Our team of physicians and ancillary staff educators are dedicated to the continuous improvement of knowledge in order to provide world-class care. We emphasize teamwork and employ state of the art programs based on our emergency medicine educational blueprint, a ratio of time dedication to lecture, simulation, and interactive skills based workshops. We believe this framework provides all types of learners the best opportunity to excel.

Some of the educational programs we offer consist of: 1) a cadaver based procedure lab; 2) an evidence based educational forum; 3) a bi-annual teamwork based educational endeavor that focuses on time-sensitive disease processes; 4) Emergency Medicine simulation lab courses; 5) and intra-departmental bedside teaching for fellows, residents, mid-level providers, students and many other Cleveland Clinic professional staff.

Sean M. Roth DO, DPM, FACEP
Director of Education
Emergency Services Institute
Cleveland Clinic

Founder and Co-Director, Emergency Services Institute Procedure Lab, Cleveland Clinic

Residency Program

Residency Program

Our Emergency Medicine Residency Program is a combined program sponsored by Case Western Reserve University, the MetroHealth System, and the Cleveland Clinic. Our unique dual site (Cleveland Clinic & MetroHealth) program boasts over 300 successful graduates who currently practice in academic and community settings. Twenty to thirty percent of our graduates pursue fellowship training after graduation. Cleveland Clinic became an ACGME approved second site for our program in 1998. We are a categorical three year program.

Cleveland Clinic main campus Emergency Department cares for approximately 60,000 patients annually. Our residents spend one third of their overall ED time in the Main Campus ED. They gain exposure to a wide variety of patients with diverse, complex medical conditions:

  • Medically and surgically complex patients come to our world-renowned tertiary referral center, including those seeking care at the Sydell and Arnold Miller Family Heart, Vascular & Thoracic Institute. U.S. News & World Report consistently names Cleveland Clinic as one of the nation's top hospitals in its annual "America's Best Hospitals" survey and has named Cleveland Clinic's heart program No. 1 in the nation since 1995. Our residents also benefit from daily exposure to patients presenting with complicated oncologic, neurologic and transplant-related emergencies.
  • A local, urban neighborhood population offers unique challenges and opportunities for personal growth as compassionate providers.
  • International patients with complex medical conditions.
  • A large community/suburban patient base that reflects the Cleveland Clinic’s evolution and growth in Northeast Ohio.
  • Opportunities for involvement with Event Medicine, ED Observation, and exposure to free-standing emergency department practice at our regional sites.

Our residents are afforded graded levels of responsibility, and advance as second and third year residents to manage resuscitation of our most ill patients. They are supported by over 40 board certified Emergency Medicine faculty with publication/research/teaching interests, including Geriatric Emergency Medicine, Pediatric Emergency Medicine, Quality and Patient Safety, Critical Care, EMS, and ED Ultrasound. We maintain a minimum ratio of 1:1 attending physician to Emergency Medicine resident on a 24/7 basis. Our residents with academic focus also take an integral role in the teaching and mentoring of medical students in the ED.

The Emergency Medicine residency training experience we offer in the Cleveland Clinic is both complementary and supplementary to the unparalleled experience at the MetroHealth System, a Level One Trauma and Burn Center, and home to one of the busiest aeromedical transport programs in the country. We have a strong, collegial working relationship with our friends on the MetroHealth faculty, and together form a complement of over 75 experienced Emergency Medicine specialists.

Please feel free to contact us for more information.

Warm regards,

John Queen, Jr., MD
Associate Residency Program Director
Case Western Reserve University/MetroHealth System/Cleveland Clinic
Emergency Medicine Residency Program


John Queen, Jr., MD (Associate Residency Program Director,
Sandy Najarian, MD (Program Director,
Courtney Smalley, MD (Assistant Residency Program Director,
Matthew Kostura, MD (Assistant Residency Program Director,
Arteshia Hill (Administrative Program Coordinator,, 216.445.4590)
Katie Shergalis (Residency Coordinator,, 216.778.5088)

Diversity & Inclusion

Discover the role diversity and inclusion plays at Cleveland Clinic and at its Graduate Medical Education program, as well as our diversity and inclusion efforts.

Learn more



The Research Department of the Emergency Services Institute (ESI) consists of several personnel. The staff includes Paul Budny, RN, CCRA, CCRP; Allison Lightbody, BA, MPH; Brian Spencer, EMT-P; Stephanie Stoianoff, BSHA, MBA, Research Coordinator; Amy Yamokoski, MA, CCRP, Research Program Administrator; and Sharon E. Mace, MD, FACEP, FAAP, Physician Director of ESI Research.

Paul Budny, RN, CCRA, CCRP has been a registered nurse with Cleveland Clinic for 33 years working with the Pediatric ICU, Clinical Decision Unit, Rapid Response Team and the Emergency Department.  In addition, he has worked for various medical device companies serving as a field clinical engineer and account manager for 20 years.

Allison Lightbody, BA, MPH has worked at Cleveland Clinic in the Department of Pathology and Laboratory Medicine for 7 years an dis on the hospital HERT team and the DRT team.  She is an EMT and is certified in public safety and has Federal Emergency management Training (FEMA) for mass casualties.  She has a Master's of Public Health from Cleveland State University and an undergraduate degree in neuroscience from Hiram College.

