Program Overview

For more information, visit our FREIDA online program information.

  • Obstetrics
    Hours are from 0530-1730. Rounding on the postpartum patients is done before sign out at 0645. Ob residents participate in Perinatal Conference on Fridays. 
     
    In the first half of the year 2 PGY1 residents are on the OB service. They divide their responsibilities between L/D and Floor coverage. In the second half of the year only one PGY1 is on the OB service to cover both. A Family and Community Medicine resident is also part of the team.
     
    Responsibilities include managing patients in L/D under the PGY4. Triage, admissions, labor/delivery, recovery, and primary c-sections are covered by one of the interns. The floor responsibilities include postpartum magnesium patients, postpartum patients, circumcisions, tubal ligations, contraception counseling, pp depression screening, and breast feeding issues.
      
  • Oncology
     The average day is 12 hours. The intern is the junior on this service. Rounds are done on inpatients with the PGY4. One-two days a week are spent in the OR. The intern does scrub on major cases. One-two days a week are spent in clinic with the PGY4 and attending. Pathology rounds are done on a regular basis.
  • Gynecology
    The average day is 12 hours. It starts with rounds with the team and the attendings before the OR at 0730. The interns are responsible for making sure the preoperative notes and orders are written the night prior to the surgery. The intern is expected to scrub for majors and participate in minors. Surgical cases are done once monthly at the outpatient surgery center located at the east end of campus.  Residents participate in a weekly gyn consult-pre-op-clinic. 
     
  • Night Float
    Night float hours are Sunday 1900-0715 Monday through Thursday.  This starts in January of the PGY1 year. The direct supervisor is a PGY3 resident and the on call faculty/fellow.  The PGY1 shares responsibility of Labor/Delivery, postpartum patients,nurse triage phone calls, ER consults, and all in-house gyn-gyn/oncology patients with PGY3.  A gyn back-up physician and MFM physician are on home call nightly. Friday mornings, residents attend Perinatal Conference run by MFM/NICU.
     
  • Harrisburg
    In the second half of the year interns spend one rotation here. The hours vary depending on whether covering night float, L/D, or clinic. Occasionally they might cover the OR. The hospital has approximately 4500 deliveries a year. The clinic service patients comprise about 1000 of these. Residents assist the private services on c-sections. They also work closely with the MFM service. 
     
    On L/D, you manage the floor under the direction of the in house attending. There is no senior resident. 
     
  • Office
    This rotation is one block in the first half of the year and is the introduction to office obstetrics and gynecology. You work with attendings, midlevel providers, residents, and staff to learn the office setting and patient care. This includes obstetrics, gynecology, MIS, uro-gynecology, vulvadynia, acute visits, phone triage, and office procedures. (LEEP, hysteroscopy, IUD/Implanon insertion, endometrial biopsy, colposcopy). Time is spent with our lactation consultants, genetic counselor, billing specialists, and surgical schedulers.  

  • Harrisburg 
    The hours vary depending on whether covering night float, L/D, or the OR. The hospital has approximately 4500 deliveries a year. The clinic service patients comprise about 1000 of these. Residents assist the private services on c-sections. You also work closely with the MFM service. 
     
    On L/D, you manage the floor under the direction of the in house attending. There is no senior resident.  In the OR, residents work with the private attendings as well as the clinic service faculty.
     
  • REI 
    This rotation is done in the first half of the year. The average day is 8-9 hours. It begins with assisting on IVF chores and working into the daily am US session. You assist with artificial reproductive techniques such as IUI, oocyte retrievals, and embryo transfers. The remainder of the day is spent in the outpatient sessions with new and return patients one on one with the attending. Block OR time is Wednesday where you assist the four attendings. Cases are mostly laparoscopic/hysteroscopic with occasional open myomectomies.
     
  • MFM
    This rotation is done in the second half of the year.  The average day is 12 hours. Rounds on the ante partum MFM service are done before OB sign out at 0645. You meet up with the OB team to update them on your service and get any night float feedback. Formal rounds are then done with the fellows and/or the attending of the day. Office hours start at 0800 on most days of the week. Responsibilities include seeing the return patients ultrasound, and interpreting non-stress tests. Time is also spent with the genetic counselor. Common areas to learn include diabetes management-gestational and pre-gestational, hypertension, coagulopathies, and newly diagnosed anomalies. You are responsible for presenting part of the Perinatal Conference on Fridays. There is a Wednesday morning conference with the MFM group to present and discuss current and new patients. 
     
  • Research
    This is a new rotation to increase exposure to bench research, research concepts, quality improvement, and start your mandatory research project.  Some clinical office and OR time is done with the two research faculty who run the rotation.
     
  • Gynecology
    In the second half of the year, the resident is the junior on this service of general gynecology.  The average day is 12 hours.  It starts with rounds with the team before 0730 OR. Responsibilities include preoperative notes and orders, ER consults, and scrubbing in to major and minor cases.  Surgical cases are done once monthly at the outpatient surgery center located at the east end of campus.  Residents participate in a weekly gyn consult-pre-op clinic.  

