Cleveland Clinic Foundation

Cleveland Clinic Foundation Hot

John LanglandJohn Langland   August 28, 2007  
 
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9.4 (3)
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Contact Information

City
Cleveland
State/Province
Ohio

Program Information

Residents per class
6
Cleveland Clinic Foundation Orthopedic Surgery Residency Program

User reviews

3 reviews

Overall rating 
 
9.4
Staff Surgeons 
 
10.0  (3)
Didactics/Teaching 
 
9.3  (3)
Operating Experience 
 
9.7  (3)
Clinical Experience 
 
9.0  (3)
Research 
 
9.7  (3)
Residents 
 
10.0  (3)
Lifestyle 
 
10.0  (3)
Location 
 
7.3  (3)
Overall Experience 
 
9.7  (3)
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Overall rating 
 
9.6
Staff Surgeons 
 
10.0
Didactics/Teaching 
 
9.0
Operating Experience 
 
10.0
Clinical Experience 
 
9.0
Research 
 
10.0
Residents 
 
10.0
Lifestyle 
 
10.0
Location 
 
8.0
Overall Experience 
 
10.0

Best program in the country

Program Review

Staff / Faculty / Chairman
All staff put resident education first. If they do not, residents do not rotate with those staff. The culture at CCF Ortho is that residency education happens in the OR. This translates to less clinic time and less floor work. Interns, for example, spend 5 out of 6 days a week in the OR. Although floor work and clinic work is a necessary evil to learning how to become a complete surgeon, it is not lost as all residents are responsible for their specific patients from preop, to surgery, to postop. That residents "owns" that patient from beginning to end. Help is always available from medical services or senior residents in managing these complex CCF patients, but it provides inpatient continuity and unmatched autonomy for the residents. The staff have their idiosyncrasies but will let
Didactics / Teaching
Formal didactics is at least twice a week for a minimum of 5 protected educational hours. you operate if you prove you know their moves and their steps.
Operating Experience
Unparalleled. See above. You are there to learn how to operate. That being said, you get what you put into it. The process is graduated and you are never left alone until you have proven yourself.
Clinic Experience
Lighter than most and geared towards PGY3-5
Research Opportunities
No pressure to do any research whatsoever, but if you're inclined you can go really big.
Residents
Great group of people - good mix of single and married.
Lifestyle
It's a pay-it-forward system where you log heavy hours as a PGY1-3 and get rewarded with less hours PGY4-5 that are almost solely dedicated to sharpening your surgical skills
Location / Housing
Extremely affordable. Many residents own 3 story houses for 250k or less in safe neighborhoods
Limitations
If you want "hot trauma" where you operate on fresh ankle fractures during the night, this is not the place. You can get it 6 months at Metro during residency but not much more thereafter since the majority is cold trauma that consists of bread and butter trauma surgery (hip fractures, ankle fractures, tibial nails). However, you will get all the trauma - hot or cold - if you seek it out.
Overall Rotation Experience / Conclusion
I believe this is one of the top 3 residency programs in the country. No resident who approaches residency casually will go far, but if you approach this residency aggressively I believe with the resources, staff, culture of learning by operating, connections, you can graduate a truly gifted surgeon capable of dealing with any degree of complexity.

Qualification

I am a current resident of this program.
Date of Rotation
2 years
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(Updated: January 01, 2012)
Overall rating 
 
