Academic Strength ::
The Department of Medicine at Case ranks 11th nationally in NIH fundingand second in the Midwest. The institution in Ohio with the next highest NIH total has funding less than 1/3 of the Case DOM. In addition, Case Western Reserve University was recently awarded a Clinical and Translational Science Award through the NIH to establish a center of integrated clinical and translational research capability
Innovative Curriculum ::
The UH-CMC program is consistently improving intern education and preparation with progressive curriculum components, including the Clinical Skills Block and Intern Boot Camp and expanding ambulatory education. We have also been at the forefront of residency work-hour reform to improve resident work hours without compromising education.
A couple of these experiences include intern learning that prepare you for your clinical rotations. One of these is the Clinical Skills Block which allows interns time to become comfortable in code situations, do simulations of patient encounters and procedures, and makes available stuff, which focuses on developing procedural competency, proficiency at resuscitation, and honing physician exam skills.
At the beginning of the year, interns go through intern boot camp, which senior residents and fellows provide the basis for learning on the wards.
360 degree evaluations allow for good stuff.
Our program has been at the forefront of residency work-hour reform.
We have tried to use a team approach that minimizes the amount of handoffs. In general, our ward residents do not take overnight call and are available to assist in getting interns out when they take overnight call and follow-up on patient care when the post call intern is gone. We have limited the total number of patients interns can care for and the number of admissions, and have continually expanded the number of non-teaching services. We have changed the structure of several of our teams, adding members and eliminating all Q3 overnight call. We have added nightfloats at both UHCMC and CVAH. We have continually expanded our non-teaching services in order to decrease the housestaff work load and keep the focus on education on the housestaff team. At UHCMC we have non-teaching services in cardiology, oncology and general medicine, and we are starting a general medicine non -teaching service at the CVAH. At UHCMC our academic hospitalist attend on our general medicine teams, and we have non-teaching hospitalist services. This year we have established a non-teaching hospitalist service at CVAH.
We have a resident conference every day at noon with food at both UHCMC and CVAH. One noon each week we have a Morbidity and Mortality Conference (done separately at the VA). Once a week there is Grand Rounds, which is ‘live’ at UHCMC and is broadcast to the VA. Three days a week there are resident noon conferences, which include an annual curriculum and focuses on case-based, interactive teaching. In the beginning of the year some of the noon conferences are “Intern Boot Camp,” with the focus on knowledge and skills needed for beginning interns. There is morning report three mornings a week for residents and one morning a week for interns (with the residents carrying the interns’ pagers). All the subspecialty divisions have their own clinical conferences, grand rounds and research conferences. Residents are encouraged to attend when they are on those services or based upon their interest.
There is a minimum of one block per year. During this rotation there is no overnight call inpatient responsibility. There is a conference every day at 8 am, subspecialty clinics in the morning and ambulatory electives in the afternoon. One morning a week is devoted to an Evidenced Based Medicine curriculum, and one afternoon a week to a Quality Improvement curriculum and project. Residents interested in primary care can do additional ambulatory blocks and can tailor their experience based upon their career goals.Yes, interns spend two weeks on Neurology consults and PGY2 residents have a two-week outpatient Geriatric experience.
Housestaff have clinic at UHCMC and CVAH and have the option of choosing one of several community sites.
Collegial Working Environment ::
We have outstanding faculty and residents, who are engaged in teaching and learning in a friendly, positive environment that is conducive to personal and professional growth.
Residency Retreats :: We have three major retreats- at the end of the year we meet off site with all the categorical interns to talk about the skill set needed to be a successful resident and teacher. We have an offsite retreat for the rising PGY3s, with the focus on system issues and the leadership role of a PGY3. Mid-year we have an evening retreat for current interns to discuss how the year is going and get their feedback on the training program.
Housestaff Social Events :: Our residents organize housestaff social events on an ad hoc basis during the year with financial support from the residency. The Department of Medicine organizes a Holiday Party in December, and a graduation dinner in the spring. Families and friends are invited to the graduation dinner, which also features awards and a skit spoofing the hospitals and faculty (primarily the program directors…………).
Successful Graduates ::
Last year 100% of PGY-2s applying for fellowships successfully matched. In the past 20 years, 60% of our Chief Residents and a similar percentage of graduating residents hold faculty positions.
Progressive Teaching Hospitals ::
University Hospital-Case Medical Center, the primary teaching affiliate for Case Western Reserve University, is in the midst of continued expansion, including the construction of a Cancer Hospital; and the Cleveland Veterans Administration Hospital, located one mile from UH-CMC, dedicated to continuous quality improvement.
Diverse Patient Population ::
At UH-CMC, we have about 1/3 tertiary or quaternary referral patients, 1/3 come from an underserved urban population and 1/3 community-based internal medicine. The patient population at CVAH is both primary care and tertiary care, and comes from the greater Cleveland area and surrounding counties.
Committed Program Leadership ::
The team of program directors, led by Dr. Keith Armitage, is committed to the constant improvement of the curriculum and clinical experience. Recent initiatives include aggressive work-hour reform, development of the Clinical Skills Block for interns, and increased international opportunities.
Engaged Faculty ::
At UH-CMC, we have over 200 full time faculty members with a good balance between physician-scientists and physician educators who are able and willing to mentor to residents with interests in their fields.
This provides residents with numerous opportunities for research by providing a large number of well-funded, research-intensive faculty available to resident research.
Flexible Residency Pathways ::
Our program provides for a variety of electives including research time, clinical/consult experiences, international health, coursework in research methods and self-designed electives to help pursue your goals. This is in addition to the varied pathways including med/peds, med/genetics, ABIM research pathway, international health, women’s health, and primary care.