Residencies

»PGY-1 Residents

David Brigati, MD

Hometown

Fort Worth, TX

Undergraduate

Washington University, St. Louis (BS in Biomechanical Engineering)

Medical School

University of Texas at San Antonio

Interests

Vinyl Turntable DJing, Ice Hockey, Agility Dog Training, Traveling

Vahid Entezari, MD, MMSc

Hometown

Urmia, Iran

Medical School

Iran University of Medical Sciences

Interests

Orthopaedic oncology, joints, spine, medical illustration, my wife and my daughter

Margaret Savarino, MD

Hometown

Kansas City, MO

Undergraduate

John Carroll University

Medical School

University of South Alabama

Interests

Adult reconstruction, trauma, spine, running, snowboarding, interior design

Patrick Marinello, MD

Hometown

Albany, NY

Undergraduate

Siena College

Medical School

Albany Medical College

Interests

Sports medicine, upper extremity, knee, downhill skiing, and golf

Daniel Mesko, DO

Hometown

Mason, MI

Undergraduate

Wheaton College

Medical School

Michigan State University

Interests

Soccer, skiing, triathalon, travel

Michael Silverstein, MD

Hometown

Fort Lauderdale, FL

Undergraduate

University of Florida

Medical School

Florida State University

Interests

Degenerative spine, spine deformity, weight lifting, traveling, golf

»PGY-2 Residents

Robert Cagle, MD

Hometown

Merrillville, IN

Undergraduate

Purdue University

Medical School

Indiana University School of Medicine

Interests

Upper extremity, sports

Salvator Frangiamore, MD

Hometown

Cortland, OH

Undergraduate

John Carroll University

Medical School

University of Toledo

Bishoy Gad, MD

Hometown

Cleveland, OH

Undergraduate

Case Western Reserve University

Medical School

Case Western Reserve University, School of Medicine

Interests

Orthopaedic surgery, football, basketball, weightlifting, financial markets

Timothy Joyce, MD

Hometown

Cleveland, OH

Undergraduate

John Carroll University

Medical School

University of Louisville School of Medicine

Interests

Ice hockey, skiing

Seth Richman, MD

Hometown

Albany, NY

Undergraduate

Cornell University

Medical School

SUNY Upstate Medical University

Interests

Traveling, sports (participating and watching), food

Joe Styron, MD, PhD

Hometown

Springfield, VA

Undergraduate

Case Western Reserve University

Graduate School

Health Services Research & Policy - Case Western Reserve University

Medical School

Case Western Reserve University

Interests

Watching football, working out, health policy

»PGY-3 Residents

Keith Bachmann, MD

Hometown

Richmond, VA

Undergraduate

University of Virginia

Medical School

Virginia Commonwealth University School of Medicine (Medical College of Virginia)

Interests

Scuba diving, Baseball

G. Bradley Bookatz, MD

Hometown

Cleveland, OH

Undergraduate

Case Western Reserve University

Medical School

Case Western Reserve University

Jeffrey Johnston, MD

Hometown

North Lima, OH

Undergraduate

John Carroll University

Medical School

NEOUCOM

Interests

Cleveland sports, golf, outdoors

Joel Kolmodin, MD

Hometown

Borculo, MI

Undergraduate

Wheaton College

Medical School

University of Illinois College of Medicine

Interests

My wife and 2 year-old son, outdoor activities, church involvement, Michigan football

Michael Scarcella, MD

Hometown

Hinckley, OH

Undergraduate

Baldwin-Wallace

Medical School

NEOUCOM

Interests

Life, love and the pursuit of happiness

Nicholas Ting, MD

Hometown

San Francisco, CA

Undergraduate

University of Chicago

Medical School

Loyola University Chicago Stritch School of Medicine

Interests

Adult reconstruction

»Research

Eva U. Asomugha, MD

Hometown

Washington, DC

Undergraduate

Stanford University

Medical School

Joan & Sanford I Weill Medical College of Cornell University

Interests

Pediatrics, Spine, Hand/Upper Extremity, Tumor

Lionel Gottschalk, MD

Hometown

Davis, CA

Undergraduate

University of California - San Diego

Medical School

University of California - San Diego School of Medicine

»PGY-4 Residents

Karim Elsharkawy, MD

Hometown

Cairo, Egypt

Undergraduate

University of Cairo

Medical School

University of Cairo

Interests

Joints, Spine, Sports

Clay B. Greeson MD

Hometown

Kismet, Kansas

Undergraduate

University of Kansas

Medical School

University of Kansas School of Medicine

Interests

Sports Medicine, Shoulder; Running, Hiking, Sporting Events, Travel

David Kovacevic, MD

Hometown

Cleveland, OH

Undergraduate

Miami University

Medical School

The Ohio State University College of Medicine

Interests

Arthroplasty, Trauma, Sports Medicine

Adam Meisel, MD

Hometown

Northbrook, IL

Undergraduate

University of Illinois - Urbana/Champaign

Medical School

University of Illinois - Chicago College of Medicine

Amar Mutnal, MD

Hometown

Three Rivers, MI

Undergraduate

University of Michigan

Medical School

University of Michigan

Amish Naik, MD, PhD

Hometown

Wyomissing, PA

Undergraduate

University of Pennsylvania

Medical School

University of Rochester School of Medicine & Dentistry

»PGY-5 Residents

David Ebenezer, MD

Hometown

Roseville, CA

Undergraduate

University of California, Riverside

Medical School

Keck School of Medicine of the University of Southern California

Internship

Harbor-UCLA Medical Center, Torrance CA

Interests

Pediatric Orthopaedics, Hand

Nicholas Frisch, MD

Hometown

Springfield, OH

Undergraduate

Miami University

Medical School

University of Toledo College of Medicine

Interests

Sports Medicine, Trauma, Arthroplasty, Travel

David Joyce, MD

Hometown

Cleveland, Ohio

Undergraduate

Case Western Reserve University

Medical School

Case Western Reserve University

Interests

Undecided

Nathan Mesko, MD

Hometown

Lansing, MI

Undergraduate

Wheaton College, IL

Medical School

University of Loyola - Chicago Stritch School of Medicine

Interests

Triathlons, International Medical Missions, Soft Tissue & Bone Sarcoma, Extremity/Pelvic Reconstruction

David Schub, MD

Hometown

Trumbull, CT

Undergraduate

Emory University

Medical School

Case Western Reserve University School of Medicine

Thomas Wuerz, MD

Medical School

Eberhard-Karls-University of Tuebingen School of Medicine, Germany

The call schedule has been designed to abide by the rules set forth by the ACGME resident guidelines. The majority of the call during the 5 year clinical training program is taken at Main Campus Cleveland Clinic (CCF). Ancillary rotations may require separate in-house call responsibilities, including MetroHealth Medical Center, Akron Children’s Hospital. Upper level rotations have home-call responsibilities (Lutheran and Euclid Hospitals). The ACGME guidelines are strictly enforced with zero tolerance for non-compliance.

