Obstetrics & Gynecology Residency
The Spectrum Health/Michigan State University Obstetrics & Gynecology Residency provides in-depth training in maternal fetal medicine, reproductive endocrinology, urogynecology and gynecologic oncology. Extensive training in operative laparoscopy is a strong component of our program. Our residents receive appointments as clinical instructors from Michigan State University, and have the opportunity to teach medical students who rotate through the hospitals. Our residents also participate in the training of family medicine, emergency medicine and transitional year residents.
- Train physicians who excel in the practice of high quality obstetrics and gynecology, focusing on expertise in technical skills and evidenced-based medicine.
- Train physicians who are self-directed learners, preparing them for the lifelong learning necessary in the medical profession.
- Train physicians prepared to practice team-based care, instilling the traits of cultural sensitivity and professionalism.
- Train physicians who are not limited in their choice of practice based on the training they have received, allowing our residents to serve the communities of their choice.
- Breast disease
- Menopause education
- Family planning education
- NICU education
- Minimally Invasive Gynecologic Surgery
Between the two hospitals, approximately 10,000 obstetric deliveries take place annually (Spectrum Health Butterworth Hospital 7,500+, Saint Mary’s Hospital 2,500+). About a third of these obstetric deliveries are residency practice patients whose care is provided by the resident under the supervision of core faculty members. The other obstetric patients are private patients of obstetricians throughout the city who residents also have the opportunity to care for. The patient population includes normal obstetric patients and high-risk patients referred to sub-specialists in maternal-fetal medicine. Our resident clinic is the largest in the state, with our residents delivering approximately 1,700 patients per year.
- Multiple gestations
- Metabolic disorders
- Hypertensive disease of pregnancy
- Substance abuse
Our faculty has six board certified sub-specialists in maternal medicine. The residents will spend one rotation in R1, R2, and R3 on the high-risk obstetric service, at the Spectrum Health campus. The regional neonatal intensive care unit is located at Helen DeVos Children’s Hospital and this generates a large volume of transferred high-risk patients from all over western Michigan.
Genetics is primarily learned during the rotation on maternal fetal medicine perinatology in the first year. While on this rotation, residents participate in genetic counseling and diagnostic procedures. While on the Spectrum Health Butterworth Hospital rotation, the residents work closely with a genetics counselor.
Although many patients come from private attendings, residents participate actively in the management and therapeutic decisions of all complicated obstetric patients. As a resident, you will gain experience in normal obstetrics in each of the four years. The first and second years receive the greatest exposure to obstetrics. In the first year, the resident spends six months covering labor and delivery. The second year residents similarly cover labor and delivery for 18 weeks during the day, but they also cover labor and delivery for 12 weeks in a “night float” system. In the third year, residents spend six weeks on obstetrics. In the fourth year, each resident spends six weeks as the chief of obstetrics.
Supervision is provided, in house, 24 hours a day by our core faculty. Starting in the first year, each resident has obstetric patients included in their own personal continuity clinic. In this clinic setting, they provide prenatal care under the supervision of upper level residents and an attending physician.
Formal instruction in ultrasound techniques is obtained in several different areas. In the first year, the residents have a four or two week ultrasound rotation working with maternal fetal medicine. In the third year, the residents learn how to perform vaginal probe ultrasound from reproductive endocrinologists. In the second and third year, the residents spend another six weeks on maternal fetal medicine where they get additional training in ultrasound.
The experience in operative gynecology is gained at each hospital during the entire residency. It increases incrementally as the resident progresses through the four years. Even in the first year, the resident is assigned to a formal rotation on the gynecologic service, assisting in cases such as: endometrial ablations, hysteroscopy, laparoscopic tubal ligations, and dilation and curettages.
