Clinical Rotations

Our Program has adopted to a 13 4-week block framework.

Sample Block Schedule

PGY-1 Resident Rotations

• 1 Orientation Rotation
• 3 Rotations in Obstetrics
• 3 Rotations in Gynecology
• 3 Rotations in Gynecology Oncology
• 1 Rotation in Surgical Intensive Care Unit (SICU)
• 1 Rotation in Consultative Medicine
• 1 Rotation in Breast/Ultrasound/Genetics
• Vacation (4 weeks)

Orientation (1 rotation), an opportunity to be paired with a co-intern and rotate two weeks on obstetrics and two weeks on gynecology as additional residents on service to allow you to ease into residency.

Obstetrics rotation (3 rotations), resident gains experience in normal and operative deliveries, fetal monitoring, high-risk obstetrics, and obstetrical anesthesia. These rotations alternate two weeks of days and two weeks of nights.

Gynecology service rotation (3 rotations), 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 rotations), 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 Consultative Medicine rotation (1 rotation), residents join the preoperative optimization clinic team and learn how to assess and manage patients with complex comorbidities prior to surgery.

Surgical Intensive Care Unit (SICU) rotation (1 rotation), where the focus is management of morbidity among surgical patients. Residents manage acutely ill patients, attend ICU didactics and complete the "Fundamentals in Critical Care Surgery" course.

Breast/Ultrasound/Genetics rotation (1 rotation), residents rotate with OBGYN staff trained in breast cancer screening/benign breast diseases management and genetic counseling as it pertains to Obstetrics & Gynecology patients. They attend weekly breast cancer tumor boards in conjunction with general surgery and obstetric radiology is opportunity for improving skills in reading ultrasonography.

Continuity clinic for prenatal and postpartum care with a focus on normal physiology of pregnancy and management of prenatal care. Residents are precepted by a Certified Nurse Midwife.

PGY-2 Resident Rotations

• 3 Rotations in Obstetrics
• 3 Rotations in Gynecology
• 2 Rotations in Gynecology Oncology
• 1 Rotation in Family Planning
• 1 Rotation in Maternal Fetal Medicine
• 1 Rotation in Female Pelvic Medicine & Reconstructive Surgery
• 1 Rotation in Float
• .5 Rotation in Reproductive Endocrinology & Infertility (REI)
• .5 Rotation in Research
• Vacation (4 weeks)

Obstetrics rotation (3 rotations), resident gains experience in normal and operative deliveries, cesarean sections, fetal monitoring, high-risk obstetrics, and obstetrical anesthesia. Primary focus is on increasing complexity in obstetrical skills. These rotations alternate two weeks of days and two weeks of nights.

Gynecology rotation (3 rotations), with time spent at the various Henry Ford facilities including West Bloomfield Hospital and Fairlane Ambulatory Center. Emphasis is placed on outpatient procedures and ambulatory surgery, with increasing participation in inpatient procedures.

Gynecologic oncology rotation (2 rotations), 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.

Reproductive Endocrinology & Infertility (REI) (1 rotation) residents are exposed to workup including imaging procedures and treatment including IVF of reproductive problems, with a focus on understanding of reproductive physiology. 

Family Planning (1 rotation) Through family planning, we are affiliated with the Ryan Program. Residents will gain understanding of the medical complications of abortion- first and second trimester, Introduction to pregnancy options counseling, Contraceptive counseling, Miscarriage and ectopic pregnancy management and Management of medically complicated patients. We recognize that residents may have moral, ethical, or religious reasons for not performing or assisting with elective abortions.

Maternal Fetal Medicine rotation (1 rotation), residents gain experience in management of high-risk pregnancy conditions for both inpatients and outpatients.

Female Pelvic Medicine & Reconstructive Surgery rotation (1 rotation), introduces pelvic floor physiology, the investigation (including urodynamic studies) and the treatment (medical and surgical) of pelvic floor disorders.

Float rotation (1 rotation) Two weeks at a time are spent on the night float, with guided management of gynecological emergencies in the ER.

Research rotation (2 weeks) Two weeks dedicated to begin a research project that can be in the form of clinical research, community initiative research, high school/middle school education research, etc.

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.

