Residents learn the basic skills and core knowledge in obstetrics and gynecology. They focus on low-risk obstetric patients and routine antenatal care and risk assessment. Residents assist and/or perform approximately 120 vaginal deliveries and 100 cesarean sections in the first year of residency. In gynecology, they gain experience in the preoperative assessment of patients and related decision-making, as well as routine postoperative management. They are taught minor gynecologic surgical procedures and laparotomy and assist at some major surgeries. Lastly, the resident will also acquire extensive experience in primary care, learning to evaluate and manage common primary care problems.
The academic year is organized into thirteen, four-week rotations.
First Year Rotations
- Obstetrics: 5 rotations
- Gynecology: 3 rotations
- Primary Care: 3 rotations
- Emergency Medicine: 1 rotation
- Intensive Care: 1 rotation
Residents gain skills and knowledge necessary to care for more complicated patients. They care for the high-risk intrapartum patients on the obstetric service and help to supervise first year residents. Second year residents participate in operative vaginal deliveries and more complicated obstetric surgical procedures. In gynecology, the resident participates in more operative endoscopy and major abdominal surgeries while also being introduced to vaginal surgery. Second year residents participate in the Southeast Michigan Center for Medical Education, which offers a core curriculum in obstetrics and gynecology with emphasis on the basic sciences, pathology and clinical correlation.
Second Year Rotations
- Obstetrics: 4 rotations
- Gynecology: 5 rotations
- High Risk Obstetrics: 2 rotations
- Gynecology Oncology: 1 rotation
- Clinic: 1 rotation
Residents perform increasingly complex, major gynecologic surgical procedures, including abdominal hysterectomy, procedures for urinary incontinence, vaginal surgery and reconstructive procedures. Special rotations are provided in High-Risk Obstetric Clinic, Gynecologic Oncology, Infertility, Urogynecology and Reproductive Endocrinology, and the Perinatal Unit.
Third Year Rotations
- Perinatal Medicine: 3 rotations
- Gynecologic Oncology: 3 rotations
- Gynecology: 2 rotations
- Gynecology Endocrinology: 1 rotation
- Clinic: 1 rotation
- Night Float: 2 rotations
- Obstetrics: 1 rotation
Senior residents divide their final year serving as chief of the obstetrics, gynecology or ambulatory clinic services, serving as consultants and supervisors for the junior residents. In gynecology, seniors perform more complicated major gynecologic and specialized procedures such as advanced operative endoscopic surgery and urogynecologic cases.
Fourth Year Rotations
- Obstetrics Chief Resident: 2 rotations
- Gynecologic Chief Resident: 3 rotations
- Ambulatory Chief Resident: 3 rotations
- Nights: 3 rotations
- Urogynecology: 1 rotation
- Reproductive Endocrinology & Infertility: 1 rotation
- Elective: 1 rotation
The Administrative Chief Resident
One senior resident serves in their fourth year as the Administrative Chief Resident, working closely with and assisting the program director and coordinator with the administrative details of the residency program.