Graduate Medical Education
Medical Student Rotation Manual
We will be the health care providers of choice in the communities we serve by continuously
improving our delivery of health services as part of the Cleveland Clinic health system.
We will fulfill this mission by personal behaviors that exemplify the values of:
A safe environment for all
Ethics and integrity
Respect for diversity
Caring for others
Our mission will be achieved through the following philosophies:
Enhancing the quality of life, preserving and restoring the health, and alleviating the
pain and suffering in the communities we serve.
Promoting excellence and safety through continuous improvement in all our
Embracing the contributions of diverse cultures throughout our organization.
Respecting the important role of the private practice of medicine.
Creating a caring, respectful and friendly environment, which allows each individual
to do his or her best work, feel personally satisfied and reach his or her fullest
Fostering teamwork and employee empowerment by building open, effective
communication and decentralized decision making.
Supporting the role of individual hospitals in medical education.
Partnering with other individuals and organizations similarly committed to
improving the health and quality of life in the communities we serve.
Encouraging individuals to take personal and professional responsibility for their
activities and roles within the organization.
Supporting the improvement and development of the Cleveland Clinic health system.
VISION FOR SOUTH POINTE HOSPITAL
To be recognized as the leading community health care resource in southern Cuyahoga/
northern Summit counties, providing the highest quality of care and service in a fully
integrated health care campus, which attract and retains the most competent health care
This leadership position will be achieved through the following six key strategies:
1. Enhance clinical and service quality utilizing the principles of total quality
2. Implement a patient focused care model by building on the success of the support
service teams in order to redesign the patient care process.
3. Facilitate the integration of osteopathic and allopathic medical staffs to enhance
trust, further physician partnerships, and foster shared governance. Restore the
historic and new medical staff alliances to the merged medical campus.
4. Inspire a team of transitional leaders to embody the values of integrity, mutual
respect and fairness, creating a climate of trust throughout the transition. This new
organization will have the respect for the future, regard for the present and
understanding of the past.
5. Identify, prioritize, and respond to the health-related needs of the communities we
6. Enhance and promote the affiliation with Ohio University College of Osteopathic
Medicine and create the most advanced osteopathic medical training program in the
The pursuit of this mission will be based upon the vision of the Health System, which states:
The best place to receive care. The best place to practice medicine. The best place to work.
This mission is in concert with the values of the vision statement, which reflect caring,
excellence, ethics, integrity, individual responsibility, and the enhancement of the quality of
life by which the rightness of our direction will always be measured.
Graduate Medical Education
The osteopathic teaching programs at South Pointe Hospital date back to our founding as
Brentwood Hospital in 1957. We recognize the importance and value of osteopathic
graduate medical education programs, which help to train the physicians who will serve
future generations through the highest quality care.
We affirm South Pointe Hospital’s commitment to Graduate Medical Education. The
programs at the Institution will continue to emphasize the development of personal, clinical
and professional competency under the careful guidance and supervision of the faculty. The
programs will also continue to be monitored to be certain they provide safe and humane care
of patients at the same time that our intern and resident physicians progress in responsibility
as appropriate for their experience and competency.
South Pointe Hospital is dedicated to train the future leaders in osteopathic medicine by
providing organized and academically rigorous programs of education that foster
physicians’ professional development as skilled, ethical, compassionate, and sensitive
clinicians who are capable of meeting the challenges of a changing healthcare environment
while assuring the highest possible quality of patient care.
Our graduate medical education programs will promote the collaboration and development
of a network that includes other local, regional and national institutions and affiliated
community health centers.
With this commitment, we recognize the necessity for adequate funding, facilities, support
staff, and faculty teaching time to be certain that every program under our Institutional
sponsorship offers the best possible training environment and opportunities.
…..to South Pointe Hospital/a Cleveland Clinic hospital. You are about to become an
integral member of the best osteopathic facility in this state.
Life as a medical student is a challenge and may seem overwhelming at times. The GME
department recognizes your needs and has developed the GME Medical Student Rotation
Manual to help you navigate your clinical rotations.
When you have questions, ask your preceptor and/or refer to this manual. If you are unable
to find the answer, feel free to stop by the GME department and ask the staff. We are here to
support you during your time at South Pointe Hospital.
Brian Kessler, D.O.
Chief Academic Officer &
Director of Medical Education
Nealie Houk, MSHA
Department Director, Graduate Medical Education
Coordinator, Skills Lab
Graduate Medical Education Assistant
South Pointe Hospital
Workforce Diversity and Equal Employment Opportunity
By policy, South Pointe Hospital will not discriminate against any employee or
applicant for employment. We will act to assure that we treat applicants and
employees equally, without regard to their race, color, religion, age, sex, sexual
orientation, disability, national origin or status as a veteran. South Pointe forbids
the use of racial, ethnic or sexual slurring or harassment in the work environment.
