March Matchness 2016

In just five days, a lot of future doctors will learn where they will do their first doctoring —

Each year, at precisely the same moment – noon on the east coast, 9 a.m. on the west – thousands of graduating medical school students across the country simultaneously tear open an envelope. Inside, there is a single sheet of paper and on it, a handful of words. Those words will inform each graduate where he or she will do their residencies, where each will spend the first several years of their careers as working doctors.

It’s called Match Day. Started in 1952 and operated by the non-profit National Resident Matching Program, the event culminates months of applications and interviews by fourth-year medical school students, each of whom may have visited a dozen or more hospitals and institutions across the country in search of their perfect match. … Read the Full Story from the UC San Diego Newsroom

UC San Diego School of Medicine Named One of Nation’s Top Residency Programs

Recognized by physicians for training leadership in Doximity report — 

UC San Diego School of Medicine was today named one of the nation’s top residency training programs in 10 specialties by Doximity. The Doximity report included more than 50,000 peer nominations from board-certified US physicians, and evaluated 3,691 residency training programs across 20 specialties.

“One of the most important functions of our academic health system is residency training for the next generation of physicians. The outstanding training of our residents guarantees great future physicians for San Diego and beyond,” said David A. Brenner, MD, vice chancellor for Health Sciences and dean of the UC San Diego School of Medicine.

UC San Diego School of Medicine placed in the top 10 for residency training in the West in the following specialties: internal medicine, anesthesiology, dermatology, obstetrics & gynecology, orthopaedic surgery, otolaryngology, pediatrics, psychiatry, radiology (diagnostic) and surgery. More than 900 post-graduate trainees, including interns, residents and fellows, train at UC San Diego each year…. Read the full story from the UC San Diego Newsroom


Dr. Simerjot Jassal

Dr. Simerjot Jassal

Simerjot Jassal, MD, MAS, FACP, pictured at left, directs the Internal Medicine Residency Training Program and its Preliminary Medicine track.

Dr. Jassal is clinical professor in the Department of Medicine.

Dr. Mark Ginsberg

Dr. Mark Ginsberg

Mark Ginsberg, MD, professor of medicine, directs the program’s research track, the Physician-Scientist Training Program.

In other Department of Medicine-related training, UC San Diego School of Medicine placed in the top 10 for residency training in anesthesiology, dermatology and pediatrics.

Dr. Jassal co-directs a new Combined Medicine-Anesthesia program track of the Internal Medicine Residency Training Program with Daniel Lee, MD, PhD, associate clinical professor of anesthesiology and pediatrics.

Dr. Lori Wan

Dr. Lori Wan

A Combined Medicine-Pediatrics Training Program track of the internal medicine program is directed by Lori Wan, MD, clinical professor of medicine.

Also rated in the top 10 is UC San Diego’s Dermatology Residency Training Program, directed by dermatology division chief Richard L. Gallo, MD, PhD, and Casey Carlos, MD, PhD, pictured below.

Dr. Gallo is professor of medicine and pediatrics and Dr. Carlos is assistant clinical professor in the Division of Dermatology in the Department of Medicine.

Dr. Richard Gallo

Dr. Richard Gallo

Casey Carlos, MD, PhD

Dr. Casey Carlos

 

 

 

Drs. Philipp Wiesner, Benjamin Hulley Honored with 2013 Internal Medicine Residency Program Awards

Each year, the Internal Medicine Residency Program recognizes residents who embody the ideals of two highly esteemed faculty members, former Department of Medicine chair Dr. Ken Kaushansky, now at Stony Brook University, and the late Dr. Lee Rickman, associate clinical professor in the Division of Infectious Diseases, who died while training medical personnel in Lesotho in 2003.

Program director Elaine Muchmore, MD, presented the Kaushansky and Rickman awards on June 19 at the last session of Medicine Grand Rounds for academic year 2012-2013.

The awards followed Benjamin Hulley’s presentation, “Are Physicians Ethically Obligated to Utilize the Placebo Effect?”  |  Watch the video (UCSD only)

Kenneth Kaushansky, MD, MACP

Dr. Ken Kaushansky

Philipp Wiesner Receives Ken Kaushansky Award

Ken Kaushansky, MD, MACP, an esteemed physician-scientist, was Helen M. Ranney Distinguished Professor and chair of the Department of Medicine at UC San Diego from 2002 until 2010. He is now dean of the School of Medicine and senior vice president of Health Sciences at Stony Brook University in New York.

