Case Western

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Strong Program. I ranked it 4th on my ROL. I think they were building a brand new ED which should be done soon. A few rotations a year at the "World Famous" Cleveland Clinic. I think that'd be great just to see what its like and to get a different perspective on things. Lots of pathology. I would be happy going there.

Q< DO
 
Is mikecwru still around here?

He'd probably be able to give you the inside scoop.
 
Originally posted by Geek Medic
I think edinOH could also... I think he did a rotation there, but don't quote me on that.

you can quote him
 
Originally posted by beyond all hope
Anyone have an info about Case Western?

Thanks

What would you like to know about the program?

mike
 
Shifts: how many do you do each year in the ER. I heard you guys work pretty hard.

Autonomy: who do you answer to (senior, attending, multiple attendings, or a combination). Who doles out patients, procedures, etc?

Procedures: How many (approx)?

Research: how easy is it to get research mentors, grants, etc? (must...do...research...zombie chickens are eating my brain...Homer Simpson open-mouth stare)

Patient population: race, types of disease, acuity, who sees the acute patients.

Relationship with other services: Does surgery let you do chest tubes? Does IM argue about every admission? Are consults easy to get?

I don't know if they still have transfer spots open but it sounds like a great place and I'd like to try to get in. Any info would be greatly appreciated.
 
Originally posted by beyond all hope
Shifts: how many do you do each year in the ER. I heard you guys work pretty hard.

We work (approximately) 20 12-hr shifts/4 week block 1st year, 18 2nd year, 16 third year. Scheduling is done by the chief resident and he is compliant with the work hours and tries to help you out if you need certain days off.


Autonomy: who do you answer to (senior, attending, multiple attendings, or a combination). Who doles out patients, procedures, etc?


In theory, 2nd years are supposed to handle the critical patients, level 2 traumas and EMS calls. 3rd years help run the department and alternate running the level 1 traumas. But, we have been busy enough to where I have went in on plenty of front-room (critical) patients. You present to attendings only, not to senior residents. Upper levels are pretty generous with doling out procedures on their critical patients, ie, they're "taking" the patient, but they'll let you tube them, line them, etc.


Procedures: How many (approx)?


A lot.

Research: how easy is it to get research mentors, grants, etc? (must...do...research...zombie chickens are eating my brain...Homer Simpson open-mouth stare)


Metro has active programs in heart failure, asthma, geriatrics, among others. Research isn't forced on you, but there are opportunities and some very well published faculty.

Patient population: race, types of disease, acuity, who sees the acute patients.


Depends on the hospital:

Metro has lots of working class/poor with a high hispanic population.

CCF has a mixture of homeless, neighborhood, and VIP/executive types. As broad a spectrum as you can get with a 2 hospital residency.


Relationship with other services: Does surgery let you do chest tubes? Does IM argue about every admission? Are consults easy to get?


Metro: no one takes procedures from us. We have an active ortho service but we still do most bread and butter dislocations, splints, etc ourselves and we co-manage difficulty ones and do the conscious sedation for them. We have admitting priviledges to medicine, they can't argue the admission. EM is the most politically powerful residency at Metro.

CCF: depending on the procedure, you may lose out. ie, if it's a complicated chest tube on a cancer pt, thoracic surgery may do it. We have to argue for admissions at CCF sometimes. The upside is that you are seeing more critical patients earlier on at the CCF... there's not enough residents on at once to do the setup I described above.

I don't know if they still have transfer spots open but it sounds like a great place and I'd like to try to get in. Any info would be greatly appreciated.

Try emailing the PD.
 
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