We will enact disciplinary action for violations.
Our commitment to workforce diversity and equal employment shall include, but
not limited to: employment, placement, promotion, demotion or transfer,
recruitment and recruitment advertising, referrals and referral sources,
termination, training, education and tuition assistance, social and recreational
programs, wages and other forms of compensation and job requirements.
As an employee, we expect you to conduct your activities in a manner consistent
with this policy. This includes extending fair treatment in all matters to patients,
visitors, physicians and fellow employees.
Code of Ethics
American Osteopathic Association
The physician shall keep in confidence whatever he/she may learn about a patient in the
discharge of professional duties. Information shall be divulged by the physician when
required by law or authorized by the patient.
The physician shall give a candid account of the patient’s condition to the patient or to those
responsible for the patient’s care.
A physician-patient relationship must be founded on mutual trust, cooperation and respect.
The patient, therefore, must have complete freedom to choose his/her physician. The
physician must have complete freedom to choose patients who he/she will serve. However,
the physician should not refuse to accept patients because of the patient’s race, creed, color,
sex, national origin or handicap. In emergencies, a physician should make his/her services
A physician in never justified in abandoning a patient. The physician shall give due notice to
a patient or to those responsible for the patient’s care when he/she withdraws from the case
so that another physician may be engaged.
A physician shall practice in accordance with the body of systematized and scientific
knowledge related to the healing arts. A physician shall maintain competence in such
systemized and scientific knowledge through study and clinical application
The osteopathic physician has an obligation to society to maintain in high standards and,
therefore, to continuously regulate themelf. A substantial part of such regulations is due to
the efforts and influence of the recognized local, state, and national associations representing
the osteopathic profession. A physician should maintain membership in and actively support
such associations and abide by their rules and regulations.
Under the law, a physician may advertise, but no physician shall advertise or solicit patients
directly or indirectly through the use of materials or activities that are false or misleading.
A physician shall not hold forth or indicate possession of any degree recognized as the basis
for licensure to practice the healing arts unless he is actually licensed on the basis of that
degree in the state in which he practices. A physician shall designate his osteopathic school
or practice in all professional uses of his name. Indications of specialty practice,
membership in professional societies and related matters shall be governed by rules
promulgated by the American Osteopathic Association.
A physician shall obtain consultation whenever requested to do so by the patient. A
physician should not hesitate to seek consultation whenever he/she believes it advisable.
Any dispute between or among physicians involving ethical or organizational matters in
controversy should first be referred to the appropriated arbitrating bodies of the profession.
Any dispute between or among physicians regarding the diagnosis and treatment of a
patient, the attending physician has the responsibility for final decision, consistent with any
applicable osteopathic hospital rules or regulations
Any fee charged by a physician shall compensate the physician for services actually
rendered. There shall be no division of professional fees for referrals of patients.
A physician shall respect the law. When necessary, a physician shall attempt to help to
formulate a law by all proper means in order to improve patient care and public health.
In addition to adhering to the foregoing ethical standards, a physician should, whenever
possible participate in community activities and services.
It is considered sexual misconduct for a physician to have sexual contact with any current
patient whom the physician has interviewed and/or upon whom a medical or surgical
procedure has been performed.
Sexual harassment by a physician is considered unethical. Sexual harassment is defined as
physical or verbal intimidation of a sexual nature involving a colleague or subordinate in the
workplace or academic setting when such conduct creates an unreasonable, intimidating,
hostile or offensives workplace or academic setting.
FACTS ABOUT SOUTH POINTE HOSPITAL
South Pointe, a 275-bed community teaching hospital, is located in the heart of Cleveland’s
southeastern suburbs. The merger of Meridia Suburban and Brentwood hospitals formed the
present hospital. In 1997, the hospital became part of the Cleveland Clinic health system.
The medical staff is a blend of osteopathic and allopathic philosophies of medicine.
Service highlights include:
Full continuum of medical and surgical services
Osteopathic manipulative medicine
We are dedicated to meet the needs of the communities that we serve through programs such
as Community Advisory Council, Community Health Resources Center, Healthwise
Connection program and specialty screening programs. South Pointe also offers vital
services such as weekly low-cost dinners for area seniors, along with free blood pressure
screening in the emergency department. Our approach to serving the community includes
combining the talents of highly qualified physicians, nurses and ancillary staff to
continuously improve the quality of care to our patients and their families. Our goal is to
meet and exceed the expectations of those we serve.
Affiliated with Ohio University College of Osteopathic Medicine, South Pointe is the third
largest osteopathic teaching hospital in Ohio. Our Graduate Medical Education department
trains medical students, interns, residents and fellows from across the country.
