This space is dedicated to providing information on the most frequently requested data from applicants, specifically regarding the structure of our program and its ‘nuts & bolts’.
Clinical Training Sites
Here at UCSD Internal Medicine we have the opportunity to train at three distinct locations; Hillcrest Medical Center, VA San Diego and UC San Diego La Jolla. Each site offers the opportunity to work with a unique patient population.
At UCSD, we operate on a 4-week block schedule. This schedule splits the year into 13 4-week blocks, which, depending upon the rotations can be further split into 2-week blocks.
– Hillcrest & VA Wards
– Hillcrest ICU, VA ICU, CVC (Cardiovascular Combined ICU & Wards)
– Hillcrest & VA Nights
– Jacobs Hospital Medicine Wards, Jacobs ICU
– Emergency Medicine Rotations
– All Consult Rotations
– All Outpatient Rotations
– VIQ (Quality Improvement & Crosscover)
– Vacation (2x 2-week blocks)
Our residency does NOT operate on an “X+Y” system. Instead, continuity clinic days occur on each rotation (typically 1-2/month on inpatient, 1/week on outpatient). The reason for this, is two-fold:
1. This allows us to maximize elective time, and give our residents the most flexibility in scheduling and choosing their desired rotations.
2. Each year we ask our alumni if they think our system should be switched to “X+Y”, and each year they strongly oppose the idea, stating that they preferred our block system and it better prepared them for their future endeavors.
Our program is absolutely jam-packed with dedicated learning! Of course, the best place to learn medicine and evolve as a physician is at the bedside with your team. To supplement this primary source of knowledge growth, we have dedicated teaching conferences, and multiple longitudinal curriculums on various topics related to internal medicine.
Dedicated Daily Teaching
There is at least one didactic session every single day at our Hillcrest & VA training sites, and about 3 days per week at our Jacobs Medical Center! Here is a visual of our teaching calendar on any given week!
While our conferences hit on an internal medicine approach to any medical topic you could imagine, we also have educational content on certain subjects that courses through your time here as a resident. This allows our residents to return to these subjects multiple times, building upon their previous knowledge and improving both retention and expertise.
Some of our current longitudinal curriculums are listed below. Each is robust, but only our Ultrasound Curriculum & the AHEAD program have linked resources we can share with those who are not yet part of our UCSD IM family.
RACE (Resident as Clinican Educator) For All!
Ultrasound (Point-of-Care Ultrasound for the Internist)
AHEAD (Advancing Health Equity, Advocacy, & Diversity)
Women in Medicine
Business in Medicine
UC San Diego Hillcrest Clinic
Hillcrest Internal Medicine, also known as “Lewis Internal Medicine,” is located a few blocks away from UC San Diego Medical Center in Hillcrest. Patients are culturally and ethnically diverse, and are from the local area as well as several hours away. Many languages are represented, including a large Spanish-only speaking population. Many of the residents’ patients are insured by Medicare or Medi-Cal (California Medicaid). Residents have their own panel of patients. Records utilize Epic with access to all documentation within the UC San Diego Health system.
UC San Diego La Jolla Clinic
The UC San Diego Internal Medicine Group – La Jolla has a group of well-established attending physicians with large individual practices. The patient population is predominantly from the La Jolla and north San Diego county area. Residents have their own panel of patients and become comfortable with routine medical issues, pain management, and women’s health. Records utilize Epic with access to all documentation within the UC San Diego Health system.
UC San Diego Sorrento Valley Clinic
The UC San Diego Sorrento Valley Medical Group, started in 2015, exposes residents to a small-practice type environment, where staff and faculty know each other very well. This enhances the opportunities for team oriented care, optimized to assist patients with a spectrum of needs and issues. The patient population is from all over the San Diego area and includes underserved and Medi-Cal patients. Records utilize Epic with access to all documentation within the UC San Diego Health system.
VA Primary Care Clinics
The VA San Diego Healthcare System clinics, located in La Jolla, Mission Valley, and Sorrento Valley deliver outstanding primary care to a diverse population of male and female veterans of all ages. These clinics provide residents the opportunity to build and manage their patient panel under the supervision of excellent general medicine and women’s health faculty. The record utilizes the national VA EMR, CPRS. Residents are incorporated into Patient Aligned Care Teams (PACT) that include physicians, nurses, clerical staff, pharmacists, dietitians and mental health practitioners embedded in primary care.
Scripps Green Clinic & Kaiser Permanente Clinics
The Scripps Green Clinic and Kaiser Permanente continuity clinics are community-based practices external to UCSD with a unique “nested practice” model. Each resident is paired with one attending for the entire year and sees a subset of the attending’s patients as his/her continuity patient panel. The patient population is typical of a community practice with excellent patient follow-up and opportunity for continuity of care. The experience provides excellent continuity with follow-up shared between the resident and attending in a true partnership model.