  • Harrisburg
    The hours vary depending on whether covering night float, OR, or L&D. The hospital has approximately 4500 deliveries a year. The clinic service patients comprise about 1000 of these.  Residents assist the private services on c-sections. You also work closely with the MFM service. 
     
    Your main role is to work in the OR with the service patient cases as your primary. You also work with the private attendings for their various cases. 
     
  • REI
    This rotation is done in the second half of the year. The average day is 8-9 hours. It begins with assisting on IVF chores and working into the daily am US session. You assist with artificial reproductive techniques such as IUI, oocyte retrievals, and embryo transfers. The remainder of the day is spent in the outpatient sessions with new and return patients one on one with the attending. Block OR time is Wednesday where you work with the four attendings. Cases are mostly laparoscopic/hysteroscopic with occasional open myomectomies. Your level of participation and involvement increases as your exposure and educational level increases.
     
  • MFM
    This rotation is done in the first half of the year.  The average day is 12 hours. Rounds on the antepartum MFM service are done before OB sign out at 0645. You meet up with the OB team to update them on your service and get any night float feedback. Formal rounds are then done with the fellows and/or the attending of the day. Office hours start at 0800 on most days of the week. Responsibilities include working directly with the fellows and attendings on the new consults and ultrasound. You are responsible for presenting part of the Perinatal Conference on Fridays. There is a Wednesday morning conference with the MFM group to present and discuss current and new patients.
     
  • Night Float
    Night float hours are Sunday from 1900-0715 and 1730-0715 Monday through Thursday. This starts in the second half of the year.  The PGY3 shares responsibility and supervision of Labor/Delivery, postpartum patients, nurse triage phone calls, ER consults, and all in-house gyn-gyn/onc patients with PGY1.  A gyn back-up physician and MFM physician are on home call nightly.  Friday mornings, residents attend Perinatal Conference run by MFM/NICU.  The OB NF senior cover L&D with faculty for the remaining team to attend conference,  
     
  • Minimally Invasive Gynecologic Surgery 
    The average day is 12 hours.  Inpatient rounds before 0730 OR start two or three days of the week. OR cases are mainly straight stick laparoscopy or robotics.  The remaining days are spent in the office with the MIGS faculty.  This includes pre and post-operative patients and consults.
     
  • Outpatient
    The average day is from 0800-1800.  You will have weekly clinics including colposcopy, IUD, acute needs, and medical student sessions.  On Monday and Thursday you will run ICC-intermediate care OB.  The Thursday session is supervised by our Chair, Dr. Repke.  You also help triage acute phone call needs.  On Wednesday you are the L&D chief to allow the PGY4 on OB to have continuity clinic.  There is time allowed on Friday for phone calls and catch up.
     
  • Elective
    This is designed for the second half of the year for one block. This allows time for fellowship needs, increased training in any deficient areas, increased training in a desired area, or travel abroad for third world medicine.
     

  •  Gynecology
    The average day is 12 hours. This begins with rounds before the 0730 OR begins. Your primary role will be with all areas to increase your surgical skills as a Chief Resident.  You will also cover the in-house and ER consults when needed.. Your responsibilities include progression on your surgical skills, overseeing the PGY1, and medical student teaching.
     
  • Night Float
    Night float hours are Sunday 1900-0715 and 1730-0715 Monday through Thursday. This will be in the first half of the year.

    Your responsibilities include supervising and teaching the PGY1 as they learn L/D. You also teach the medical students. You cover the MFM floor, inpatient GYN and ONC services, phone triage, and ER consults.
       
  •  Oncology
    The average day is 12 hours. Rounds are done on inpatients with the PGY1. One-two days a week are spent in the OR. You scrub on all major cases. One-two days a week are spent in clinic with the PGY1 and attending. Pathology rounds are done on a regular basis.
     
  • Obstetrics
    The average day is 12 hours. You come in to help the MFM service, Night Float senior, and PGY1 residents with any patient care rounds. You round on the Women's Health ante partum patients. OB sign out is at 0645. Your main responsibility is to teach the PGY1 L/D and post partum floor. You also teach the medical students. You continue your training on high risk management in L/D, operative vaginal delivery, and operative obstetrics. You will run sign out at 1730. There is a Perinatal Conference on Fridays.
     
  • Outpatient
    The average day is from 0800-1800.  You will have weekly clinics including colposcopy, IUD, acute needs, and medical student sessions.  On Monday and Thursday you will run ICC-intermediate care OB.  The Thursday session is supervised by our Chair, Dr. Repke.  You also help triage acute phone call needs.  On Wednesday you are the L&D chief to allow the PGY4 on OB to have continuity clinic.  There is time allowed on Friday for phone calls and catch up.