Review Detail

8.7 5 10
2015-2016 Resident Perspective
(Updated: February 09, 2016)
Please feel free to email me with questions.

Program Review

Staff / Faculty / Chairman
Our program has been rapidly expanding attending surgeon staff over the last year as the hospital recently become level 1 trauma center as well as team physicians for the Browns. Randall Marcus' vision is for UHCMC's Orthopaedic Surgery Department to become a nationwide leader in Sports and Trauma.
Didactics / Teaching
We continue to have daily one hour didactic sessions that are a combination of resident and attending run - typically senior residents will run present topics and attendings will supplement material with case presentations.
Operating Experience
I would categorize this program as a hands on operative experience at a world class academic center with early operative experience and a high resident to fellow ratio (there is a non-accredited pediatric and trauma fellowship).



Residents rarely double scrub. We typically have too many rooms running that need resident coverage to double scrub.

Another strength of our operative experience is increased resident autonomy in the OR as we progress through our training. There is an expectation that residents will obtain the capability to think critically and possess the operative skills necessary to manage moderately complex orthopaedic issues by the time they graduate.

We are a very trauma heavy program. Until this December 2015, our level 1 trauma experience was isolated yearly 2-4 month rotations at MetroHealth hospital on the other side of town. However, our main campus is now a level 1 trauma center as well and we are busier than expected. This is a huge bonus for our program as we now have a level 1 trauma experience throughout all of our residency training. We will continue to rotate at MetroHealth where resident manage the orthopedic trauma service but at our main campus, the service is run by PAs. So the benefit is that we get to see a lot more trauma at our home hospital and operate but don't have the added burden of more floor work.


Clinic Experience
Chiefs run clinics at the VA and MetroHealth hospitals. Residents have full responsibility for diagnosing, treating, monitoring orthopedic conditions in these clinics. Residents often are the ones who will determine whether or not a patient is an operative candidate. All clinics at the main campus are run by attendings, residents have less responsibility in these clinics.
Research Opportunities
Our program is strong with regards to bench research, anatomic/anthropologic research (Hayman-Todd Skeletal Collection at Cleveland Museum of Natural History is a our disposal) and the potential for biomechanics research. At Case Western Reserve University, the graduate student facualty in musculoskeletal sciences is world class (Ed Greenfield is a former winner of the Kappa Delta Award from ORS and Clare Rimnac is the former Editor for CORR). Two residents will be be selected for the Allen Fellowship to participate in non-clinical research for one year between PGY1 and PGY2. One deficit of our program is the lack of a comprehensive outcomes database. This makes doing clinical research somewhat challenging but it can be accomplished
Residents
Our residents are diverse, well rounded, and have a broad interest outside of orthopeadics. With 6 residents per class, I feel we have the ideal program size to maximize resident interaction and standardize knowledge acquisition through defined clinical and operative experiences.
Lifestyle
We are very busy with call, but follow the work-hour regulations set forth by the ACGME (no greater than 28hrs in-hospital time without 8 hours off, average 80hrs/week over 4 weeks with 2 days off per month). There is usually some time to get reading/research done while on-call, but this is less so now that we've become a level 1 trauma center
Location / Housing
Believe it or not, Cleveland is on the rise. There has been a influx of young professionals into the downtown Cleveland area and an economic boom associated with the return of Lebron and the 2016 Republican Nation Convention (politics aside, it has been good for Cleveland). The city is affordable, sporting events and concerts are accessible, the food scene is off the charts and local breweries are abundant. There are also lots of attractions outside of downtown, including the tons of museums (Cleveland Art Museum has 2nd largest endowment outside of The New York Metropolitan Museum), The Cleveland Symphony, Cleveland Metroparks, Lake Erie and a National Park
Limitations
The lack of a patient reported clinical outcomes database for research is a clear limitation of the program.

Growing pains of a new level 1 trauma can be seen as a limitation but truly represent an opportunity for residents to be on the ground floor of shaping patient care pathways.

The program is evolving and expanding and with the hiring of new physician extenders, it may help off-load some of the resident non-operative responsibilities, however it is tough to predict where the program will be in the next 5 years which some may view as a limitation.
Overall Rotation Experience / Conclusion
I am very pleased with my experience at UHCMC. The selling points that put this program at the top of my rank list were the unique combination of a heavily operative program at an world class academic institution with high resident to fellow ratio, the comprehensive local experience (never shipped out of town for trauma/pediatrics/tumor), and genuine enthusiasm of the current residents. Some candidates may have other priorities in their search for residency but I would strongly consider those variables when making decisions about where to rotate and apply. We look forward to seeing any and all rotators from around the country.

Qualification

I am a current resident of this program.
Date of Rotation
2013-2018
TM
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