OB-GYN Residency Curriculum

PGY-1 Resident Rotations

Unless otherwise specified, each rotation lasts for four weeks:

  • Obstetrics (3 months total)
  • Gynecology (3 months total)
  • Gynecology Oncology (2 months total)
  • SICU (4 weeks)
  • Medicine (4 weeks)
  • Breast/Ultrasound/Genetics (4 weeks)
  • Vacation (4 weeks)

Obstetrics rotation (3 months total), 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 (3 months total) 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 (4 weeks), residents join the preoperative optimization clinic team and learn how to assess and manage patients with complex comorbidities prior to surgery.
SICU (4 weeks) 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 (4 weeks), 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.

Research

PGY-2 Resident Rotations

Unless otherwise specified, each rotation last minimum of four weeks:

  • Obstetrics/Gynecology (3 months total)
  • Gynecology (3 months total)
  • Reproductive Endocrinology/Infertility (4 weeks)
  • Gynecology Oncology (2 months total)
  • Maternal Fetal Medicine/Float (2 months total)
  • Female Pelvic Medicine & Reconstructive Surgery (4 weeks)
  • Vacation (4 weeks)

Obstetrics rotation (3 months total), 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 service (3 months total), 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.

Reproductive endocrinology/infertility rotation (4 weeks), residents are exposed to workup including imaging procedures and treatment including IVF of reproductive problems, 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.

Female Pelvic Medicine & Reconstructive Surgery (4 weeks), introduces pelvic floor physiology, the investigation (including urodynamic studies) and the treatment (medical and surgical) of pelvic floor disorders.

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

PGY-3 Resident Rotations

Unless otherwise specified, each rotation lasts for four weeks:

  • Obstetrics (3 months total)
  • Gynecology (3 months total)
  • Reproductive Endocrinology/Infertility (4 weeks)
  • Gynecology Oncology (2 months total)
  • Maternal Fetal Medicine/Float (2 months total)
  • Female Pelvic Medicine & Reconstructive Surgery (4 weeks)
  • Vacation (4 weeks)

Obstetrics (3 months total), senior 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 contain two weeks of days and two weeks of nights.

Gynecology rotation (3 months total), with time spent at West Bloomfield Hospital, will emphasize more complex surgical procedures. Primary focus is on minimally invasive, advanced laparoscopic/hysteroscopic and robotic skills.

Family Planning /research (4 weeks), residents will have the opportunity to provide complex contraception and manage early pregnancy failures. If they choose to do so, they will have access to abortion training at an off-site local family planning clinic in Detroit.

Gynecologic Oncology rotation (2 months total), 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.

Female Pelvic Medicine & Reconstructive Surgery (4 weeks), introduces pelvic floor physiology, the investigation (including urodynamic studies) and the treatment (medical and surgical) of pelvic floor disorders.

Away Elective-(Optional), 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 and approved by Program Director before March of second year

Research

PGY-4 Resident Rotations

Unless otherwise specified, each rotation lasts for four weeks:

  • Obstetrics (3 months total)
  • Gynecology (3 months total)
  • Reproductive Endocrinology/Infertility (4 weeks)
  • Gynecology Oncology (2 months total)
  • Maternal Fetal Medicine/Float (2 months total)
  • Female Pelvic Medicine & Reconstructive Surgery (4 weeks)
  • Vacation (4 weeks)

Obstetrics rotation (3 months total), 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 months total), 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.

Female Pelvic Medicine & Reconstructive Surgery (4 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.

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

Reproductive Endocrinology/Infertility (4 weeks), builds on the experience from earlier years with graduated increased responsibility.

Research

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