Seeking to enhance the training of general internists at UC San Diego, Kaushansky established the residency program’s 2-month dedicated elective research block. On that rotation, a resident selects a faculty mentor, conducts a research project and presents the results.

The elective has steadily gained in popularity, with about half the residents now participating annually.

This year, the program directors chose four residents to present their research projects at Medicine Grand Rounds and selected one of them to receive the Kaushansky Award.

Kaushansky_2013

Dr. Philipp Wiesner

The winner was second-year resident Philipp Wiesner, MD, who presented his research project, “Oxidized Phospholipids in Inflammation and Atherosclerosis,” at the May 15 session of Grand Rounds.  |  More about Wiesner’s research  |  Watch the video (UCSD only)

Wiesner, who plans to be an academic physician-scientist, has pursued research in atherosclerosis since he was in medical school.

In accepting the award, he said, “A young scientist can never do well without a nurturing environment. I had great mentors, Joe Witztum, Yury Miller and Sam Tsimikas.

“I also want to thank the residency program for giving me the great opportunity both to do research here and also start my residency and do my clinical training here.”

Benjamin Hulley Receives the Lee Rickman Humanism in Medicine Award

The Lee Rickman Humanism in Medicine Award is given each year to a resident whose work recalls the energy and devotion of Lee Rickman, MD, a UC San Diego residency program graduate and Department of Medicine faculty member who practiced infectious disease medicine with singular passion until his death in 2003.

Rickman was acknowledged as the hands-down winner in the number of teaching awards given to a Department of Medicine faculty member.

In introducing the award, Muchmore said, “Lee didn’t just delve into topics — a wide variety of topics — but then, with passion, he taught them. It was not a joke that if we had a sudden cancellation of a Grand Rounds speaker or a noon conference speaker, somebody would turn to Lee and say, ‘Could you substitute tomorrow?’ And he would say, ‘Of course.'”

Drs. Elaine Muchmore and Ben Hulley

Drs. Elaine Muchmore and Ben Hulley

“The Rickman Award is a very high honor in the residency program,” she said. “It gives me great pleasure to award it to Ben Hulley.”

Hulley is one of the five incoming chief medical residents for 2013-2014. He received his undergraduate degree in biology and economics from UC San Diego and his MD degree from the UC San Diego School of Medicine.

In his remarks, Hulley credited his father, also a physician, who had come from northern California to be present in the audience.

“Thanks to my Dad for being a great role model and helping me get this far,” he said.

Stephen B. Hulley, MD, MPH, is professor in the Division of Clinical Epidemiology, Department of Epidemiology & Biostatistics at UC San Francisco.

The four resident research presentations and the presentations from the five incoming chief medical residents will be available via on-demand video (UCSD only) all summer.

Dr. Helen King and Dr. Philipp Wiesner Present Mentored Research Study Results at Grand Rounds

Dr. Helen King

Dr. Helen King.

Dr. Philipp Wiesner

Dr. Philipp Wiesner.

Helen King, MD, and Philipp Wiesner, MD, junior residents in the categorical track of the UCSD Internal Medicine Residency Program, presented results of their elective mentored research projects at Medicine Grand Rounds on May 15.

The Internal Medicine Residency Training program offers trainees two months of elective time during their second or third year to undertake a research project under the guidance of a faculty mentor.

Dr. Helen King

Helen King, MD, Mercer University

King’s research project was “HIV Preexposure Prophylaxis: Barriers to Access for Men Who Have Sex With Men.” |  Watch the video (UCSD only)

“I have been interested in HIV medicine for some time now,” King said, “and since being a resident at UCSD have had the opportunity to have more exposure.

“I went to Dr. Davey Smith knowing that he might have some interesting projects, and he helped me get involved with the PrEPARE Study.”

Davey Smith, MD, MAS

Davey M. Smith, MD, MAS

Smith (at right), a translational research virologist, directs the Translational Virology Core of the UC San Diego Center for AIDS Research and is medical director of the Antiviral Research Center’s Early Intervention Program.

He is associate professor of medicine in the Division of Infectious Diseases.

