Residency Welcome-2008

nullWe Welcome You!We Welcome You! THE UNIVERSITY HOSPITALS CASE MEDICAL CENTER FAMILY MEDICINE RESIDENCY PROGRAMCleveland Rocks!Cleveland Rocks!Innovative, offbeat Affordable Arts/Culture Challenged City Healthy Inner Ring Suburbs School Systems Ethnic diversity Cuyahoga RiverCuyahoga RiverLake ErieProfessional SportsProfessional SportsHome of the MLB AL Central champions, the Indians and NBA Eastern Conference champions, the Cavaliers.University CircleUniversity CircleArts & CultureArts & CulturenullCLEVELAND METROPARKS SYSTEM Since 1917CUYAHOGA VALLEY NATIONAL PARKCUYAHOGA VALLEY NATIONAL PARKOutdoor RecreationOutdoor RecreationOur CASE ConnectionsOur CASE ConnectionsOur DepartmentOur DepartmentOver 25 years of National Excellence Consistent Top Ten Ranking in US News and World Report Number One Family Medicine Department in a Private University Premier Research Division Institutional Home of The Annals of Family Medicine AlumniAlumniAcademic Urban Suburban Rural Top Ranked Fellowships National Leadership PositionsOur Chief ResidentsOur Chief ResidentsKate Conway Isabelle LaneOur ResidentsOur ResidentsClass of 2008Our ResidentsOur ResidentsClass of 2009 Our ResidentsOur ResidentsClass of 2010Family Medicine FellowsFamily Medicine FellowsWomen’s Health ObstetricsResidency curriculum: block by blockResidency curriculum: block by blockCore FM blocks 4 FMS 10 Medicine 3.5 Geriatrics/FMC 1 Pediatrics/EM 5 OB/Women’s Health 4 EM/Surgical SS 2 Surgery/OrthoSports 3 Behavioral Science 1 Health Systems Management/FMC 1 Electives/vacation 4R-1: Phase I, Inpatient focusR-1: Phase I, Inpatient focusCore Medicine (5.5) FM Service = 4 Inpt IM = 1 Telemetry = 0.5 Pediatrics (3) Inpt Pediatrics = 2 Peds Outpt/ED = 1 OB/Gyn (2) Community Inpt Surgery (1) Core FM Block (1) Vacation (1) R-2: OverviewR-2: OverviewCore FM Blocks 2 FM Service 3 MICU 1 OB 1 Normal Nursery/NICU 1 Community Surgery 1 Emergency Medicine 1 Ortho-Sports Med 1 Electives/vacation 2 R-3: OverviewR-3: OverviewCore FM Blocks 1 FMS 3 Medical Subspecialties 1 Geriatrics/FMC 1 Pediatric Subspecialties 1 Gynecology 1 Surgical Subspecialties 1 Behavioral Science 1 Health Systems Mgt 1 Electives/vacation 3 Family Medicine Core Blocks Family Medicine Core Blocks Backbone of mixed longitudinal curriculum Format: Seminars Workshops Certifications Mini-clinical experiences Continuity Clinic in FMCCore Months: Skill DevelopmentCore Months: Skill DevelopmentClinical Procedural Behavioral Community medicine Health Systems Mgt Advanced life support Special topics Core Months: Key ConceptsCore Months: Key ConceptsR1: Clinical Survival Skills, Community Medicine Project R2: Fall month: ALSO, Ambulatory Procedures Spring month: Colposcopy, Breastfeeding R3: Managed Care Project, Transition to Clinical Practice OMT, Community MedicineFamily Medicine ServiceFamily Medicine ServiceSupervised by Family Medicine faculty Run by Family Medicine residents Full spectrum inpatient Family Medicine Teaching focused Night Float systemFamily Medicine Service: Call ScheduleFamily Medicine Service: Call ScheduleIntern Every 4th night Always on call with Senior Resident/Night Float Minimum one in seven days off Negotiable “Golden Weekends”R2/R3 Night Float Sunday Senior Coverage FM OB coverage Second SeniorAdult Medicine (14.5 blocks)Adult Medicine (14.5 blocks)R1 General Inpatient IM = 1 Telemetry = 0.5 FMS = 4 R2 MICU = 1 FMS = 3 R3 FMS = 3 Geriatrics/FMC = 1 Medical SS = 1 Recommend elective experiences Obstetrics/Women’s HealthObstetrics/Women’s HealthMacDonald’s Women’s Hospital: Over 5000 deliveries annually Triage focus and encourage SVD (PGY 1) Community OB/Gyn (PGY 1/2) Mercy / Canton: High volume OB UHHS / Geauga Regional Hospital Gynecology month (PGY 3) Colposcopy Clinic FPC Women’s Health Center Rainbow Babies & Children’s HospitalRainbow Babies & Children’s HospitalRigorous education in Pediatrics Ranked #1 Pediatric Hospital in Midwest, #5 nationally (US News and World Report) Neonatal Intensive Care Unit Ranked #3 in US PediatricsPediatricsInpatient: 2 blocks (R1) Outpatient-RAP/ER (R1) Neonatology (R2) Normal Nursery = 0.5 block NICU-Dr. Wilson-Costello = 0.5 block UH / Preemie Clinic & UHHS/GRH Peds Subspecialties: (R3) Cardiology Pulmonary / Allergy Neurology Adolescent Medicine (R3) Longitudinal (FMC) The Free Medical Clinic of Greater ClevelandSurgically Oriented ExperiencesSurgically Oriented ExperiencesGeneral Surgery (R1 & 2) UHCMC = Inpatient, UHHS = Community Orthopedics/Sports Medicine (R2) Emergency Medicine/Urgent Care (R2) Surgical Subspecialties (R3) ENT, Ophthalmology, Urology, DermatologyBehavioral ScienceBehavioral Science Integrated Throughout Curriculum Patient Centered