Emergency Medicine San Diego Medical Center - Affiliates

A key strength of the training you receive at KP Emergency Medicine is the exposure to variety of training sites with varied operations, practice patterns and patient populations. Our residents are facile navigating complex and varied systems, leveraging the resources available within a specific system to facilitate the care of their patients.

Whether a high acuity, county environment, a fast-paced, fee for service community emergency department, or a fully integrated, tertiary care health system, our residents learn to care for patients with a ‘systems savvy’ approach not always encountered in EM training programs. Residents have additional opportunities to rotate in more austere, single coverage hospitals as well to include rural and critical access ED’s. Approximately 50% of our rotations are at the affiliate sites noted below.

SCRIPPS MERCY
Scripps Mercy is an incredibly high acuity, urban community hospital that serves as a Level 1 Trauma Center, Paramedic Base Station, STEMI Receiving Center and Primary Stroke Center. Residents rotate for a total of 5 months in the Emergency Department (to include one month in the at the PGY-1 level, 2 months each at the PGY- 2 and PGY-3 levels), 2 months in the Trauma ICU and 1 month in the Medical ICU.

They participate in the care of patients with major trauma during their Emergency Department and Trauma Critical Care rotations. Scripps Mercy provides the very unique clinical learning opportunity of being one of only two receiving trauma centers for Mexico border traumas and transfers. Trauma and EM are unopposed rotations where residents resuscitate, stabilize and run codes as well as have priority for fracture reductions, intubations, thoracotomies and thoracostomies.

TRICITY MEDICAL CENTER

TriCity Medical Center is a high acuity, community hospital and serves as a Level 3 Trauma Center, STEMI Receiving Center and Primary Stroke Center located in the San Diego North County, City of Oceanside. Residents rotate for one month in the Emergency Department at each of the PGY-1 through PGY-3 levels. TriCity’s large underserved catchment area provides a dynamic, high acuity environment where residents are unopposed for all procedures, resuscitations and codes.

RADY CHILDREN’S

Residents rotate through the Rady Children’s Hospital Department of Pediatric Emergency Medicine for one month each during the PGY-1, PGY-2 and PGY-3 levels. Rady Children’s is the only dedicated pediatric hospital in San Diego County, allowing residents to see a wide variety of pathology and acuity and to see patients across the entire socioeconomic spectrum. Rady Children’s Hospital also serves as the only Level I Pediatric Trauma Center in the region. All trauma activation patients are seen in the ED by a team consisting of emergency physicians, trauma surgeons and intensivists. The Rady Children’s rotation allows residents to see a level of acuity and breadth of pathology not seen elsewhere in the county.

Rady Children’s is the primary pediatric teaching institution for the University of California, San Diego School of Medicine. The Hospital’s annual ED census is over 100,000 visits per year with all levels of acuity. The Level I Pediatric Trauma Center sees more than 1,000 patients each year. All trauma activation patients are seen in the ED by a team consisting of emergency physicians, trauma surgeons, intensivists and residents.

CHOC PICU

Residents rotate for one month in the PGY-2 year in the Pediatric Intensive Care Unit at Children’s Hospital of Orange County. This rotation affords residents the opportunity to learn to rapidly evaluate, diagnose, stabilize, and treat critically ill pediatric patients; understand the pathophysiology of pediatric respiratory failure, shock, and cardiac arrest; and demonstrate procedural skills that are required to care for the critically ill pediatric patient.

CHOC has a strong commitment to residency training, and a rotation with an excellent reputation and a comprehensive and hands-on approach to training. Local housing and transportation are provided.