The PrEPARE study evaluates preexposure prophylaxis for HIV in men who have sex with men, an approach in which an HIV-negative individual who is at high risk for HIV infection takes a daily HIV medication to lower his risk of infection.

“It has been proven effective in high-risk men who have sex with men,” King said. “Our study was aimed at identifying real-life barriers to accessing the medication, such as cost.”

The study pinpointed several barriers including cost and concern about side effects.

Of her research experience, King said, “I was lucky enough to work on a project that was interesting to me and to work with a great mentor.”

Dr. Philipp Wiesner

Philipp Wiesner
MD, Universität Regensburg

Philipp Wiesner presented the project “Oxidized Phospholipids in Inflammation and Atherosclerosis.” |  Watch the video (UCSD only)

“I started to work in the field of atherosclerosis in medical school,” Wiesner said. “I spent 2 years as a postdoctoral fellow and continued to work in this area during residency.

“My topic was a perfect fit, as I could continue to work in the same area in which I already had experience as well as continue to work with my previous mentors.”

Dr. Joseph Witztum

Joseph Witztum, MD

Wiesner’s primary mentor is Joseph Witztum, MD, professor of medicine in the Division of Endocrinology & Metabolism. Witztum leads the renowned atherosclerosis research laboratory that was established at UCSD by Dr. Daniel Steinberg.

Steinberg, emeritus professor of medicine and pioneering lipid researcher, was the founding head of the Division of Metabolic Diseases.

Dr. Yury Miller

Yury Miller, MD, PhD

Wiesner’s other mentors are lab members Yury Miller, MD, PhD, and Sotirios “Sam” Tsimikas, MD. Miller is associate professor of medicine in the Division of Endocrinology & Metabolism and Tsimikas is professor of clinical medicine and director of vascular medicine in the Division of Cardiology.

Dr. Sotirios "Sam" Tsimikas

Sotirios “Sam” Tsimikas, MD

Some of Wiesner’s research work, not included in his Grand Rounds presentation, recently has been accepted for publication in the Journal of Lipid Research.

Said Wiesner, “I am really glad our program gives us the opportunity to take two months off to do research. Residency is busy as it is and without this, many residents would not have the chance to get exposed to clinical or laboratory based research.”

Wiesner said it has always been his plan to have a career as an academic physician-scientist.

Presenting Grand Rounds on May 15: Dr. Helen King and Dr. Philipp Wiesner

Dr. Helen King

Dr. Helen King
MD, Mercer University

Dr. Philipp Wiesner

Dr. Philipp Wiesner
MD, Universität Regensburg

Helen King, MD, and Philipp Wiesner, MD, junior residents in the categorical track of the UCSD Internal Medicine Residency Program, will present results of their elective mentored research projects at Medicine Grand Rounds on May 15.

King’s research project is “HIV Preexposure Prophylaxis: Barriers to Access for Men Who Have Sex With Men.”  Philipp Wiesner will present the project “Oxidized Phospholipids in Inflammation and Atherosclerosis.”

The Internal Medicine Residency Training program offers trainees two months of elective time during their second or third year to undertake a research project under the guidance of a faculty mentor.

Drs. Felipe Nascimento Kazmirczak and Stephen Vampola Present Their Research at Grand Rounds

Drs. Nascimento Kazmirczak and Stephen Vampola

Drs. Nascimento Kazmirczak (left) and Vampola field questions after their presentations.

Felipe Nascimento Kazmirczak, MD, and Stephen Vampola, MD, junior residents in the categorical track of the UCSD Internal Medicine Residency Program, presented results of their elective mentored research projects at Medicine Grand Rounds on March 20.

The Internal Medicine Residency Training program offers trainees two months of elective time during their second or third year to undertake a research project under the guidance of a faculty mentor.

Dr. David Krummen

The mentor for both residents was UCSD cardiac electrophysiologist Dr. David Krummen, right, who watched from front row center in the auditorium as they made their presentations.

Krummen, a ventricular fibrillation researcher, is associate professor of medicine with UC San Diego Sulpizio Cardiovascular Center and associate director of electrophysiology at the San Diego Veterans Affairs Medical Center.

Dr. Stephen Vampola

Vampola’s research project was “Mechanistic Implications of Tissue Rate Gradients in Human Ventricular Fibrillation.” He described the research experience as “fulfilling and formative.”

