Rotations

SBMC Medical Intensive Care Unit (MICU)

The St. Bernardine’s medical intensive care unit provides fellows with a rigorous experience in the assessment and management of the critically ill medical patient. Care is focused on patients with a multitude of medical illnesses and multiorgan failure including decompensated respiratory, cardiovascular, liver, renal, and endocrine diseases. Fellows participate in multidisciplinary rounds and function as a junior faculty member managing patients, educating residents, and developing procedural competency. Additionally, fellows provided daily preset didactic education for the UC Riverside Internal Medicine residents.

SBMC Surgical Intensive Care Unit (SICU)

The St. Bernadine’s surgical intensive care unit exposes fellows to a variety of high acuity patients undergoing surgical procedures. The surgical ICU cares for patients undergoing general, neuro, cardiothoracic, and vascular surgical procedures.  SBMC is a referral center from local hospitals for advanced cardiac care for high-risk patients.  Fellows work as part of the multidisciplinary team with the surgical specialties, maintain close communication with consultants, and participate in multidisciplinary rounds.  This rotation provides more autonomy for the critical care fellow and is designed to prepare the fellow for practice in a mixed ICU.

Cardiovascular Anesthesia

Fellows participate in one month of anesthesia early in their training to develop intubation skills in a highly structured environment. During this period, they also receive exposure to cardiopulmonary bypass, transesophageal echocardiography, and perioperative management of patients undergoing cardiothoracic surgeries.

Echocardiography

Fellows rotate with echocardiographers to develop image acquisition skills in inpatients in the morning. Fellows then rotate with cardiology fellows and attendings on echocardiography reading and conferences to learn interpretation.

Night Float

The night float fellow covers both surgical and medical units from 7 p.m. to 7 a.m. with the in-house attending support.  This rotation provides a variety of different encounters and helps develop autonomy with appropriate levels of supervision. Fellows participate in evening rounds with the attending physician. They also lead the ventilator rounds early in the morning to facilitate liberation from mechanical ventilation.

POCUS and Procedure Rotation

This new rotation introduces an additional fellow at SBMC during day hours to support medical and surgical ICU teams by performing procedures and point of care ultrasounds. Fellows will also provide core ICU teaching to medical residents and students utilizing the standardized curriculum developed by our team.

San Gorgonio Memorial Hospital ICU (SGMH ICU)

The San Gorgonio Memorial Hospital is a small community hospital which provides a unique experience for fellows. Typically, census is low allowing fellows to focus more on individualized care and have additional time for study. Fellows also are responsible for pulmonology consultations and receive additional experience with pulmonary procedures that complements their training at St. Bernardine Medical Center. Fellows rotate during daytime hours and do not cover shifts or call at night.

St. John’s Health Center ICU

Senior fellows will rotate in the ICU at PSJHC with exposure to ECMO, advanced heart failure, and care for a wide array of patients. Local accommodation is provided by UCR. 

Arrowhead Regional Medical Center 

Senior fellows will rotate for one block at SICU and burn ICU at ARMC. 

Research and Scholarly Activities

Fellows lead several quality improvement (QI) projects facilitated by their mentors. Some examples of our fellow lead ongoing QI projects are resident education curriculum, difficult airway management standardization, mock code blue, POCUS education, and minimizing catheter associated infections. Fellows also have the opportunities for working on case reports and original research with mentor guidance. Support from biostatisticians from UCR is available.  

Each block = 1 month