The hospital is fully accredited by both the Joint Commission of Accreditation of Healthcare
Organizations and the Healthcare Facilities Accreditation Program.
South Pointe Hospital has been awarded the Northcoast 99 “Best Places to Work in
Northeastern Ohio” for over several years.
Parent Corporation: Cleveland Clinic health system
Status: Tax Exempt
Date Founded 1957
South Pointe Hospital
20000 Harvard Road
Warrensville Hts., Ohio 44122
Sagamore Hills Medical Center Fleet Medical Center
863 W. Aurora Road 6511 Fleet Avenue
Sagamore Hills, Ohio 44067 Cleveland, Ohio 44105
Twinsburg Medical Center Twinsburg Urgent Care
2365 Edison Boulevard 2676 East Aurora Road
Twinsburg, Ohio 44087 Twinsburg, Ohio 44087
Operating Budget (2007): $139 million
Number of Employees: 1389
Number of Physicians: 410
Number of Nurses:
Number of Volunteers: 178
Outpatient registration (2006): 118,620
Emergency Department Visits (2006): 44,335
Inpatient Surgeries (2006): 3,174
Outpatient Surgeries (2006): 8,409
Total Acute/Non-Acute Discharges (2006): 9,994
Co-Chiefs of Medical Staff: Charles Webb, M.D.
Wayne Sevier, D.O.
David Kilarski President
William Young Chief Operating Officer
Kathleen Crawford, R.N. Vice President of Professional Services
John Bruyere Vice President of Support Services
Sue Collier, R.N. Vice President of Nursing
Departments by Floors:
1st floor 4th floor
Administration House staff call rooms
GME Department Quality Management
Medical Staff Office Social Services
Doctors Lounge 5th floor
Laboratory Step Down Unit
Chapel 6th floor
Mail Room 43 Medical beds
Marketing 7 floor
Human Resources Department 44 Surgical beds
Gift Shop 8 floor
Board Room Respiratory Therapy Department
Security Department Inpatient Rehabilitation
Medical Records Department
PAT Department Student lockers
Center for Corporate Health Pharmacy Department
Multi-specialty Resident Clinic 9 floor
2nd floor Dialysis Department
Ambulatory Surgery Ground Floor
Surgery Department Radiology
Digestive Health Center CT/MRI
Cardiology Department Ultrasound
2N Classrooms Nutrition Department
HRD Department Cafeteria
3 floor Linen Services
44 Medical Beds Emergency Department
1st floor 3rd floor
Congestive Heart Clinic Support Service Office
Anticoagulation Clinic Pain Management Center
Community Health Resource Wellness Coordinator Office
Center Volunteer Office
Cafeteria Engineering Office
Cancer Care Center Hospice Center
Outpatient Pharmacy 4th floor
PBX Operators Rehabilitation Center
Women/Children Center 5th floor
Laboratory Subacute Care Center
Gift Shop 6th floor
2 floor Behavioral Medicine Care Unit
Outpatient Rehabilitation 11
SCOPE OF RESPONSIBILITIES:
As a medical student, you will work directly under the supervision of the intern, resident and
attending physician. You may, in the presence of your supervisor, take part in the care of the
patients assigned to you. Your attending physician will countersign all entries in the patient
History & Physicals: You are responsible for the H&Ps assigned to you including the
osteopathic structural exam. Your preceptor will provide constructive feedback after
reviewing your work. (See H&P Procedure)
Procedures: You may, under direct supervision, perform a procedure in the presence of an
Limitations: Under NO circumstances should you, as a medical student, write orders or act
as a scribe for any physician.
Rounds: Your direct supervisor will give you the schedule to make rounds on each service.
You are expected to be prompt and prepared to discuss the patient status and any reports that
may have been done prior. This is the time to ask questions. DO NOT be afraid to speak up
if there is something you are not clear on.
Morning Report: Each service has a morning report, where the “on-call” house staff will
report on the events of each patient during the night. This is also where the chief resident
will make assignments for the day. There is usually an educational component during this
time. This conference is MANDATORY if you are on a service with morning report. BE
ON TIME and be prepared.
Skills Lab: The schedule for the Skills Lab is provided in the GME Monthly Department
Schedule. An attending physician teaches each lab with assistance of a senior resident.
Attendance is MANDATORY if you are on service in the hospital. (see Didactic section for
Didactics: Each service has a didactic schedule of their own, which you will be provided the
first day on service. A daily House Staff Conference is provided at noon in the West Wing.
GME provides a wide range of speakers on many topics. This is an opportunity to eat lunch
and learn. The schedule is in the GME monthly Department Schedule. This is a
MANDATORY conference if you are in the building. Check the bulletin board in the GME
office hallway for revisions in the schedule throughout the month.
