Rotations

General Plastic Surgery

The plastic surgery resident on this service functions as the administrative chief resident. He/she, along with the rotating General Surgery HOIII, handles assigning clinical and administrative duties to all other team members. The day begins with inpatient rounds. This includes students, other learners, junior residents, nurse associates and the attending staff. After rounds the fellow assigns clinical and administrative duties for the day. He/she distributes team members for operative cases, ambulatory clinic, emergency room consultations, new inpatient consultations and patient transfer and discharge responsibilities. The shared responsibility with the HOIII is to maximize continuity of patient care and to allow adequate time for independent education and research. On most days, the plastic surgery resident will be in the operating room. They are expected to take part in cases commensurate to their level. They are responsible for teaching junior learners how to perform more basic facets of the procedures. On days where there are fewer or less complex procedures, the plastic surgery resident is expected to spend time in the ambulatory clinic, to keep continuity of care with patients including their pre- and post-operative management. The resident is responsible for managing the patients post operatively with input, guidance, and supervision from the attending staff.

The resident on this service is also responsible for the call schedule and conference setting up. Although the general plastic surgery rotation is usually focused on operative and post-operative management, pre-operative care is discussed at office/bedside and intra-operatively. Many of these topics are also part of the regular morbidity and mortality conference.

Outpatient Plastic Surgery

On the ambulatory plastic surgery rotation, the focus is pre-operative and post-operative management. The ambulatory setting provides more office-based surgery. There will be slightly less emphasis on operating room experience during this rotation. Residents will be asked to participate in at least four half day clinics during a working week while on this rotation. In addition to clinic and operating room responsibilities, they will also be responsible for evaluation and treatment of minor emergency room cases such as the evaluation and repair of lacerations, evaluation and treatment of hand trauma and evaluation and triage of more involved injuries that require transfer to a major center (Henry Ford Hospital main campus).

Suburban Plastic Surgery

Inpatient plastic surgery care is at the West Bloomfield Campus, which is approximately a 190-bed hospital. The residents will play an integral part in the development of a facility regarding communicating among different services and developing treatment plans that allow for maximal patient care and the interaction of different services.

Oculoplastic/Dermatology

Plastic Surgery residents will spend 2 months on a combined Dermatology/Oculoplastic rotation. This combination will allow the resident to maximize operative exposure to Oculoplastic cases while minimizing participation with respect to general ophthalmology.

The plastic surgery fellow will rotate in Dermatology to develop a better understanding of skin physiology and pathology. The residents will have exposure to Mohs surgery, lasers (for the treatment of skin conditions), medical dermatology, dermatopathology, pediatric dermatology, and inpatient dermatology. They will be responsible for attendance at assigned clinics and didactic lectures given by the department.

Hand

During this rotation the residents are responsible for being in the operating room and the clinic. They are given graduate responsibilities as their level and skill set mature. They are also responsible for emergency room consultations related to hand and upper extremity injury during this time. This responsibility will be performed at the satellite emergency rooms. They will also be responsible for morbid and mortality conferences related to hand surgery during that rotation.

Pediatric Plastic Surgery

Pediatric plastic surgery is a discipline within plastic surgery with unique diagnoses, evaluations and treatments. Residents rotate at Children’s Hospital of Michigan for this experience. Founded more than 120 years ago, the Children’s Hospital of Michigan is the first hospital in the state dedicated exclusively to the treatment of children. Comprehensive, high-volume care is provided for children with cleft-lip and palate, craniosynostosis and cranial abnormalities, hemi facial microsomia and other facial syndromes such as hemangiomas and vascular malformations, congenital nevi and tissue expansion, congenital hand anomalies, pediatric breast anomalies, congenital ear anomalies, and craniofacial trauma.

Outpatient Plastic Surgery

On the ambulatory plastic surgery rotation, the focus is pre-operative and post-operative management. The ambulatory setting provides more office-based surgery. There will be slightly less emphasis on operating room experience during this rotation. Residents will be asked to participate in at least four half day clinics during a working week while on this rotation. In addition to clinic and operating room responsibilities, they will also be responsible for evaluation and treatment of minor emergency room cases such as the evaluation and repair of lacerations, evaluation and treatment of hand trauma and evaluation and triage of more involved injuries that require transfer to a major center (Henry Ford Hospital main campus).

General Plastic Surgery

The plastic surgery resident on this service functions as the administrative chief resident. Each year 4 months are spent on this service. He/she, along with the rotating General Surgery HOIII, are responsible for assigning clinical and administrative duties to all other team members. The day begins with inpatient rounds. This includes students, other learners, junior residents, nurse associates and the attending staff. After rounds the fellow assigns clinical and administrative duties for the day. He/she distributes team members for operative cases, ambulatory clinic, emergency room consultations, new inpatient consultations and patient transfer and discharge responsibilities. The shared responsibility with the HOIII is to maximize continuity of patient care and to allow adequate time for independent education and research. On most days the plastic surgery resident will be in the operating room. They are expected to participate in the cases commensurate to their level. They are responsible for teaching junior learners how to perform more basic facets of the procedures. On days where there are fewer or less complex procedures, the plastic surgery resident is expected to spend time in the ambulatory clinic, to maintain continuity of care with patients including their pre- and post-operative management. The resident is responsible for managing the patients’ post operatively with input, guidance and supervision from the attending staff.

The resident of this service is also responsible for the call schedule and conference set-up. Although the general plastic surgery rotation is usually focused on operative and post-operative management, pre-operative care is discussed at office/bedside and intra-operatively. Many of these topics are also part of the regular morbidity and mortality confer