Greater Lansing - OB/GME Rotation GME


While the resident is assigned to the obstetrical rotation, his/her primary responsibility will be running of the obstetrical floor, assigning patients to junior house staff, ob triage, antenatal testing, management of obstetrical labor patients, and management of obstetrical antenatal medical patients.  In addition, the resident will gain proficiency in normal spontaneous vaginal deliveries, operative vaginal deliveries, third trimester amniocentesis, as well as cesarean sections.  Limited obstetrical ultrasounds will also be performed on the floor when appropriate.  It is expected that the obstetrical resident will contact the chief resident and/or backup resident when necessary to assist in managing the obstetrical floor.   First year residents will be under the direct supervision of a senior resident and/or attending physician.  A senior resident will be assigned to oversee the running of the ob floor at all times.

Cesarean sections on resident clinic patients will be scrubbed by two residents whenever possible.  In these instances, the senior resident will act as the teaching attending.  As always, an ob/gyn staff physician will also scrub and participate in the cesarean section.

Night service is done in 1 or 2 week blocks and is in compliance with the Work Hours policy.


While on the gynecology surgery rotation, the resident will be assisting and performing gynecologic surgery with the attending physician and will be involved in floor management, as well as consultations on the hospital floors.  Additionally, a designated resident will be covering Emergency Department consultations as well, and will carry the designated ED/consult beeper.

Gynecologic resident clinic surgery will be attended by two residents whenever possible.  This is especially emphasized for major gynecologic cases.  As in the case of obstetrics, the senior resident will act as the teaching physician, but an attending physician will always be present and participate in the case management as well.


This rotation, in most cases, will occur during the fourth year. It will involve the fourth-year resident spending a month in a private office to obtain increasing proficiency in practice management and for exposure to other facets of gynecology, which may not have been gained through the ob/gyn clinic experience.


Each Tuesday morning there will be a meeting to review the high-risk obstetrics patients of the Resident Clinic.  Problem lists and management plan will be reviewed with the attending physician(s) at this meeting.  The purpose of this meeting is to assist in education of the residents and to provide continuity in the management plan in the ongoing care of these patients.

Recently MGL has developed a multi-specialty clinic for resident training. The idea of bringing all of the resident clinics together in one setting will increase efficiencies in patient care and increase the resident's ability to improve in the areas of practice-based learning and improvement, as well as in systems-based practice, two of the required core competencies. This clinic will include comprehensive care in general surgery, internal medicine, orthopedic surgery, family medicine, and obstetrics and gynecology.

There are three half-day clinics per week and each resident will be assigned to at least one clinic session per week.  All attempts will be made to provide continuity of care, especially in the area of gynecology.  The nature of an obstetrical group practice provides that the obstetrical patients may see a different provider from the group on each occasion and the chart, as well as the Tuesday morning meetings, will serve as the basis for continuity of care in developing a management plan.  This experience is believed to be comparable to any private group practice.  

The scheduling of the residents for a particular clinic day will be under the direction of the chief scheduling resident and/or resident in charge of clinics, as well as the program director.  The day-to-day operation of the clinic is under the supervision of the clinic director.


MGL works with MSUCOM and supports the concept of osteopathic medicine which provides us and our patients with a humanistic and realistic personable approach to the total health care of each patient. Residency training incorporates the application of Osteopathic diagnostic and therapeutic measures related to the total health of the patient.  The program emphasizes inclusion of osteopathic principles and practice in the management of patients with all aspects of pelvic pain and/or gynecological diseases; and in the treatment of somatic dysfunction in the obstetrical patient. The training includes lectures as well as hands-on training. OMM consultation and bedside training is provided when appropriate. The first year resident has periodic training during the course of the year, with hands-on training sessions provided by the Department of OMM/OPP from MSUCOM.


Maternal/Fetal Medicine

Maternal/fetal medicine subspecialty exposure is provided through a two-month rotation.  Due to the fact that this is a two-month immersion in maternal/fetal medicine and the fact this rotation is out of state, the resident on this service will be excused from routine clinic assignments and call at MGL. Call on the MFM rotation will be arranged by the facility where the rotation is taking place. Call will be consistent and within the framework of the duty hours guidelines.

The first month on this service is primarily focused on perinatal ultrasonography, and takes place in the Perinatal Center in Harrisburg, PA. The second month on this service is primarily focused on consults and hospital management.

Housing is provided while on this service.

Gynecologic Oncology

Gynecologic oncology training is provided on an ongoing basis throughout the residency program as well as with two months of focused training.  Joseph Meunier, D.O., FACOOG is a gynecologic oncologist in Lansing who provides care at both MGL and Sparrow Health System.  The formal two months of training on the gynecologic oncology service occur during the third year of residency training.  

A one month rotation on the gynecologic oncology service is designed to provide a broad exposure to all facets of gynecologic oncology, as well as to provide additional training in difficult gynecologic surgery (both open and robotic-laparoscopic), as well as to critical post-operative care.

Opportunities for training will be with Dr. Meunier, and/or with a 3 person Gyn Oncology group in Harrisburg, PA.  This latter exposure provides a broad base of difficult gyn surgical cases (open and laparoscopic/robotic), as well as gaining the perspective of different approaches to gyn oncologic care. Housing will be provided for the rotation in Harrisburg, PA. These arrangements are subject to change/evolve and the residents will be kept appraised of any such changes.

Reproductive Endocrinology

Reproductive endocrinology is a scheduled one-month rotation, typically occurring during the second year of the residency.  During this rotation, the resident will spend time primarily in the office of a Reproductive Endocrinologist.  The emphasis of this rotation is primarily ambulatory with exposure to all aspects of reproductive endocrinology.  This rotation also allows the resident the opportunity to utilize vaginal probe ultrasonography. The resident will also spend time in surgery when appropriate with the attending physician.  During this rotation the resident will not be expected to take call during the week at MGL.  It is possible that the resident may need to take one weekend call at Ingham while on this service.  However, it is anticipated that the resident will utilize his/her time appropriately for reading in the area of reproductive endocrinology while on this service since this is a one-month immersion exposure.  This rotation is primarily based in Brighton, MI. (a 40 mile drive), and partially in Warren, MI. (70 miles).

Urologic gynecology/Pelvic Reconstructive Surgery

Because of the changing nature of gyn urology practice, the urologic gynecology training encompasses an ongoing process, with the equivalent of one month of training. Didactic training is accomplished during protected educational time at MGL, as well as through focused educational days at SCS. The resident will also work directly with individual gynecologists who perform urologic gynecologic procedures, and will be exposed to in-office evaluation and workup of the patient, as well as to office testing (cystometrics). Dr. Moyerbrailean provides additional training to the workup and evaluation of urologic gynecologic problems. In addition, throughout the gynecologic portion of the residents' training, the gynecologists at MGL work in close conjunction with urology department on dual-boarded cases and the gyn resident will, therefore, have an opportunity to have continuing exposure to various urologic gynecologic /pelvic reconstruction procedures.  If the resident wishes further training in the field of urologic gynecology/pelvic  reconstructive surgery, this may be arranged with the assistance/approval of the program director as an elective out rotation on an individual case by case basis.  The ongoing exposure to urologic gynecologic procedures prepares the gyn generalist for private practice.