The Center for Family Medicine faculty saw a need to increase expertise of residents through more formal training in Health Promotion. The 2nd year residents take part in the Health Promotion rotation, which is scheduled during the 9th block, usually around February-March.
- Focus areas include: key health risks, evidence-based recommendations, behavior change and practical office implementation strategies
- Rotation topics include: behavior change theory/models, USPSTF Review, alcohol abuse, smoking cessation, obesity management, nutrition, exercise, stress reduction, STEP UP Study Review, office time management, self-assessment (chart audit) and a group project
- Residents benefit by getting individual evaluations each session, focus groups following the rotation, pre- and post-tests, and self-evaluation of health promotion practices.
All faculty are involved in teaching this rotation, which promotes faculty development and team building among residents and faculty.
Integrative Medicine in Residency Track
Our program is the first residency in Ohio to offer the Integrative Medicine in Residency Track sponsored by the University of Arizona Center at Tucson Center for Integrative Medicine. The IMR track is a 180-hour online curriculum that is optional for second and third year residents. More than two thirds of our residents have chosen to be in the IMR Track.
Participants devote one or more elective blocks to help free up the time they need to progress through the online IMR content, as well as setting up local experiences in Integrative and/or Functional Medicine. Some of their academic funds are used to defray a portion of the tuition expense. Residents who participate are mentored by Dr. Kelly, who has himself completed the two-year faculty fellowship in Integrative Medicine through the Arizona Center. Participants also host monthly “IMR Pearls” conferences to highlight useful aspects of their learning for everyone in the Center. The IMR Track is a wonderful fit with our health promotion emphasis, our curriculum in motivational interviewing and therapeutic communication, as well as training in osteopathic principles and therapies.
The Family Medicine Residency Program offers a Global Health Track. The educational goals of this track include achieving heightened awareness of the health needs in developing countries, and experiential training in the provision of that care.
In the PGY2 year residents participate in a 2-day global health course through University Hospitals. During their PGY3 year, residents can participate in an approved global health experience. The resident will be required to present their global health experience in a one hour didactic lecture.
Essentials of Family Medicine Rotation
The interns participate in the Essentials of Family Medicine rotation, which is scheduled during their 4th block rotation. During this rotation, residents learn the foundations of Family Medicine and gain knowledge in health promotion and chronic disease management.
This rotation is filled with fun and educational team building activities. The residents get an introduction to our longitudinal procedure curriculum by spending an afternoon in our procedure workshop at South Pointe Hospital. Residents are also introduced to self-reflection portfolios, which help foster life-long learning.
The Family Medicine Residency Program, in collaboration with the Cleveland Clinic Sports Health Department, offers a well-rounded, exceptional education in the field of sports medicine. Residents rotate and work with the team physicians for the Cavaliers and Indians. They can participate in the medical coverage of multiple sporting events during the year at Cleveland State University, Notre Dame College, John Carroll University, and Baldwin Wallace University.
Additionally, residents have the unique opportunity of providing sports medicine coverage to local area high schools. This coverage does vary by month, but for those interested in sports medicine, a longitudinal experience in sports medicine coverage is offered. There is also exposure to a variety of procedures during the month, including aspiration and injection of a variety of joints, ultrasound guided procedures, orthobiologics (Platelet rich plasma, placenta tissue matrix), and Tenex procedures. Residents will also be exposed to patients of all ages with acute and chronic musculoskeletal ailments where they can hone their musculoskeletal exam and differential diagnosis skills. The Concussion Center allows a unique opportunity to educate the residents on concussion diagnosis, work up, and management of concussed athletes.
There are also numerous didactic opportunities, including the Friday Sports Medicine Fellow Lecture series and the Sports Medicine Lecture Series, organized by the Cleveland Clinic Sports Health faculty. The Primary Care Sports Medicine Fellows also precept at our Family Medicine Clinics, providing the Family Medicine Residency Program with an outstanding educational experience and exposure to the field of sports medicine.
Care Enhancement Rotation
Care Enhancement (CE) is an exciting newer educational experience that we piloted successfully in the 2011-2012 academic year and are continuing to shape going forward. Our concept is that residents learn about the care of our most vulnerable patients by coordinating and delivering services to this population during this block. It feels really good when you know that something you arranged or did yourself made a big difference for a patient. The CE resident communicates closely with the Inpatient Team and Center for Family Medicine (CFM) physicians and staff to identify opportunities to prevent hospital admissions and readmissions, enhance quality of life, improve patient and caregiver satisfaction, and prevent adverse outcomes. Contact with patients and families can occur in the home, in the CFM, in the hospital, or in the nursing home or other extended care facility.
Internal referral to the CE resident for evaluation and intervention can be made by anyone in the CFM who perceives a potential need. A registry of at-risk and vulnerable patients is maintained in our EMR. In the 2017-2018 academic year, the format was changed so that CE rotation occurs in two 4-week block rotations following the block that the resident was on the Family Medicine service. With this format, the resident will know the patients since they just came off the service. Elective rotation time is also built into the two CE blocks. Supervision is by the Inpatient Service physician and Dr. Kelly Raj. Normal patient care in the CFM and attendance at required conferences are maintained.
Sample Rotation Schedule
Below is a sample rotation schedule.
|Block 1||Akron ER||Ambulatory Pediatrics||Allergy/ENT|
|Block 2||ER||Behavioral Science||Family Medicine|
|Block 3||Essentials of Family Medicine||Family Medicine||Care Enhancement|
|Block 4||Internal Medicine||Cardiology||Eye/GU|
|Block 5||Int. Med. or Family Med. at Metro||CCU||Eye/GU|
|Block 6||Pediatrics Inpatient at Metro||Sports Medicine||Elective|
|Block 7||Family Medicine||Pediatric Inpatient||Family Medicine|
|Block 8||Hospital Medicine||Elective||Care Enhancement|
|Block 9||Internal Medicine||Health Promotion||Community Medicine|
|Block 12||Surgery-Outpatient||Management of Health Systems||Elective|