Naval Medical Center San Diego has a long history of supporting the line from its home in Balboa Park. The Emergency Medicine Residency Program’s graduates have excelled in all missions - air, sea, and land, at war and in peace, around the globe.
Upon the defeat of the Spanish and the acquisition of Guam and the Philippines, the Navy became interested in San Diego. Additionally with the opening of the Panama Canal in 1914, San Diego became a convenient first American port north of the border. Tracts of land were purchased during the WWI years that would eventually become Marine Corps Recruit Depot (MCRD), NAS North Island, Naval Training Center (NTC) and Naval Base San Diego (often referred to as 32nd Street). Now a medical facility was needed.
Col. Joseph Pendleton's Advanced Marine Corps Base, located on North Island in 1914, had a small dispensary. With the U.S. entry into WWI, much of Balboa Park was taken over for recruit training, and the North Island clinic was moved into a structure built for the 1915 San Diego Exposition. It was supplemented by a tent-city "ward" of 800 beds. Recognizing the need for a permanent hospital, the Navy endeavored to purchase a site at Inspiration Point, at the southern end of Balboa Park. On Sept. 3, 1919, against some objections, the San Diego City Council deeded 17.35 acres in Balboa Park for a permanent hospital to serve the 11th Naval District. Construction began promptly, and on April 28, 1921, the first building of the hospital compound was occupied. A Navy hospital in San Diego has remained at Inspiration Point since, in fact during the WWII years of 1943-48, Balboa Park's Museum of Natural History, Museum of Man, and Fine Arts Gallery were annexed as overflow patient wards. The current medical center, completed in 1988 and costing $500 million, is the largest military medical facility in theWestern Pacific. NMCSD, serves as a tertiary care referral center for Southern California, the southwestern United States and the Pacific Fleet. Outstanding graduate medical education is provided to more than 80 first year interns as well as further specialty training in 14 residency programs and seven fellowships. The medical staff is nationally recognized for their clinical, research and teaching experience.
The Emergency Medicine residency at NMCSD was established in 1984 and is now a PGY 1-4 program. Based upon the most recent evaluation by the Residency Review Committee (RRC) of the Accreditation Council for Graduate Medical Education (ACGME), which took place in October 2009, the program enjoys Continued Full Accreditation.
The goal of the Emergency Medicine Residency Program at NMCSD is to prepare physicians for a lifelong practice in Emergency Medicine and to support the Fleet and Corps in support of expeditionary, humanitarian, and combat missions. The specialty of Emergency Medicine provides for the initial recognition, resuscitation, stabilization, ongoing evaluation, and care of the acutely ill or injured patient. This training program strives to equip physicians with the skills and learning strategies to practice this specialty in whatever situation emergency medical expertise is required. The graduating resident should feel confident to practice Emergency Medicine: be it in a large stateside tertiary care hospital or a small overseas military treatment facility, in peacetime clinical practice or in a forward deployed operational setting, in a high volume clinical practice or one with heavy research, teaching, or administrative duties. This residency will provide the graduate with the tools needed for success as a specialist in Emergency Medicine.
The Emergency Department has an annual census of approximately 70,000 patients, admitting 14% of the patients who present to our doors. There are 20 military and civilian faculty physicians, many fellowship-trained, and 8-10 residents at each of four year levels. The ED is equipped with its own radiology department including the fastest 128-slice, dual-source CT scanner on the west coast, fast track (urgent care ward), and social worker. A major renovation of the Emergency Department was completed in 2012. It resulted in enhanced patient care areas and trauma capabilities with a total of 28 ED and 14 fast-track/rapid triage/treatment beds.
The emergency medicine faculty include 18 active duty and seven civilian physicians with subspecialization in medical toxicology, emergency medical services, pediatric em, hyperbarics/dive medicine, cardiology, wilderness medicine, and ultrasonography in addition to two who are double-boarded in em/im.
SCRIPPS MERCY HOSPITAL
An outstanding community hospital and level-1 trauma center located in the Hillcrest area of San Diego, Scripps Mercy hosts excellent rotations in Emergency Medicine and Trauma. There is a separate Chest Pain Center. The ED census averages 135 patients per day.
RADY CHILDREN'S HOSPITAL
Rady Children’s Hospital is located just north of Mission Valley and is the community tertiary care Pediatric center for San Diego. The Emergency Department has 36 beds, including a three-bed observation area, and a two-bed trauma resuscitation room. The Emergency Department census is between 150-300 patients per day.
TRI-CITY MEDICAL CENTER
Tri-City is a community medical center located in Oceanside. Tricity serves a largly geriatric population. The Emergency Department has 41 beds, 20 of which in the acute and intensive areas.
UCSD MEDICAL CENTER, HILLCREST
UCSD Hillcrest is the site for Medical Toxicology, Emergency Medical Services rotations and the Burn selective at San Diego’s only Burn Center.
SCRIPPS GREEN HOSPITAL
Scripps Green Hospital in La Jolla is the site of a high-acuity Intensive Care Unit rotation.
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Children’s Hospital of Orange County (CHOC) is located in Irvine, Calif.. CHOC's Pediatric Intensive Care Units provide intensive and acute care to critically ill surgical and medical pediatric patients. The units include a 12-bed 2nd Floor PICU and a new 18-bed PICU on the 6th floor of the hospital. Pediatric Anesthesia training is provided at St. Joseph’s Hospital, next door to CHOC.
PIONEERS MEMORIAL HOSPITAL
Pioneers provides a rural EM experience with high acuity and significant Orthopedic experience in the desert region three hours east of San Diego.