Miscellaneous

»Spine Call

Spine call is split between the Neurosurgery and Orthopaedic Surgery services at CCF. Spine call is taken in 7-day blocks, with a single staff taking call, typically Monday-Sunday. When Orthopaedic spine staff are on call, the Orthopaedic resident is on primary “Spine call.” In addition to the home-call chief resident, there is a home-call Spine fellow available at all times.

»Hand Call

Hand call is split between the Plastic Surgery and Orthopaedic Surgery services at CCF. Hand call is taken in typical 1-3 day blocks, with the home-call chief and a home-call Hand fellow available at all times should the in-house junior resident needs assistance.

»Day Call

Orthopaedic call during the day (7 a.m. - 5 p.m.) is covered by PGY-1 through PGY-3 residents. The frequency of call is graduated on a seniority-based measure. The typical month requires Interns to take 4 day calls, PGY-2 residents typically cover 3 days calls, with PGY-3 residents covering between 2-3 day calls per month. At the end of day call, the pager is passed along to the Night Float resident or overnight call resident.

»Resident Sign-Out

Sign out occurs during weekday mornings from 6:45 a.m. - 7 a.m. During this time, the previous day’s Day call and Night call residents will present any admissions or consults, with pertinent imaging/labs/exam findings, along with a plan. The chief resident from the night before is in attendance, as well as all residents rotating at the main campus CCF. On the weekends, signout occurs at 8 a.m.

»Typical Call Week

A typical Orthopaedic overnight in-house call week looks like the following:

Day	Year/Call
Sunday (8 a.m. - 7 a.m.)	PGY-2 (Night Float) resident
Monday (5 p.m. - 7 a.m.)	PGY-2 (Night Float) resident
Tuesday (5 p.m. - 7 a.m.)	PGY-2 (Night Float) resident
Wednesday (5 p.m. - 7 a.m.)	PGY-2 (Night Float) resident
Thursday (5 p.m. - 7 a.m.)	PGY-3 resident +/- Intern
Friday (5 p.m. - 8 a.m.)	Intern + PGY-4 resident
Saturday (8a-8a)	PGY-2 resident

»Holiday Block

During the Christmas and New Year’s Holiday weeks, the program has created a tradition in order to allow for additional time off from clinical duties, in addition to already fostered vacation time requests. Typically, all clinical and OR coverage will be handled by half those residents rotating at CCF hospitals (excluding Akron and MetroHealth). This allows the other half of the residents participating in the Holiday block to have 5-6 days completely free of clinical responsibilities. Those residents that are participating in the Christmas Block will then have to work the New Year’s Block (and vice versa). The Holiday Block schedule are created by the Administrative Chief ~1 month prior to the start of the block.

»Rounding

During the week, each resident carries their own “individual” service, responsible for patients that they were the primary surgeon on in the operating room. This rule applies to senior level residents, chief residents, and fellows as well. Each resident is responsible for the care of each patient on their list, with available help from consult services, the medicine hospitalist service, and full-time floor nurse practitioners. Overnight call admissions and consult patients typically are distributed to their service-specific needs in the morning, with the junior resident on each service typically helping to orchestrate consult patient care. Senior level and chief residents are always available to answer questions and help with co-management of more complex patients that make up part of the junior resident’s service.

»Ancillary Staff/Hospitalist Services

To help make floor work run more smoothly, as well as to optimize patient care for the more complex patient cases, orthopaedic medicine co-management services as well as main campus ortho floor NPs are available. The orthopaedic medicine co-management service is a full-time CCF internal medicine staff whose service is entirely made up of orthopaedic patients on the service. Their expertise is available to aid with complex medical issues, pre-operative optimization issues, post-operative management of multi-organ systems.

Detailed Intern Call Responsibilities

Orthopaedics

»Overnight

The intern takes in-house call every Friday evening (5 p.m. – 8 a.m.) during his/her 3-months on the Orthopaedics service. For 6 months of the year (July-September & April-June), there are 2 interns on the Orthopaedics service. For these 6 months, the interns split Thursday evening (5 p.m. – 7 a.m.) and Friday evening calls with one another. All overnight calls taken by the intern are “backed up” by an in-house PGY-3/4 resident, in addition to the home-call chief. For overnight Thursday calls, the intern is “backed up” by a PGY-3, for overnight Friday calls, the intern will have an in-house PGY-4 resident available.

In order to maintain compliance with the new ACMGE work rule regulations regarding incoming interns (starting July 2011), interns will start their clinical responsibilities at 5p on the day that they are on overnight call, and complete call duties through the following morning.

»Other Call Responsibility

Plastic Surgery (1m): Orthopaedic intern is typically responsible for 10-12 days of home-call, including hand call when the plastic surgery service is primary call.

SICU (1m): Typically 2-3 overnight weekday calls per month (4p-7a), and 2 overnight weekend calls per month.

General Surgery Night Float (1m): Night Float on the General Surgery service is 5 overnight calls (6 p.m. – 6 a.m.), Sunday evening through Friday morning. Typically, there are 3 interns in-house, as well as an in-house PGY-3 resident that will discuss each case with staff.

General Surgery (1m): Typically 1-2 overnight weekend calls for the month (Friday night, Saturday 24hrs, or Sunday until 6p).

Vascular Surgery (1m): Typically 3-4 weekend calls per month (Friday night, Saturday 24hrs, or Sunday until 6 p.m.). All consults are typically seen by the Vascular Surgery fellow, with the intern primarily responsible for floor issues.

MetroHealth Trauma (1m): Overnight call is covered on a “Day-shift” & “Night Shift” rotation. Shifts last 12 hours at a time, each shift is rotated on for 2 weeks during this one-month rotation.

No call responsibilities are required on Emergency Medicine, Neurosurgery, or Radiology rotations.