Brian Spencer, EMT-P has been a paramedic/fire fighter with the City of Cleveland Fire Department for 27 years.  He joined the Cleveland Clinic as a paramedic in the emergency department in 2002.

Stephanie Stoianoff, BSHA, MBA is our ESI Research Coordinator.  She has 11 years of service at the Cleveland Clinic in cardiovascular, occupational health, and urology prior to joining the emergency department.  She has a Bachelor of Science degree in Healthcare Administration and a Master's degree in Business Administration.

Amy Yamokoski, MA, CCRP is the Research Administrator in the Center for Clinical Research.  She has over 11 years of service with the Cleveland Clinic and provides administrative support for ESI research.

Sharon Mace, MD, FACEP, FAAP is starting her 20th year as a staff physician at Cleveland Clinic and has been the ESI Director of Research since 2012. She is a Professor of Medicine in the Cleveland Clinic Lerner School of Medicine at Case Western Reserve University and is dual boarded in emergency medicine and pediatrics.  She has over 200 article published in medical literature and two medical textbooks.

Sharon E. Mace, MD FACEP, FAAP
Director of Research
Emergency Services Institute
Cleveland Clinic

Career Opportunities

Career Opportunities

Cleveland Clinic, located in Cleveland, Ohio, is a not-for-profit, multispecialty academic medical center that integrates clinical and hospital care with research and education.

Cleveland Clinic was founded in 1921 by four renowned physicians who shared a vision of providing outstanding patient care based upon the principles of cooperation, compassion and innovation.

Today, Cleveland Clinic is one of the largest and most respected hospitals in the world.

Cleveland Clinic's approach is to foster creativity and cooperation in the pursuit of a common goal: creating world class service for our patients and their families. In doing so, we have become one of the world's largest and busiest health centers and our reputation for outstanding care ever growing.

Cleveland, Ohio is a great place to live and work. The main hospital campus is located near Cleveland’s historic University Circle, home of the School of Medicine at Case Western Reserve University. Occupying 140 acres and 37 buildings, Cleveland Clinic main campus includes a hospital, an outpatient clinic, cancer center, eye institute, research institute and supporting labs and facilities.

Job opportunities

Although the majority of the positions available here involve clinical care, Cleveland Clinic also offers an array of healthcare-related career opportunities and positions.

Fields include healthcare administration, accounting, healthcare law, human resources, food services, information technology, construction management, environmental services, patient services, parking services, marketing, communications and fund raising.

Cleveland Clinic also offers attractive, competitive compensation and benefit packages.

Physician Career Opportunities

Cleveland Clinic is constantly growing to meet the medical needs of our patients. Consistent with this continued growth the Office of Physician Recruitment, Office of Professional Staff Affairs is responsible for pursuing quality, caring medical professionals to augment our staff.

If you have an interest in securing information specific to your specialty and the current needs of Cleveland Clinic, please contact Joe Vitale, Director, Office of Physician Recruitment, Professional Staff Affairs at


U.S. News & World Report consistently names Cleveland Clinic as one of the nation's top hospitals in its annual "America's Best Hospitals" survey and has named Cleveland Clinic's heart program No. 1 in the nation since 1995.

In June, 2003, the American Nurses Credentialing Committee (ANC)—an arm of the American Nurses Association and the nation's largest nursing accrediting and credentialing organization—awarded Magnet status to the Cleveland Clinic nursing staff.

To become a Magnet hospital, nursing services must pass a rigorous review administered by the ANCC. A hospital must successfully meet or exceed expectations in 14 categories of care and performance criteria. Cleveland Clinic is the only hospital in the greater Cleveland area and the second hospital in Ohio to be recognized. Just one percent of the nation's more than 6,000 hospitals have earned the distinction of ANCC Magnet status.

Cleveland Clinic also has been named one of the nation’s best hospitals in the HCIA-Sachs annual Top 100 Hospitals study of medical and operational excellence.

Cleveland Clinic Health System

The Cleveland Clinic Health System (CCHS) combines the area’s best community hospitals with the world-class care of The Cleveland Clinic. Comprising 8 community hospitals and affiliate hospitals, CCHS is the only health system in Northeast Ohio accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), the nation’s largest accreditor of health care organizations.

All of our hospitals, outpatient clinics and home health care programs are also accredited by the JCAHO under its hospital accreditation program.

Cleveland Clinic Florida

Cleveland Clinic Florida, with multiple locations in Florida, is a not-for-profit, multi-specialty, academic medical center that integrates clinical and hospital care with research and education. The medical campus is fully integrated and includes diagnostic centers, outpatient surgery and a 24-hour emergency department located in the state-of-the-art hospital.

Cleveland Clinic Florida is an integral part of Cleveland Clinic Ohio, where providing outstanding patient care is based upon the principles of cooperation, compassion and innovation. Physicians at Cleveland Clinic are experts in the treatment of complex conditions that are difficult to diagnose.