The experience in advanced laparoscopy and robotic surgery is gained in a fourth year of training during six weeks of MIGS rotation. During this rotation chief residents master their conventional laparoscopy skills and advance their robotic experience with complex gynecological cases including symptomatic large fibroids, stage four endometriosis, repair of incompetent cesarean section scar, complex adnexal masses etc. At the same time, residents on this rotation gain exposure to conservative management of symptomatic fibroids, endometriosis, chronic pelvic pain, and vaginal and vulvar dysplasia. Twice a month, MIGS faculty runs residents complex gynecology clinic on a base of residency continuity clinic.
In the third year, the resident spends six-weeks on the reproductive endocrinology service. While on this rotation, the resident becomes actively involved in the evaluation and management of infertility patients. They become skilled at managing clomiphene citrate therapy, and they learn the principles of gonadotropin stimulation. They also learn about the more advanced technologies and participate in the GIFT, ZIFT, and IVF procedures. Subspecialists give reproductive endocrinology and infertility lectures monthly.
All of our urogynecologists are board certified and equally experienced in vaginal and robotic surgery. Residents on this rotation learn how to complete a full urodynamic work-up and to perform pelvic organ prolapse quantification exam. They participate in a variety of pelvic floor surgical procedures. This is a rotation where residents master and gain volume in performance of vaginal hysterectomy and mid urethral sling. Urogynecology ambulatory curriculum allows residents to identify and manage different pelvic floor disorders and participate in pelvic floor physical therapy clinic. In addition, this rotation offers intensive exposure to patients with chronic pelvic pain. Didactic lectures are also given by attending physicians specializing in the field.
Our residents encounter patients with gynecologic malignancies on the general gynecologic in-patient services and the gynecologic oncology service. This exposure occurs in the second, third and fourth years.
Our program is four years in length. See below for rotation types and lengths.
- Four weeks of orientation
- 14 weeks of obstetrics
- Two weeks of ambulatory
- Two weeks of research/two weeks family planning
- Six weeks of obstetrics nights
- Four weeks of maternal fetal medicine
- Four weeks of surgical-float
- Four weeks of NICU
- Four weeks of SICU
- Four weeks of ultrasound and/or family planning (can opt out of family planning if desired)
- Two weeks of both emergency medicine and breast rotation
- Six weeks of gynecology
- 18 weeks of obstetrics
- 12 weeks of night float
- Six weeks of maternal fetal medicine
- Six weeks of oncology
- Night float
- Maternal fetal medicine
- 12 weeks of gynecology
- Obstetrics chief
- Gynecologic oncology
- 12 weeks of administrative chief
You will have week day call at both hospitals, which includes a night float person(s) who covers labor and delivery, postpartum, gynecology, and emergency.
Wednesday mornings from 7 a.m. to noon is protected time for educational didactic conferences. Conferences include grand rounds lectures, morbidity and mortality improvement conferences, obstetrics morbidity and mortality, primary care topics, urogynecology, reproductive endocrinology, gynecologic oncology, and maternal fetal medicine conferences. On the third Wednesday of every month (September to May) we hold the visiting professor program where national speakers are invited. Other conferences throughout the week include morning report, journal club, fetal anomaly board, and gynecologic tumor conference.
Each residents is required to a complete research project through established research curriculum with defined rotation and dedicated time during didactics. Research associate program director facilitates opportunities for residents to complete their research project. For research support, the scholarly activity support team can assist. The scholarly activity support team offers biostatistics consultation and poster preparation. Residents are required to present an abstract at an institutional Research Day during their PGY-3 year and produce and submit manuscript during their PGY-4 year.
- Minimum score requirement: 230 or higher on Step II
- COMLEX scores: 650 of higher
- No more than one attempt to pass either step
- We accept international medical graduates
- We do not require any US clinical training/experience
- We do accept MS4 electives for current medical students – apply via our website
- We do not offer observerships or externships
- International medical graduates need to have applied for a Educational Commission for Foreign Medical Graduates certificate, but do not need a certificate for an interview
- All applicants must possess U.S. work authorization or be eligible for J-1 status
- We require three letters of recommendation plus a dean’s letter
- Deadline for application is December 1
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