Schedule of Services Rotations

We are a member of the National Intern Resident Matching Program. Our program number is 196828.

Schedule of Service Rotations

Each academic year is divided into 13 four-week modules. The first year focuses on learning the basics of pediatrics. First year residents are exposed to inpatient pediatrics on the ward, neonatal intensive care unit, normal newborn nursery, and the inpatient cardiology service. Neonatal ICU rotations are served at MetroHealth Medical Center. This 40-bed unit serves as the major neonatal referral center for the Cleveland metropolitan area. It has high risk obstetric services and both air and ground transport services. The first year residents receive instruction in general pediatric ambulatory settings during their block rotations on adolescent medicine, behavioral/developmental pediatrics, outpatient general pediatrics and in the Cleveland Clinic's Emergency Department. The Clinic's Emergency Department provided care for over 11,000 pediatric emergency visits in 2001, with our pediatric residents managing the majority of the pediatric patients. The residents have one additional subspecialty module, with is usually served on the pediatric neurology or the gastroenterology service.

In the second year, residents gain experience in the pediatric subspecialities, and prepare themselves for the supervisory role they will assume as senior resident. The Anesthesiology rotation in the second year is structured to provide in-depth experience in required procedural skills (untubations, IV access, lumbar puncture, etc.) in a controlled environment, with direct guidance and supervision by pediatric attendings skilled in those procedures. Residents in the second year gain additional skills in caring for critically ill patients as part of their NICU and PICU rotations. In addtion, all residents complete a rotation in Pediatric Emergency Medicine at the Children's Hospital Medical Center of Akron during their second year of training. This facility provides care for over 65,000 pediatric emergency visits each year, and is staffed around-the-clock with pediatric emergency specialists. It has air and ground transport systes, major trauma services and a burn unit. Residents choose from several community based acute illness rotations in the second year to gain exposure to outpatient general pediatrics ina variety of settings. The residents gain inpatient supervisorty experience during their night float and ward rotations. The junior resident on these rotations are paired with experienced senior residents to assist them in developing the management and teaching skills they will utilize as seniors and attending. The remaining 5 modules are open for residents to choose electives in the pediatric subspecialties.

Supervisory experience, teaching and the refinement of skills are the emphasis of the third year of training. Senior residents develop leadership skills during their three modules as the ward senior resident. The seniors direct the ward team in teaching and work rounds, serving as the primary teachers for the students and interns on the ward team. Residents serve a similar leadership role during the third year PICU, NICU, Cardiology and normal Nursery rotations. An additional month of an emergency medicine experience is obtained at the Clinic's main campus Emergency Department. During the third year, the remaining five modules are available as elective rotations, providing the residents an opportunity to fine tune their training experience to meet their goals and educational needs.

The following schedules indicate the number of modules in each rotation. Continuity Clinic is weekly in all postgraduate years.

 Graduate Level I

 Graduate Level II

*In the PL-2, an elective month will include an Ambulatory General Pediatrics month in either a Clinic Satellite, Private Practice setting, or an Acute Illness Clinic.

 Graduate Level III

 Elective Subspecialty Rotations

As elective subspecialty rotations, residents will have to fulfill six of the following nine core group of subspecialty rotations within the thirty-six months of residency:

Additional rotation choices may be taken from the following:

Cleveland Clinic Foundation  |  The Cleveland Clinic Children's Hospital for Rehabilitation
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