Work hours: Your day will begin at 6:30/7:00am (depending on service). The day will end
when your work is complete, usually by approximately 5pm. Variations of these hours are at
the discretion of the attending physician and/or intern or resident.
Evaluations: Please provide your preceptor with your rotation evaluation form from your
school. All evaluations are to be returned to the GME department. We will make a copy for
your file and send the original to your Clerkship Office. Prior to completion of your
rotation, you will be expected to complete a rotation evaluation of your experience here at
South Pointe. This information is critical for us to improve our programs constantly. Final
evaluations to your schools will be sent upon receipt of the rotation evaluation and all items
provided to you during your rotation, i.e. beepers, books, badges, etc.
Attendance: All medical students are required to be at assigned areas at assigned times. If
you request a rotation and your school has an official holiday during the rotation, you must
notify our rotation office at the time of application. The policy applies to mandatory and
elective vacation time. If there is an illness, the medical student has the responsibility to
notify the Graduate Medical Education department (216.491.7464) and their immediate
supervisor in a timely manner. Absences will be kept in your file. If this is an extended
period, you must notify your school. In case of bereavement, your school needs to be
notified immediately to apply for a leave of absence. If you are a CORE based student, you
will notify the CORE office.
Mail: You may have mail sent to you in care of the Graduate Medical Education
Department at South Pointe Hospital, 20000 Harvard Road, Warrensville Hts., Ohio 44122.
The mail may be picked up at the secretary’s desk in the department. It is your responsibility
to check periodically if you are expecting mail items.
Meals: Meals are provided to all Medical Students on rotations at South Pointe Hospital.
Each resident is given meals in the cafeteria. The limit is: $3.00 for breakfast, $5.00 for
lunch. If there is lunch provided by a Pharmaceutical representative for lunch, it is highly
recommended that lunch not be gotten in the cafeteria. This is a benefit for students only;
NO family members may take part. Only a reasonable quantity of food for one person may
be purchased at one meal.
Pagers: Individual student pagers will be assigned for Internal Medicine, and Surgery
(including Orthopedics) rotations. Pagers will be issued on the first day of your rotation.
You will sign an agreement accepting responsibility for any damage and charges for a lost
pager. The pager must be on at all times. Batteries may be obtained from the GME
department. If you have a problem with your pager, you must go to the Telecommunications
department (1st floor building A) for repair.
ID Badges: You will be issued a Medical Student ID badge on your first day of rotation.
This badge must be worn at all times, while in the hospital. This badge is worn above the
waist, so you may be identified as a student. You may wear your school ID badge under the
South Pointe badge. The hospital ID badge will be needed to obtain access to secure areas in
the hospital, such as the library.
Deposit: A $20.00 deposit will be requested on the first day of rotation, during the South
Pointe orientation. This will be held and returned to you upon return of your badge, beeper
and any other materials that are issued to you during your rotation.
Medical Library: The library is staffed during normal working hours, however students and
employees can access it 24 hours/day. A badge is required to enter the library at all times.
Students should register with the librarian to activate their library account, which allows
students to access online journals and resources from home as well as check out library
materials. Schools will be notified regarding any material that has not been returned in a
timely matter. The library staff can help students with online research, literature requests,
and obtain copies of materials from other libraries. During your rotation at South Pointe you
may ask for home access to the Medical Library databases. A registration form may be
completed and taken to the Medical Library, they will give you a quick class on how to use
PATIENT INFORMATION ACCESS:
MyPractice: You will receive a username and password on your first day of rotation. With
this you will be able to access Patient lists, laboratory results, radiology results, and
pharmacy information. You will sign a “confidentiality agreement” to receive this data.
Each time you rotate at South Pointe this will be your username and password. Please keep
this in a secure area. DO NOT use others’ usernames and passwords. This is a HIPAA
Confidentiality: All rotating students must sign a Confidentiality and Non-Disclosure
Agreement. This agreement will allow the student to receive a user name and password for
computer access for the above applications. See attached form.
COMPLETING HISTORY AND PHYSICAL GUIDELINES:
History and Physical:
1. Must be on medical chart within 24 hours of admission or completed within 7 days
prior to the admit date.
2. Must be on medical record prior to performing surgery procedure.
3. If hand written in the progress notes, must be labeled as such.
4. For patients re-admitted within 30 days for the same condition, an interval note may
be handwritten in the progress notes, but must be labeled as such. A copy of the
previous H&P must be placed in the chart.
5. Osteopathic structural exams must be completed within 24 hours as part of the H&P
for all patients admitted under the service of an osteopathic physician.
