Inpatient Rotations

Inpatient Rotations Serve Diverse Patient Populations

Most of the inpatient residency training takes place at the Scripps Clinic and Scripps Green Hospital campus where internal medicine residents gain hands-on experience in virtually all medical and surgical subspecialties.

Residents also have the opportunity to train at the Naval Medical Center San Diego and Scripps Memorial Hospital La Jolla, in addition to several affiliated training venues, including indigent clinics, Native American reservations and medical clinics in the South Pacific.

Each of these clinical locations serves very different patient populations, which provides residents with a robust, varied and comprehensive training experience.

Medical student instruction

Medical student instruction is a required component of the inpatient assignments. Each team of residents is assigned to one or two third-year medical students and usually one fourth-year medical student/sub-intern. Teaching and oversight responsibilities are shared by the interns and supervising residents on the service.

PGY-1 (Intern)

Most PGY-1 residents will spend their first year working in a variety of inpatient service areas where they become highly skilled at diagnosing and managing severely ill patients.

PGY-1 rotation

One block equates to four weeks.

  • Internal medicine wards at Scripps Green Hospital: 4.5 blocks
  • Internal medicine at Scripps Memorial Hospital: 1 block
  • Night float at Scripps Green: 1 block
  • Intensive care unit (ICU) at Scripps Green: 1 block
  • Internal medicine wards at Naval Medical Center San Diego: 1 block
  • Cardiology at Scripps Green: 1 block
  • Hepatology at Scripps Green: Half block
  • Urgent care/emergency department at Scripps Green/Scripps Memorial La Jolla: Half block
  • Neurology at Scripps Clinic: Half block
  • Geriatrics: Half block
  • Elective: 1 block

PGY-2

The PGY-2 year offers residents more flexibility and a shift in emphasis and exposure to outpatient care.

PGY-2 rotation

One block equates to four weeks.

  • Internal medicine wards at Scripps Green: 1.5 blocks
  • Night float at Scripps Green: Half to one block
  • Internal Medicine at Scripps Memorial Hospital: 1 block
  • Medicine Consult service at Scripps Green Hospital: Half block
  • ICU at Scripps Green: 1 block
  • Internal medicine wards at Naval Medical Center San Diego: 1 block
  • Nephrology at Scripps Clinic: 1 block
  • Pulmonology at Scripps Clinic: 1 block
  • Ambulatory clinic: 1 block
  • Elective: 4.5 blocks

PGY-3

The PGY-3 year further extends residents additional flexibility in curricular experience. Once third-year residents complete the required 5 blocks of inpatient assignments, they can choose at their own discretion how to use the remainder of their time with regard to their ratio of inpatient to outpatient duties.

PGY-3 rotation

One block equates to four weeks.

  • Internal medicine wards at Scripps Green: 1 block
  • Night float at Scripps Green: Half block
  • Internal Medicine wards at Scripps Memorial Hospital: 1 block
  • Medical consult/hospitalist at Scripps Green or Scripps Memorial: Half block
  • ICU at Scripps Green: 1 block
  • Cardiology at Scripps Memorial Hospital: 1 block
  • Emergency department at Scripps Memorial: 1 block
  • Hematology/Oncology at Scripps Clinic: 1 block
  • Night float/wards at Navy Balboa Hospital: 1 block
  • Ambulatory: 1 block
  • Elective: 4.5 blocks