Aug 15, 1997
The MetroHealth System/Case Western Reserve University Program
Overview
The residency program in Physical Medicine and Rehabilitation at The MetroHealth System, affiliated with Case Western Reserve University, offers a comprehensive educational experience in a well-established and accredited program, founded in 1958. This program is among the oldest PM&R training programs in the United States, emphasizing both clinical excellence and academic growth.
Curriculum Overview
The residency curriculum includes an 18-month didactic cycle with a structured approach to ensure a comprehensive education. Residents engage in three hours of core didactic material weekly, as well as two to three hours of interactive hands-on teaching sessions. This ensures that residents are equipped not just with theoretical knowledge, but also with practical skills necessary in the field of PM&R. Subjects covered include brain injury, cancer rehabilitation, musculoskeletal disorders, pain management, and ultrasound guided procedures among others. Protections for didactic time ensure that residents can focus on their learning without competing clinical responsibilities (Curriculum) 3.
Clinical Rotations and Exposure
The residency offers extensive clinical rotations across multiple health systems, including MetroHealth, Cleveland Clinic, and the Louis Stokes Cleveland VA Medical Center. This multi-institutional exposure allows residents to gain a diverse range of clinical experiences, offering high procedural volumes, including EMG and NCS procedures, fluoroscopic guided injections, and various interventional procedures (Curriculum) 3.
Research Opportunities
The program is known for its commitment to research, supported by being the top funded PM&R department for NIH grants in the country. Residents are encouraged to engage in scholarly activities, including major research projects and presentations at national conferences. Mentorship from renowned researchers enhances the educational experience and fosters a deep understanding of evidence-based practice (Research) 12.
Fellowship Programs
The MetroHealth PM&R residency also offers fellowship opportunities in specialized areas such as brain injury medicine, pain medicine, and spinal cord injury medicine. These fellowships are designed to provide advanced training in diagnostic and therapeutic techniques, preparing graduates for leadership roles in clinical and academic settings (Fellowships) 4.
Community and Alumni Network
The program boasts a robust alumni network, encompassing graduates who hold leadership positions across various fields. The supportive atmosphere created by both faculty and fellows enhances a collaborative learning environment. Successful couples matches have also been noted, indicating a strong community culture that fosters connections (Our Alumni) 5.
Resident Life
The residency program recognizes the importance of resident well-being. Residents are allocated 20 vacation days annually, 10 days for sick, bereavement, or personal leave, along with additional educational leave for conferences. The call schedule is designed to balance work and personal time, with limited in-house call requirements during the final year (Resident Life) 14.
Application Process and Competitiveness
The residency program accepts applications through ERAS with specific requirements, including three letters of recommendation (one from a physiatrist), medical transcripts, and USMLE or COMLEX scores. While the program is competitive, it is known for being friendly towards international medical graduates. The residency accepts candidates who are recent graduates within a certain time frame, with no specific limits on failed attempts at licensing exams (Application Process) 2.
Visa Support
The program provides visa sponsorships, making it accessible to international applicants. Common visa types sponsored include J-1 and H-1B visas, aiding non-U.S. applicants in securing necessary documentation to train in the United States.
Conclusion
The PM&R residency program at The MetroHealth System offers a rich educational experience with a strong emphasis on research, diverse clinical exposure, and supportive community, preparing graduates for successful careers in various aspects of physical medicine and rehabilitation.
Web sources
SmartPick
Program data
ACGME History
Program
Program Size
6, 6, 6, 6 (4 years)
Accreditation Status
Continued Accreditation
(Effective: January 12, 2026)
Composition
Training
Faculty-to-Residents Ratio:1.4X
Quality of Life
First Year Paid Sick Leave: 10 days
First Year Paid Vacation: 20 days
First Year Salary: $67,121
First Year Maximum Consecutive Hours on Duty: 16 hours
First Year Average Weekly Hours: 55 hours
Admission
USMLE Step 2 Score: 238–265
Visa Sponsorship:J1
YOG Cutoff:5
Race / Ethnicity
Gender
Rotation Duration by Site
Benchmarks
Match & stats
Roster
Publications
50 Publications (5 yr)
Peer-reviewed output from faculty and residents, last 5 years
50 Publications (5 yr)
Crossroads in Spinal Cord Injury Treatment: A Multidisciplinary Conference at a Pivotal Moment.
College Student-Athlete Preferences for the Gender Identity, Race, and Ethnicity of Their Athletic Trainers and Team Physicians.
Location
Cleveland, OH
- Above the national average
- Below the national average
- Similar to the national average
Housing — Rental prices
Rental prices
Crime — All violent offences
Rate per 100,000 residents
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External Links
1. Freida - https://freida.ama-assn.org/program/3403831053
2. ACGME - Accreditation Data System (ADS) - https://apps.acgme.org/ads/Public/Programs/Search
3. NRMP Results and Data: 2022-2026 Main Residency Match - https://www.nrmp.org/match-data/2026/03/program-results-2022-2026/
4. United States Census Bureau - https://data.census.gov/profile/City,_VS?g=160XX00US3916000
5. Zillow Research - Observed Rent Index (ZORI) - https://www.zillow.com/research/data/
6. FBI - Crime/Law Enforcement Stats (Uniform Crime Reporting Program) - https://www.fbi.gov/services/cjis/ucr
1. Freida - https://freida.ama-assn.org/program/3403831053
2. ACGME - Accreditation Data System (ADS) - https://apps.acgme.org/ads/Public/Programs/Search
3. Residency Explorer - https://www.residencyexplorer.org/Program/GetByIdWithMedicalSpecialty/b64d8fb9-e4d2-4566-134c-22aa40e1c4c2
4. NRMP Results and Data: 2022-2026 Main Residency Match - https://www.nrmp.org/match-data/2026/03/program-results-2022-2026/
5. United States Census Bureau - https://data.census.gov/profile/City,_VS?g=160XX00US3916000
6. Zillow Research - Observed Rent Index (ZORI) - https://www.zillow.com/research/data/
7. FBI - Crime/Law Enforcement Stats (Uniform Crime Reporting Program) - https://www.fbi.gov/services/cjis/ucr
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