OB-GYN Residency Curriculum

First year

  • Labor and delivery rotation (3 months total) consists of two weeks of days and two weeks of nights. Resident gains experience in normal deliveries,, fetal monitoring, high-risk obstetrics, and obstetrical anesthesia.
  • Gynecology service (3 months total) with emphasis is on inpatient gynecologic care and outpatient surgical procedures. Residents gain experience in basic surgical skills and inpatient management during this rotation.
  • Gynecologic oncology rotation (2 months total), where experience is gained in the pre- and post-operative management of patients with gynecologic cancer, as well as graduated responsibility in outpatient assessment and follow up of patients with gynecologic cancer.
  • Internal medicine (1 month), residents join the preoperative optimization clinic team and learn how to assess and manage patients with complex comorbidities prior to surgery
  • SICU (1 month) where the focus is on surgical intensive care patients and management of morbidity among post-surgical patients. Residents gain a better understanding of management of the acutely ill patient, attend ICU didactics and also complete the "Fundamentals in Critical Care Surgery" course.
  • Breast/Ultrasound/ Genetics rotation (1 month) Residents rotate with OBGYN staff trained in breast cancer screening and genetic counseling as it pertains to GYN patients. They also attend weekly breast cancer tumor boards in conjunction with general surgery. Attend radiology for obstetric imaging with opportunities for improving skills in reading ultrasonography, and genetics for prenatal counseling.
  • Continuity clinic - prenatal and postpartum care with a focus on normal physiology of pregnancy and management of prenatal care. Residents are precepted by Certified Nurse Midwives.

Second year

  • Labor and delivery rotation (3 months total) consists of two weeks of days and two weeks of nights. Resident gains experience in normal deliveries, cesarean sections, fetal monitoring, high-risk obstetrics, and obstetrical anesthesia. Primary focus is on increasing complexity in obstetrical skills.
  • Gynecology service(3 months total), with time spent at the various Henry Ford facilities including West Bloomfield Hospital and Fairlane hospital. Emphasis is placed on outpatient procedures and ambulatory surgery, with increasing participation in larger inpatient procedures
  • Reproductive endocrinology/infertility rotation (1 month). Residents are exposed to management and treatment of workup and treatment of reproductive problems, including imaging procedures and IVF, with a focus on understanding of reproductive physiology.
  • Gynecologic oncology service (2 months total), where experience is gained in the pre- and post- operative management of patients with gynecologic cancer, as well as graduated responsibility in the operating room.
  • Maternal Fetal Medicine/float rotation (2 months). Two weeks with the MFM service, during which residents gain experience in management of high risk pregnancy conditions for both inpatients and outpatients. Two weeks are spent on the night float, with guided management of gynecological emergencies in the ER.
  • Urogynecology and pelvic floor (1 month)
  • Continuity clinic – routine obstetric and gynecological care, with increasing responsibility in management of basic obstetric and gynecologic problems, performance of office procedures, preventive care, and increased understanding of systems-based practice.
  • Research

Third year

  • Labor and delivery, the senior resident will manage the obstetrical service. These rotations contain two weeks of days and two weeks of nights. Senior obstetrical residents assume responsibility for managing the large high-risk obstetrical service. Refinement of advanced technical skills and development of leadership qualities are stressed.
  • Gynecology rotation, with time spent at West Bloomfield Hospital, will emphasize more complex surgical. Primary focus is on increasing the residents minimally invasive, advanced laparoscopic/hysteroscopic and robotic skills.
  • Reproductive endocrinology/infertility rotation.
  • Gynecologic oncology rotation, where experience is advanced in the pre- and post- operative management of patients with gynecologic cancer, as well as increasing responsibility in the operating room.
  • Urogynecology
  • Research
  • One month away elective available, if the resident desires to obtain more experience in a certain field, in preparation for fellowship applications.

Fourth year

  • Labor and delivery rotation, the senior resident managing obstetrical service. Senior obstetrical residents assume responsibility for managing the large high-risk obstetrical service. Refinement of advanced technical skills and development of leadership qualities are stressed.
  • Gynecology rotation, includes urogynecology experiences, with emphasis on increasingly more complex surgical cases with post discharge clinical follow-up. Fourth-year residents assigned to the gynecology services oversee and are ultimately responsible for emergency admissions and inpatient gynecologic service.
  • Urogynecology
  • Gynecologic oncology, usually set up in a 3 month block format, where the resident participates in surgery for gynecologic malignancies, assists in chemotherapy, and organizes a weekly multidisciplinary conference to review new gyn-oncology cases.
  • One month rotating with the reproductive endocrinology/infertility service.
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