The OB/Gyn Curriculum and Block rotations are reviewed every year for improvement. The curriculum listed below is for the current acadamic year (two0onetwo-two0onethree). In general, there is an attempt to front load expeience in Obstetrics in the first two years and backload Gynecology in the second two years. In addition, we have been re-adjusting the balance between the two hospitals as Providence Park has gotten progressively busier.
As a general orginizational structure, there are a few highlights built into the schedule. First, in order to assure a top notch research experience the residents are given two months dedicated to research. The first month (PGY 1) is where a project can be organized and approved by the IRB. Data collection will then ensue for the following two years at which time a second month (PGY 3) is available to finalize the analysis and do the write up. The second orginizational highlight is the placement of most sub-specialties into late PGY 2/early PGY 3. This is intentional to allow each resident an opportunity to consider fellowship application early.
As far as didactics are concerned, we have a structured lecture curriculum every Wednesday morning. The attendings cover the hospital so the residents can attend. The topics are designed to repeat at least every two years exposing every topic at least twice during residency (although many common topics are repeated annually). In addition, we have an annual Anatomy course that includes both didactics and cadavaric dissection and a laparoscopic pig lab.
Our resident complete their residency program with a substantial and well rounded surgical experience. To see the numbers, please check out our experience logs.
During the first year of residency, the residents do four months Obstetrics and two months Night Float (some in Southfield, some in Novi). As part of the Obstetrics training, there is also one month of Ultrasound. After completion of the first year, our residents are competent to provide low risk obstetrical care and have some experience with more difficult cases.
Our first year residents have two months on the Gynecology service. During the time on the gynecology service, the first year residents typically cover the emergency calls and participate in minor cases. In addition, it is not unusual for first year residents to participate in a few majors by the end of the year.
To round out the first year, the residents do one month doing ambulatory care and a one month Breast rotation.
During the second year, the residents spend six months focused on Obstetrics. There are two months of night float (one at each hospital) combined with three months days (two months Providence Park, one month Southfield). In addition, toward the end of the year the second year residents take over the Maternal Fetal Medicine service for one month each.
The second year residents spend two months on the Gynecology service, but have an opportunity to rotate on the sub-specialties. They do one month in Oncology and one month in Reproductive Endocrinology and Infertility and one month Female Pelvic Medicine and Reconstructive Surgery.
The second year residents spend one month in the ICU. This experience is invaluable prior to the Oncology rotation.
The third year residents spend four months on Obstetrics. There are two months Night Float in Southfield, two month Maternal Fetal Medicine and one month in Southfield Labor and Delivery.
The third year residents spend five months focused on Gynecology. For three months they are assigned to the general Gynecology service. For two months, they complete their Oncology experience.
The last two months that round out the third year are a final Research month to finalize their project and an elective. The elective can be used for any purpose, but residents have an opportunity to do an outside rotation in anticipation of a fellowship, more research or just a month to improve their surgical experience.
The Chief of each service is responsible for the overall functioning of the service and acts as decision maker for Staff patients (with supervision).
The year is divided into five blocks:
We have a structured robotics curriculum that has resulted in all our graduates becoming certified in robotic surgery after graduation. The residents do a mix of simulations, knowledge and skill testing. In addition, we have more certified robotic surgeons than most Hospital's with a broad clinical experience.
In an effort to clarify the typical surgical experience a Providence Resident has during their residency, the above graphs reflect the mean numbers for our graduates over a three year period of time (classes of 2014-16). As can be seen, these numbers compare favorable to the national median.
Key: Vaginal (Spontaneous Vaginal Delivery), Cesarean (Cesarean Delivery), Operative (Vacuum / Forceps), OB U/S (Obstetrical Ultrasound), TAH (Total Abdominal Hysterectomy, TVH (Total Vaginal Hysterectomy), TLH (Total Laparoscopic Hysterectomy), ISPF (Incontinence and Pelvic Floor, (Cysto (Cystoscopy), Scope (Laparoscopy), Hyst (Hysteroscopy), Abort (Suction D&C), TVUS (Transvaginal Ultrasound), SIC (Surgery for Invasive Cancer)