The inpatient training at UCLA spans multiple training sites and encompasses a diverse patient population. Below are descriptions of the inpatient services with the location in parentheses (CHS - Center for Health Sciences, SM - UCLA-Santa Monica Medical Center):

General Medicine Wards (CHS)

Each UCLA ward team is made up of an attending, junior or senior resident and two interns. Teams often include third or fourth year medical students. Ward residents provide care of a diverse population of acutely medically ill patients. Presenting complaints include both common and rare diseases, reflecting the whole of the hospital as both a community hospital and an international referral center.

Work rounds occur daily at 7:30 and allow residents an opportunity to supervise interns in the formulation of a daily treatment plan. Attending rounds are at 10:00, with a focus on scholarly discussion issues raised by patients’ illnesses.

A day float resident is scheduled to assist the post-call team to ensure they leave the hospital in under 30 consecutive hours. The overnight call team does not cross-cover patients from other teams. Instead, a night float resident covers those patients. Here is a sample schedule:

  Day 1 Day 2 Day 3 Day 4 Day 5 Day 6
Intern 1 Long Call Post Call PM Clinic Short Call Jeopardy Call Non-admitting Day
Intern 2 Long Call Post Call Day Off Short Call PM Clinic Non-admitting Day
Resident Long Call Post Call PM Clinic Short Call Jeopardy Call Day Off

 

Medical Intensive Care Unit (CHS)

The MICU rotation provides housestaff exposure to state-of-the-art management of critically ill patients. The MICU team consists of an attending and fellow, three second or third year residents, and four interns. In addition to daily work rounds, the team meets daily for a core lecture series taught by the medical intensivists and anesthesiologists.

  Day 1 Day 2 Day 3 Day 4 Day 5 Day 6
Intern Long Call Post Call Short Call Day Off Long Call Post Call
Resident Long Call Post Call Day Off Short Call Non-Admitting Day Non-Admitting Day

 

Coronary Care Unit (CHS)

The CCU team focuses on diagnosis and treatment of acute cardiac disease. The team includes an attending, a cardiology fellow, three second year residents, and five interns. Housestaff care for acute cardiac patients in a 10-bed Cardiac Care Unit (CCU) and 17-bed intermediate care Cardiac Observation Unit (COU). UCLA operates a 24 hour direct cardiac catheterization laboratory. A separate cardiac observation team manages low-risk patients. Patients admitted for strictly peri-procedural observation are typically admitted to a non-teaching service and do not require resident input.

  Day 1 Day 2 Day 3 Day 4 Day 5 Day 6
Intern Long Call Post Call Short Call 1 Short Call 2 Day Off Long Call
Resident Long Call Post Call Day Off Short Call Non-Admitting Day Non-Admitting Day

 

J Medicine (CHS)

The J medicine team cares primarily for patients with hematologic malignancies, including leukemia, lymphoma, and multiple myeloma. Patients are housed on the oncology floor and the 24-bed Leukemia/Bone Marrow Transplant Unit. The J team includes an attending, two fellows, two interns, and two nurse practitioners.

Inpatient Subspecialty Rotations (CHS)

All residents complete a four week inpatient nephrology rotation and a two week inpatient infectious disease consult block. These popular rotations expose residents to busy services that provide specialty consultation to medicine and surgery services at CHS.

Solid Oncology (SM)

The solid oncology service provides care for patients with solid tumors. The team is comprised of an attending, two oncology fellows, and two second or third year residents. The patient care is divided between the 2 fellows and 2 residents in a hospitalist-like model. Housestaff focus primarily on understanding common malignancies and managing medical problems associated with cancer and its treatment.

Geriatrics (SM)

The Geriatrics rotation offers exposure to a multidisciplinary geriatrics ward in a community hospital setting. The are two teams each led by a geriatric faculty member and consists of two second or third year residents. An objective of the rotation is to offer senior residents an opportunity to function at the level of junior attendings. Another is to provide evidence-based training in geriatric medicine.

Hospitalist (SM)

The Hospitalist rotation provides second and third year residents exposure to a hospitalist practice model. This innovative rotation incorporates residents into a busy hospitalist practice as "junior attendings." Residents share call with faculty and enjoy a collegial style of supervision. The rotation provides seniors an opportunity to function independently as community physicians while receiving individualized support and supervision from faculty.

Off-site rotations

In addition to the UCLA-based rotations, all interns complete one inpatient and one outpatient general medicine rotation at Olive View Medical Center, and either a medicine or an ICU block at the West LA VA. Second and third year residents may visit Harbor General Medical Center, Olive View Medical Center, and/or the West LA VA for general medicine rotations.