UC San Diego Medical Center
UC San Diego Medical Center is located in the Hillcrest area of San Diego, twelve miles by freeway from the UCSD School of Medicine, its teaching and training center. The clinical complex includes a 466-bed acute care hospital, an Ambulatory Care Center offering 148 specialty and subspecialty clinics and ambulatory facilities, the Family Medicine Center, the Primary Care Center, the Internal Medicine Group Practice, and the Moores Cancer Center. UCSD Medical Center serves a diversified population of inner city and suburban patients, while offering accredited training programs in virtually all of the major medical and surgical specialties.
The Medical Center offers a full range of primary, secondary, and tertiary care services. It serves as the Level I Trauma Center for both San Diego and Imperial Counties, and offers numerous highly specialized services including the Regional Burn Center, the Infant Special Care Center, the Regional Transplant Center, the Comprehensive Central Nervous System Injury Center, and the General Clinical Research Center.
During 1981, UCSD Medical Center (formerly University Hospital) was selected by Business Week magazine as one of the 24 best hospitals in the United States. Since then it has consistently ranked among the best hospitals in the nation by national surveys.
Emergency Medicine at UCSD Medical Center
In 1978, the California State Department of Health Services designated the Medical Center as a Comprehensive Emergency Medical Service Center, meaning that the facility is capable of providing a scope of services in which all medical situations can be managed on a definitive and continuous basis. UCSDMC is the only facility so designated in San Diego and Imperial Counties, and is one of only four in California.
The UCSD Emergency Department is the first ED in a teaching facility with a completely electronic patient record. All patient care data is entered into 17 terminals throughout the department. This system also interfaces with an electronic monitoring system. Medical informatics is one of many expanding areas of research in the residency program.
Hillcrest Emergency Department
The Hillcrest Emergency Department is the only Licensed Comprehensive Emergency Department in San Diego, Imperial or Riverside Counties. It is also one of only four Comprehensive Departments in the State of California. The ED has 36 beds including three critical care beds and one resuscitation bay and has its own dedicated X-ray unit. The Hillcrest Emergency Department treats approximately 45,000 patients per year; about 15% of patients are pediatric. There is a 50/50 ratio of medical and surgical cases. The ED is responsible for over 30% of the Medical Center’s admissions. The ED has had 24-hour, 365 day a year attending faculty coverage since 1979. The faculty supervise housestaff from the Departments of Emergency Medicine, Internal Medicine, Surgery, Family Medicine, and Reproductive Medicine. In addition, the department utilizes RNs and EMTs to assist in patient care.
The UCSD Base Hospital and Emergency Department at the Hillcrest Medical Center are the first departments known to run with a completely paperless record. All patient management is made through data terminals from initial triage to actual care and discharge. Each health care professional (physician, nurse, EMT and clerk) have their own subsystem accessed via their own menus. Each class of provider can view any screen in the system, but providers can only enter data into their subsystem. At the conclusion of each day, an electronic file containing that day's patient data is electronically sent to the Medical Records Department for printing and chart entry.
Thornton Hospital Emergency Department
The Thornton Hospital Emergency Department opened July 26, 1993. The department has 32 beds including 4 critical care beds. It is licensed as a Basic Emergency Department and paramedic receiving hospital. The census is currently 26,000 patients per year. The department is staffed by one full-time attending faculty member from the DEM.