PGY 1:

The first year of the program the resident will complete the following rotations:

• Anesthesia (one (1) month) at South Pointe Hospital
• Emergency Medicine (one (1) month) at South Pointe Hospital
• General Surgery (one (1) month) at South Pointe Hospital
• Vascular Surgery (one (1) month) at South Pointe Hospital
  Internal Medicine  (one (1) month) at South Pointe Hospital
• Medical Intensive Care (one (1) month) at South Pointe Hospital
• Orthopedic Surgery (six (6) months), including two (2) months of Adult Reconstruction at Cleveland Clinic Main Campus  
• Residents will attend the OTA Resident Comprehensive Fracture Course
• Residents are required to attend the yearly Pediatric Othopaedic Resident Review course and the Pathology/Oncology course in Akron.

PGY 2:

• South Pointe Hospital Orthopaedic service (Mentorship model) - six (6) months. Residents will spend time on the services of Drs. Cereijo, Harmon, McLaughlin, and Silko.  Residents participate in evaluating patients in outpatient clinics and developing treatment plans under the supervision of the osteopathic faculty.
• Residents will be assigned first call for the emergency room.
• Residents will assist in surgical cases at the affiliate hospitals such as Hillcrest Hospital (a high volume Level II trauma center), Marymount, Lutheran, Main Campus, and Euclid Hospitals, as well as the Twinsburg and Sports Health Ambulatory Surgery Center.
• The second-year residents take responsibility for organization of the weekly Fracture Conference. They will present chosen cases and lead discussions with the students, residents, and faculty. During this year they will begin to have responsibility in the teaching of the medical students assigned to orthopaedic surgery. 
• Main Campus Cleveland Clinic Orthopedic Pediatrics service - two (2) months. Residents work under the guidance of Drs. Goodwin, Kuivila, Gurd, Young, and Ballock. Residents  experience a variety of pediatric orthopedic care both in the operating room and clinic. The resident will be involved in both simple and complex pediatric cases.  They will also take part in weekly pre- and post-op conferences with faculty.
• Spine Surgery at Hillcrest Hospital - two (2) months. Residents work alongside Drs. Billow, Benzil, Spiessberger, and Soni.
• Orthopaedic surgery at Hillcrest Hospital - two (2) months. Residents will work under Drs. Billow and Cereijo where there is exposure to orthopaedic trauma while also fielding floor and ER consults during the day.  The PGY2s usually cover Hillcrest between January and June for the given academic year.
• Residents will take part in the AO Basic course sponsored by AO North America. This course reviews basic principles of fracture care and internal fixation devices.
• Residents are required to attend the yearly Pediatric Othopaedic Resident Review course and the Pathology/Oncology course in Akron.

PGY 3:

During this year the residents assume more responsibility in the clinic, on the floor, and with surgical patients. 

• Orthopaedic surgery at Hillcrest Hospital - two (2) months. Residents will work under Drs. Billow and Cereijo where there is exposure to orthopaedic trauma while also fielding floor and ER consults during the day.  The PGY3 usually cover Hillcrest between July and December of the given academic year.  
• South Pointe Hospital Orthopaedic service (Mentorship model) - eight (8) months. Residents will spend time on the services of Drs. Cereijo, Harmon, McLaughlin, and Silko.  Residents participate in evaluating patients in outpatient clinics and developing treatment plans under the supervision of the osteopathic faculty.
• Pediatric Orthopaedic service at Akron Children's Hospital - two (2) months. Residents will be exposed to simple and complex pediatric surgical cases.  They will take primary call at the Level I emergency department.
• Residents continue with first call for the emergency room at Hillcrest/South Pointe. 
• Residents will assist in surgical cases at South Pointe, Hillcrest (a high volume Level II trauma center), Marymount, Lutheran, Main Campus, and Euclid Hospitals, as well as the Twinsburg and Sports Health Ambulatory Surgery Center.
• The resident attends the Boston Orthopedic Path Course, sponsored by Beth Israel Deaconess Medical Center/ Harvard Medical School, held in the spring of each year, and a conference specific to a specialty of their choice.
• Residents are required to attend the yearly Pediatric Othopaedic Resident Review course and the Pathology/Oncology course in Akron.

PGY 4:

The PGY4 year will provide the resident with the opportunity to work and learn from various subspecialty orthopedic physicians.

• Orthopaedic trauma in Lakewood, Colorado at St. Anthony's Level I Trauma Center with the Panoramic Orthopedic group - three (3) months. The resident will work under several fellowship trauma trained orthopaedic surgeons including Drs. McNair, Patel, and Grossman. In addition, the resident will work under Dr. Rowland who is fellowship hand trained and Dr. Deol who is fellowship foot and ankle trained.  Housing is provided and food is covered at the hospital.     
• Main Campus Cleveland Clinic Orthopedic Pediatrics service - two (2) months. Residents work under the guidance of Drs. Goodwin, Kuivila, Gurd, Young, and Ballock. 
• Hands/Upper extremity rotation at Cleveland Clinic Main Campus -  two (2) months. Residents work with fellowship trained orthopaedic hand/upper extremity surgeons including Drs. Styron, Maschke, and Seitz.
• Musculoskeletal Oncology at Cleveland Clinic Main Campus - two (2) months. Residents work with Drs. Mesko, Nystrom, and Burke.
• Elective rotations: the resident has three (3) months of electives of their choice within the Cleveland Clinic hospital system and affiliates, and can include Sports Medicine at Cleveland Clinic Main Campus working with a wide variety of orthopaedic sports surgeons who cover both the Cleveland Guardians MLB and the Cleveland Cavaliers NBA.
  PGY4s have the option of taking the AAOS Board Review Course in April, and AOA written board exam, usually administered in May.
• Attendance at the Annual AOAO Meeting is required at least once during the residency and is usually attended during the fourth or fifth year, alternate of board review course.

PGY 5:

• The final 12-months is spent entirely at South Pointe, Hillcrest (a high-volume Level II trauma center), Marymount, Lutheran, Main Campus, and Euclid Hospitals, as well as the Twinsburg and Sports Health Ambulatory Surgery Center. 
• The fifth-year residents share the chief resident responsibilities.  This includes scheduling the morning didactic lectures, call schedule, skills labs, journal clubs, and medical student rotations. They also oversee and closely communicate with the junior residents on the various core services.
• Residents primarily cover cases with Drs. McLaughlin, Cereijo, Silko, and Harmon in conjunction with the assigned junior resident. 
• PGY5s provide backup call for junior residents.
  If not completed as PGY4, AAOS Board Review Course in April, and AOA written board exam, usually administered in May.  
• Attendance at the Annual AOAO Meeting is required at least once during the residency and is usually attended during the fourth or fifth year, alternate of board review course.   

Cleveland Clinic South Pointe Hospital ~ 20000 Harvard Road, Warrensville Hts., Ohio 44122 ~ Phone: 216.491.7460 ~ Fax: 216.491.7802