A complete history must contain:
History of present illness
Past medical history
Review of systems
A complete physical must contain:
Head and neck
Ear, nose and throat
A conclusion and impression along with a plan of the hospital course must be in the H&P
1. Must be dictated immediately after surgery.
2. An operative progress note must be documented in the medical record immediately
following an operative procedure.
A complete operative report shall contain
Description of findings
Technical procedures used
Pre- and post- operative diagnosis
Names of primary and assistant surgeons
1. Must be dictated upon discharge or death.
2. A final progress note, to include discharge instructions, may be substituted for the
discharge summary in the case of patients with problems of a minor nature who
require less than a 48-hour period of hospitalization. A final progress note may NOT
be substituted for death summary.
3. For extended stays, interim discharge summaries may be dictated to include the care
given for a specific period.
A complete discharge summary shall contain:
Reason for hospitalization
Condition of patient upon discharge/cause of death (avoid using vague terms such
as “improved” for the condition of discharge)
Specific instructions given to patient and or family to include
Physician Progress Notes:
1. Should be written at least daily or more frequently based on condition of the patient.
2. Must be dated, timed and authenticated.
3. Trainees/medical students must identify the attending physician for whom the
progress note is being written.
1. Abbreviations are strongly discouraged.
2. Abbreviations may be used in the medical record, EXCEPT in documentation of the
final diagnosis and procedures.
3. See attached “unapproved abbreviation list”.
Corrections in the Medical Record:
1. May be made only by the individual writing or dictating the entry
a. The supervising physician may correct the documentation of a trainee
2. A single line must be drawn through the error.
3. The error must be initialed and dated by this individual.
4. The correct entry written, if necessary.
1. Late entries may be made in the medical record as follows:
a. Late entries will be labeled as such.
b. Late entries will be dated with the date the entry is made.
c. Late entries will be authenticated.
DRESS CODE AND ID BADGES:
South Pointe Hospital recognizes the importance of the professional appearance of its staff
in maintaining an atmosphere conducive with the delivery of quality health care. To promote
this atmosphere, all employees including medical students, are expected to dress in a manner
appropriate to the jobs they perform. Some general guidelines include:
1. The Cleveland Clinic ID badge must be worn at all times while on any Cleveland
Clinic campus. The badge must be worn above the waist in compliance with
Cleveland Clinic /South Pointe Hospital policy. Medical School badges must be
worn beneath the Cleveland Clinic badge.
2. Shirts, suits, dresses, tailored pants, slacks (ankle length), blouses, skirts, sweaters,
blazers, sports coats and turtlenecks should be clean, neat and non-wrinkled. Dresses
and skirts must be of sufficient length. Men are encouraged to wear ties unless they
pose a safety hazard.
3. Hosiery should be neutral in tones.
4. Shoes should be appropriate for the work being performed. Acceptable styles include
oxfords, dress flats, loafers or moderately heeled dress shoes. Sandals, shoes worn
without socks or hosiery are inappropriate attire.
5. Business casual attire may include khakis with a polo shirt (no vendor logo). Jeans or
denim material are not acceptable
6. Lab coats are expected to be kept clean, pressed and in good repair and worn at all
7. Good personal hygiene is expected. Do not wear overpowering perfume or
8. Scrubs are to be worn ONLY on surgical services. They are not to be worn home or
into the hospital from outside. New scrubs must be worn daily. Surgical head and
footgear is not to be worn outside of the operating room area.
Failure to adhere to these standards of dress and grooming may result in corrective
action and notification to your school.
SMOKE FREE ENVIRONMENT:
In an effort to provide a healthy environment for all employees, patients and visitors at
South Pointe Hospital, all Cleveland Clinic hospitals are smoke free environments. Smoking
bans on all Cleveland Clinic properties are strictly enforced.
The GME department provides housing for those students’ completing electives and living
more than 50 miles from the rotation site (i.e. South Pointe Hospital.) The housing rooms
are located in building A on the South Pointe campus. There are suites for male and female,
each containing 6 beds. Each person will have one single bed, desk and closet. Each suite
has a bath and shower area. There is a shared lounge across the hall from the sleep rooms,
which contains a TV, DVD/VCR player, refrigerator and microwave.
Students must provide their own linens (both sheets and towels).
Environmental Services will clean and empty the trash on a daily basis.
It is the student’s responsibility to maintain these areas as if they were their own.
Do NOT store food or beverages in the sleeping areas; please use the lounge area
No alcoholic beverages are permitted at any time.
Keep clothes and other personal belongings off the floors.
Be aware that some of the rotating students work various hours, so please respect
them and be quiet when in the sleep areas.