Detailed Call Responsibilities After Intern Year

»PGY-2

Main Campus (6 months)
The Night Float System was implemented started in July 2006. This system was designed to fully comply with all ACGME work hour rules, provide improved continuity of care during clinical rotations, and to improve operative experience for junior residents.

Night Float (2 months)
Taken as a 2-month “block” rotation once during the PGY-2 year. As described above, this rotation consists of 4 shifts (Sunday 8 a.m. - 7 a.m. Monday, Monday thru Wednesday 5 p.m. - 7 a.m.). During this block, the Night Float resident is responsible for seeing all consults on the floor and in the Emergency Department, while concurrently managing in-house patient care. The chief resident is on home-call, and available to provide assistance and instruction as needed to the junior resident, as well as help staff any emergent overnight cases. The Night Float resident signs out to the Day Call resident at 7 a.m. each morning, and is free of all clinical responsibilities until his/her next shift. During this rotation, the Night Float resident is free of clinical duties from Thursday morning until Sunday morning.

Spine/Adult Reconstruction (2months/2months)
During these 2-month blocks, the PGY-2 Spine and Joints residents are responsible for splitting Saturday 24-hr calls (8a-8a). The same duty description holds as that with the Night Float resident. On average, the PGY-2s will take 2 Saturday calls per month, while on these rotations.

Euclid Hospital (2 months)
During the PGY-2 shoulder rotation at Euclid Hospital, the resident is responsible for covering home-call duties when CCF staff are on primary orthopaedic call at Euclid Hospital. While this is a busy community hospital, call is typically only 5-7 times per month and taken from home.

Akron Children’s Hospital (2 months)
The call schedule at Akron Children’s Hospital is on a rotating basis, typically Q5 or Q6. This busy pediatric trauma center offers exposure to high-volume orthopaedic trauma. Ortho tech & Cast techs are available from 7a to 11p on a daily basis to help aid with efficiency in the ED and on the floor. The resident also has a “back-up” call responsibility when they are “pre-call” (i.e. the day before the resident is scheduled to be on primary in-house call). This “back-up” call is taken from home. Less than 2 or 3 times a year will a “back-up” resident be asked to come in to aid the primary in-house resident.

MetroHealth Medical Center (2 months)
The call schedule at MetroHealth Medical Center (MHMC) is on a rotating basis, typically Q5 or Q6. Over the course of a 2-month rotation, the CCF resident will take ~11-12 overnight calls. Each call is a 24-hr call, with the resident picking up the pager at 7 a.m., and passing off the pager the next morning. Hand call is split between plastic surgery on an “every other day” basis (orthopaedics = even days), while Spine call is split between Neurosurgery on an “every other week” basis. Overnight call at MHMC provides each resident the opportunity to manage a full gamut of “hot” musculoskeletal trauma at a highly respected Level I Trauma Center. Each night, there is a chief resident on home-call, who is available to provide assistance and instruction as needed to the junior resident, as well as help staff any emergent overnight cases. When on Hand call, there is also a Hand fellow available.

»PGY-3

Sports, Foot & Ankle, Pediatrics, Hand (8 months)
The PGY-3 residents are responsible for covering 8 months of overnight Main Campus CCF Thursday calls, during each of four (4) 2-month block rotations. Call is from 5 p.m. - 7 a.m. As mentioned above, 6 months of the year there will be an additional intern on the Orthopaedics service, and the PGY-3 will be “back-up” call responsibility while in-house. When there is no intern, the PGY-3 covers the duties that come with the primary call pager. Thursday night calls are evenly split between the four (4) PGY-3 residents on each of the 2-month block rotations (Sports, Foot & Ankle, Pediatrics, Hand).

Lutheran Orthopaedic Hospital [Spine] (2 months)
During this 2-month block, the PGY-3 resident is responsible for five (5) 24-hr home-calls during the course of the month. Typically, each night of call covers both hand and general orthopaedic call – both in the Emergency Department and on the hospital floor. Each resident is responsible for 3 “weekday” calls, and 2 “weekend” calls. All consults are directly communicated to staff, and any OR opportunities are handled by the resident who staffed the consult. Call responsibility is shared between the PGY-3 and PGY-4 residents (each with 5 days of call per month).

MetroHealth Medical Center (2 months)
Please refer to this same section under the PGY-2 year. Call responsibilities are unchanged during the PGY-2 and PGY-3 years.

Research Year
The research residents are part of the PGY-4 Friday overnight call pool to backup the intern. Typically, the research resident is responsible for 6-7 overnight Friday “back-up” calls during the course of the year.

»PGY-4

Lutheran Orthopaedic Hospital (2 months)
During this 2-month block, the PGY-4 resident is responsible for five (5) 24-hr home-calls during the course of the month. Call responsibility is shared between the PGY-3 and PGY-4 residents (each with 5 days of call per month). Please refer to this section under the “PGY-3” year for further details.

Euclid Hospital (2 months)
During the PGY-4 adult reconstruction rotation at Euclid Hospital, the resident is responsible for covering home-call duties when CCF staff are primary orthopaedic call at Euclid Hospital.

Main Campus Call (6 months)
The PGY-4 residents rotate through Sports/Hand, Tumor, Adult Reconstruction, and Pediatrics during the year. The Tumor resident is free of all overnight call responsibility while on the tumor service. During the remaining 6 months, the PGY-4 residents are placed in the Friday overnight call pool to backup the intern. While the intern carries the primary pager and should see all consults, the PGY-4 resident is there to aid assistance, and to help with cases that may go emergently to the OR. A PGY-4 resident will typically take 6-7 overnight Friday “back-up” calls during the course of the year.

Transition to Chief Call
During the last 6-7 weeks of the Academic Year, the PGY-4 class transitions to “chief call” responsibilities, as the current chief class ceases call responsibilities at this time. Chief call is the same as described under the “PGY-5” section, typically a 7 day block of home-call.

»PGY-5

Elective (2 months)
No call responsibility is required during this elective block.

Shoulder, Adult Reconstruction, Foot & Ankle, Sports, Lutheran (10 months)
During the 10 months that the chief resident is not on Elective, he/she is responsible for covering home chief call responsibilities. Typically, chief call is taken in a 7-day block format, with frequency of call split up evenly between the individuals within the chief class. All cases admitted from call are covered by the chief resident, with a staff physician being involved in all cases.