PGY-3 Resident Rotations

• 3 Rotations in Obstetrics
• 3 Rotations in Gynecology
• 2 Rotations in Gynecology Oncology
• 1 Rotation in Maternal Fetal Medicine
• 1 Rotation in Female Pelvic Medicine & Reconstructive Surgery
• 1 Rotation in Float
• .5 Rotation in Family Planning
• .5 Rotation in Reproductive Endocrinology & Infertility (REI)
• 1 Elective Rotation
• Vacation (4 weeks)

Obstetrics rotation (3 rotations), resident gains experience in normal and operative deliveries, cesarean sections, fetal monitoring, high-risk obstetrics, and obstetrical anesthesia. Primary focus is on increasing complexity in obstetrical skills. These rotations alternate two weeks of days and two weeks of nights.

Gynecology rotation (3 rotations), with time spent at the various Henry Ford facilities including West Bloomfield Hospital and Fairlane Ambulatory Center. Emphasis is placed on outpatient procedures and ambulatory surgery, with increasing participation in inpatient procedures.

Gynecologic oncology rotation (2 rotations), 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.

REI/Family planning rotation (1 rotation), residents are exposed to workup including imaging procedures and treatment including IVF of reproductive problems, with a focus on understanding of reproductive physiology. Through family planning, we are affiliated with the Ryan Program. Residents will gain understanding of the medical complications of abortion- first and second trimester, Introduction to pregnancy options counseling, Contraceptive counseling, Miscarriage and ectopic pregnancy management and Management of medically complicated patients. We recognize that residents may have moral, ethical, or religious reasons for not performing or assisting with elective abortions.

Maternal Fetal Medicine rotation (1 rotation), residents gain experience in management of high-risk pregnancy conditions for both inpatients and outpatients.

Female Pelvic Medicine & Reconstructive Surgery rotation (1 rotation), introduces pelvic floor physiology, the investigation (including urodynamic studies) and the treatment (medical and surgical) of pelvic floor disorders. Continues the experience from second year with senior responsibility.

Float rotation (1 rotation) Two weeks at a time are spent on the night float, with guided management of gynecological emergencies in the ER.

Research rotation (2 weeks) Two weeks dedicated to continue the research project that you started in the year prior. The project can be in the form of clinical research, community initiative research, high school/middle school education research, etc.

Elective (1 rotation) four-week away elective available, if the resident desires to obtain more experience in a certain field, in preparation for fellowship applications. This must be planned well in advance and approved by Program Director.

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.

PGY-4 Resident Rotations

• 3 Rotations in Obstetrics
• 3 Rotations in Gynecology
• 2 Rotations in Gynecology Oncology
• 1 Rotation in Maternal Fetal Medicine
• 1 Rotation in Female Pelvic Medicine & Reconstructive Surgery
• 1 Rotation in Float
• 1 Rotation in Reproductive Endocrinology & Infertility (REI)
• 1 Rotation in Research/Ultrasound or 1 rotation in Family Planning/Research
• Vacation (4 weeks)

Obstetrics rotation (3 rotations), 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. These rotations alternate two weeks of days and two weeks of nights.

Gynecology rotation (3 rotations), 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 responsible for emergency admissions and inpatient gynecologic service.

Gynecologic oncology (2 rotations) has the resident participate in surgery for gynecologic malignancies, assist in chemotherapy, and organize a weekly multidisciplinary conference to review new gyn-oncology cases.

Maternal Fetal Medicine rotation (1 rotation), residents gain experience in management of high-risk pregnancy conditions for both inpatients and outpatients.

Female Pelvic Medicine & Reconstructive Surgery (2 weeks), introduces pelvic floor physiology, the investigation (including urodynamic studies) and the treatment (medical and surgical) of pelvic floor disorders. Continues the experience from third year with graduated responsibility.

Research/Ultrasound or 1 rotation in Family Planning/Research (1 rotation), during this one-month rotation the resident develops the skill to confidently perform level II transabdominal ultrasound on obstetric patients, including biometry and biophysical profiles under the tutelage of subspecialty Maternal Fetal Medicine ultrasonographers.

Float rotation (1 rotation) Two weeks at a time are spent on the night float, with guided management of gynecological emergencies in the ER. 

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.