Care Core Month Seminars Monday noon Balint Core Wednesday noon conference Grand Rounds Core rotation (R3) Video PreceptingElectivesElectives4+ blocks R2 = 2 blocks R3 = 2+ blocks Offers flexibility to develop areas of personal interest or strengthen areas of weakness Access advantages of our tertiary academic center or venture beyond for novel experiences Vacation / CMEVacation / CME4 weeks per year Stipend for educational expenses $200 annually Curricular Training TracksCurricular Training TracksInternational Health (Dr. Morikawa) OB (Dr. Cadesky) Masters in Public Health (Dr. Frank) Integrated 4 year curriculum In Development Behavioral Medicine, Osteopathic Manipulation, Care of the UnderservedInternational HealthInternational Health Unique Didactics International Health Practice Management of Complex Humanitarian Emergencies Longitudinal Journal Club International experience Morocco, Thailand, Bosnia, India, Kenya, Uganda, Guatemala ProjectObstetrics TrackObstetrics Track Augmented OB experience High volume elective Community OB volunteer opportunitiesDr. Al CadeskyPublic Health TrackPublic Health TrackR1 Typical Curriculum R2 Fall Semester Courses R3 Spring Semester CoursesR4/Fellow Full year of coursework Academic Leadership responsibilities Dr. Scott FrankWeekly Conference ScheduleWeekly Conference Schedule Conferences (9 hours/week) EKG/Morning report: Mondays 7:30 - 8:30 am Balint Mondays 12:30-1:30 pm Core Conferences: Wednesdays 8:30 - 12:00 pm Two year rotating curriculum Behavioral/Psychiatry: Wednesdays 12:30-1:30 pm. Woman’s Health: Thursdays 7:30 - 8:30 am. Grand Rounds: Thursdays 12:30 - 1:30 pm . Didactics: Family Medicine Core Conference SeriesDidactics: Family Medicine Core Conference SeriesBalanced mix of core topics and specialized topics Presented by our faculty and invited expert speakers Internal Medicine Pediatrics Orthopedics/Sports Medicine Surgery Emergent/Urgent Care Geriatrics Journal Clubs Core FM Review Special Topics Dermatology ENT Ophthalmology UrologyFamily Medicine CenterFamily Medicine Center Primary site of training Continuity of Care: Panel of Patients Precepting: Clinical and Video-precepting Procedural Training Electronic Medical Record/ITElectronic Medical Record/ITECLYPSIS system chosen and contract awarded Phased implementation – 1st phase early 2008 with rollout to EMR for physicians planned for 2009 Physician Portal Intranet and web-based Imports or links to most patient data with continuous improvement in gaps Electronic prescription intiative Digitized radiology studies Excellent online information resources via UHCMC and CaseResident EvaluationResident EvaluationPGY1 – preceptor sees all patients 6 months, precepts all patients with resident 12 months PGY1+ - All written notes reviewed and evaluated with feedback Videoprecepting by dedicated physician and/or behavioral preceptors at intervals during training Regular review of each class by precepting faculty and individual evaluative sessions scheduled with program director or delegate Feedback to residents on performance, patient numbers on regular basis Resident as Teacher/EducatorResident as Teacher/EducatorTeaching Medical Students is Expectation Formal Teaching Opportunities For Students Clerkship Students and PharmD Students in outpatient clinic Acting Interns and PharmD Students on FMS Participate in Type A Electives Formal Teaching Opportunities in Residency Annual Grand Rounds Morning Report when Senior on FMS Core Conference Presentations Journal Club We Train You: “Resident as Teacher Series” Why Train With Us?Why Train With Us? Faculty Readily Accessible Outstanding Core Faculty Large Clinical Faculty Expertise in All Areas of Family Medicine Comprehensive Didactic Program Extensive Clinical Program Exposure to a Variety Health Care Facilities Offering Best Clinical Opportunities Experience With Diverse Patient Populations Biopsychosocial OrientationWhy Train With Us?Why Train With Us? Unique Training Opportunities Unique Clinical Training Tracks Monitoring of Patient Interactions With Videotaped Feedback Teaching Medical Students is Expectation Generous Elective Time Opportunities Flexibility in Program Design Competitive Placement of GraduatesWhat we look for in residents:What we look for in residents:Motivated adult learners Team players Positive attitudes Commitment to Family Medicine “Want to make a difference” What we seek to offer…What we seek to offer…Supportive learning atmosphere Challenging atmosphere Opportunities for growth  and success Increasing responsibility Outstanding Department Enjoy your day! Enjoy your day! A great program needs great residents! We want to challenge and support you. Get to know us. Ask us any questions!