PGY-1 (Intern Year)

»3 Modules - Orthopaedic Surgery (Adult Reconstruction)


Two of the three modules are spent working one on one with an orthopaedic oncologist in both the OR and clinic several days of the week. The remaining days are spent working on the joints service. The third orthopaedic module is completely dedicated to the joints service. Your time on both services includes significant operative time and you are never expected to be out doing “floor work” while others are operating (unless you are on day call).

2 Modules - General Surgery
(including one month Night Float General Surgery)
1 Module - Vascular

1 Module – Infectious Diseases
1 Module – Emergency Department

1 Module – Plastics

1 Module – SICU

1 Module – Trauma (MetroHealth Medical Center)

1 Module – Musculoskeletal Radiology

1 Module – Vacation

PGY-2

»2 Months – Adult Reconstruction


The Joints service is one of the busiest at Main Campus. As a PGY-2 on service, you have an increased amount of opportunity in the OR. You are in the OR as much as any senior resident and are never out doing “floor work” on days you are assigned to be operating. Once the early morning rounding responsibilities are completed, the PGY-2 is expected to be a part of the daily case load. As a PGY-2, it is not uncommon for you to be performing a significant amount of primary hips/knees, as well as assisting in complex revision cases.

»2 Months – EAST rotation (Euclid Hospital)


The East rotation is essentially an apprenticeship with Dr. John Brems, one of our leading shoulder surgeons. Cases range from total shoulder arthroplasty to open rotator cuff repairs. During the rotation, you will also have opportunities to work with other staff in various subspecialties at Euclid Hospital if you desire.

»2 Months – Night Float


Night float covers main campus call from 8 a.m. Sunday to 7 a.m. Monday, and Monday through Wednesday nights 5 p.m. - 7 a.m. Your only responsibilities while on night float are covering floor issues and new consults/admissions during those hours. Thursday, Friday, and Saturday are free from clinical duty.

»2 Months – Orthopaedic Trauma (MetroHealth Medical Center)


At MetroHealth, you become a part of a team oriented system at a Level 1 trauma center. As a PGY-2, you be on a service that covers two main orthopaedic trauma attendings (Drs. Patterson and Vallier), as well as one of the orthopaedic pediatric staff (Dr. Cooperman). Cases include all types of musculoskeletal trauma, as well as scrubbing on some scheduled hip and knee arthroplasties. Call at Metro is roughly Q5 days.

»2 Months – Pediatric Orthopaedics (Children’s Hospital Medical Center, Akron)


Akron is a very valuable experience for our PGY-2’s, as they work with 7 orthopaedic pediatrics staff while at Akron Childrens Hospital. The volume of pediatric trauma, and consults in general, is substantially higher than at both CCF main campus or MetroHealth. In addition to typical pediatrics cases, scoliosis correction procedures, etc., you will also get the opportunity to scrub more general/sports type cases on adolescent children.

»2 Months – Spine

The PGY-2 spine rotation is an apprenticeship model with Dr. Gordon Bell at CCF main campus. The rotation provides junior residents with exposure to a wide array of surgical spine pathology and operations, with a large focus on basic decompression and fusion procedures regarding the cervical, thoracic, and lumbar spines.

PGY-3

»2 Months – Sports

The first exposure to a dedicated sports service comes in the PGY-3 year. You will work with multiple CCF sports staff in the OR and clinic, mainly at the Marymount Sports Health Facility. Depending on the staff you work with, you will have opportunity to scrub on virtually any type of sports case.

»2 Months – Foot & Ankle


During the PGY-3 year, you will work with 3 foot & ankle surgeons while on this rotation. Your time will be spent at Lutheran, Beachwood, and Main Campus, depending on which staff you are operating with on any given day. Weekly schedules are prepared in advance so that junior and senior residents, as well as the fellow, have exposure to all staff. You will have exposure to all types of elective foot & ankle cases, as well as ankle arthroplasty, and fracture cases.

»2 Months – Hand


While on the “hand” service, you are actually scrubbing on cases involving the entire upper extremity. You will be exposed to 4 different orthopaedic upper extremity staff, both in the OR and clinic. A vast array of surgical cases are covered, including: general hand elective cases; shoulder, elbow, and wrist arthroscopy; shoulder and elbow arthroplasty; and upper extremity fracture cases.

»2 Months – Lutheran Hospital (Spine)



Spine in the PGY-3 year comes as an experience covering two orthopaedic spine attendings mainly at Lutheran Hospital (Dr. Orr, Dr. Mclain). This service has an added emphasis on adult deformity correction and diagnostic/therapeutic decision making with revision procedures. Your call responsibility on this rotation includes approximately 5 home calls/month for Lutheran Hospital.

»2 Months – Orthopaedic Trauma (MetroHealth Medical Center)


As a PGY-3, you return to Metro again to join one of the other orthopaedic trauma teams. During this year, your team is primarily responsible for two different orthopaedic traumatologists (Dr. Sontich, Dr. Brady), as well as an orthopaedic trauma spine surgeon (Dr. Moore). Dr. Sontich’s practice, in addition to poly-trauma care, has a rare focus on nonunion and malunion correction, with the techniques using Ilizarov and Taylor Spatial Frames being emphasized. Similar to the PGY-2 year, you will be exposed to all staff throughout your calls and have opportunities to scrub on an incredible variety of trauma cases. Call remains approximately Q5 days.

»2 Months – Pediatric Orthopaedics


Your PGY-3 pediatrics rotation takes place at CCF main campus, where you will have the opportunity to work with 5 pediatric orthopaedic staff. All residents are sure to get an equal share of clinic and OR time. Your cases include everything from scoliosis correction, to fracture care, to a wide variety of elective pediatric procedures.

Research Year (if applicable)

PGY-4

»2 Months – Tumor

Your PGY-4 oncology rotation is an apprenticeship model with Dr. Michael Joyce. Residents repeatedly single this rotation out as being one in which they see significant personal growth in their ability to manage very complicated patients. You will be immersed in the entire diagnostic and therapeutic process, beginning with the weekly multi-disciplinary conference and following the patient through clinic, to the operating suite, and through clinic again in the post-operative period. While on this rotation, you are responsible for all aspects of care for Dr. Joyce’s patients and will be scrubbing on some of the most complicated oncology procedures possible, with examples of such procedures including (but not limited to) limb salvage techniques, sacral/pelvic reconstructions, biopsy techniques, and endoprosthetic reconstruction.

»2 Months – EAST rotation (Euclid Hospitals)

During this senior level rotation at Euclid Hospital, you will have the opportunity to work with multiple subspecialty staff at Euclid per each individual resident’s interests. The majority of PGY-4 residents choose to spend a significant amount of time with Dr. Peter Brooks, a world leader in hip resurfacing arthroplasty.

