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Barry E. Brenner, MD, PhD

Barry E. Brenner, MD PhD, Program Director

Welcome Message from the Program Director

Welcome to University Hospitals Case Medical Center's Emergency Medicine Residency website. We are very pleased that you are interested in learning more about our residency program.

The primary goal of our program is to prepare residents for the clinical practice of either academic or community based emergency medicine. We train our residents to understand the scientific underpinnings of their practice, to know how to take charge, set priorities, care for the sickest patients, and to multitask in a very busy ED environment and yet never lose their humanity or compassion. An emergency is a medical condition in which time is of the essence. We teach the residents there is time to research some medical information and, for true emergencies, there may not be time to look up any information - you just have to know now. We train our residents to be adept at procedures, yet understand how to adjust for difficulties in execution and anticipate and deal with complications. Residents spend a much time in intensive care units learning to take care of the sickest patients and well over half the time in the emergency department. At every opportunity we teach prioritization and the correct time sequence of diagnosis and treatments. Our residents receive training in procedure labs, cadaver labs, simulation labs, formal ultrasound training, morbidity and mortality, interesting cases and mock oral board examinations. The program teaches integration of emergency information, the development of the clinical judgment and the fact that there are many different ways to approach an emergency. Having plan A and plan B is good, but you often need to be even more prepared by having several backup plans. Knowing which method to use requires judgment. This high level skill is progressively developed during the residency, especially in the final year.

Not only do our residents and faculty encourage academic excellence, we also strive to demonstrate compassionate care. Concerning compassion and humanism in emergency medicine, we have a symposium on ethics in emergency medicine jointly developed by the residents and nationally-respected ethicists. Every resident's training needs are different, and we have almost 10% of resident time devoted to self-chosen medical experiences (electives/selectives) from EMS, ophthalmology, critical care, research, hand surgery, dental emergencies or major trauma. We have a major interest in International Emergency medicine with a new fellowship, opportunities for residents, and alignment with the world renowned Internal Medical Corp. We anticipate changes in the near future going to a Trauma Center anticipated in May, 2015 with our new Chief of Trauma Surgery. In addition Ohio is an unusually excellent environment for emergency care ranking number 5 or 6 among states in the U.S. on ACEP's report card on America's Emergency Care Environment in 2014.

We are looking for kindred spirits, residents who are excited and upbeat about emergency medicine. Cleveland is a great city and we have an excellent group of very experienced residents. It is my honor and pleasure to be their Program Director and have a part in their training as emergency physicians.

We all wish you the best of luck in your future endeavors in the field of Emergency Medicine. There is much more to learn about this great program, and I hope I have piqued your interest to discover more. Please browse around our site, drop us an e-mail if you have questions, and we hope to see you on the interview trail.

Thank you for viewing our web site.

Barry E. Brenner, MD, PhD
Program Director
Professor, Emergency Medicine
Professor, Internal Medicine
Department of Emergency Medicine
Barry.Brenner@UHhospitals.org

Edward Michelson, MD, FACEP

Edward Michelson, MD, FACEP, Program Chair

Welcome Message from the Department Chair

Thanks for visiting the CWRU Department of Emergency Medicine at UH Case Medical Center web site. The 2014-2015 academic year began with welcoming our will be a milestone in our young department's history. We have just welcomed our sixth class of residents and are actively recruiting our first fellow for the new Global Emergency Medicine Fellowship. Three classes of residents have now graduated and gone on to a variety of competitive fellowship training programs, as well as faculty positions here at Case and practice positions in our community.

Our residency program has grown from 8 to 10 per year with the addition of rotations at the Ahuja Medical Center. Ahuja, just 3 years old, is our newest community hospital located in Cleveland's eastern suburbs. Less than 10 miles from our main campus, in Beachwood, OH, the Ahuja ED now sees in excess of 30,000 patients per year. In addition to providing a community ED experience, our residents now also benefit from an ICU rotation at Ahuja where they work 1:1 with attending critical care physicians as the only other provider.

In July, 2014, we celebrated the third anniversary of our new Center for Emergency Medicine (CEM), the home for the Department of Emergency Medicine at UH Case Medical Center. Our ED has 58 rooms and 62 headwalls, including capacity for up to 7 simultaneous trauma/resuscitation patients. We enjoy an in-department 256 slice CT scanner adjoining trauma room 3, as well as in-department plain film DR X-ray rooms. An ED-based satellite lab runs many of our lab tests, including point-of-care HIV testing, 12 hours per day. The new CEM is easily accessible by EMS and ambulatory patients from the front of our campus, and will truly be the new front door of UH Case Medical Center. Our CEM represents an over $40 million commitment by UH to Emergency Medicine to help us better serve our community. Our patient volume continues to grow and is now expected to exceed 90,000 patients per year.

University Hospital Health System has also grown during 2014 with the addition of UH Elyria and UH Parma Medical Centers. UH's mission, 'to heal, to teach and to discover' is embodied in the Department of Emergency Medicine. We already provide direct care to many thousands of patients per year, and indirectly touch the lives of thousands of more patients though our critical care transport program, transfer and referral center and our EMS medical direction. In addition to our own residents, we are now providing didactic training to residents in the aligned Osteopathic EM residency based at Richmond and Bedford UH hospitals. The ED at Case Medical Center welcomes many rotating residents from other departments at UH, in addition to medical students from all four years at Case, and visiting senior students from national medical schools. We are also engaged in a number of outstanding clinical research activities. You will learn more about each of these activities as you explore our website.

Please feel free to contact any one of our faculty members or me directly if you have questions or would like to learn more about opportunities to be a visiting student, resident, member of our next residency class, or faculty member.

Edward A. Michelson, MD, FACEP
Associate Professor and Chair
Department of Emergency Medicine
Edward.Michelson@UHhospitals.org



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