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The Emergency Medicine Residency Program at UH/Case Medical Center is an independent categorical, three-year Emergency Medicine Residency Program with Level-1 Adult Trauma rotations MetroHealth Medical Center and Level-1 Pediatric Trauma at  Rainbow Babies and Children's Hospital. Residents   actively participate in a weekly five hour protected educational block which includes didactic conferences including core curriculum lectures, "Rosen's Club," Grand Rounds, journal club, Morbidity and Mortality conference, a twice yearly cadaver procedural  lab, as well as experiences in the Mount Sinai Clinical Simulation Center. Rosen’s Emergency Medicine, our textbook is covered twice over the course of the three-year residency. For further descriptions of our didactics, please see below


Weekly Conference

Conference every week is protected educational time for the residents, allowing them to be away from their off-service clinical responsibilities where possible. It is prohibited from scheduled time in the emergency department. During this weekly conference residents enjoy didactic sessions led by specialists throughout the hospital and community, departmental attending physicians, and even residents are encouraged to sharpen their public presentation skills. A portion of this weekly time is devoted to Rosen's Club to review questions from each chapter or subject.   Return to Top

Grand Rounds

Grand rounds introduces residents to distinguished experts in a variety of fields relevant to Emergency Medicine. Past highlights have included a former president of ACEP, Nick Jouriles, MD, authors of notable emergency medicine textbooks, Dr. John Marx and a founder of an international medical aid organization, ersthwhile Chairman of Cook County and Rush Medical Center Emergency Departments, and author of book s of standard EM procedure text and orthopedic text, Dr. Robert Simon.   Return to Top

Cadaver Lab

Several times a year residents have the opportunity to have a hands-on experience in consequence-free environment to practice and perfect procedural skills necessary to the successful emergency medicine physician's daily practice. These are taught by physicians that have authored EM procedure texts and research articles on new procedures in EM.   Return to Top

Simulation Lab

This is a twice a year opportunity to critically examine one's own and one's colleagues ever maturing skills of managing the challenging environment of the emergency department. Cases consist of a resident working through complex medical, procedural, and social situations in our state-of-the-art video equipped computer assisted simulation laboratory.   Return to Top

Suture Lab

This laboratory which starts during orientation and is continued at various points throughout the year allows residents to perfect the spectrum of suture skills needed to repair simple lacerations to complex plastic surgical flap reconstruction. This lab complements our cadaver lab experience.   Return to Top

Ultrasound Lab

Taught by residents and faculty experienced in the use of ultrasonographic imaging, these lessons and hands on experiences prepare the emergency physicians to be comfortable in diagnosing and evaluation of disease. In addition to the longitudinal experience through the emergency department, all residents complete a month long rotation in radiology with an emphasis in ultrasound imaging. The ultrasound laboratory is attended by all residents during orientation.   Return to Top

Journal Club

To be able to better critically review evidence based medicine journal club allows residents to review and present both sides of issues currently in the literature and those that have been controversial. Our style is unique. The articles are limited to a specific subject. Several residents take on the best primary research articles, review and then present them leading to sometimes spirited discussions. Two residents will present the pro and con view points about whether to adopt the research findings into clinical EM practice, and a consensus statement is made for use in the department. Past journal clubs have included residents and attendings from other departments and even authors of selected articles.    Return to Top

Quality Assurance Training

This frequently featured lecture series focuses on quality assurance measures and methods at weekly conference. Series such as - "Lessons Learned" and "Billing and Coding" expose residents to an aspect of practice important to the emergency medicine physician. Didactics on chart review offer residents analysis and feedback. These reviews allows residents to hone charting skills and constantly pushes each individual to more effective and efficient practices. All senior residents complete a quality assurance project aiding in a more intimate understanding of the quality assurance and quality improvement process.    Return to Top

Research

Each resident is required at complete least one scholarly project prior to the completion of training. Abundant resources make this process educational and manageable while balancing clinical responsibilities. Dr. Vicken Totten, Director of the Emergency Medicine Research Division (EMRD), along with faculty advisors help guide residents through every step of this process. The EMRD, a group of undergraduate and graduate students from CWRU, formerly trained in research methodology, is able to provide often needed manpower support for such projects.    Return to Top

MedEvac & Critical Care Transport

Starting in PGY-2 year, each scheduled month rotation within the pediatric and adult emergency departments will include one shift with either MedEvac (helicopter air transport), or Critical Care Transport (ground transport). Residents will gain experience in medicine outside the confines of the hospital in both transport of the critically ill patient and the pre-hospital experience. Flying with MedEvac is optional and can be substituted with additional ground Critical Care Transport experience.   Return to Top

Toxicology

University Hospitals is home to the Greater Cleveland Poison Control Center whose catchment area includes 24 plus Ohio counties from the Pennsylvania to Indiana state lines. Regular lectures are given during weekly conference on the identification, diagnosis, and treatment of toxic ingestions and envenomations by nationally recognized experts in the field.    Return to Top

Medical Ethics Symposium

As emergency medicine residents, we are faced with making difficult choices on a daily basis. Formal ethics training is held in our department annually when faculty, residents and national speakers and members of the faculty of the Law-Medicine Center, Case Western Reserve University School of Law and CMO for Compliance at UH after a brief orientation to principles of bioethics come together to discuss controversial clinical cases of ethical concern in emergency medicine. The best cases are presented by EM1's and an award given to the EM resident with the best case.   Return to Top

Mock Oral Boards

Just like the real thing! Once per year, the attendings of the Department of Emergency Medicine play the role of EM Oral Board Examiners. An entire morning is structured to simulate what your National Emergency Medicine Oral Boards will be like so that you are well prepared when the real time arrives. Not only do you learn what oral boards are like, but the cases are designed so that you will learn a great deal.    Return to Top



Department of Emergency Medicine Residency Program
University Hospitals Case Medical Center
11100 Euclid Avenue, Cleveland, OH 44106
Phone: 216-844-3610 Fax: 216-844-7783