He said his longstanding goal has been to merge his interest in engineering — he studied electrical engineering as an undergraduate and biomedical engineering in graduate school — with his interest in medicine. He earned his MD degree at the University of Miami Miller School of Medicine.

“Now that I have a clinical background,” he said, “I was eager to participate in research that would allow me to combine my unique skill set. The field of cardiac electrophysiology, which by its very nature is analytical and mathematical, is just that.”

Dr. KazmirczakA career in academic medical research has been Nascimento Kazmirczak’s plan for many years.

He came to the United States from Brazil after he earned his MD degree at Universidade Lut Brasil because he was seeking the high-level academic investigators and research opportunities found at major American institutions such as the Mayo Clinic, Brigham and Women’s Hospital at Harvard or UC San Diego.

The project he presented at Grand Rounds was “Identification of Human VF Mechanism Using Surface ECG.”

As he designed his elective research rotation this year, Nascimento Kazmirczak’s interest in cardiology and his strong interest in cardiac electrophysiology led him to Drs. Krummen and Sanjiv M. Narayan and into the ventricular fibrillation research group.

Narayan, professor of medicine in cardiology, is director of electrophysiology at the VA San Diego Healthcare System.

“It was very interesting, and challenging too,” Nascimento Kazmirczak said. “A lot is not known about the mechanism of ventricular fibrillation. If you identify the mechanism, you can prevent it.”

Drs. Felipe Nascimento Kazmirczak and Wolfgang Dillmann.

Dr. Wolfgang Dillmann, Helen M. Ranney Distinguished Professor and chair of the Department of Medicine, comments on Dr. Felipe Nascimento Kazmirczak’s presentation.

Nascimento Kazmirczak and the other researchers devised a way to induce and study VF in humans rather than in explanted hearts or animal models. Theirs is one of the largest human VF studies now in existence.

Vampola described David Krummen as an outstanding mentor. Nascimento Kazmirczak said, “He dedicated a huge amount of time to helping us.”

Krummen also worked with the two residents to prepare and fine-tune their Grand Rounds presentations in technical detail and in overall clarity.

“This has been a very fulfilling experience,” Vampola said. “One of the unique features of being a physician is the ability to have a highly multifaceted career. I would strongly recommend that anyone with the opportunity to do so, at some point in their career, participate in research in a field that interests them.

“As a resident with access to the vast pool of research efforts at UCSD, it is hard for me to imagine a better place to do this.”

Asked whether he envisions a career as an academic physician-scientist, Vampola says it has been an evolving question for him. His mentored research experience has nudged him toward the affirmative.

“Having identified a field of research that suits my talents and interests well, I find it fulfilling and addictive,” he said. “Looking at my current trajectory and extrapolating to the future, I can definitely envision myself as a physician-scientist with a strong bent towards research.”

Grand Rounds Speaker March 6: Dr. Jeffrey Wiese, Tulane University Medical Educator

Dr. Jeffrey G. WiesePresenting at Medicine Grand Rounds on March 6 is medical educator and hospitalist Jeffrey Wiese, MD, FACP, SFHM.

Wiese is associate dean for graduate medical education and director of the Internal Medicine Residency Program at the Tulane University School of Medicine, where he is professor and associate chair of medicine in the Section of General Internal Medicine and Geriatrics.

He is Chief of Medicine, Charity and University Hospitals, Medical Center of Louisiana at New Orleans.

Among the many honors Wiese has received for his teaching:

Read about his teaching philosophy

Wiese is a past president of the Society of Hospital Medicine (2010-2011). He has served as board member for the Society of Hospital Medicine, the Association of Program Directors in Internal Medicine and the Association of Subspecialty Professors.

He earned his medical degree at The Johns Hopkins School of Medicine in 1995. He did his internal medicine residency, chief residency and a medical education fellowship at the University of California, San Francisco.

About Medicine Grand Rounds

UCSD’s Medicine Grand Rounds is held weekly on Wednesday mornings, 7:30 – 8:30 a.m., in the Liebow Auditorium, second floor, Biomedical Sciences Building on the UCSD School of Medicine Campus. There is a hiatus in summer.

To see this year’s schedule and find video viewing information, visit the Medicine Grand Rounds page on the Department of Medicine website.

New Global Medicine Program at Work in Mozambique

UCSD internal medicine resident Seth Goldman, M.D., with Dr. Sam Patel of UEM on the wards at Maputo Central Hospital.