The GME staff will routinely inspect both the sleep area and lounge area. If we find the area
unkempt, we will notify the student(s) responsible and their respective COM. Future
housing will not be approved for those unable to follow the guidelines.
If you request housing and find you no longer need the bed, please notify our Graduate
Medical Education Assistant at 216.491.7464 as soon as possible. We usually have a waiting
list for this convenience.
SAFETY AND SECURITY:
Our security department is a proactive and well-trained group of individuals. They provide a
variety of services. All members of the security department are Hospital Certified by the
International Association of Health Care Security and Safety. Listed below are a few
services that you may find a need for during your time at South Pointe.
Lost and found
Evacuation assistance/Fire drills
Motor vehicle assistance
Enforce restraining orders
Site security surveys
Security may be reached at extension 45588 or by calling the operator.
For all calls of an emergency nature, dial “88” instead of dialing “0” to reach the
switchboard operator. This procedure can be used on any emergency calls requiring
OHIO EMERGENCY CODES
Code Name Event
Code Red Fire
Code Adam Infant/Child Abduction
Code Black Bomb/Bomb Threat
Code Gray Severe Weather
Code Orange Hazardous Material Spill Release
Code Blue Medical Emergency/Adult
Code Pink Medical Emergency/Child
Code Yellow Disaster
Code Violet Violent Patient/Visitor
Code Silver Person with Weapon/Hostage Situation
Code Brown Missing Adult Patient
A plan of action to fight fires is outlined below for the guidance of all hospital personnel.
IF A FIRE OCCUS WHEN YOU ARE IN YOUR WORKING AREA
1. Remove anyone from immediate danger (not to be confused with evacuation).
2. Go to the nearest fire alarm station and pull the handle.
3. Dial 88 to notify the PBX operator of the location of the fire.
4. Close all doors and windows.
5. Obtain fire extinguisher from the wall and try to extinguish the fire.
6. DO NOT
a. Turn off lights
b. Use the elevators or telephones unless directed to do so by the Fire
IF THE FIRE IS NOT IN YOUR AREA
1. Report to your normal workstation, and follow procedure outlined above.
2. Do not use elevator to reach your normal work area.
3. You may be requested to respond to another work area.
4. If you are off duty, DO NOT LEAVE THE BUILDING. Remain in your work
area. Elevators should be used ONLY for patient evacuation and transfer of fire
equipment. All elevator use must be approved by the Fire Department
South Pointe Hospital’s Safety Committee has developed a fire plan wherein each hospital
employee has an assigned role. The effective execution of this role by each employee is vital
to the success of this plan in the event of a fire.
Each department manger will be responsible for the training of those employees within
his/her department with the contents of the South Pointe Fire Manual.
Employees should refrain from making inquiring phone calls during a “Red Alert”. The
operator will notify you of any pertinent information over the public address system
All students are required to park in appropriate employee parking. Enclosed is a map of the
hospital parking areas. You are NOT, under any circumstances, to park in the Physician
parking area. Your car will be towed at your expense if you park in any undesignated
See attached South Pointe Hospital parking map.
ROTATIONS AVAILABLE AT SOUTH POINTE
Rotation Duration Number of
Anesthesiology 2 weeks 1
Emergency Medicine 2-4 weeks 4
Family Medicine (Fleet Clinic) 2-4 weeks 2
Cardiology 2-4 weeks 2
Intensive Care Unit 2-4 weeks 1
Gastroenterology 2-4 weeks 1
General Medicine 2-4 weeks 4
Pulmonology 2-4 weeks 1
Lab Medicine 1 week 1
Nephrology 2-4 weeks 1
OMT 2-4 weeks 1
Ophthalmology 1-2 weeks 1
Orthopedics 2-4 weeks 2
Radiology 1-2 weeks 1
Surgery/General 2-4 weeks 3
Surgery/Vascular (must complete Gen Surg) 2-4 weeks 1
Surgery/Plastic (must be MSIV) 2-4 weeks 1
Other Rotations arranged with our GME Dept.
Ambulatory Underserved (Free Clinic) 2-6 weeks 2
Family Medicine (various SP Physician) 2-4 weeks 4
Pediatrics (ER Peds at Hillcrest Hospital 2-4 weeks 2
Forensics (Cuyahoga Cty Coroner Office) 2-4 weeks 1
Psychiatry (various physicians) 2-4 weeks 1
Descriptions of Rotations:
This rotation will provide the student with a broad and comprehensive exposure to
anesthesiology. Each student will be involved with all aspects of the pre, intra and
postoperative care of the patients under the supervision of a resident or attending physician.
The student must apply for this rotation on the South Pointe Hospital GME web page. The
application will be sent to the Dr. Kane who will interview each student before acceptance
to the rotation. Between June and January, Dr. Kane will only take fourth year students who
are applying for residency.
