Chancellor Park. Plenty of hands on experience doing MSK exams, joint injections, and MSK ultrasound. The focus of this rotation is generally on the non-surgical management of patients with MSK problems that would present to a primary care clinician. Fellows are nice and always happy to teach.

Surgery

Type: Inpatient
Location: UC San Diego
Duration: 4 Weeks

Description: In order to provide broad-based Care of the Surgical Patient, the Family Medicine resident must be trained in the diagnosis and management of surgical disorders as well as surgical emergencies and the appropriate and timely referral of surgical cases for specialized care. You will undertake focused training with general surgeons so that they will gain an understanding of the varieties of surgical treatments and the potential risks associated with them to enable them to give proper advice, explanation, and emotional support to patients and their families. This will include training in preoperative and postoperative care, basic surgical principles, asepsis, handling of tissue, and technical skills to assist the surgeon in the operating room as well as experience in surgical ambulatory care, and post-operative experience.

Vacation

Duration: 4 Weeks

Travel? Hone your talents? Develop a Hobby? Use your vacation time in residency wisely, at it is a great chance to refresh and regenerate

Electives

Duration: 4 Weeks

Continuity Clinic

Behavioral Medicine

Description: This 4 week rotation during second year involves primarily working at the VA walk-in psychiatry clinic. You will see patients for acute mental health concerns, medication management/refills, and new patients who are not yet connected with an outpatient mental health provider, all of this in an urgent care type setting. 

Cardiology

Description: Currently you work one on one with an attending at their clinic in Encinitas 1.5x a week. There you mostly see new patients and are able to review echos and stress tests with the attending. Two other days are spent on cardiology consult service for Thornton, SCVC and Jacobs. You are part of a small team (Attending and Fellow) where you see the consults that come in throughout the day.

Community

Description:  Second year residents will spend 2 days per week working at Asylee clinics, 1.5 days per week at Rady Childrens' Child Advocacy Center, and an evening per week precepting UC San Diego medical students at the UCSD Free clinic which serves local uninsured populations. 

Dermatology

ED Kaiser

Type: ED
Location: Kaiser
Duration: 3 Weeks

Description: This 3-week rotation occurs at one of two different Kaiser Permanente Emergency Departments. Residents work one on one with attending and have the opportunity to see the full breath of emergency medicine and gain procedure experience (ex: laceration repair, central line placement, lumbar puncture, paracentesis). KP has a robust didactic schedule, which is a requirement of this rotation and great addition to resident learning

ED UCSD

Description: You’ll work 10 hour shifts in the ED at our equivalent of the San Diego County hospital. You’ll work alongside the ED residents and attendings to take care of all the patients in our ED and there are plenty of times for procedures. You learn how to triage, manage multiple patients at once, and determine what types of patients meet admission criteria

Endo/GI

ICU

Type: ICU
Location: VA
Duration: 2 Weeks

Description: You are an integral part of a critical care team that covers both pulmonary critical care and cardiac critical care. This is a fabulous experience to see a high volume of patients in the critical care setting and work with various attending who are truly experts in their field. Residents work with fellows who are great teachers and will provide teaching as time permits. This rotation also allows residents to get hands on experience on inpatient procedures (ex: lumbar puncture, paracentesis, thoracentesis).

Night Float

Type: Night Float
Location: UC San Diego
Duration: 6 Weeks

Description: 2nd year Night float: 5 nights a week you are Family Medicine senior. After receiving signout from the day team and eating comp’d dinner, you typically night round and follow-up on to-do’s. At Midnight and sometimes 4AM you check vitals and follow-up on floor items. You take care of all admission and all OB. You are also responsible for telephone triage during the entire shift. Some nights there are no admissions and you can sleep up to 5 hours! 

