International Health Track
Rainbow has designed the IH track to be comprehensive and flexible. You have the option for an overseas rotation, but you can fulfill IH track requirements without it. The track centers on a core curriculum of essential international health information, but also includes interactive components like a journal club, teamwork on a Handbook of Tropical Pediatrics and small group sessions on disaster management.
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Computer Systems
Sunrise Clinical Manager – Designed by Eclipsys for University Hospitals, installation began in the spring of 2008. Currently it is used for clinical results (lab, radiology, pathology, etc.), patient tracking and review of dictated reports (outpatient notes, etc.). Over the upcoming months, more functions will be added, including order entry, vital sign tracking and note writing. 
PACS – used to view radiographic studies (this feature is also available in Sunrise)
RECS – designed by a former Rainbow Resident specifically for our program, this system is used for daily note writing and for generating a standardized sign-out. It helps improve efficiency by cross-referencing certain data between your notes and your sign-out and also by providing organized to-do lists for the on-call residents.
PCOSS – computerized order entry stystem. Scheduled to be replaced by Sunrise in the near future, our current system allows for the placing of orders from anywhere in the hospital (including call rooms).
Electronic Educational Resources – In order to facilitate evidence based medical practice, UH Case Medical Center provides free access to countless journals from any computer in the hospital and also to subscription sites such as Up To Date and MDconsult. There is also a common shared hard-drive (“The S drive”) which on-line learning modules. All of these features are also available via VPN from your home computer.
Physician Portal – Web-based program that contains lab results, radiology and pathology reports, outpatient notes and discharge summaries. Available from both inside and outside the hospital.
Rbcresidents.com and casemedicine.com : These websites, maintained by each categorical program, are the central spot for posting schedules, reading, conference handouts, and policies. These are available on the internet, and are accessible from home.
Innovative Curricula
Primary Care Block—beginning in 2009, the Internal Medicine residency has started a innovative 1 month curriculum to prepare interns for outpatient continuity care. Med-Peds residents have the opportunity to take advantage of this curriculum in their first few months.
Wellness curriculum—Also beginning in 2009, the Pediatrics residency has started a formalized curriculum to promote wellness among busy residents. We know that balancing work and home life is difficult as a resident, and we hope to promote awareness and healthy ways of coping with these difficulties.
IOM workhours—The Internal Medicine residency has instituted an intern night float system designed as a step towards compliance with the more stringent IOM work hours guidelines. While medicine interns still take call overnight, they are guaranteed several hours which are completely pager-free.
General Pediatrics Junior Resitern Service—In response to concerns over large patient census and resident desire for autonomy, the Pediatrics program has instituted an additional Junior Resitern service during busy winter months. On this service, junior residents take call without interns, admitting only general pediatrics patients. This allows residents to develop autonomy in decision making, while broadening their general pediatrics experience. Faculty members who supervise this service are selected for their desire to facilitate this learning process.
Clinical Skills Block—Med-Peds residents have the opportunity to hone their procedural skills at the state-of-the-art Mt. Sinai Skills and Simulation Center. This facility, opened in 2006, contains remote-controlled robotic mannekins, exam rooms, and distance learning capabilities, which allow residents to develop skills such as IV placement, Central line placement, and running codes.
Restructuring of Ward Teams—As more community physicians become reliant on teaching services, the census on both Internal Medicine and Pediatrics has grown in the past year. In this ever evolving situation, both programs have undergone major restructuring of inpatient teams. In Pediatrics, general pediatrics patients are now spread across three of the four inpatient teams, with continued restructuring as the need arises. On Internal Medicine, the hospital has increased the number of hospitalists in order to decrease reliance on residents solely for service needs. The Veterans Affairs Medical Center has added hospitalist staff to ensure that residents have a valuable educational experience while rotating there.
Research and Residency
There are many opportunities to pursue research opportunities and quality improvement projects throughout the med/peds residency experience at UH/RBC. Mentoring resources are widely available at University Hospital, Rainbow, The Wade Park VA Hospital, and at Case Western Reserve University. At a minimum, each resident pursues at least one research project during the course of their residency training. Traditionally known as "The Senior Project", this experience gives our residents an opportunity to perform focused research projects in an area of interest with a faculty mentor. A research curriculum teaches the fundamentals of research design and there is support given for study design and data analysis. The culmination of these efforts is the presentation of these projects at Science Day, an all day scientific symposium that has been a Rainbow tradition for over 30 years. Science Day provides a showcase for the research efforts of the residents and is a highpoint of the academic year for faculty and residents alike.
Previous Med/Peds Research Projects and Presentations:
Brian Chow, MD
Chow, Brian, YT Huang, and FP Esper. Evidence of Human Bocavirus Circulating in Children and Adults, Cleveland, Ohio. Slide and poster presentation at St. Jude’s Pediatric Infectious Disease Society, Memphis, February 2008. Slide and poster presentation also given at Rainbow Babies and Children’s Hospitals Annual Science Day, June 2008.
