Our surgical training program includes a large volume of high complexity cases with substantial educational benefit. Our national reputation in gynecologic surgery results in referral of patients with complex problems that provide ideal learning opportunities. You will rarely see anything after fellowship that you have not seen during training.
- Each fellow performs surgery on 150 to 200 patients per year.
- 40% of our operations are for recurrent disease so that fellows are comfortable with complex surgery.
- Faculty have diverse approaches to surgery including robotic, laparoscopic, open and vaginal methods so fellows get experience with each route of operation; especially vaginal.
- We have an advanced simulation center with multiple training consoles for straight-stick laparoscopy, as well as the entire DaVinci SI training system (including docking console, OR table and mannequin patient) to enhance laparoscopic skills.
Michigan Medicine has benefited from a great collaboration between Urology and Gynecology (first program to be jointly approved for both Gynecology and Urology) and is often considered the exemplar of cooperation. The Neurourology and Pelvic Reconstruction (NPR) fellowship in Urology accepts one urologist per year and there is extensive interaction between the programs to maximize education for both specialties. Our philosophy is not to train everyone to do everything, but to train sub-specialists in each program who are able to handle the most challenging problems that are likely to be referred to them. By spending time on the NPR service, each fellow gets firsthand experience with operations and diagnostic testing that they may not choose to offer, but will need to know about to collaborate in the future. In addition, specialized knowledge such as management of spinal cord injured patients is maximized.
The Michigan Bowel Control Program
This is a multidisciplinary program with gynecologists, gastroenterologists, colorectal surgeons, physical therapists, and specialized nurses working together that provides a great opportunity for fellows to gain experience in the management of the posterior compartment problems and comprehensive knowledge of the inter-relationship of GI function and gynecologic disease. Experience in this clinic provides a deeper understanding of the clinical aspects of bowel problems. Patients from this clinic frequently undergo concomitant surgical treatments by faculty from Colorectal Surgery and FPMRS, providing the fellows with the opportunity to participate in colorectal procedures.
Michigan Healthy Healing After Delivery Program
This unique program involves physicians, specialized nurses, social workers, physical therapists and more to provide comprehensive postpartum care to new mothers. Fellows will learn how to evaluate and manage a multitude of pelvic floor issues in the postpartum period including: 3rd and 4th degree perineal tears, complications of perineal wound healing, urinary and fecal incontinence, urinary retention, and dyspareunia.