UCSD Hillcrest Medical Center
The Hillcrest Emergency Department is the only Licensed Comprehensive Emergency Department in San Diego, Imperial or Riverside Counties and the primary training site for the UC San Diego School of Medicine. 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, as well as 360-slice CT scanner and MRI located contiguous to the ED. The Hillcrest Emergency Department treats approximately 50,000 patients per year and is a designated County Base Station for oversight of prehospital Emergency Medical Services. The ED is also a designated acute cardiac STEMI receiving center and comprehensive stroke care center. In addition, the UCSD Hillcrest Medical Center is a level 1 trauma center and the only Regional Burn Center for San Diego and Imperial Counties. The Department is staffed by single, double and triple faculty coverage throughout the day, as well as Senior and Junior level Emergency Medicine residents. In addition, faculty supervise rotating housestaff from Internal Medicine, General Surgery, ENT, Orthopedics, Reproductive Medicine, and Family Medicine in the ED.
UCSD La Jolla
UCSD Jacobs Medical Center includes the original Thornton Hospital (now Thornton Pavilion) which opened in 1993, and JMC, a state-of-the-art, 245-bed, 10-story inpatient facility and innovative advanced medical center with areas focused on advanced surgery, cancer care, and women and infants care which opened in 2016. The La Jolla site also includes the Sulpizio Cardiovascular Center, the region’s first academic-based facility combining all heart and vascular-related services, as well as the NIH-designated Moores Cancer Center, the only such nationally recognized facility in San Diego and Imperial Counties. The Emergency Department at UCSD JMC La Jolla has 32 beds including 4 critical care beds. The ED currently cares for approximately 30,000 patient visits per year with high acuity due to its location at the JMC quaternary care center, NIH Cancer center and Cardiovascular center. The department is staffed by single, double, and triple attending faculty coverage along with a senior EM resident during the day and evening hours. Coming in 2018, the ED will be expanded with the Gary and Mary West Senior ED, an advanced Geriatric acute care unit – the first such unit in California.
Mercy Air is owned by Air Methods, the largest air medical provider in the country. Since 1993, UCSD Emergency Medicine Residents have flown as active crew members, not as observers, with a certified flight nurse on Mercy Air in San Diego. This is among one of the few programs in the country in which this is an integral part of the training program. The experience is longitudinal throughout the residency training period starting in the R2 year. Residents undergo a monthlong training period, and then staff the helicopter throughout the rest of their residency training. While flying, residents transport trauma and medical patients primarily from the scene, which includes the most critically ill of the prehospital patients transported. They perform advanced airway management including RSI, crichothyrotomy, chest tubes for tension pneumothorax, vascular access, and other advanced procedures in the field setting.
El Centro Regional Medical Center (ECRMC)
El Centro Regional Medical Center (ECRMC) is a 120 bed federally designated critical access hospital that serves a rural population along the US-Mexico border serving the El Centro community of 100,000, as well as drawing on patients from Mexicali, a nearby cross border town of 2 million. It is located about 90 minutes east of downtown San Diego, As part of our affiliation agreement for the hospital, UC San Diego Health manages the Emergency Department with almost 50,000 visits a year (one of the busiest patient/bed ratios in Southern California), and growing at a rate of about 6% a year. By having our own UC San Diego faculty and residents rotate at this remote rural site, they get to hone their critical procedures and thinking, caring for everything from undifferentiated major trauma to unique infectious diseases like Rocky Mountain Spotted Fever. Residents have a required rotation in the ED during PGY-2 and may take additional electives later in residency. In addition, our residents rotate on Labor and Delivery in PGY-1, where they participate in 3-4 deliveries a day. Without subspecialists in the hospital, the El Centro experience allows our residents to take responsibility for critical care while brushing up on Spanish in a community truly grateful for our presence.
Rady Children's Hospital
Rady Children's Hospital, San Diego (RCHSD) is the largest children's hospital in California and one of the largest in the nation. RCHSD is affiliated with UC San Diego and serves as the main pediatric clinical site for UCSD faculty and the training site for UCSD’s Pediatrics programs. The hospital is located in Kearny Mesa a few miles from UCSD Medical Center in Hillcrest. The ED is one of the busiest in San Diego, with approximately 70,000 patient visits annually. RCHSD is the sole pediatric trauma center for San Diego County and sees approximately 1,200 trauma patients annually. Furthermore, RCHSD is the main training site for the pediatric emergency medicine fellowship, which is sponsored by the Department of Emergency Medicine and directed by one of the UCSD EM faculty members, Paul Ishimine, MD. All of the attending physicians in the RCHSD ED are board-certified or board-eligible in pediatric emergency medicine. EM residents also rotate through the operating rooms at RCHSD and gain pediatric airway management vascular access experience.
Palomar Medical Center (PMC)
Palomar Medical Center is located in the city of Escondido just northeast of San Diego. PMC serves Escondido and the surrounding area, covering over 1,600 square miles and a population of over 300,000. It is staffed by The California Emergency Physicians (CEP) Medical Group. There are twenty-nine board certified emergency physicians and five physician assistants, servicing over 45,000 ED visits a year. The PMC Emergency Department also manages a 5-bed observation unit and 10-bed "fast-track" unit. PMC is one of five Trauma Center hospitals in San Diego and the only Trauma Center in North County. PMC is a large prehospital base station running over 1,000 calls a month. Residents will spend one month at PMC during the PGY-III and PGY-IV levels.
California Emergency Physicians Group (CEP) has over 300 physicians and 40 emergency departments and urgent care centers statewide. CEP is active in the state and national ACEP. The group is committed to "high quality" practice with an emphasis on cutting edge Emergency Medicine. The rotation at PMC will provide the residents the opportunity to learn first hand about emergency medicine administration, managed care, and political issues important to emergency physicians.
Residents will evaluate patients alongside the attending physicians and learn how to function in the community setting and manage a wide variety of patients, including a large pediatric population. The PMC ED is a high acuity, modern community Emergency Department which has served the North County since 1950, and the hospital and ED were rebuilt in 1989. PMC gives the resident an excellent experience in a highly progressive community Emergency Medicine practice.
Tri-City Medical Center (TCMC)
Serving a population base of over 450,000, the TCMC's Emergency Department will provide a major private practice experience for the residents. Since 1992, with a brand new 17,000 square foot Emergency Department, the average yearly census is approximately 56,000 patients. In one of the busiest emergency departments in the county and a paramedic base station, the 14 board-certified Emergency Medicine staff are actively involved in both training and research in the field with special emphasis on cost effective medicine, toxicology, information systems, and the use of diagnostic ultrasound in the ED. Residents will spend one month at TCMC during the PGY-III and PGY-IV levels. With supervision, they will evaluate and treat a great variety of critically ill patients of all age groups.