Inpatient Rotations

Adult Medicine Inpatient – Scripps Mercy Hospital (4-week blocks, all three years)
FHCSD residents have their own inpatient teams supervised by hospitalist attendings. These two teams work alongside the internal medicine resident teams but carry their own panels of patients. The FHCSD team consists of a senior resident and two interns. In the first half of the year, a 3rd year resident will lead the team. During this time, there will also be a 2nd year resident working one-on-one with an attending on a separate team.  Halfway through the academic year, the roles switch and the 2nd year resident will lead the team and the 3rd year will do the one-on-one “lone wolf” schedule. Residents triage and manage patients through all levels of acuity, from the ED to the ICU.

Cardiology – Scripps Mercy Hospital (4-week block, second year)
The residents work with Scripps cardiologists in all aspects of cardiology including inpatient consultations and management, electrocardiogram readings, performing echocardiograms, treadmill testing, nuclear perfusion scans, catheterizations and cardiac rehabilitation.

Emergency Medicine – Scripps Mercy Hospital (4-week block, second year)
The residents participate in shifts in the Mercy Emergency Department working with emergency physicians to triage and treat patients in this Level 1 trauma center.

ICU – Scripps Mercy Hospital (4-week block, second year)
FHCSD residents work alongside the Scripps internal medicine residents on the ICU teams admitting and managing the intensive care patients.

Nursery and Neonatal Intensive Care – Scripps Mercy Hospital (4-week block, first year)
Residents work with pediatric intensivists and neonatologists to take care of infants, many of whom are delivered by the FHCSD OB service. Residents learn how to do newborn exams and address concerns such as hyperbilirubinemia, infections and conditions specific to neonates and possible congenital issues.

Obstetrics – Scripps Mercy Hospital (4-week blocks, first & second years)
The residents work one-on-one with the FHCSD OB/GYN attending physicians. The FHCSD residents are the only residents performing deliveries at Mercy Hospital, which serves the urban underserved population of San Diego County. Residents learn to assess and monitor patients in labor, perform vaginal deliveries, are first-assist in C-sections and take care of the patients in the post-partum period.

Orthopedics – Scripps Mercy Hospital and Clinics (4-week block, second year)
Residents work with the Scripps Orthopedics service in both inpatient and outpatient settings. Residents are assigned time in the operating room but mostly in the outpatient orthopedic clinic where they learn how to diagnose and treat common musculoskeletal complaints.

Pediatric Emergency Medicine – Rady Children’s Hospital (4-week block, second year)
Residents rotate through the only Level 1 pediatric trauma center in San Diego County. It is the only center in the area dedicated to the emergency care of children. Residents gain valuable experience from the opportunity to aid children in varying degrees of distress, injury and infection.

Pediatrics Inpatient – Rady Children’s Hospital (4-week block, first year)
FHCSD residents, along with family medicine residents from other San Diego programs, perform their inpatient pediatric rotation at Rady Children’s Hospital; the largest children’s hospital in California. As a nationally ranked pediatric medical center, the residents work with highly trained specialty teams in order to treat a spectrum of illnesses ranging from common seasonal ailments to rare and unusual diseases.

Surgery – Scripps Mercy Hospital and Clinics (4-week block, first year)
The residents work one-on-one with Scripps general surgery attendings in the hospital and general surgery clinic. This rotation allows family medicine residents to learn to recognize and triage possible acute surgical illness, gain technical skills as well as manage the post-op care of patients.

Urgent Care – Scripps Mercy Hospital (2-week block, third year)
Residents complete shifts in the less acute area of the emergency department in order to learn how to deal with common urgent care complaints.