Med-Peds FAQ

medicine_pediatrics_cwru_faq

What are the unique aspects of Med-Peds Residency program at University Hospitals?

We are an academic program with two large and well-known internal medicine and pediatric programs that have been consistently ranked by U.S. News & Wold Report in both internal medicine and pediatrics subspecialties. In addition, each department is in a separate but adjoined building, allowing us to experience full free-standing pediatric and adult hospitals with independent and separate facilities without ever having to step outside. The close geographic proximity enhances our ability to gather together regularly and helps keep our Med-Peds group close-knit. Our Med-Peds residents are well-recognized and respected by the pediatric and medicine faculty and are well-integrated within each department. Most importantly, we have continued to recruit a hard-working, fun-loving, cohesive group of Med-Peds residents who support one another and socialize both inside and outside of the hospital.

Recently, we have developed a Med-Peds consult service in which Med-Peds residents participate. You can learn more about it here.

How many residents do you accept each year?

We offer four positions each year.

Where are most of your residents from?

We have residents from all over the country. Many of them are either from the Midwest or attended medical schools in that region. Click here to get to know our current residents better.

For applications, how many letters of recommendation do you require?

We require at least three letters of recommendation. Ideally, we like to see a letter from an Internal Medicine Chair and a letter from a Pediatrics Chair.

What do the residents do after graduating?

Our residents have pursued a variety of careers including fellowship training in pediatrics, adult or a combined fellowship, primary care, and academic med-peds hospitalist careers. Being a large academic institution with a strong presence of subspecialized and general practitioners, our residents are encouraged to pursue whatever interest they have, be it subspecialty, general, academic or private practice. You can see a list of our recent grads' career choices here.

Where do Med-Peds residents rotate?

University Hospitals Cleveland Medical Center, Seidman Cancer Center, and Rainbow Babies & Children’s Hospital are all connected at the main academic center adjacent to Case Western Reserve University School of Medicine. The Louis Stokes Cleveland VA Medical Center where residents do some of their medicine rotations is just down the street. All of our hospitals are located within University Circle, a unique neighborhood that houses hospitals, graduate schools, the CWRU undergraduate campus, as well as the Cleveland Museum of Art, Museum of Contemporary Art, Museum of Natural History, Children’s Museum, and Severance Hall, the home of the Cleveland Orchestra.

How integrated are Med-Peds residents with categorical residents?

Extremely integrated. Our residents are treated the same way as the categorical residents on each side, which allows them to hone their skills as both pediatricians and internists. The Med-Peds residents are very well-respected by both departments, and their knowledge is often utilized by attendings and fellow residents on each side.

How are your continuity clinics structured?

Our clinics are separate medicine and pediatric clinics, which we alternate between each week, maintaining an even exposure to primary care medicine and pediatrics. Our pediatric clinic is at UH Rainbow Babies & Children’s Hospital, but soon will be moving down the street as part of the new state-of-the-art UH Rainbow Women's & Children's Clinic, an exciting initiative on the part of the hospital to make vital primary care services more accessible to our underserved patients. For medicine, residents choose from among several options: the resident-run internal medicine clinic at University Hospitals, private suburban practices associated with UH, and for those individuals interested in infectious diseases, continuity clinic in the Special Immunology Unit. Residents may also participate in elective rotations in a combined Med-Peds community practice.

How often do residents switch between medicine and pediatrics rotations? How do you account for seasonal variation on pediatrics?

We switch every 3 blocks. Because we have 13 four week blocks per year, by adhering to a 3-3-3-3 schedule, residents will have spent each month of the year on pediatrics at different times during the course of residency, as you can see in the sample schedule here.

How does the call schedule work?

On pediatrics wards services, interns work on both day team/night team, which sign out to each other at the same time each morning and evening, as well as rotating overnight call system. On internal medicine, interns rotate long, medium, short, and no call days, based on the number of admissions each day, before signing out to night team in the evenings. In the ICUs (including NICU, PICU, MICU, and CICU), where there is greater benefit to staying with the same critically ill patient for a prolonged period of time as their illness progresses, residents take overnight call on a rotating basis. In the adult ICUs, an additional night float resident assists the on-call resident and ensures that they get a chance to sleep overnight.

How do days off work?

Scheduled days off vary basedon the rotation. Every resident is guaranteed four days off in a four-week period per ACGME requirments.

 

How do you handle vacation time?

