University Hospitals Case Medical Center
Apply to our Emergency Medicine Residency Program

Residency Program: Welcome | Didactics | Curriculum | Benefits | Couples Matching | How to Apply

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 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 that often there is time to research some medical information but, for true emergencies, there may not be any time to look up 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 much time in the 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, ultrasound training, morbidity and mortality, interesting cases and mock oral board examinations. The program teaches integration of emergency information with the goal of the treaining and development of clinical judgment; part of that judgement involves 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, and this judgement may concern whether the patient is ready to go to CT scan or have more or better intravenous access first. Or should another patient receive the chest tube first before you place the central line in a different patient. This skill level is progressively developed during the residency, especially in the final year. We have no difficulty accepting residents with prior experiences, and have found their backgrounds enriching to the program.

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 International Medical Corp (IMC). We anticipate changes in the very near future going to a level 1 Trauma Center anticipated in November, 2015 with our new Chief of Trauma Surgery, Keith Clancy. 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

Edward Michelson, MD, FACEP

Edmundo Mandac, MD Interim Dept. Chair

Welcome Message from the Department Chair

Thank you for visiting the website for University Hospitals Case Medical Center's Department of Emergency Medicine, and for your interest in our residency program. Initiated in 2008, our relatively young program is vibrant. We actively pursue a dynamic curriculum to prepare our graduates for successful careers in emergency medicine in both community and academic settings. Most of our residents accept positions in emergency department practice immediately after graduation. Others have been equally successful securing fellowships in EMS management, critical care and pediatric emergency medicine.

Case Medical Center is located in the lively, culturally diverse University Circle area of Cleveland. We share our neighborhood with Case Western Reserve University and a host of museums, cultural destinations and entertainment venues. A multi-specialty teaching hospital, Case serves as a tertiary medical center for University Hospitals Health Systems, which operates community hospitals and outpatient campuses throughout Northeast Ohio. Drawing from such a broad geographic and clinical base, our EM residents are exposed to a wide variety of acute and critical disease presentations. Hands-on experience is emphasized from day one of the residency program with the goal of developing both skill and confidence. Our long-standing affiliation with Case Western Reserve University provides ample opportunities for residents and faculty to do substantive research.

Emergency departments rely on support and cooperation from all specialties in order to provide the complex care that many emergency patients require. A broad range of specialties are available to our patients when consultation within the department is indicated. In fall of 2015, Case anticipates being designated a Level I trauma center, in order to better serve the emergent surgical needs of the geographic areas we serve.

The faculty seeks to continually strengthen and enhance the residency experience. To that end, we organize annual, off-campus retreats wherein faculty members and residents can work together to develop fresh approaches to training and rotations. This process also provides a framework for active cooperation and camaraderie, which our department strives to engender.

Case is also home to Rainbow Babies and Children Hospital, which operates its own emergency medicine facility adjacent to Case's adult EM department. All residents complete a rotation at Rainbow to provide solid experience in managing the unique clinical aspects of pediatric emergency care. The state-of-the-art structure housing the two departments was built in 2011, and represents a major expansion in capacity. Additionally, residents rotate through the emergency department at UH Ahuja Medical Center. Rotation through this high volume ED gives residents experience in handling the challenges of a busy community practice.

University Health System's mission is embodied in the words that grace the front rotunda of Case Medical Center: "To Heal, To Teach, To Discover". Members of our team of residents are vital to achieving this mission. They are part of a community of physicians with a deep commitment to learning and providing excellent care for those we serve.

Please feel free to contact me should you have any questions about Case Medical Center's emergency medicine residency. We welcome the opportunity to speak with you or to schedule a visit to our facility.

Edmundo Mandac, MD
Interim Chair
Department of Emergency Medicine

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