UCSD internal medicine resident Seth Goldman, M.D., with Dr. Sam Patel of UEM on the wards at Maputo Central Hospital. Photo by Mike Preziosi, MD.

At Maputo Central Hospital in Mozambique, the patients suffer from diseases that a doctor might never see in the U.S.: malaria, cholera, or drug resistant tuberculosis, for example. Important research takes place despite limited resources. Internal medicine residents divide their time between their clinical duties and the moonlighting jobs that finance their medical education.

Beginning this month, UCSD internal medicine doctors are working side by side with their counterparts in Maputo. The new Global Medicine elective rotation in the UCSD Internal Medicine Residency Training Program is underway.

It’s a bilateral exchange of faculty and residents between UCSD and the Universidade Eduardo Mondlane (UEM) School of Medicine in Maputo. The purpose is to enrich the training programs and the research efforts at both institutions.

Dr. Seth Goldman, a third-year resident in internal medicine, is the first UCSD trainee to take part. He’ll spend almost 4 weeks in Maputo, departing as the next resident arrives from UCSD to take his place.

Dr. Preziosi with Mozambican residents

Global Medicine Program Clinical Director Mike Preziosi, MD (center), with Mozambican internal medicine residents Lucia Chambal (left) and Manuel Tomas (right).

Supervising the residents in Maputo is Michael Preziosi, MD, who graduated from the Internal Medicine Residency Program in June. He’ll spend a full year in Maputo as Assistant Professor of Medicine, and clinical director for the UCSD residents.

“Our research and education presence in Maputo will equip us to prepare our next generation of internal medicine specialists and researchers,” says Ken Kaushansky, MD, MACP, Helen M. Ranney Distinguished Professor and Chair of the Department of Medicine. Dr. Kaushansky directs the Global Medicine program for UCSD.

Drs. Marisa Magaña and Emilia Noormahomed

Dr. Marisa Magaña, former UCSD internal medicine resident, with Dr. Emilia Noormahomed of UEM.

UCSD’s Global Medicine faculty leaders include Robert (Chip) Schooley, MD, Professor of Medicine and Chief of the Division of Infectious Diseases, and colleague Professor Constance Benson, MD, who directs the Fellowship Training Program in Infectious Diseases.

This is an exciting opportunity for UCSD and for UEM,” says Dr. Schooley.

He and Dr. Benson have collaborated with researchers in Mozambique and other African nations since the mid-1990s.

It was their interest in doing research work with Dr. Emilia Noormahomed that brought UEM to the foreground when the UCSD Department of Medicine began its search for potential Global Medicine rotation sites.

Emilia Noormahomed, MD, PhD, a gifted parasitology researcher, is a former dean of the UEM School of Medicine.

She and Sam Patel, MD, Professor of Medicine and, until recently, Chair of the Department of Medicine, are UEM’s participating faculty who have worked closely with Dr. Kaushansky to design this unique partnership.

Both have accepted faculty appointments in UCSD’s Department of Medicine.


“Our long-term goal is to play a critical role in developing sustainable local capacity to lead programs in HIV, tuberculosis, and malaria in southeast Africa.”
— Dr. Schooley


City of Maputo

The city of Maputo is a major port on the Indian Ocean.
Photo by Robert Schooley, MD.

For UCSD, the Global Medicine program reflects the Department of Medicine’s commitment to enlarge its efforts in the field of global medicine. The new elective will broaden the program offered to internal medicine residency trainees.

“Our faculty, residents, and fellows will have the opportunity to see diseases such as TB and malaria that we see much less often here in the U.S.,” Dr. Schooley says, “and actually to take part in revitalizing postgraduate medical education in Moçambique.”

A generation after a civil war that drove all but a few doctors from the country, the government of Moçambique is striving to build a sustainable healthcare system that can meet the nation’s urgent need for physicians and medical leaders.

Children in cane village outside Maputo.

Children in cane village outside Maputo. Photo by Kenneth Kaushansky, MD.

UCSD’s involvement at UEM is part of this effort, as is funding for the UEM departments of parasitology and medicine by the Gilead Foundation, a nonprofit organization of the pharmaceutical company Gilead Sciences, LLC.

