UCSD Medical Center — Hillcrest
UCSD Medical Center—Hillcrest is the primary hospital for the University of California, San Diego School of Medicine and is located in the Hillcrest area of San Diego, twenty minutes from the main campus in La Jolla. The region's only academic medical center offers both primary care and specialized services including a full range of general and specialty surgery, cardiology, endocrinology, diagnosis and management of genetic diseases, neurology, orthopedics, oncology, pediatrics, reproductive medicine and fertility services, pulmonary medicine, and home health care. The eleven-story structure has extensive facilities for all types of diagnostic and clinical care with intensive care units located on all services, including the obstetrical service.
The 440-bed hospital at UCSD Medical Center—Hillcrest is also the primary site for such regional services as the comprehensive organ transplant program offering heart, lung, kidney, pancreas, liver and bone marrow transplantation, the Regional Burn Center, The National Institutes of Health-designated Clinical Research Center, the Infant Special Care Center, and the region's only National Cancer Institute-designated Clinical Cancer Center. In addition, the Hillcrest hospital is San Diego County's only Level I Trauma Center.
There are many research laboratories adjacent to the main hospital building, and the department's faculty and facilities are available for the resident's research interests.
Of particular interest to potential obstetrical house staff is the perinatal unit, which provides all levels of care to obstetrical patients, and one of the country's best known neonatal intensive care centers. Major physical and technological changes have been made to the labor and delivery suite and the forty-bed neonatal center to keep pace with quickly advancing knowledge in these areas.
UCSD Medical Center admits annually over 21,700 patients. Clinical activities have increased progressively with the growth of the teaching programs at UCSD; there are now well over 470,000 ambulatory clinic visits and 57,000 emergency room visits yearly.
UCSD Medical Center — La Jolla
The John & Sally Thornton Hospital and Perlman Ambulatory Care Center are located on the main campus in La Jolla. Thornton Hospital is a 120-bed medical-surgical facility providing state-of-the-art care to patients by faculty, community and house staff physicians. The residents routinely participate in the gynecologic outpatient and inpatient surgery practiced at Thornton Hospital. At the adjacent Perlman Ambulatory Care Center, the residents attend several of the department's subspecialty and preoperative clinics under the direction of departmental faculty.
The Kaiser Foundation Hospital
The UCSD Reproductive Medicine Residency Training Program has been affiliated with Kaiser for over 30 years. The relationship was initiated to increase and improve surgical experience for residents, and to expose them to a larger and more diverse patient population. In 1995, the affiliation was formalized to establish a UCSD-Kaiser integrated residency training program, recognizing Kaiser's significant contributions to our program.
OB/GYN offices are located at the main hospital (Zion) and its satellite clinics. All obstetrics is at Zion in the Family Maternity Center. The Center consists of 14 LDR rooms, two cesarean section rooms and two high-risk antepartum beds; the postpartum beds include 30 low risk, 15 med-surg, and 15 complicated ob. Gynecologic surgery is performed at the Zion and El Cajon facilities. Approximately 65 percent of the gynecologic patients are utilized for resident education.
The Kaiser experience is highlighted by apprentice-type rotations in gynecologic oncology, urogynecology, REI, perinatology and minimally invasive surgery during which residents often work one-on-one with the subspecialists.
The entire Kaiser faculty, headed by Dr. Silverio Chavez, consists of 44 full-time Board Diplomate obstetricians-gynecologists, who are directly responsible for teaching and supervision of the residents. Under their supervision on the ob service, the residents make most of the management decisions, perform the deliveries, and follow the patients postpartum. On the gyn services and under specific faculty supervision, the residents routinely perform the complete preoperative evaluation, assessment and plan, prior to surgery where the resident has the role of the primary surgeon.
The Veterans Administration Medical Center (VAMC)
This modern general medical-surgical VA Medical Center is located in La Jolla adjacent to the UCSD campus and the School of Medicine. Virtually all members of the senior staff of the VA Medical Center are full-time members of the UCSD School of Medicine, and all aspects of the training program at the two hospitals are fully integrated. Thus, medical students, residents, and fellows may rotate freely between the VA and UCSD Medical Center according to the training needs of their individual services. Reproductive Medicine residents rotate to the VA Hospital during their second year to perform gynecologic surgeries.