Obstetric service

Residents enjoy ample clinical opportunity in all aspects of our specialty. Sparrow is the largest mid-Michigan hospital and supports the Regional Neonatal Intensive Care Unit. Over 4,000 births occur yearly at Sparrow Hospital and residents participate in the majority of these deliveries. Residents participate with our Maternal/Fetal Medicine specialist in providing antenatal genetic counseling and testing, ultrasonography and fetal diagnostic testing. The service receives high-risk maternal transports from a nine county region. In addition, a very active Residency Clinic service provides obstetrical care for many high-risk patients, as well as low-risk patients cared for in individual resident's continuity care clinics.

Modern facilities for mother/baby care are conveniently located on the third floor of Sparrow Hospital. The Labor and Delivery Unit supports twelve spacious private Labor/Delivery/Recovery rooms with central fetal heart rate monitoring. The Obstetric Special Care Unit is equipped with eight beds for antenatal care. The thirty-eight bed postpartum unit is adjacent to the Newborn and Transitional Nurseries. Rooming-in is available and supported in the all private rooms as the entire Mother/Baby Center combines modern facilities and technologies with a family-centered feel to match the patient care philosophy of the department.

Pediatric support for the obstetrics program is excellent. The 40 bed Regional Neonatal Intensive Care Unit cares for over 500 neonates annually with an active outreach program. The Pediatric Department supports a fellowship training program in Neonatology.

Gynecologic service

The gynecologic service cares for a large volume of patients with surgical needs. Over 5,000 major and minor gynecologic procedures are performed annually, including minimally invasive surgery and daVinci robotics procedures. Residents participate in the majority of these surgeries under the direct supervision of faculty. Educational emphasis is on graduated responsibility and operative experience for the residents. Each program graduate finishes with broad training in all aspects of contemporary gynecologic practice, experienced in a broad array of operative endoscopy, vaginal and urogynecologic procedures, as well as major abdominal, oncologic, reproductive endocrinologic and laser procedures.

Under the supervision of faculty, residents operate on their own patients from the continuity care clinics and actively participate in the operative and postoperative care of private patients. While on the subspecialty services and within their own clinics, residents participate in the outpatient postoperative care and longitudinal follow-up of surgical patients.

The Gynecologic Oncology Service spearheads the care of patients with invasive genital malignancies. Over 200 new patients and nearly 1,500 return patients are cared for annually on this service. The Gynecologic Oncologists perform over 150 major surgical procedures yearly with residents involved in virtually all cases, including radical surgery. A weekly Gynecologic Tumor Conference provides each resident an opportunity to experience the interdisciplinary approach to patient management.

Two sub-specialists provide reproductive endocrinology and infertility services, including assisted reproductive technologies. Each of these faculty members is dedicated to residency education. Together, they supervise a subspecialty rotation, provide didactic education support, provide and supervise operative experiences for the residents and supervise a specialty clinic within the Residency Clinic. A Ph.D. Embryologist staffs a dedicated Assisted Reproductive Technologies Laboratory.

Outpatient service

The Sparrow Residency Clinic serves as the site for the residents' continuity care clinics. Each resident is responsible for a subset of clinic patients beginning in their first year. Longitudinal care of these patients occurs across the four years of residency training with patients considering the resident as their primary care provider. With over 500 new patient visits and 6,000 return visits to the continuity clinics annually, residents learn to manage common primary care disorders for women across their life stages, in addition to acquiring comprehensive experience in the ambulatory management of obstetric and gynecologic problems. Residents are also educated in the appropriate use of community resources through their day-to-day interactions with the social workers that are part of a multidisciplinary team of providers within the clinic.

In addition to general continuity care clinics, specialty clinics in breast disease, colposcopy and reproductive endocrinology and infertility are held in the Residency Clinic. Residents also rotate through specialty services acquiring further outpatient management experience in primary care (Family Medicine and Internal Medicine), urinary incontinence and pelvic prolapse, reproductive endocrinology and infertility, gynecologic oncology and perinatology, and breast disorders.

Program objectives

The principal goal of the residency program is to develop obstetrician-gynecologists capable of providing highly competent specialty care as generalists and consultants and primary care for women throughout their life stages. By combining the best features of traditional community-based and university programs, our residency prepares and qualifies its graduates to become board-certified by the American Board of Obstetrics and Gynecology.

The educational experience is subspecialty-derived and facilitated by a group of dedicated faculty with diverse educational and personal backgrounds. Through a system of graduated responsibility, residents acquire and retrieve the medical knowledge, clinical judgment, technical skills and interpersonal skills to practice contemporary medicine with confidence.

Throughout residency training, emphasis is placed on the importance of developing behaviors that support a desire for life-long learning, emphasizing the role of physicians as teachers in every day practice. Along those same lines, residents are appointed Clinical Resident Instructors in the Department of Obstetrics, Gynecology and Reproductive Biology at Michigan State University. Faculty privileges are extended to the Resident Instructors and they participate fully as integral members of the clerkship faculty, teaching third and fourth year medical students. Our residents take this responsibility seriously and many have had their efforts recognized by winning teaching awards from the graduating medical school classes.