The Gilead Foundation contributed along with the UCSD Center for AIDS Research to the refurbishing of Dr. Noormahomed’s laboratory at UEM. It’s also a key sponsor of the UCSD Global Medicine rotation.

It’s hoped that additional philanthropic gifts from other sources will continue to support the Global Medicine exchange and other collaborative projects between UCSD and UEM.

UCSD’s presence at UEM will nourish medical research programs and promote the use of evidence-based medicine and epidemiological methods in patient care.

Maputo Central Hospital

Maputo Central Hospital, the primary teaching hospital for UEM.
Photo by Mike Preziosi, MD.

During the early months of this inaugural year, Dr. Preziosi is focusing on establishing relationships, learning the language, and determining the needs of the UEM medical trainees and researchers.

“I’m really excited,” he says. “It’s clear to me how important my job is as a continuous presence in Maputo.”

He and his UCSD colleagues will work with UEM to establish a more academic day in the medical training program. They’ll also develop a number of research studies.

“We’ll work with their residents and investigators,” he says, “to do the projects that really matter.”

Dr. Preziosi hopes to have launched the first group of new research projects by the end of the year. In June 2010, he will return to UCSD to begin his fellowship training in infectious diseases.

Mozambique shown on map of Africa.

The republic of Mozambique.
Map from CIA: The World Factbook.

The Global Medicine elective rotation is open to second- and third-year residents. During the 2009-2010 academic year, over 20 UCSD internal medicine trainees will complete the Global Medicine rotation in Maputo.

Additional UCSD Department of Medicine faculty will rotate through Maputo for 3-4 week periods over the course of the year, working alongside their Mozambican colleagues to augment the Internal Medicine training program at Maputo Central Hospital. Dr. Randy Taplitz, Clinical Director of the Division of Infectious Diseases, will join Dr. Preziosi in early August.

Department of Medicine faculty rotating through Maputo live in an apartment, located several blocks from the medical school complex, with Dr. Preziosi and the UCSD residents.

Starting later this year, UEM residents will travel to UCSD to spend 2-3-month periods in research and clinical work here.

“Our long-term goal,” says Dr. Schooley, “is to play a critical role in developing sustainable local capacity to lead programs in HIV, tuberculosis, and malaria in southeast Africa.”


Join With Us

We’re building practical, sustainable programs here at home and in our partner nations.

Your gift in any amount will go directly to help train a doctor, continue a key research project, or equip a community with the knowledge it needs to fight the spread of a preventable disease.

For more information about philanthropy and the Department of Medicine’s international programs, please contact Dan Otto, Senior Executive Director of Development, at 858-246-1563.

Give Now

UCSD Faculty Volunteers Welcomed

UCSD Department of Medicine faculty volunteers of all specialties are welcome to participate in the Global Medicine program in Maputo.

To make your interests known or to find out more, please contact:

Jesus Vera
Global Medicine Program Coordinator
Telephone 619-543-2896
Email jevera@ucsd.edu

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Housestaff of the Year Award Goes to Dr. Brian Kolski

The Medical Staff Executive Committee has honored Dr. Brian Kolski with one of its two Housestaff of the Year awards for 2008.Dr. Kolski is a chief resident in Internal Medicine for the year 2007-2008.

Upon his graduation in June, he will enter a fellowship in cardiology here at the UC San Diego School of Medicine.


Read the full story
from UC San Diego
Health Sciences Communications


Dermatology Residency Program Wins Recertification and Commendation from ACGME

The UC San Diego Dermatology Residency Training Program has received a commendation along with a five-year recertification from the Accreditation Committee for Graduate Medical Education (ACGME).

The ACGME commended Program Director Terence C. O’Grady, M.D., and his staff for the excellence of the program, with particular praise for the program’s pediatric training and scholarly activity.

“We’re very pleased with the results of the recent survey and are excited about the continued growth of the training program,” Dr. O’Grady said.

In a recent interview, Dr. Richard Gallo, Chief of Dermatology, said of the program, “It is one of the most competitive programs around.

“We are dedicated to outstanding clinical teaching as well as training the future academic leaders in dermatology.”

The Dermatology Residency Training Program is a three-year program that attracts hundreds of applicants for its three available slots each year.

Along with UC San Diego Medical Center, Rady Children’s Hospital and the Veterans Affairs San Diego Healthcare System are participating sites in the residency training program.

More Information