9.1
Staff Surgeons 
 
10.0
Didactics/Teaching 
 
9.0
Operating Experience 
 
10.0
Clinical Experience 
 
9.0
Research 
 
9.0
Residents 
 
10.0
Lifestyle 
 
10.0
Location 
 
6.0
Overall Experience 
 
9.0

If you don't know about this program, find out now

Program Review

Staff / Faculty / Chairman
Another large department, but the quality is extremely high. Residents rotate only with those attendings who have proven themselves to be interested and effective teachers. When there is a rotation that residents don't rate highly, it is dropped. Chairman, Dr. Ianotti, PD, Dr. Kuivila, and Assistant PD, Dr. Goodwin, are all just ridiculously friendly, approachable, reasonable, and responsive to resident feedback. The mission of this program is resident education, not making money on the backs of resident labor - the Cleveland Clinic Foundation is efficient enough to make money regardless. All areas are well represented, except trauma, and everyone here is the first to admit that. Greatest strength is probably joints, and quite a few residents go that route for fellowship.
Didactics / Teaching
Every Tuesday morning is protected time for resident didactics. This usually means a basic science lecture and a talk on a clinical topic as well. Attendings fend for themselves (with PA/NP support) in OR/clinic while residents are at conference. There are also specialty-specific conferences at other times during the week and lots of OITE review sessions.
Operating Experience
I never saw residents operate as much as they do here. Attendings are incredibly focused on making their residents the primary surgeons. Most of the residency is set up as a preceptorship (1 resident per attending), so double scrubbing is rare, unless it's a call case where the attending doesn't scrub at all.
Clinic Experience
Clinics run efficiently, with plenty of PA/NP support. Nothing is too formal, and attendings are benign but very interested in teaching. I don't generally like clinic, but here is place where it's really not bad at all.
Research Opportunities
There is a 6-year research track as well as a 5-year clinical track. Although the numbers seem to change year-to-year, this year there were 3 spots for each. I was torn about whether I wanted to do the research year. All the residents I spoke to who did the research year had nothing but good things to say about it, although I don't know much about the specific research opportunities available. What I do know is that residents are required to apply for outside funding, although securing that funding is not a requirement. You could see this as a painful process, or you could see it as a good preparation for academics, depending on your perspective. Also, residents can get into the OR 1 day per week during the research year to keep up their skills or explore an area where they want more exposure.
Residents
Fantastic bunch of guys, with a good mix of single and married residents. Very cohesive group; humorous and happy beyond belief. They get great fellowships afterwards. Many go into joints; those who do this can really just pick their fellowship. Some peds and spine and hand and sports, etc., though, so there's a good amount of diversity as well.
Lifestyle
This is not a program that has trouble with the 80 hour workweek. Call is rather light, especially in regard to trauma, and there is a night float system, which makes for a painful 2 months as a PGY2 but saves everyone else a lot of headaches. This program is at the other end of the spectrum compared to your county-based trauma war-zones like Big County (USC) in L.A. or Ben Taub (Baylor) in Houston. BUT, you will operate as much as either of those places - just on elective stuff, rather than trauma/call cases. And meanwhile you won't be bogged down doing the uneducational stuff more appropriate for ancillary staff and nursing.
Location / Housing
The hospital is located in a poor part of Cleveland. Not too far away is University Hospitals (Case), which is in a much better location. Residents can still live in nice neighborhoods and commute short distances, however, and traffic is more than reasonable. There are some satellite hospitals and clinics that require more driving, however, as well as a peds rotation in Akron. Cleveland is a lot of ghetto, but there are also those aforementioned nice neighborhoods that are surprisingly affordable. If you want to live in a grand old house from the bygone era of Rockefellers etc., you can.
Limitations
Operative experience overall may leave you "needing" a fellowship. This isn't just my opinion. I have heard this from many people and seen it first hand to some degree. This is not a research powerhouse but you will have no problem finding opportunities. They don't have many "big names" but they have a few.
Overall Rotation Experience / Conclusion
This program blew my mind. I had no idea what to expect coming in, but I came away extremely impressed. The combination of a friendly, learning-focused atmosphere with tons of operating seems hard to beat. Not the best place if you want to be up all night nailing stuff, but otherwise an absolutely stellar program. I didn't match here, but I'm 100% positive I would have loved it.

Qualification

I rotated as a medical student at this program
Date of Rotation
fall 2008
Was this review helpful to you? 
(Updated: October 23, 2007)
Overall rating 
 
9.6
Staff Surgeons 
 
10.0
Didactics/Teaching 
 
10.0
Operating Experience 
 
9.0
Clinical Experience 
 
9.0
Research 
 
10.0
Residents 
 
10.0
Lifestyle 
 
10.0
Location 
 
8.0
Overall Experience 
 
10.0

Cleveland Clinic Foundation

Program Review

Staff / Faculty / Chairman
Staff approachable and willing to teach. Some were very funny and had me laughing the entire time I was with them. Faculty on joints, F&A, and the chairman were among the best faculty I encountered while rotating at different schools. Very slick surgeons.
Didactics / Teaching
Very very strong didactic experience. OITE questions review sessions always had multiple faculty present. surgical skills lab. conferences, lectures - it's cleveland clinic.
Operating Experience
Mentor/apprenticeship style residency. Residents operate early and often. Every subspecialty is well-covered. Weaker experience in trauma, offset by fantastic training in everything else.
Clinic Experience
Less clinic experience and less volume than other programs I am familiar with. However, this is offset by complexity of some patients. very strong sports medicine experience. each resident is assigned to follow a high school sports team for the entire duration of residency.
Research Opportunities
Dedicated research year. Plenty of opportunities.
Residents
Incredible group of residents.
Lifestyle
Residents worked hard. didn't feel like they got a beat down. had plenty of time to hang out and do other stuff. to me, that's a great lifestyle.
Location / Housing
It's cleveland. can't compare to other larger cities, but it's not bad at all. If I remember correctly, any place that has $1 burgers and $5 pitchers is okay in my book. i guess that's just about anywhere.
Limitations
the only limitations that I could percieve are the paucity of research experiences available and/or location. But, I am not really looking for a very research heavy program and I love outdoor activities so this place will rank highly.
Overall Rotation Experience / Conclusion
Overall, I had a great time. This is a great residency program and you will leave here very well trained. The trauma experience may be a little weak, but they are currently addressing this with the possible addition of a new rotation, and there are a number of elective months built into the residency. Residents, Faculty and facilities are all top notch. Would be lucky to land a spot here.

Qualification

I rotated as a medical student at this program
Date of Rotation
2007
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