Paras Khandhar, MD
Khandhar PB, Dearborn D, Smith PG. “Efficacy of Mechanical Ventilation and Steroids in the Treatment of Acute Idiopathic Pulmonary Hemorrhage of Infants (AIPHI)”. Poster presented at the American Thoracic Society Meeting, San Diego, May 2009. . Slide and poster presentation also given at Rainbow Babies and Children’s Hospitals Annual Science Day, June 2009.
Robin Kremsdorf
Kremsdorf, Robin, MA O’Riordan, and K Dell. Dyslipidemia and other cardiovascular risk factors in pediatric renal transplant patients. Slide and poster presentation at Rainbow Babies and Children’s Hospitals Annual Science Day, June 2008.
Alecia Nero, M.D.
Nero, Alecia, A. Villella, H. Gutin, and Brian Berman. Cardiac dysrhythmias in pediatric patients with sickle cell anemia. Poster presentation at National Sickle Cell Disease Conference, St. Jude’s Hospital, Memphis, 2005. Slide and poster presentation also given at Rainbow Babies and Children’s Hospitals Annual Science Day, June 2008.
Kenneth Remy M.D.
Cleveland and Violence Statistics: The CAVS Study on Youth Violence, Science Day Presentation, June 2008. Remy, Kenneth. Violence and children: a Cleveland epidemic? Presented at Rainbow Babies and Children’s Pediatric Grand Rounds, March 2008.
Jeffrey Solomon M.D.
Solomon JD, O’riordan MA, Furman L, “Family friendliness of pediatric residency programs.” Slide and poster presentation given at Rainbow Babies and Children’s Hospitals Annual Science Day, June 2009.
Carolyn Stickney, M.D.
Outcomes in Infants with Cardiac Dysfunction Associated with Bronchiolitis, Science Day Presentation, June 2008.
Salary and Benefits
Resident Salary 2009-2010:
Residents are paid according to their level of training as follows:
PGY-1 $46276
PGY-2 $47882
PGY-3 $49256
PGY-4 $51693
Education Allowance :
Money is available for books, conference travel, medical equipment, etc. Interns and residents have a yearly allowance of $400 for education expenses. Residents have the opportunity to earn an additional $300 of book money for their PGY 2, 3, and 4 years by meeting a minimum level of conference attendance the previous year.
Pediatric Boards:
Categorical and Medicine-Pediatric Residents will be reimbursed for the American Board of Pediatrics (ABP) exam if they take the exam in the fall immediately following residency. All residents are given partial reimbursement ($700) with full reimbursement given if a minimal conference attendance requirement is met.
Vacation:
Four weeks of vacation per year split into two 2-week blocks plus five days off over the winter holidays. Interns receive a fifth week of vacation at the end of the intern year.
Case Affiliation:
All residents are provided affiliation with Case Western Reserve University. This includes access to gym facilities, libraries, and email. The gym facilities include a cardio training room, weight lifting room, swimming pool, racquet ball courts, squash courts, climbing wall, basketball courts, indoor track, and tennis courts. The Case gym is located across the street from Rainbow.
A private gym facility “ONE TO ONE Fitness Center” also located across the street from Rainbow encompasses all aspects of health enhancement. Discounted memberships are available to residents.
Parking:
Parking is available to all residents in a variety of structures and open lots. All are within easy walking distance to Rainbow. Cost for parking is approximately $43.00 per month and can be taken directly out of your paycheck.
Health Insurance:
The medical plans in the UH Benefits Program are offered through Anthem Blue Cross and Blue Shield. The Traditional Plan provides you with three options to receive your medical care. In the Traditional Plan, you receive the highest level of coverage if you use a UH facility. You can also access care directly in the network or through any non-network provider you choose at reduced levels of coverage. The Consumer Choice Plan represents a promising new direction in our approach to making high quality medical coverage available to our employees. The Consumer Choice Plan provides a more individualized approach to managing your healthcare expenses through an employer-funded account, called the Consumer Choice Account, which can be used to pay eligible healthcare expenses. Health insurance is available to employees who are regularly scheduled to work at least 16 hours per week. Coverage is effective the first day of the month coinciding with or following your employment date.
Dental Insurance:
Dental coverage is available through CIGNA Dental for you and your family. Covered services can be obtained in or out of the network. The plan provides coverage for preventive, basic, and major restorative services. Your monthly contribution is payroll deducted on a pre-tax basis. Coverage is effective the first day of the month coinciding with or following your employment date.
Professional Liability Insurance:
Professional personnel are covered by the hospital at no cost.
Retirement Funds
All employees are eligible to contribute to the 403(b) Matched Retirement Savings Plan. Employees with one year of service, who have worked at least 1,000 hours, are eligible to receive a match. UHHS will match 50% of the first 6% of your contributions. Money the hospital contributes (matched contributions) is 100% vested after three years of service.