»2 Months – Lutheran Hospital


Similar to the Euclid rotation, this senior level rotation at Lutheran provides each resident with the ability to scrub on cases with various types of orthopaedic staff. Cases range from hip and knee arthroplasty to more general elective/fracture cases and upper extremity/arthroscopic surgery.

»2 Months – Pediatric Orthopaedics


As the PGY-4 on the CCF pediatrics service, you are now the senior resident responsible for weekly scheduling in the way of clinic and OR assignments for the junior residents. You have the same exposure to all staff and types of pediatric cases as during the PGY-3 year.

»2 Months – Adult Reconstruction

Now returning to the main campus joints service as a senior resident, you will have increased responsibility and operative opportunity in all types of primary hip and knee arthroplasty as well as complex revisions.

»2 Months – Sports Medicine

During the PGY-4 year, you will again work in both the clinic and OR with several of the multiple sports staff at CCF. Again, the vast majority of cases are performed at the outpatient Marymount sports health surgical center.

PGY-5

»2 Months – Adult Reconstruction


As the chief on the joints service, you are the glue that holds everyone together. The chief is responsible for organizing the clinic and OR assignments for all joints residents and fellows. The chief also plays a crucial role in making sure all joints call cases and fracture cases are covered. With regard to operating, the chief many times is responsible for his own room while fellows are responsible for others. By this point in training, chiefs are able to perform a significant portion of complex revision cases.

»2 Months – Lutheran Hospital

Chief residents on this rotation are again able to scrub in on all types of more general cases per their interest. Chiefs have also been able to operate at other locations, such as Euclid Hospital or Main Campus, during this time should they have a particular desire to work with a certain staff or do a certain case.

»2 Months – Shoulder

The chief resident on the shoulder service is primarily responsible for covering Dr. Iannotti’s clinic and OR, as well as working with other upper extremity staff when able. While working with Dr. Iannotti and other CCF shoulder staff, residents participate in extremely complicated shoulder revision surgeries, as well as more routine arthroscopic and open procedures.

»2 Months – Foot & Ankle

Working as a team with the PGY-3 and foot & ankle fellow, the chief is responsible for everyone’s weekly OR and clinic assignments. You will again be working with CCF’s multiple foot and ankle staff and just like in the PGY-3 year, being exposed to a vast array of foot & ankle operative cases.


»2 Months – Sports Medicine

As a chief resident on the sports service, you will have more and more operative involvement with numerous surgical sports cases. Many chief residents are routinely scrubbed with Drs. Parker, Schickendantz, or Miniaci.

»2 Months – Elective

Elective time during the chief year has been spent in many different ways depending on each resident’s interests. Some residents stay in Cleveland to spend more time at CCF in a particular field of choice, while others have done international rotations, Europe AO fellowships, etc.

Didactics/Conferences

General Overview for Basic Resident Education

Resident education finds its foundation in Tuesday & Wednesday conferences, with supplemental “service-specific” conferences on various other days. A general skeleton didactic week is as follows:
Monday – Service specific conference
Tuesday – Academic Day
Wednesday – Fracture Conference, Grand Rounds, or M&M
Thursday – Service specific conference
Friday – Service specific conference

»Academic Day

Basic Didactic Sessions (except Adult Reconstruction): Tuesdays 7 a.m. to 10:30 a.m.
Adult Reconstruction Sessions: Fridays 7 a.m. -10:30 a.m. (as assigned)

With the exception of the Adult Reconstruction topics, Academic Days are setup to occur on Tuesday mornings, regardless of the topic. These are typically structured in three 1-hour lectures (starting at 7 a.m.). The first lecture revolves around a basic science topic, and approximately 60% of the time is done by a resident. The following two topics are given by staff within a certain discipline (i.e. Foot & Ankle, or Trauma, etc). The final 30 minutes of each session are reserved for OITE practice questions.

With each Academic Day, there is an assigned resident. PGY-2 though PGY-5 residents are typically responsible for coordinating 2-3 Academic Day sessions per year. The topics for the year are assigned in July, along with staff assignments. The resident is responsible for reminding staff about their presentation topics, and for putting together a basic science discussion/presentation, if needed. In addition to Orthopaedic staff, Neurosurgical, Infectious disease, Basic Science, Rheumatologic, and Radiology staff all participate in the orthopaedic resident Academic Day discussions.

• Year I
• Year II

»Fracture Conference

Fracture Conference occurs 2-3 Wednesdays per month (shared with M&M and Grand Rounds on alternating Wednesdays). This occurs from 7 a.m. - 8 a.m., with the conference being led on a certain fracture topic by a PGY-4 level or research resident. Topics are taken from previous OTA presentations and updated each year, and staff is frequently present in order to stimulate discussion and offer guidance for diagnosis and management. Examples of topics may include “Olecranon and Radial Head Fractures” or “Acetabular Fracture Classification.”

Also during these Wednesday sessions, rotating medical students will give their 10 minute case presentation on an interesting patient they encountered during their time at Cleveland Clinic, with a brief discussion on overall diagnosis, management, and treatment strategies concerning particular orthopaedic disability/disease.

»Grand Rounds

This conference occurs once per month, and is given as a topic of choice by staff from each sub-specialty department. The final Grand Rounds of each Academic Year is typically given by the chief residents, and has turned into a tradition of staff versus residents Orthopaedic Jeopardy.

»Quality Assurance (M&M) Conference

This conference occurs once per month (second Wednesday), and revolves around those complications and unplanned re-admissions for the previous 30-day period. Residents involved with the cases present 5-10 minutes, including any pertinent literature that supports (or undermines) a decision making process. The goal of this conference is to learn from past experiences, with the eventual goal of enhancing patient care in both efficiency and quality. Overall speaking, this is an incredibly benign environment, with a cordial atmosphere intent on learning, not on bemoaning.

»Service Specific Didactics

Oncology

A multi-disciplinary Musculoskeletal Oncology Conference occurs with staff and residents/fellows from various specialties (Pathology, MSK Radiology, Rad-Onc, Heme-Onc, Orthopaedics). Upcoming cases are presented in a stepwise fashion, typically starting with clinical presentation, MSK imaging, biopsy results, surgical plans, and adjuvant/neoadjuvant therapy plans. This conference occurs 7 a.m. - 8 a.m. on Monday mornings, and is attended by the intern and PGY-4 residents on the tumor services.

