Program
Goals We expect that all of our graduates will
display the necessary knowledge and skills to become excellent general
pediatricians. Our program is designed to offer residents diverse
educational opportunities in an academic setting which will enhance
their knowledge and clinical skills and make them respected, valued
members of the medical community in which they practice. The educational
experience is necessarily varied, from well-child care to management
of critically ill children in intensive care units. Upon graduation,
we expect our residents to be experts in pediatric and adolescent
care.
The Children's Hospital at The Cleveland
Clinic Many positive changes have occurred at The Children's Hospital
at The Cleveland Clinic in recent years that have resulted in tremendous
growth of our Pediatric Residency Training Program. While many children's
hospitals are struggling in our current health care environment,
The Cleveland Clinic Children's Hospital has experienced an unprecedented
surge in both hospital admissions and outpatient visits. Total hospital
admissions for 2002 were 7,461. Total pediatric office visits, including
all pediatric subspecialties, rose to more than 311,386.
Within the past five years, The Cleveland Clinic has
formed relationships with the majority of the major hospitals in
our region, created exclusive contracts with insurers, and established
new facilities that have dramatically expanded our pool of pediatric
patients, thus boosting both hospital admissions and outpatient
visits. In addition to generating patient volume, these changes
have balanced the Clinic's focus, which traditionally was subspecialty
care. Now, residents benefit from a unique patient mix, with large
volumes of primary general pediatric care side by side with extremely
complex subspecialty cases.
The unique strengths of The Cleveland Clinic have
enabled it to broaden its reach dramatically. The Clinic's reputation
for negotiating contracts with major insurance companies (often
as the exclusive provider of inpatient care for many of these plans)
has proven a major boost to patient volume. A prime example of this
strategy occurred in 1993, when the Ohio Kaiser Permanente group
agreed to send all of its pediatric hospital admissions to The Children's
Hospital, greatly increasing the numbers of general pediatric patients
on our wards. Currently, more than 30 Kaiser Permanente general
pediatricians admit and manage all of their pediatric patients at
The Cleveland Clinic.
Over the past several years, the Clinic began to expand
in the Greater Cleveland area by establishing Family Health Care
Centers in the Cleveland suburbs, and hiring additional general
pediatricians to staff these facilities. These practices are rapidly
growing, providing care for more than 90,604 pediatric office visits
in 2002. The pediatricians in the Family Health Care Centers serve
as continuity clinic preceptors and ward attendings, as well as
supervising block outpatient general pediatric rotations.
As recently as 1995, The Children's Hospital had been
essentially locked out of newborn care in the Cleveland area. The
Clinic expanded its newborn population by opening an obstetrics
unit and newborn nursery in 1995. The OB department generated more
than 2071 deliveries in 2002. The Cleveland Clinic neonatologists,
in conjunction with MetroHealth Medical Center, have established
a regional neonatal network, whereby our physicians currently manage
more than 60% of all newborns in the region. A newly constructed
17-bed, Level III Neonatal Intensive Care Unit opened in July, 2001.
The Children's Hospital has become a major national and international
referral center for many of the pediatric subspecialties, drawing
patients from surrounding states and all over the world because
of the unique care we are able to provide.
The Pediatric Residency Training Program at The Children's
Hospital has benefitted greatly from all of the above changes. As
of July 2003, 40 residents will be enrolled in our Pediatric Residency
Training program.
All of our residents participate in pediatric research.
The residents are closely mentored by faculty members of their choice,
and regularly meet with our research program coordinators to guide
them through the process. The resident's project may take the form
of a retrospective study, prospective study or a case report. A
detailed curriculum in the critical analysis of medical literature
(including research methodology and biostatistics) is built into
the conference schedule to provide a solid research background.
In their second and third years, our residents share the results
of their projects at our Annual Pediatric Research Day. This unique
opportunity fosters the education development of our residents throughout
their training. The residents have the option of scheduling elective
time for research.
The priority of the staff at The Children's Hospital
is to provide all of our patients with the highest quality health
care possible. We consider it our privilege, as well as our responsibility,
to train the next generation of pediatricians to meet this same
high standard. We feel The Children's Hospital provides the ideal
mix of patients, academic environment, and highly motivated teaching
staff for pediatric residency training.
Medical Student Teaching Opportunities We are excited that The Cleveland Clinic Foundation
and Case Western Reserve University have formed a new medical education
and research program. The new Cleveland Clinic College of Medicine
of CWRU will enroll its first entering class in 2004 and will prepare
physicians and scientists dedicated to advancing biomedical research
and practice. The college will admit students from a national and
international pool of applicants.
In addition, medical students from Hershey Medical
College of the Pennsylvania State University serve as third and
fourth year clerks on The Children's Hospital ward service. During
their clerkships, they also rotate through the general pediatric
outpatient area, as well as in the subspecialty clinics. In addition
to the resident noon conference schedule, there are special conferences
provided for the students. Fourth year students from variety of
medical schools, also serve as acting interns on the ward service.
Our residents fulfill an important role in the teaching and supervision
of ward medical students.
Resident Retreat The Annual Resident Retreat is an important
aspect of the Pediatric Residency Program. All residents are excused
from other responsibilities to attend this activity. The retreat
addresses issues such as stress management, effective communication,
and leadership. All residents, particularly in their first year,
experience stresses unique to the medical profession, such as caring
for terminally ill children, dealing with difficult families, and
making mistakes. Residents need to be able to communicate effectively
with each other and share their experiences.
It is also intended to be an enjoyable way for residents
to get to know each other outside
of the hospital setting. Creating an atmosphere where we can laugh
at ourselves and enjoy each other's company helps to ease the transition
into the serious business of residency training. These lighter moments
initiated at the retreat are very often continued through other
social gatherings throughout the year.
Educational Opportunities
Cleveland is surrounded by excellent school systems which rank among
the nation's best. Many fine private schools are also located within
the area. There are more than twenty universities and colleges in
Greater Cleveland, including Case Western Reserve University, Cleveland
State University, John Carroll University and Baldwin Wallace College.
Other major educational resources include the Cleveland Art Institute,
and the Cleveland Music Settlement School, both of which are located
minutes from the Foundation.
Application and Information Requests Thank you for your interest in our program! Additional
information may be obtained from:
Gary D. Williams, M.D.
Division of Education
The Cleveland Clinic Foundation
9500 Euclid Avenue
Cleveland, Ohio 44195
Or you may call the Pediatric Education Office (216) 444-5510 or
1-800-355-4223 or Email: [email protected] for more information on the
Pediatric Residency Training Program. Additionally, you may e-mail
the Graduate Medical Education Office at [email protected].