Obstetrics

Peds Kaiser

Type: Outpatient
Location: Kaiser
Duration: 6 Weeks

Description: 2nd year 6 week rotation at a Kaiser outpatient clinic.  You are here for 3 full days, you see a great mix of pediatric patients, from well child visits to all the bread and butter cases in Peds

Outpatient Surgery

Type: Outpatient- Subs
Location: Varies
Duration: 2 Weeks

Description: In this rotation, the resident rotates through various outpatient procedure clinics with a mixed of FM attendings who have their own procedure clinics, as well as dermatologists. For examples, we rotate through lumps and bumps clinic for derm procedures, Moh's procedure clinics, as well as women's health clinics to get Nexplanon/ IUD/ colpo experience. We also work with a breast surgeon in clinic and well as a preo-op evaluation clinic.

Thornton Adult Medicine

Type: Wards
Location: UC San Diego
Duration: 2 Weeks

Description: During this  rotation, you work one on one with a hospitalist on the medical oncology floor in Jacobs Hospital. You have a great deal of autonomy in caring for you patients, and experience what it's like to be a hospitalist.

Urology

Type: Outpatient
Location: UCSD 
Duration: 2 Weeks

Vacation

Duration: 4 Weeks

Travel? Hone your talents? Develop a Hobby? Use your vacation time in residency wisely, at it is a great chance to refresh and regenerate

Electives

Duration: 8 weeks

If you are in good standing, you can arrange an away rotation for up to 4 weeks in your PGY 2, or participate in the Guatemala away elective coordinated by the program.

Continuity Clinic

Clinic Resident

Type: Outpatient
Location: UC San Diego
Duration: 16 Weeks

Description: This is the time when you really get to shine, hone your outpatient skills and obtain continuity in your home clinic. Your time is divided into 1 half day of procedures with our procedure attending, 4-5 half days of your continuity clinic and 1 half day of administrative time. This is the rotation that gets you in the groove to prepare you for graduation as an outpatient doctor.

Electives

Geriatrics

Type: Outpatient
Location: UC San Diego
Duration: 4 Weeks

Description: The Geriatrics Rotation utilizes a structured multi‐disciplinary approach involving
clinical experience in the FMC, hospital, long‐term care facility, and the home. You participate
in the direct care and management of well, acutely ill, and chronically ill aging patients across all settings
under the supervision of the teaching faculty. Throughout the three years of training, geriatric care is
integrated into many rotations, with the greatest focus during the Geriatric rotation. During this
rotation, you work with various members of the multi‐disciplinary teams, including case
managers, social workers, physical and occupational therapists, nurse practitioners, geriatricians and
gero‐psychiatrists and community health workers.

Geri-Hospice

Peds ED

Peds Urgent Care

Type: UC
Location: UC San Diego
Duration: 2 Weeks

Description: Excellent rotation, where we work in various urgent care facilities around San Diego, seeing all ages of Pediatric patients with a variety of acute (usually) non-emergent issues. From viral illness, to asthma exacerbation, sports medicine injuries, eye complaints, GI complaints, etc. It is a really great way to see high volume of Pediatric common illnesses. You see the patient on your own, can order Point of Care Tests, and then discuss with kind helpful Pediatric attendings about the patient. You can then send them home, prescribe medications, or send them to the Emergency Room.

Ward Resident

Type: Wards
Location: UC San Diego
Duration: 5 Weeks

Description: Senior resident on the inpatient team for 5 weeks. This is your chance to practice being an inpatient attending basically. It's you, 2 interns, an attending, a night float, and sometimes a sub-I. It is your inpatient team, so you run rounds (walk, sit, combo?), talk to the ED about admissions, show up for OB deliveries (as newborn resuscitation or to assist in C sections) unless your interns have completed the respective rotations (newborn and OB). Typically you get sign out from night float at 7-7:30 each morning, there's 10-20 minutes of teaching (which is split amongst the attending, night float and you), then you round, do work, admissions as needed, and sign back out to night float each night at 6:30. You sign your patients out to covering residents on Friday around noon, one covers the team Friday night, the other covers Saturday, and you have truncated clinic Friday afternoon with Saturday as your day off!

Vacation

Duration: 4 Weeks

Travel? Hone your talents? Develop a Hobby? Use your vacation time in residency wisely, at it is a great chance to refresh and regenerate