Henry Ford Warren Hospital (formerly known as
Ascension Macomb-Oakland / St John)
- 2025 Program Update
We know we have not been very present online. This is a true full-scope OMFS residency. We love our program and everyone gets along very well here. Henry Ford Macomb-Oakland is a 6-yr OMFS program in Detroit, MI. Our medical school is Wayne State University. We match 3 residents per year and 3 non-categoricals. We cover multiple hospitals with a
brand new dentoalveolar clinic in the hospital, cleft-craniofacial clinic, orthognathic cases, head and neck reconstructive service, and 24/7/365 Level 1 trauma experience. We have a Head and Neck fellowship (1-3 fellows per year) with program director Dr. Carlos Ramirez.
General Information:
We are a very busy and highly respected service at the hospital. There is no Plastics or ENT to compete. We are it. All face injuries and infections come to us 24/7/365 at 1 Level-1 hospital, 2 Level-2 hospitals, 2 Level-3 hospitals. ED/Other departments love seeing us at any of our hospitals.
We have OMFS OR block days that are filled up every day. There are 3 full-time attendings for OR coverage (2 of them are head and neck fellowship trained, 1 is craniofacial fellowship trained). Flap checks all done by ICU nurses. There are also multiple part-time attendings covering infections, and trauma, and bringing private orthognathic cases.
Huge brand-new dentoalveolar clinic in the hospital (Henry Ford St John which is the main/busiest hospital we cover). 5-8 sedation cases per day. Local cases throughout the day. PRF equipment up and running (really cheap for patients). Evening TMJ clinics on certain days of the week.
On-call ~q4 depending on the number of non-categoricals. Home call. Post-call at noon sharp the next day. No matter what you are doing, you are going home at noon following your call day.
Protected didactics in the morning throughout the week. Most of the time, upper class residents will give lectures but a lot of lectures are also provided by attendings as well.
Medical School requires separate application process that you
ONLY need to complete if you are invited for an interview at the program. You get in-state tuition ~40k/yr. You also get paid a 1 year salary (~60k) stretched over those 3 years of medical school so you are employed throughout with health insurance/benefits.
Basic Overview:
Year 1 (2 Months total of OMFS, 10 Months of Medical School)
- Mostly medical school YR-1. During the holidays/ break from med school, you are on service as primary PGY-1 taking calls, covering clinic, OR cases, and get exposure to Head and Neck service.
Year 2 (12 months Medical School)
- Medical School YR-2. Full medical school curriculum and take Step 1 with medical school knowledge. You have dedicated time to study.
Year 3 (11 months Medical School - final year, 1 month of OMFS)
- Core-clinical rotations as a medical student including Psychiatry, General Surgery, OBGYN, Family Medicine, Pediatrics, Internal Medicine, Neurology.
- Take Step 2 before graduating medical school with MD in May and returning to OMFS service in June.
- As residents, you will start right away as primary residents of the service. You are in the thick of it taking calls, assisting or cutting on cases such as fibular and radial free flaps, orthognathic surgery, I and D, trauma, TMJs etc.
Year 4 (7 months OMFS/H&N, 5 months Anesthesia)
You are continuing to be primary residents of the OMFS service taking primary calls (~q4), covering clinics, preparing OR cases, etc.
- 5 months of anesthesia (1 months - pediatric anesthesia at Children's Hospital of Michigan, 4 months - general anesthesia)
- 7 months of OMFS/Head and Neck service months
Year 5 (8 months OMFS/ H & N, 4 months General Surgery)
- On your 5th year, you have 4 months of general surgery (1 month General surgery, 1 month Trauma surgery, 2 months SICU), and 8 months of OMFS/H&N. In full disclosure, you are still somewhat taking primary calls (less than pgy-4, avg ~1 call/week) when you are on service to meet requirements and to take care of the caseload for our department. You are much more involved in OR cases where a lot of times, PGY-5s are 1:1 with an attending.
Year 6 (10 months OMFS, 2 months H & N)
- The sixth-year residents are senior residents and assume primary responsibility for the service. The residents will rotate between OR coverage and Clinic coverage.
- At the clinic you are responsible for running the entire service, doing the more complex cases in the clinic. On OR rotation, you will be organizing cases for the OR, and closely working up new surgical cases with the attendings. Simple cases done fully by the senior resident. Resident cuts half and attending cuts other half on bigger cases. Many OR cases go simultaneously in multiple locations, so each senior resident takes a case with 1:1 attending.
Total 30 months of OMFS
Months wise, we know it’s short. But this is very intense 30 months. We think quality over quantity.
Scope
We are a broad-scope program, including malignant/benign pathology, microvascular reconstruction, trauma, dentoalveolar surgery, implants, sedations/anesthesia, orthognathic, pediatric cases, TMJ, infections, etc.
Dentoalveolar: Brand-new clinic runs ~5 sedations/day for 1 senior resident on rotation. Plenty of cases with no trouble meeting requirements and graduating feeling very comfortable. When the senior meets requirements, PGY-5s will run sedations. Implants/PRF procedures are picking up numbers when we moved into this beautiful clinic.
Trauma: As mentioned before, 24/7/365 on trauma call for full face without competition with Plastics or ENT. All soft tissue and hard tissue facial trauma comes to us throughout 5 hospitals. Hospital EDs know well enough not to call us for just for tooth pain. Henry Ford Warren (Level 3) and Henry Ford St John (Level 1) are 2 main/busy hospitals.
Pathology/Reconstruction: We are the Head and Neck team of the hospital. Multiple cases of reconstruction Tue/Thur including multiple free-flaps/week. You rotate on Head and Neck throughout the residency. You work directly with the fellow and Dr. Ramirez. All flap checks done by ICU nurses. No need to run around doing flap checks.
Infections: Throughout the hospitals we cover, infections of varying size/location/urgency comes through ED. Infection is the majority of cases you will see on call. You will feel very comfortable seeing infection patients.
TMJ: We offer a full spectrum of options ranging from conservative treatments like TMJ Botox to condylectomy, eminectomy, and total joint replacement.
Orthognathic: We have steady caseloads coming to us through Dr. Bermudez’s clinic and multiple part-time attendings’ private practices.
Craniofacial: Dr. Bermudez is full-time attending with fellowship training. Building his practice within Henry Ford and working closely with multiple orthodontists in Michigan.
Call
PGY-4s take the most primary call while on service, generally ~q3-4. You will get a post-call at noon sharp the following day.
We cover multiple hospitals throughout Detroit. Main hospitals for call are St John and Warren campus which is ~20 min drive between. 1 outlier is the Novi location which is ~40 min from St John but you rarely get a page from Novi.
EDs really appreciate us seeing patients on call. They will typically have everything you need ready before you get there.
Attendings:
Dr. Carlos Ramirez – PD, microvascular reconstruction trained
Dr. William Bloom – Department Chairman, basically built this program in the past
Dr. Paul Bermudez – Craniomaxillofacial trained
Dr. Jonatthan Angulo – Microvascular reconstruction trained
and many private practice part-time attendings
Lectures/Didactics:
Protected didactic time with varying topics in the mornings. ~3 hours/week
Vacation:
You get 4 weeks of vacation per year. 1 week at a time but you can make a maximum continuous 9 days with weekends.
Non-categorical Internship:
We take non-categoricals each year. Non-cats work as PGY-1s with the addition of a rotation at a dentoalveolar clinic with full autonomy. We absolutely love having non-cats and the program tries to keep them afterward. Please refer to our website
Internship Opportunities
We are a fun group of people. We try to get together as much as possible for dinners/ events. Henry Ford also offers resident wellness program with financial support for dinners just for residents.