Well, I actually start there as a pgy-2 in July, but I haven't done a rotation there yet so I can only speak about what I know from interviews last year.
We have a rather large class of 7, which does make it nice as call is Q6. The first half or so of the first year is in house until you "know what you're doing". At that time there is also an in house pgy-3 resident. The second half of your 1st and 2nd years are from home. I think pgy-4 residents basically just get called in for any surgery.
As far as teaching goes, they have chairman's rounds, journal club, and a board review course. One day each month during the last 9 months of the 1st year, there are lectures for surgical principles and techniques. There is also a microsurgery lab to help learn how to use a surgical microscope, learn the basic "moves", perform basic wound closure, perform capsulorrhexis, etc. According to the papers I have, there is a final exam requiring 8 sutures in 12 minutes, a written test, and 3 complete capsulorrhexis.
One interesting feature that I didn't notice anywhere else is a "business of medicine" course. The lectures from 2003 included:
1) Employment agreements, partnerships and buy-ins
2) Coding and reimbursement 101
3) Private practice: the first year
4) Anatomy of a lawsuit
5) Financial planning/investment management
6) Managed care
7) Practice operations
The bad thing about being in Detroit is that it's Detroit (although the suburbs are nice). The good thing is that, as you might imagine, there is a large amount of ocular disease to be seen.
I'm kinda interested in retina and they actually have 6 full-time retina faculty (including the chairman), as well as 3 fellows, so if one chooses to go that route it's a good place to be. The retina fellowship (3 fellows) is supposedly considered to be very strong (
http://forums.studentdoctor.net/showthread.php?t=161161). The chairman, Dr. Abrams is is actually president of the Association for Research in Vision and Ophthalmology (ARVO), and a member of the Board of Trustees for the Association of University Professors of Ophthalmology (AUPO), where he is the President Elect.
I don't know a whole lot about the other subspecialties yet. They do have faculty in all the other subspecialties. The residents I met during the interview process and again during this year have seemed happy.
I'll obviously be learning a lot more over the coming several months, so feel free to contact me if you so desire.