Dennis Kane, D.O., Rotation Coordinator
Michael McClain, D.O.
Patrick O’Brien, D.O.
Todd Csorba, D.O.
This rotation is an exciting introduction to a busy community hospital emergency
department. The student will be assigned incoming patients where their diagnostic skills will
help them evaluate their patients, and learn to diagnose and treat the acutely ill. Students will
also have the opportunity to manage several patients simultaneously. There will also be
exposure to trauma during this rotation. The student will be assigned to various shifts and be
scheduled at Sagamore Hills Emergency Center to receive a different experience.
Levente G. Batizy, D.O.
Jamil Alarafi, D.O.
Daniel Dickriede, D.O.
Armand Eusanio, D.O., Rotation Coordinator
Arnold Feltoon, M.D.
Jonathan Klein, M.D.
Michael Kelley, D.O., Program Director
Daniel Kranitz, D.O.
Michael Schmitt, M.D.
Family Medicine: Fleet Clinic
This rotation is completed in our Fleet Medical Center, a clinic located in Cleveland’s Slavic
Village area. Our Family Medicine resident staff this clinic. The student will receive a well-
rounded understanding of the day-to-day operations of an “inner city clinic.” Students will
be given the opportunity to evaluate patients and carry out appropriate treatment under the
guidance of the residents and physician faculty. Each student will be assigned a topic to
present at the end of his or her rotation. The Family Medicine residents and preceptors meet
each Wednesday at South Ponte for their didactic programs. These consist of various outside
speakers, journal club, case presentations and skills labs.
Richard Garwood, D.O., Rotation Coordinator
Barbara Bakus, D.O.
This rotation will emphasize the physical diagnostic skills, diagnostic and therapeutic
cardiac procedures as related to the cardiac care of the patient. Students will work up
assigned patients and attend rounds. This is considered an Internal Medicine rotation, thus
the student will be required to attend IM Morning Report. The student will be assigned a
case presentation for the end of his/her rotation period.
Mark Pace, D.O., Rotation Coordinator
Intensive Care Unit:
This rotation provides the student with experience in ventilator management as well as
hemodynamic monitoring. Students will be involved in the initial work up and evaluation of
each patient admitted to the ICU. The student will be required to make rounds with the ICU
physician daily or more frequently as needed.
Andrew Liu, D.O. , Rotation Coordinator
This is an elective rotation within the internal medicine department. The student will learn
and be given the opportunity to formulate diagnosis by assimilating clinical findings, lab
results and procedures. The student will be expected to perform along with the residents and
attending physicians in daily rounds. This being an Internal Medicine rotation, the student
will need to attend IM Morning Report and present a case presentation at the end of the
Paul Turowski, D.O., Rotation Coordinator
The general internal medicine experience will expand the student’s knowledge and
competency in internal medicine by working as a team with the interns and residents in
managing hospitalized patients. Students will oversee the management of three to four
patients under the supervision of the interns, residents, and attending physician. The student
will be expected to take part in rounds, educational conferences, and lectures. The student
will be given a topic for presentation at the end of his/her rotation.
Jane D’Isa Smith, D.O., Rotation Coordinator
Elizabeth Habjan, D.O.
Brian Pollock, D.O.
Carrie Bassett, D.O.
Allen Kline, D.O.
This is an elective rotation, which is designed to combine bedside rounds and teaching in the
pulmonary laboratory. Students will learn to correlate pulmonary function tests with clinical
findings. The student will participate in fibroptic bronchoscopy and will gain knowledge in
diseases such as COPD, pneumonia, pulmonary fibrosis, asthma, ARDs, and other
pulmonary conditions. IM Morning Report is required for this rotation, with an assigned
Andrew Liu, D.O.
This elective gives the student the opportunity to understand how lab tests are ordered and
used most effectively in evaluating the patients. The student will observe day-to-day
operations of the lab, such as clinical chemistry, hematology, microbiology, blood bank and
immunology. The student will become familiar with the various tests available and develop
appropriate test ordering skills. The educational format will include review of test profiles,
analysis of other laboratory data and clinical case studies with emphasis on cost effective
Chi Hoon Lee, M.D., Rotation Coordinator
This rotation provides the student with the opportunity to learn the basic principles of
evaluation and management of clinical renal syndromes and hypertension. An emphasis will
be placed on the recognition, evaluation and treatment of acid-based and fluid electrolyte
Haifa Hanna, M.D.
Andrew Lazar, M.D.
Osteopathic Manipulative Treatment:
The student will be exposed to the history and theory of Osteopathic Manipulative
Medicine. The rotation will include methods for conducting a structure exam, interpretation
based on objective criteria and techniques to treat somatic dysfunction. Evaluation of
students is required on a regular basis in order to attain competency. The student will be
required to attend each OMT conference and assist the preceptor as a table trainer.
