Our residency program is fully accredited by the Accreditation Council for Graduate Medical Education through the Residency Review Committee of Obstetrics and Gynecology. The curriculum complies with all essential requirements outlined by the ACGME and is overseen by the residency program director Dr. Matthew Allswede with input from the Associate Program Directors and members of the Residency Education Committee.

Experience and responsibilities are graduated throughout the four years of training. First and second year resident experience focuses on acquiring basic skills and core knowledge, while third and fourth year residents develop their leadership skills in the context of supervising junior residents in clinical settings and educational rounds. Educational objectives for each residency year and each rotation are distributed to the residents and discussed with each resident semi-annually during their performance review with the Program Director.

Year I
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.

First Year Rotations *
Obstetrics
Gynecology
Primary Care
Emergency Medicine
Intensive Care

5 rotations
3 rotations
3 rotations
1 rotation
1 rotation

*The academic year is organized into thirteen, four-week rotations.

Year II
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
Gynecology
High Risk Obstetrics
Gynecology Oncology
Clinic

4 rotations
5 rotations
2 rotations
1 rotation
1 rotation

Year III
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
Gynecologic Oncology
Gynecology
Gynecology Endocrinology
Clinic
Night Float
Obstetrics

3 rotations
3 rotations
2 rotations
1 rotation
1 rotation
2 rotations
1 rotation

Year IV
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
Gynecologic Chief Resident
Ambulatory Chief Resident
Nights
Urogynecology
Reproductive Endocrinology & Infertility
Elective

2 rotations
3 rotations
3 rotations
3 rotations
1 rotation
1 rotation
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.