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Program Highlights


Program

Uniquely combining the high surgical volumes of a large private hospital with a large resident clinic service (7,000 office visits, 800 deliveries), the Academic Obstetrics and Gynecology Program stresses continuity of care and an excellent ambulatory experience in a fully equipped resident office setting. Click on the following topics for details:

OBGYN Clinical Experience

Obstetrics

  • More than 4000 deliveries a year
  • Tertiary Care Center
  • Maternal Fetal Medicine presence in house - 4 full time faculty
  • Obstetric Emergency Department with Midwife staffing over 9000 visits per year
  • Single hospital in Michigan providing care to incarcerated women (this includes gynecologic care)
  • Above national average for cases obtained in operative assisted vaginal deliveries
  • Level IV NICU
  • Only hospital in SE Michigan that has Perinatal Certification

Gynecology

  • Well over 650 hysterectomies performed yearly with balanced blend of vaginal, laparoscopic and robotic techniques
  • Early surgical exposure with many residents obtaining ACGME minimum case numbers by late 3rd year and early 4th year
  • Subspecialists well represented on faculty with access to Family Planning rotation in 2nd year
  • Robust Pre-Operative conference promoting peri-operative planning
  • Graduates report ease in transitioning to independent surgical practice after graduation
  • Above national average for all ACGME tracked procedures

Ambulatory Training

Our residency continuity clinic underwent extensive renovations in 2018-2019 and features 12 patient rooms, a dedicated procedure room (for colposcopy, LEEPs, hysteroscopy, etc.), and an antenatal testing room. Continuity clinic is not just a label but also a reality at the Academic Ob/Gyn Center (AOGC). All residents have the opportunity to schedule patients they see in the ED as consults for follow-up visits in their weekly continuity clinic. Through our grouped prenatal care program (CenteringPregnancy) residents will see the same patients throughout the entirety of their pregnancy through delivery and postpartum. Along with the necessary clinical education needed to practice obstetrics and gynecology, our residents learn about coding, proper documentation, communication skills, and systems necessary to run an efficient, productive office. Our clinic is committed to working with the underserved and has the ability to offer resources to our patients that include in-house Maternal Fetal Medicine, Urologic Gynecology, Vulvar disorders, Menopausal care, early pregnancy loss inclusive of manual vacuum aspiration, Minimally Invasive Gynecologic Surgery, and a full-time social worker. These provide excellent learning opportunities with the convenience of being on site within our own clinic facility.

Research and Scholarly Activity

There are multiple avenues for research opportunities that residents can take advantage of during their training. It is a required aspect of resident education to take part in some form of research, and several of our current residents and previous graduates have worked on projects that have generated papers, posters, and presentations at local and national conferences. Below are just a few of the activities our residents and faculty have been involved in:

Simulation

Our residents participate in a variety of simulations during their 4 years of residency. Our program uses a 1 to 2 year rolling curriculum and is designed to build procedural competency, prepare residents for obstetric and gynecologic emergencies, improve patient safety and enhance interprofessional teamwork. Our simulations are created by our program leadership team with resident input and are conducted in our state of the art simulation center

Obstetrics:

  • Ob ultrasound
  • Vaginal delivery and C-sections trainers
  • Intern orientation with suturing/tying and laceration repair
  • 3rd/4th degree laceration repair
  • OB emergency Team training: OB Hemorrhage, eclampisa
  • Operative vaginal delivery

Gynecology:

  • Abdominal hysterectomy
  • Vaginal hysterectomy
  • Abdominal Hysterectomy
  • Vaginal Hysterectomy
  • Vascular Injury in MIS
  • Introduction to Robotic Surgery
  • Emergency Undocking in Robotic Surgery
  • EMIGS
  • Colposcopy
  • LEEP/Laser
  • Gyn ultrasound
  • Hysteroscopy
  • Morcellation/EXCITE procedure
  • Family planning

OB QSR Simulation:

  • Breaking bad news

Student Interactions and Teaching Experiences

Residents, as well as medical students from the University of Michigan, Michigan State University and PA students from Eastern Michigan University, play key roles in caring for all patients, including private patients. Professional camaraderie among residents, students, nurses and attending physicians is the rule, rather than the exception. A strong staff mentor system and quarterly evaluations provide feedback and support for resident progress. Mentors act as guides leading us along on our professional journey. The mentor/mentee relationship is an integral part of our resident's professional development and socialization into medicine. Interns choose a trusted faculty member to guide and support them during their residency training, often with this relationship extending years beyond training.