Inpatient clinical training
Henry Ford Macomb Hospitals
15855 Nineteen Mile Road
Clinton Township, MI 48038
(586) 263-2972 Office
(586) 263-2975 Fax
Obstetrics and Gynecology Services. At HFMH, hospital-employed and private physicians provide supervision and training of the residents. Inpatient, residents are responsible for all major aspects of patient care and work one-on-one with the attending faculty physician in the provision of care. Faculty physicians on all inpatient rotations give increasing autonomy to residents as they gain competence during the course of their training, helping to bolster and support resident decision-making skills. Residents are involved in all obstetric and gynecologic care within the hospital, and participate in OBGYN subspecialty care within the hospital as well. Residents are also integral members of the education team, and are involved in teaching medical students on all inpatient services. Epic EMR is used for charting inpatient.
On the obstetric service, residents are involved in formulating patient management plans, participating in all aspects of labor, and performing vaginal deliveries and cesarean sections with supervision. Our attending physicians are proficient in both forceps-assisted and vacuum-assisted operative deliveries, and our residents receive training in both. In-house faculty perform daily rounds and review written notes, assessments, and patient management plans. Academic teaching occurs during these rounds.
On the gynecology service, residents participate in all gynecologic surgeries in the hospital. Residents begin with simple procedures and progress to more complex surgeries throughout their training. Attending physicians work one-on-one with residents to tailor training to each residents’ specific strengths and opportunities for learning. Residents are also responsible for performing consults in the hospital and collaborate with attending physicians to formulate treatment plans.
Subspecialty Services. Subspecialty rotations are provided where the best educational experiences can be endowed. These are fulfilled at our own hospital as well as several local hospitals in Metro Detroit and in private doctors’ offices, particularly for those subspecialties that are primarily outpatient in nature.
Our residents receive subspecialty training in neonatology, pathology, genetics, maternal fetal medicine, urogynecology, reproductive endocrinology, and gynecology oncology.
As second years, our residents have a dedicated month-long genetics rotation. On this rotation, the residents work directly with genetic counselors and geneticists counseling both prenatal and gynecologic oncology patients. During this rotation residents are also exposed to invasive testing such as CVS and amniocentesis. Our second year residents also have a two week pathology rotation dedicated to learning gynecologic pathology. During this rotation residents participate in the gross lab, review PAP smears and other gynecologic pathology as well as attending tumor board.
In the third year our residents spend a month at Hutzel Hospital, a tertiary care center located in Downtown Detroit, for a maternal fetal medicine rotation. During this rotation, we are part of Hutzel’s MFM service and work closely with their MFMs on staff, fellows, and residents in seeing high risk obstetric patients both in- and outpatient. We also have the opportunity to work with infectious disease and addiction medicine. In addition, all of our residents run a weekly maternal fetal medicine clinic where they perform prenatal consultations alongside board-certified maternal fetal medicine physicians throughout the course of their residency training. This provides continuing training in management of high risk pregnancies.
Our fourth year residents spend a month with Dr. Carole Kowalcyzk, a local reproductive endocrinology physician. During this month they participate in performing pelvic ultrasounds, counseling patients, and assisting with IVF and IUI procedures.
Our fourth year residents also spend a month dedicated to learning urogynecology both in the office setting as well as performing urogynecologic procedures in the operating room with one of our core faculty members, Dr. Andrew Agosta, a board-certified urogynecologist. In addition, our residents participate in urogynecologic procedures such as slings, vault repairs, and vaginal hysterectomies throughout their residency while on the gynecology service.
Our fourth year residents spend a month with renowned Gynecological Oncologist Dr. Douglas Pugmire out of Crittenton Hospital in Rochester Hills, MI performing GYN Oncology procedures. Residents also participate in gynecology oncology surgical cases and consultations alongside Dr. Rabbie Hanna at Henry Ford Macomb Hospital throughout their residency training.
Simulation Training. Henry Ford Macomb hospital has a brand new simulation lab with laparoscopic training modules easily accessible to residents. Henry Ford Hospital also provides formal training to residents with an institutional curriculum covering such subjects as delivering bad news, informed consent, disclosing error and appropriate hand-off communication. All interns also participate in the Fundamentals of Critical Care Support course.
Our residents undergo a daVinci robotic training program. Our hospital features both the Si and Xi daVinci robot models for use in the OR. The robotic training incorporates online modules as well as simulation modules on the robotic trainer. As residents progress through training, they have increased responsibility in robotic procedures and will be certified in robotic surgery upon completion of residency.
Ambulatory continuity training site
Henry Ford Macomb Hospital
Macomb OBGYN Resident Clinic
16151 19 Mile Rd. Suite 300
Clinton Township, MI 48038
(586) 203-1770 Office
(586) 228-2672 Fax
Henry Ford Macomb OBGYN Resident Clinic is an ambulatory continuity-training clinic serving both obstetric and gynecologic patients. All residents participate in clinic for an average of one half day per week which varies depending on their particular scheduled rotation. Residents have autonomy in seeing patients, while at the same time having the support of core faculty members. The clinic has a state-of-the-art ultrasound machine which residents are trained to use for routine prenatal dating scans, fetal anatomy scans, and other gynecologic ultrasounds. Our residency clinic is also partnered with Hopeful Hearts through Sacred Heart Rehabilitation Center to provide prenatal care for participants which provides a unique experience with exposure to patients undergoing treatment for various addiction. Epic EMR is used in our outpatient clinic and inpatient in the hospital.
- Monday and Wednesdays 8:30am-12pm
- Tuesday, Thursday, and Fridays 1-5pm
- Kurt Ludwig, DO
- Nicole Dolan, DO
- Steven Ferrucci, MD
- Stephen Redding MD
Resident Fetal Anatomy Ultrasound Clinic
Residents have the opportunity to perform detailed fetal anatomy ultrasounds monthly in the resident clinic alongside Dr. Redding. On Labor and Delivery, our residents perform bedside ultrasounds on all patients and are proficient with fetal biometry, AFI, BPP.
MFM Clinic is located in the same office as the resident clinic. All available residents participate in MFM clinic on Tuesday mornings. During this clinic, a board-certified maternal fetal medicine specialist supervises consultations for high-risk obstetric patients. The residents participate in formulating care plans for these high-risk patients, and follow up with patients as needed. Residents also participate in adjusting insulin dosing alongside the maternal fetal medicine physicians for patients with diabetes.
- Tuesdays 8:30am-Noon
- Gregory Goyert, MD
- Robyn Roberts, MD
- Majid Shaman, MD