At Michigan Medicine, we recognize that residents are first and foremost physician learners and strive to ensure that learning is at the center of every experience.
Core lectures occur every Wednesday afternoon during strictly protected education time. The topics and content are primarily based on the Council on Residency Education in Obstetrics and Gynecology (CREOG), Educational Objectives, 12th Edition.
Surgical Skills Curriculum
The Obstetrics and Gynecology Surgical Skills Curriculum is a competency-based task-oriented curriculum with training programs for open, hysteroscopic, vaginal, laparoscopic, and robotic basic surgical skills with procedure-specific training programs for core Ob/Gyn procedures.
Resident Research Curriculum
Our structured resident research curriculum offers residents the opportunity to explore their research interests with support from faculty mentors, a dedicated statistician, as well as other learning and funding opportunities. Residents are required to complete at least one research project culminating in a presentation at our annual resident research day.
- Ethical conduct of research, including the role of the Institutional Review Board and human studies protections and procedures.
- Formulation of hypothesis-driven experiments or analyses.
- Orientation to scholarly resources and software for the conduct of research.
- Training in statistical software for data management and analysis.
- Fluency in public health study design and methodological research considerations.
- Critical appraisal and evaluation of peer-reviewed literature.
- Oral and written communication for research.
- Training in basic grant structure and manuscript writing.
Patient Safety and Quality Improvement Curriculum
The Obstetrics and Gynecology Residency Quality Improvement/Patient Safety (PS/QI) Curriculum is a comprehensive, progressive learning experience providing our residents with the necessary tools to be actively involved in PS/QI efforts in residency and beyond. The PS/QI curriculum is built on a strong educational foundation and provides residents with a structured timeline for task completion and project management support. The experience culminates in a formal presentation of resident QI/PS projects at Departmental Grand Rounds.
Patient Safety and Systems Approach to Medical Error Objectives
Demonstrates knowledge of institutional surveillance systems to monitor patient safety (e.g., surgical site infection, medical error reporting)
Demonstrates knowledge of the epidemiology of medical errors and the differences between near misses, medical errors, and sentinel events
Demonstrates knowledge of national patient safety standards, as well as their use/application in the institution
Recognizes when root cause analysis is necessary and is capable of participating in root cause analysis
Quality Improvement Process Objectives
- Demonstrates a commitment to self-evaluation, lifelong learning, and patient safety
- Demonstrates understanding of the basic concepts of quality improvement
- Understands the level of evidence for patient care recommendations
- Identifies quality of care issues within one’s own practice with a systems-based approach
Quality Improvement Conference (Morbidity & Mortality)
Every Thursday morning, the Department of Obstetrics and Gynecology holds a quality improvement (Morbidity and Mortality) conference, led by our residents to review clinical cases with the goal of optimizing patient care.
Quality Indicators (QIs) are standardized, evidence-based measures of health care quality used to measure and track clinical performance and outcomes. The Obstetric and Gynecologic Quality Improvement/Patient safety committees identify cases with quality improvement indicators. Resident physicians who participate in the case are asked to review the case, consider the quality improvement indicator and discuss how the clinical performance and patient outcomes could have improved.
Review perioperative care obstetric and gynecologic surgical cases
Identify systems-based issues that may impact perioperative care
Reviewed application of current Michigan Medicine operational and safety guidelines. e.g. Assessing risk, optimization needed for patients with common comorbidities, antibiotic prophylaxis, blood product transfusions, complications, pain management, etc.
Clinical Reasoning Conference
During this interactive session, residents will be asked to briefly present and review the pertinent components of their cases. They are expected to be prepared to discuss the relevant history and clinical management decisions. Residents are expected to have a full understanding of their cases, demonstrating ownership of the patient care that was received. They are also expected to be prepared by reading appropriate text, practice bulletins, committee opinions, and/or literature pertinent to the case.
Develop and practice clear communication of clinical management and decision-making related to the practice of Obstetrics and Gynecology
Demonstrate learners' understanding and discuss the pathophysiology, diagnostic evaluation, differential diagnosis, and treatment of clinical cases in Obstetrics, Gynecology, and Office Practice
This conference, led by our PGY3 residents, offers trainees an opportunity to discuss patient cases where errors, near misses, or complications, may have occurred.
The learning objective is to provide a safe venue for residents to:
- Identify systems-based issues that lead to adverse patient outcomes/near misses
- Openly discuss medical mistakes
- Disseminate information learned from experience
- Reinforce a sense of professional accountability for patient safety
- Demonstrate competency in QI/PS principles
Health Equity Rounds
We believe that confronting structural racism and implicit bias to address health inequities is of the utmost importance. To prepare our residents to do so, Michigan Medicine adapted a curriculum from Harvard Children, called Health Equity Rounds (HER). Our PGY4 residents are expected to identify a patient care encounter where structural racism and implicit bias affected patient care.
- Identify and analyze the effects of implicit bias, structural racism, and discrimination against other groups in clinical scenarios
- Describe the historical context and present-day role of structural racism and discrimination and its impact on the health care system
- Employ evidence-based tools to recognize and mitigate the effects of personally held implicit biases
It’s been said that effective grand rounds should disseminate knowledge, change physician behavior, and improve patient outcomes. Our PGY4 residents are expected to identify and delve deeply into a topic of interest, develop expertise in the topic, and present at Departmental Grand Rounds.
Examples Topics from Recent Resident Cohorts:
- A Journey for Joy: Musings of a Self-Help Junkie, Marisa Sturza, MD
- Why Does My Husband Make More Than Me?: Evaluating Differences in Medical Compensation by Gender, Erin Inman, MD
- Clinically Competent, Fiscally at Risk, Jasmine Ebott, MD
- Women's "Health" in Rural America, Ann Lozier, MD
- Vague Reassurances: The Evidence Around Common Pregnancy Restrictions and Why These Questions Matter, Cindy Lee, MD
Journal Club is an opportunity for residents to critically appraise and engage in discussions on recent articles from the medical literature.
Appraise the study design and statistical methods used
Interpret and discuss the applicability of results to our patient population
Identify how social determinants of health impact health outcomes and patient experiences