Katrina Rakowsky, D.O., Rotation Coordinator
The student will be exposed to the presentation of the basic knowledge of examination and
diseases of the eye. The student will gain basic information regarding treatment and triage of
diseases and injuries of the eye.
Michael Millstein, M.D., Rotation Coordinator
Philip Goldberg, M.D.
The objective of this rotation is to give the student the opportunity to gain a better
understanding of the structure and function of the musculoskeletal system. The student will
take part in consultations, rounds, surgical procedures and post op care. The student will
also have the opportunity to participate in the trauma cases in the ED. The student will be
given daily assignments at the Ortho Morning Report.
David Krahe, D.O., Rotation Coordinator
Robert Hampton, D.O.
Richard Masin, D.O.
Audley Mackel, M.D.
Curtis Smith, M.D.
This rotation is designed to provide students with a broad knowledge base and experience in
the assessment and treatment of psychiatric patients. The student will work with the
attending physician in the in-patient treatment center at South Pointe and be given the
opportunity to evaluate patients in their offices.
Mark Zedar, D.O.
Gary Wilkes, M.D.
Adel Zaraa, M.D.
During this rotation the student will be able to expand their knowledge with respect to
radiographic procedures, anatomy and physiology of organ systems and pathologic
processes as shown on the diagnostic radiology studies. The student will expand their
knowledge in selecting procedures most appropriate in the diagnoses of their patients.
Jeffrey Unger, M.D.
Michael Martinez, M.D., Rotation Coordinator
Kerry Sullivan, D.O.
Young Kim, M.D.
Through participation in this rotation, the student will increase his/her knowledge base in
preoperative, intra-operative, and postoperative care. They will be under the direct
supervision of the residents and attending physicians. They will learn operative techniques,
anatomy, physiology, and pathology. The student will also have an opportunity to expand
their manual skills, while assisting in surgery. The staff meets for morning report for daily
assignments. Students are expected to complete a presentation at the end of their rotation.
Roger Classen, D.O., Rotation Coordinator
Rick Gemma, DO
Craig Eyman, D.O.
Carl Jackson, M.D.
Thomas Santoscoy, M.D.
Naveed Ahmed, M.D.
Shukri ElKhairi, M.D.
After completion of a General Surgery rotation the student may elect to do a Vascular
Surgery rotation. Besides assisting in surgery, the student will also partake in daily rounds,
consults, and time spent in the surgeon’s office. This rotation will expand on the previous
learned surgical skills, giving the student an opportunity to work one on one with our
vascular surgeon and fellow.
Jeffrey Stanley, D.O., Rotation Coordinator
Surgery/Plastic and Reconstructive Surgery:
This is a fourth year elective and the student must have successfully completed a General
Surgery rotation. The training in this area will include repair, replacement and
reconstruction of defects in form and function. Emphasis will be placed on one or another
phase of plastic and reconstructive surgery, such as skin and soft tissue tumors, hand surgery
and aesthetic surgery.
Mark Foglietti, D.O., Rotation Coordinator
Brock Generalovich, D.O.
Elective Rotations outside of South Pointe Hospital:
This rotation is scheduled at the Cleveland Free Clinic. This is a “walk in clinic”. The
student will see a wide range of patient complaints; i.e. sore throats, gyn conditions,
pediatrics, drug abuse, etc. The student will be given the opportunity to work up the patient
and present to the staff physician. Open discussion of patient conditions and treatments are
Stephen Weirich, M.D., Rotation Coordinator
Family Medicine: FM Physician Offices
This rotation introduces the student to the private family medicine practitioner’s office. They
will be assigned to one of the many Family Medicine staff who allow students to work hand
in hand with them in the practice of Family Medicine. The student will learn to evaluate
patients and treat them in an office environment.
Ioanna Giatis, D.O.
Gregory Yager, D.O.
Manual Saridakis, D.O.
Michael Saridakis, D.O.
Terrance Scanlon, D.O.
Pediatrics: Emergency Medicine Pediatrics at Hillcrest Hospital
The Pediatric section of the Emergency Department at Hillcrest Hospital sees hundreds of
pediatric patients per day. Besides the usual, such as colds and flu the students will be
introduced to fast paced pediatric emergency problems, such as fevers, rash, abdominal pain,
pneumonia and trauma.
Mark Rodkey, M.D., Rotation Coordinator
This rotation is based at the Cuyahoga County Coroner’s Office. Besides evaluating the
cause of death in many cases, they also work with the police in reconstructing crime scenes.
Cuyahoga County Coroner Office Staff