Pediatrics

Thursday and Friday mornings (6:30 a.m. - 7:30 a.m.) revolve around and Indications Conference (Thursday) and a Resident Presentations Conference on a selected topic (Friday). All pediatric staff are in attendance, with both conferences being interactive between residents and staff. In addition to these conferences at Cleveland Clinic's main campus, those residents rotating at Akron Children’s Hospital also have Monday/Tuesday morning Indications and Resident presentation conferences, in addition to a Wednesday morning Pediatric Fracture conference.

Sports Medicine

Friday morning conference (6:30 a.m. - 7:30 a.m.) is at Cleveland Clinic's Sports Health Center. These discussion are led by a Sports Medicine Fellow through a PowerPoint presentation, and interactive between staff and residents/fellows. Approximately 30-40 people are in attendance, including all Sports Medicine staff, residents/fellows, and MSK Radiology staff.

Adult Reconstruction

Monday mornings (7 a.m. - 8 a.m.) include an Indications conference on the Joints service, with cases for the upcoming week presented by staff/fellows. The discussion revolves around indications, exam findings, surgical treatment options, and pertinent literature concerning each case. Residents and fellows on the main campus Joints service are in attendance, as well as multiple joints staff.

Hand & Upper Extremity

Once a week (typically Mondays or Wednesday mornings), the Hand service has a “Selected Topics” conference, as selected by the staff. The Hand fellow is responsible for finding 4-5 pertinent articles from the literature, and leading an interactive discussion. Typically, the resident will present one of these articles, in a brief 5-minute synopsis. In addition, there are once-monthly (on average) cadaver workshops in order to learn new approaches or understand different manufacturer’s device options. Finally, Journal clubs occur once per month at up-scale local Cleveland area restaurants, where the hand residents will be responsible for discussing one article, a piece. These dinners are attended by multiple hand staff from all over Northeast Ohio, including MetroHealth and Case Western.

»Off Campus Rotations

As indicated in the above Pediatrics section, Akron Children’s Hospital has multiple weekly conferences to supplement your clinical experience while rotating. MetroHealth has daily morning sign out conferences attended by all trauma staff, in addition to weekly Grand rounds presentations. During a 2 month rotation, the Cleveland Clinic resident will be responsible for giving 1-2 Grand Rounds lectures on previously selected topics.

»Saturday Conferences

To make it perfectly clear, Saturday conferences are not a regularity within Cleveland Clinic's orthopaedic residency. Residents are required to attend a Saturday conference 4-5 times per year. These conferences only occur when there is a funded visiting professor lectureship, with invited speakers from all over the world. Conferences typically last on Saturdays from 8 a.m. - 10 a.m., with a frequent Friday afternoon resident session, where case presentations are made to the visiting professor concerning difficult problems or interesting management strategies in the “not-so-straightforward” orthopaedic patient. Residents are excused from all clinical responsibilities during the Friday resident sessions. Examples of past lectureships:

Reich Lectureship Series

2011 - Alan Gross (University of Toronto)
2010 – Marc Garcia- Elias (Institut Kaplan, Barcelona)
2009 – David Helfet (Hospital for Special Surgery)
2008 – Daniel Berry (Mayo)

Dickson Lectureship Series

2011 – Shepard Hurwitz (UNC-Chapel Hill)
2010 – Matthew Ramsey (Thomas Jefferson)
2009 – Jeffrey Eckardt (UCLA)

Duncan Lectureship Series

2010 – David Fuller (University of Pennsylvania)
2009 – Terry Axelrod (University of Toronto)

President’s Lectureship Series

2011 - Peter Stern (University of Cincinnati)
2008- J. Tracy Watson (St. Louis University)

Research Day

2011 – Kurt Spindler (Vanderbilt)
2010 – James Wright (Hospital for Sick Children, Toronto)
2009 – Michael Yaszemski (Mayo)

»OITE Reviews

From September to November, each Thursday evening (5:30 p.m.– 7:30 p.m.) is spent amongst the residents going through previous OITE tests and AAOS Self-Assessment questions. This is an interactive discussion with food provided on a weekly basis. Staff are frequently in attendance. Once the OITE is taken in early November, the Thursday evening reviews are substituted for the Academic Day morning OITE review block (see above “Academic Day” section). In addition, the department also purchases the most up to date AAOS self-assessment tests each year, for the residents to use in their own individual AAOS accounts.

»Journal Clubs

General orthopaedics journal clubs occur about 10 times per year, rotating through the various sub-specialty discipline topics. Typically 4-5 articles are selected for presentation (by the research resident and staff), and presented in a short 5-minute synopsis by PGY-1 thru PGY-3 residents. The rest of the time is open to interactive discussion, with multiple staff present during each journal club. Depending on the season of the year, different venues are utilized. In the summer/spring/fall, journal clubs are typically at staff homes, with recreational activities surrounding the discussions including full-field soccer games, 3 vs 3 basketball tournaments, or a BBQ overlooking Lake Erie from a backyard. This is an informal, yet educational environment dedicated toward increasing resident apprehension of recent literature, and learning how to critically analyze a variety of journal literature pertaining to orthopaedic practice.

»Cadaver Lab

There are two opportunities for wet lab dissection and surgical practice outside the operating room.

Mo’s Lab

This is a wet (and dry) lab that is dedicated to the orthopaedic residents and fellows. Uses of this lab can include arthroscopic practice on human cadaveric body regions (including cartilage work, ligamentous/tendon repair, meniscal repairs, etc), as well practice with various ORIF or bony work techniques. About 8-10 times per year, a portion of a Tuesday Academic Day will be devoted to residency education within Mo’s lab, lead by various Sports Medicine staff. The lab is also open to individual resident practice, with cadaveric specimens available with prior appointment.

The “dry” lab portion of this includes various shoulder, knee, and hip models that allow for further fine tuning of arthroscopic knot tying and instrument techniques, without the need for a cadaver.

Drake’s Lab

This lab is the main Cleveland Clinic Medical School anatomy facility, located in the basement of the L-Building on Cleveland Clinic's main campus. Here, large-scale approach dissection can be undertaken, with some limited examples ranging from lower extremity trauma approach techniques, acetabular approached, approaches to the scaphoid, or total hip approaches. Another use of this lab is the orthopaedic resident opportunity to help with educating medical students, including prossection and in-class teaching.