Each resident has four weeks of vacation divided into two 2-week blocks. Vacation requests are taken before the start of each academic year and most requests are fulfilled, especially for significant life events (weddings, family vacations, etc.) Every intern starts their academic year during the last week of June, as such when the new intern class arrives the following year the graduating interns have an additional week off (that is five weeks total). During this last week of vacation many classes take a vacation together as a group to one of many tropical destinations (Florida, Dominican Republic, Cancun).

Do you have a research requirement?

All residents complete a scholarly activity including research as part of their residency. Our residents regularly present their work at regional and national meetings. At our institution there are tremendous resources for research and great enthusiasm on the part of faculty for providing residents with meaningful research projects and support. Elective time may be dedicated to pursuing research interests. You can learn more here.

Do you have a quality curriculum?

Quality is heavily emphasized at University Hospitals and Rainbow. A quality curriculum is built into the medicine ambulatory schedule. As part of this, all residents complete a QI project which may also serve as a scholarly activity. Additional rotations in QI can be pursued and are encouraged.

Do you have an advocacy curriculum?

We believe that child advocacy is integral to being a Med-Peds physician. Advocacy is incorporated into the regular resident curriculum, and all residents participate in additional educational activities centered around advocacy, which can be participation in community organizations, advocacy projects, teaching opportunities, attending meetings, lobbying the state house, and many more such opportunities. UH Rainbow Babies & Children's Hopital offers an additional longitudinal advocacy track in which Med-Peds residents may participate.

Do you offer combined electives?

Residents can participate in combined electives which offer both pediatric and adult experiences, in areas such as rheumatology, pulmonology, endocrinology, infectious diseases, genetics and others. We are also happy to develop new experiences for Med-Peds electives to accomodate our residents' interests.

What is the Med-Peds Consult service?

In recent years, the hospital has looked to our Med-Peds program to take the lead in enhancing the transition process for children with chronic illnesses. We have developed an inpatient consult service for complex young adults admitted to both the pediatric and adult hospitals. The service is headed by our Program Director, Nathan Stehouwer, MD, and all Med-Peds residents may participate through an elective on the service or see patients at other times when they do not have conflicting clinical duties. The goal of the consult services is to assist in the medical care, provide support and plan for families around the time of transition.

Are there any Global Health opportunities at UH and Rainbow Babies?

Both the Pediatrics and Internal Medicine Departments have a multitude of global health opportunities, in clinical medicine or research. We fully support the use of elective time to participate in global health programs. Funding for clinical electives abroad can be obtained by participating in the certificate in Global Health program through Rainbow. Research funding to travel abroad can also be utilized and several current and recent residents have made use of this to participate in global health research projects. Our current residents and recent grads have done clinical rotations in Laos, Haiti, Uganda, and India among others. We have also worked on research projects and public health interventions treating and preventing rheumatic heart disease in Uganda, where University Hospitals and Case Western Reserve University have been heavily involved for several decades.

Are there moonlighting opportunities in your program?

Yes. There are a variety of opportunities on both the internal medicine and pediatrics sides that are generally available after the first year of training.

In addition to the categorical conferences, do you offer designated Med-Peds conferences?

Yes. Every Thursday we have a designated Med-Peds noon conference. Lunch is provided. Each week we cover a different agenda, including journal article discussion, case presentations, housekeeping and review of current guidelines. Each resident is required to present either a case or jouranl article at one of our conferences. We also hold a monthly combined internal medicine and pediatrics Grand Rounds style conference.

Where do most residents live?

Many of our residents live in University Circle or in the Cleveland Heights, University Heights, and Shaker Heights neighborhoods, which are about a 10-minute drive from the hospital and have many great restaurants and bars. Others prefer to live downtown, about a 15-20-minute drive. There are also options to live on the west side of the city, which have fun, vibrant neighborhoods and are a little further away from the hospital.

What do your residents do for fun?

Many resident activities involve gathering at someone’s house or out at a local bar or restaurant after work. There are also lots of festivals residents attend, including Taste of Tremont, Larchmere Porch Festival, Cleveland Museum of Art’s First Friday of the Month mixer, etc. Indians games, outdoor watch parties during the NBA or MLB playoffs, trips to the lake, and bike rides through the national park are frequent summer time activities. There are also tons of great concerts both downtown and at Blossom, a beautiful outdoor concert venue. Our current residents Keith Torrey, MD, Jake Aaron, MD, and Aric Jordan Moran, MD, and Chief Resident Courtney Batt, MD, share their favorite activities and spots around Cleveland in their interviews.

Are there social Med-Peds gatherings outside of work?

Yes! We love getting together, and frequently organize happy hours or dinners with the whole group. There are frequent gatherings that our informally designated social chair will organize. We also have an annual Med-Peds picnic and a switch party.

end faq