Our goal at Western Reserve Hospital is to produce competent physicians in both inpatient and outpatient settings. All of our interns have the same set core of rotations. After their first year, residents are able to adjust their rotations based upon interest and aptitude. If the resident is interested in becoming a hospitalist, they can personalize their schedule to include more inpatient rotations. Similarly, if a resident is interested in becoming a community-based outpatient physician, they can personalize their schedule to include more outpatient rotations.
Each year Western Reserve Hospital hosts a Research EXPO, in which PGY1s are required to participate. At a minimum, residents are required to complete one of the following: case report/series, textbook chapter, report on clinical technique, or a comprehensive literature review. Residents may also choose to do a research study (prospective or retrospective) or quality improvement project. In addition to EXPO submissions, PGY1s and PGY2s are required to complete the WRH GME Research Curriculum which consists of HealthStream assignments. PGY2 residents may choose to complete a retrospective chart review instead of their PGY2 HealthStream assignments. This decision must be communicated with the research coordinator no later than July 1st. For more information about the research process, please visit our Research page under the Education tab.
All IM rotations are able to be done at either Western Reserve Hospital or at physician outpatient offices within a 5-30 minute drive from the hospital. There are no required off-site rotations. If a resident has a special interest and wants to do an off-site rotation in their second or third year, the resident will work with the Residency Coordinator to secure it. All residents are required to do a ½ day per week at an outpatient office with one of the teaching faculty. Generally speaking, the resident will continue to work with the same clinic preceptor throughout their 3 years of residency. Residents are not required to attend outpatient clinic during Emergency Medicine, House Nights, ICU, or ICU Nights and Weekends rotations, or when post-call as a Senior. Senior night call in the ICU averages 1 in 7 nights, with the next day off.
Procedures are learned on the floors, especially during ICU rotations and during ICU night call as a senior. All of our residents should be competent in intubations and central lines upon completing our residency. All residents must become PICC-Line certified before graduation.