»Saw Bones Workshops

Approximately from 8-10 times per year, residents will have the opportunity to participate in sponsored outings to local area venues for the purpose of simulating techniques with various orthopaedic implants on saw bone models. These times can prove to be very useful in learning new instrumentation, or becoming familiar with well-known instrumentation for the younger residents.

»Journal Subscriptions

The Department of Orthopaedic Surgery pays for each resident to receive subscriptions to JBJS-American, JBJS-British, JAAOS (Yellow Journal), and the Journal of Sports Medicine. Further journal subscriptions are readily available in the resident reading room (located in the A41 orthopaedic offices building), including other such well-known journals as Journal of Trauma, CORR, or Spine.

»Resident CORE Reading List

Starting in 2010, the residency program has implemented a CORE Reading list, with pertinent articles that are either “classic” to the formation of each sub-specialty discipline within orthopaedics, or are groundbreaking in terms of new techniques or thought strategies. Each sub-discipline has between 10 and 20 articles that are marked as “must reads” for each resident prior to graduation, with all articles passed along to incoming residents. Each article list was created with the close input of various staff in each sub-discipline of the department.

Resident Research and Research Year

Residents are offered a wide variety of research opportunities, ranging from the option to perform clinical research trials to basic science lab work. Residents have the opportunity to complete several research projects during their time as resident doctors, though only one research project of “publishable quality” is mandated by ACGME requirements. Some residents elect to participate in a research year, taking an optional year between their 3rd and 4th clinical years in order to devote time to research endeavors.

Typically, residents make the decision early in their 3rd year so as to allow time for investigation and development of a plan for their research year. During this preparatory time, a resident puts together a plan for submission to a research committee, and presents his/her hypothesis, timeline, and funding proposal. Residents all work closely with a staff mentor figure, who is actively involved in helping to guide research and career aspirations in a logical and efficient manner. Each mentor also is able to provide post-doctorate and nursing ancillary staff support, to aid with resident investigative projects.

Research can be performed with one of the 60+ orthopaedic staff or with one of the labs in the Lerner Research Institute. Most of the research performed is done in conjunction with the Lerner Research Institute. Some of the opportunities include areas such as:

• Tissue engineering and Wound Healing
• Biomechanics
• Orthopaedic Biology and Bioengineering
• Biomechanical Devices

Several clinical trials have been performed and continue to be performed within the Orthopaedic Department. The basic science labs afford opportunities to work in a fully equipped animal lab, including full-time veterinary care to aid with anesthesia and post-operative care of the animals.

Research during the research year typically leads to each resident writing several papers. Each research group within the department traditionally produces several papers a year, with acceptance into such journals as Clinical Orthopaedics and Related Research, Journal of Bone and Joint Surgery, Journal of Arthroplasty, Journal of Pediatric Orthopaedics, Spine or Journal of Trauma. Besides being able to publish findings of their projects, residents are also afforded to opportunity to present their findings at regional, national and international meetings, with trips at which the resident is the primary presenter being fully funded by the department.

In addition to resident research, the fully operational Innovations Center at Cleveland Clinic gives the opportunity for residents to become part of a patent team or procure individual intellectual property rights, for new devices or original ideas within the realm of orthopaedics and medicine.

More information about programs for research trainees, undergraduate and graduate students is available at the Orthopaedic and Rheumatologic Research Center. Specific inquiries should be sent by mail with a curriculum vitae to:

Jack Andrish, MD
Director of Research
Department of Orthopaedic Surgery
Cleveland Clinic
9500 Euclid Ave./A41
Cleveland, OH 44195

Apply

»Residency Application Requirements

The Orthopaedic Surgery Residency Training Program at Cleveland Clinic participates in ERAS, the Electronic Residency Application System, developed by the Association of American Medical Colleges. Other than as noted above, Cleveland Clinic has no additional requirements over and above ERAS. Two recommendation letters are sufficient, however, applicants may submit up to four letters. Completion of the Cleveland Clinic Application for Residency/Fellowship is not required until such time as you match at Cleveland Clinic.

»Residency Application Screening and Interview Committee

The application screening process begins in late October, with interview target dates being offered in mid-November for the December interviews, and in early December for the January interviews. Update emails via ERAS are sent out to applicants periodically through the screening process, including invitations for interview scheduling.

Applications are screened by a group of 10-12 staff and resident volunteers, with about 50-60 applicants being invited for interviews. While academic accomplishments, research endeavors and letter writer comments are weighted into an applicant's consideration for an interview, many other factors that uniquely comprise the individual are held highly in consideration, such as hobbies, international medical experiences or prior career accomplishments. The goal of the committee is to select applicants to interview who they feel will flourish in the orthopaedic residency training vision at Cleveland Clinic, while at the same time, adding to the unique close-knit community of residents outside the hospital walls. There is neither a minimum Board score requirement nor a predisposition toward an academic career to gain consideration for interview invitation, as more than 50% of our graduating classes pursue private practice orthopaedics each year.

»Interviews

Interviews have traditionally been offered on the second Tuesday and Wednesday in January. Starting in 2011-2012, the program will begin a third interview day, which will be offered in mid-December. Exact interview dates will be posted to the residency website in the beginning of November, with exact information regarding itinerary to follow, once an interviewee has finalized an interview time.

Applications are screened by selected residents and staff. The committee is typically made up of 6 or 7 committee members. Members of the committee include, as staples, the chairman (Richard Parker, MD, sports medicine), program director (Thomas Kuivila, MD, pediatrics) and the assistant program director (Ryan Goodwin, MD, pediatrics). At least one upper level resident is part of the interview committee each year.

The interview day is comprised of either a morning or afternoon session, with each session made up of 10-12 applicants. Typically 5-10 residents will be available for tours and informal discussion during the interview session, with a private lunch in the middle of the day for both morning and afternoon applicants.

After the interviews are completed, candidates are ranked for 6 slots into the incoming intern class. All slots are 5 year slots, with the option of doing a 6th year of research at the option of the resident. There is not a mandatory number of residents that must participate in research on an annual basis.

»Evening Social Function

Traditionally, during the Tuesday/Wednesday January interview block, all interview applicants and their families are invited to an informal evening social event, held on Tuesday evening. Applicants from both days' interview sessions are invited to attend. Approximately 15-20 residents and their families will typically attend in order to provide a non-threatening atmosphere for questions and dialogue. This event is typically from 6pm - 10pm and is not required but highly encouraged. An evening social event is also held the evening prior to the December interview date.

