The MetroHealth System/Case Western Reserve University Program
About This Program
Program Length
5 Years
First Year Positions
7 Positions
Program Starts Reviewing Applications
Application service release date
Avg Work Hours
66 Hours/Week
Program Setting
University
Application Service
ERAS
Program Statistics
Types of Graduates
Resident Gender
Contact Information
Program Director
Esther S Tseng, MD
MetroHealth System
Primary Program Contact
Amanda Royan, MEd
The MetroHealth System
Survey Received: 7/21/2026
Program ID: 4403800001
Locations
MetroHealth System
H579
2500 Metrohealth Dr
Cleveland, OH 44109-1900
2500 Metrohealth Dr
Cleveland, OH 44109-1998
Cleveland Clinic Foundation
9500 Euclid Ave
Cleveland, OH 44195-5242
Application Information
Applicant Interview Format
Virtual
Interviews Conducted Last Year
80 Interviews
Interviews/First Year Positions
11.5:1
Participates In
NRMP Main Match
--
Doesn't Participate In
- San Francisco Match
- Military Match (i.e., Joint Service Graduate Medical Education Selection Board, Military Selection Board)
- SAU/AU Match (i.e., Urology Match)
- None
Second Look
U.S. MD Applicants
Must Have Passed USMLE Step 1
Yes
Must Have Passed USMLE Step 2 CK
Yes
IMG Applicants
Must Have Passed USMLE Step 1
Yes
Must Have Passed USMLE Step 2 CK
Yes
DO Applicants
Must Have Passed COMLEX Level 1
Yes
Must Have Passed COMLEX Level 2
Yes
Requires the USMLE Step 1 and/or Step 2 CK
No
Specialty-specific standardized letter requirements
No
Total required letters of recommendation (excludes MSPE and Deans letter)
Minimum
3 Letters
Maximum
--
Required Letter Writers
- Letter(s) from someone within the specialty (e.g., faculty, attending)
Requires Previous GME
No
Required Supplemental Information
No
Osteopathic Recognition
No
Medical School Graduation Timeline
Graduation from medical school must have occurred within the past 3 year(s).
Gap Experience Requirement
PGY-1 applicants to this program with a gap of 1 year or more between medical school graduation and entry to residency must have the following experience occur during the gap: Research or other medical education pursuits (clinical experience not required)
Resident / Fellow Characteristics
Three year averages. Medical school type does not include graduates of Canadian schools.
Types of Graduates
Resident Gender
Program Faculty
Faculty/Resident Ratio
1.2:1
Program Faculty
30
Female Faculty
56.7%
Faculty Distribution
Work Environment
Program Start Dates
July 1
Avg Hours/Week on Duty (During First Year)
66 Hours
Maximum Consecutive Hours on Duty (During First Year)
24 Hours
Avg Number of 24 Hour Off Duty Periods Per Week (During First Year)
1.50
Program Allows Moonlighting (Beyond PGY-1)
Yes
Night Float System
Yes
Most Taxing Schedule & Frequency Per Year
Beeper or Home Call (Weeks / Year)
Year 1 - Every eleventh night or more for 32 week(s)
0
Year 2 - Every eleventh night or more for 28 week(s)
0
Year 3 - Every fourth night for 4 week(s)
0
Year 4 - Every eleventh night or more for 30 week(s)
NGO
Year 5 - N/A
NGO
NA = Not Applicable
NGO = Negotiable
OTH = Other
Visa Status
This program will consider an appropriately qualified applicant with the following visa or visa status. Contact the program for additional information.
J-1 visa sponsorship through ECFMG
Yes
H-1B visa
Yes
F-1 visa (OPT 1st year)
Yes
Program Size
24
Current Residents
PGY-1 Position Type(s) Offered:
Categorical positions
Primary Care positions
PGY-2 Positions Not Offered
Key Dates & Timelines
2026 - 2027
Program Starts Reviewing Applications
Application service release date
Interview Offer Dates
Specialty Universal Dates
Average PGY-1 Educational Environment
Structured Didactic Activities
5 Hours
Hospital Outpatient
10%
Non-Hospital Ambulatory Care
N/A
Employment Policies & Benefits
On-call meal allowance
iPads, tablets, etc., or technology allowance
Educational Benefits
Curriculum to develop health systems leadership skills (e.g., QI project leadership, community/organizational advocacy)
Yes
Formal program to foster interprofessional teamwork
Yes
Debt management/financial counseling
Yes
Resident/fellow retreats
Yes
Off-campus electives
Yes
Research rotation
Optional
Integrative medicine curriculum
No
Instruction in medical Spanish or other non-English language
No
Alternative/complementary medicine curriculum
No
Economics of health care systems curriculum
No
Academic support for USMLE Step 3 and/or COMLEX-USA Level 3 preparation
No
International experience/global health
No
Hospice/home care experience
No
MPH, MBA, PhD or other advanced degree training
No
Tracks & Educational Features
Offers additional training or educational experience beyond accredited length
Yes
Primary care track
No
Hospitalist track
No
Research track/non-accredited fellowship track
No
Rural track
No
Women's health track
No
Academic or clinician educator track
No
Evaluations
Aggregate resident Milestone achievements
Yes
Graduates board certification pass rates
No
Performance-based assessment scores (e.g. OSCE, patient or computer simulations)
Yes
Patient surveys
Yes
Portfolio system
No
Objective structured clinical examinations (OSCE)
Yes
Medical Insurance Coverage
- Major medical for residents
- Major medical for dependents
- Major medical for domestic partners
- Outpatient mental health
- Inpatient mental health
- Dental insurance
- Group life insurance
- Disability insurance for occupationally-acquired HIV
Salary Compensation
$72K-$82K
Year 1 through Year 5
Year 1
$71,556
Year 2
$73,684
Year 3
$75,884
Year 4
$78,548
Year 5
$82,019
Salary paid by a non-profit institution.
Vacation & Sick Days
Residents receive 28 Vacation Days annually to support work-life balance and personal well-being.
Maximum # of paid days
56 days
Maximum # of unpaid days
NGO
For more information, view the program's leave policy on their website.