»Travel Information

Lodging may be reserved with the Intercontinental Hotel, attached to Cleveland Clinic's main campus. This hotel is within 3 minutes walking distance of the interview location. During your interview stay, you will be given a resident discount rate. Alternatively, past applicants have chosen to stay in downtown Cleveland or in one of the surrounding suburbs.

Cleveland Hopkins International Airport is located about 20 minutes from Cleveland Clinic's main campus, with easy rental car accessibility, or alternatively, easy access to cab services. As an alternative, the Akron-Canton Airport is about 50 miles south of Cleveland Clinic's main campus and can be accessed through rental car acquirement.

Benefits

»Resident Education Fund

The Department of Orthopaedic Surgery gives allotted “Education Fund” money, which is graduated each year. These use of these funds can include (but is not limited to) purchasing Loupes, purchasing text books or journal subscriptions, funding meeting expenses, or purchasing laptops/IPADS. The following is the graduated scale of Education Funds pertaining to post-graduate year in training:

PGY-1	$500
PGY-2	$1,000
PGY-3	$2,000
Research	$2,000
PGY-4	$2,000
PGY-5	$2,500

»Meeting Allotments

Each year, the department allots for 3 meeting days that are reserved for meeting attendance at the discretion of the resident. There are no “uniformly required” meetings with the exception of the AO Basic Trauma course, which most residents choose to attend early in the PGY-2 year. This meeting is completely funded by the department (all expenses paid), in addition to the allotted education funds for each individual resident.

As chief residents, the department will pay for each resident to attend one Board Review Course. Most popular, are either the AAOS course (Chicago), or the Maine Review Course. These meeting days for the Board review course do not count against the “3-day” meeting allotment for the chief year.

If a resident presents his/her work at a regional/national/international meeting, the GME department funds the trip, with allotted presentation time increased above and beyond the “3-day” meeting allotment. Typically, residents have 2 days for travel and one day for the presentation (3 additional days).

All other meetings during the PGY-1 through PGY-5 years can be funded through the individual’s education fund. There are no restrictions as to which meetings a resident may attend, and previous examples of attended national meetings have been AAOS, AAHKS, various surgical techniques courses (S.A.F.E., M.E.P.O., etc), Gainesville Pathology course, or OTA/AO courses.

»Vacation

Residents are allotted 3 weeks (15 days) of vacation time during the PGY-2 through PGY-5 years. Typically, residents are able to find peer coverage so that the “bookend” weekends are also available, though this is up to the resident requesting vacation to setup well in advance. These 15 days do not include the Holiday Block (see above), which typically is an additional 5-6 days free from clinical duties. Vacation days may be taken in any sized blocks, and do not need to be taken in one-week increments. All vacation times must be cleared with the chief resident presiding over a lower-level resident’s respective service.

As interns, you are allotted 3 weeks of vacation time, with an additional week “off” to work in the microsurgical rat lab. Due to the rules of the General Surgery Department, interns must take all 4 of these weeks in one contiguous block. Your “Vacation” module is typically selected at the beginning of the Academic Year, with “first priority” requests being honored the vast majority of the time.

»International Experience

Multiple residents in each class choose to participate international medical experiences. These can be done during the chief Elective rotation block, or during vacation times. Many of these experiences can be offset using the resident’s education fund. Such examples of international travels include Kampala (Uganda), Kijabe (Kenya), Bern (Switzerland), Sydney (Australia), and Port-Au-Prince (Haiti). Trips may be funded through the Resident Education Fund.

Residents presenting research may have the opportunity for presentations at international meetings. Such examples of recent/current residents include Egypt, Italy, England, and Germany.

»High School Sports Coverage

Each resident is assigned a high school beginning in their PGY-2 year, and acts as the team physician for the football team, covering Friday night games through the season (including playoffs). The resident will typically work with the same high school through their residency career at Cleveland Clinic. All high schools have a co-assigned staff physician and athletic trainer, with about 70% to 80% of the staff physicians attending games regularly. In addition the varsity football, residents have additional opportunity (though optional) to cover further sports, such as wrestling tournaments, hockey games/tournaments, and lacrosse tournaments.

Residents are reimbursed $100 per game, with additional gas mileage reimbursement. Residents have the option of placing the funds into their paycheck accounts (taxed), or as an alternative, placing the funds into their individual Education Funds (tax-free).

»Moonlighting

During the research year, as well as during the senior level rotation years, the opportunity to moonlight is open for each individual resident. This is set up at the individual’s discretion and effort, and must factor into the 80-hour work week regulation. It cannot detract from prior resident obligations to Cleveland Clinic's program, and is seen as a privilege, not a right. You must obtain a full Ohio medical license.

»On Call Meals

Meals can be purchased with the swipe of the employee badge. Those residents with in-house call responsibility will have their meals pain for by the GME department, with 3 meals included during each call. In addition to the multi-ethnicity cafeteria at Cleveland Clinic's main campus, other options for dining include 2 separate Au Bon Pains (24-hr), Starbucks, McDonald’s, La Salsa and sushi restaurants.

»Athletic Facilities

All Cleveland Clinic residents are granted free membership to the Walker Fitness Center, located across the street from the main outpatient clinic building on Cleveland Clinic’s main campus. This facility, recently renovated in 2009, is comprised of a state of the art free weight facility, aerobic exercise rooms, meter pool, basketball courts, indoor track, and multiple class offerings. Alternatively, some residents choose to pay for membership at facilities closer to their homes, including Bally’s, Lifetime Fitness, or Urban Active. Cleveland Clinic does have a health initiative program to aid with partial reimbursement for these monthly membership fees.

»Health Insurance

All residents have the opportunity to be covered by the Cleveland Clinic Health Insurance plan, with a wide variety of locations covered as “Tier 1” providers. The base health insurance plan (including families and spouses) is of no charge to the resident. Additional eye or dental coverage may be added for a nominal cost. Co-pays typically range between $10 for a PCP visit, $25 for a specialty visit, and $50 for an ED visit.

»Payroll

Please refer to Cleveland Clinic's GME website for further information regarding yearly salary. The salaries are graduated on an annual basis, and are in accordance with all other Cleveland Clinic residency program standards.

Contact Information

Should you have any other questions regarding the application or interview process, please do not hesitate to contact the Orthopaedic Education Office and the education coordinator, Chris Orlinski at 216.445.7570.