The Obstetrics and Gynecology Residency at Penn State Health Milton S. Hershey Medical Center is a four-year, ACGME-accredited program that admits five residents per year.
The comprehensive, university-based Obstetrics and Gynecology Residency exposes residents to the full range of obstetric and gynecologic specialties and subspecialties under the supervision of 29 full-time faculty and four part-time faculty members committed to resident education.
The primary hospital for education is Penn State Health Milton S. Hershey Medical Center. Our affiliated site is PinnacleHealth’s Harrisburg Hospital, located 12 miles from Hershey in downtown Harrisburg, PA. Residents spend 12 months divided in their first, second and third years at Pinnacle, providing OB/GYN care day and night.
Our educational program is based on the objectives created by the Council on Resident Education in Obstetrics and Gynecology (CREOG). During the first year, residents are exposed to the basics of our specialty, including active participation in the operating room with Women’s Health, ONC, MIGS and FPMRS. Years two and three expand the exposure to our specialties of REI, MIGS and MFM. Finally, during the fourth year, residents are managing the ONC, FPMRS, OB and GYN services. During the entire four years, weekly didactic time is protected and a night float system is in place to both augment and facilitate learning.
Overall, the departmental mission is to become the clinical, educational and research resource of choice for all women of central Pennsylvania and their healthcare providers. As a residency program, we strive to teach our resident colleagues the basic and advanced skills necessary to not just practice obstetrics and gynecology, but to become the consultant of choice in their community and to keep the way open for further study in the advancement of women’s health care.
Doing so in an environment that is busy and demanding, but not exhausting, makes this program unique. Our residents make it exceptional.
For more information, visit our FREIDA online program information.
Hours are from 5:30 a.m. to 5:30 p.m. Rounding on the postpartum patients is done before team sign-out with faculty at 6:45 a.m. OB residents participate in Perinatal Conference on Fridays.
In the first half of the year, two PGY-1 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 PGY-1 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 PGY-4. 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, postpartum depression screening and breastfeeding issues.
The average day is 12 hours. The intern is the junior on this service. Rounds are done on inpatients with the PGY-4. One to two days a week are spent in the OR with open, straight-stick laparoscopy and robotic cases. The intern does scrub on major cases. One to two days a week are spent in clinic with the PGY-4 and attending. Interns participate in twice monthly multidisciplinary pathology case conference.
The average day is 12 hours. It starts with rounds with the team and the faculty before the OR at 7:30 a.m. 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 twice monthly at the outpatient surgery center at the east end of campus. Residents participate in a weekly gyn consult/pre-operative clinic.
Night float hours are Sunday from 7 p.m. to 7:15 a.m. and from 5:30 p.m. to 7:15 a.m. Monday through Thursday. This starts in January of the PGY-1 year. The direct supervisor is a PGY-3 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 or gyn/oncology patients with PGY-3. A gyn back-up physician and MFM physician are on home call nightly. Friday mornings, residents attend Perinatal Conference run by MFM/NICU.
In the second half of the year, interns spend one rotation at Harrisburg Hospital. The hours vary depending on whether covering night float or daytime Labor/Delivery. Occasionally they might cover the OR. The hospital has approximately 4,500 deliveries a year. The clinic service patients comprise about 1,000 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.
This rotation is one block in the first half of the year and is the introduction to office obstetrics and gynecology. You work with faculty, midlevel providers, residents, and staff to learn the office setting and patient care. This includes obstetrics, gynecology, MIGS, FPSRM, vulvodynia, acute visits, phone triage and office procedures (LEEP, hysteroscopy, IUD/Nexplanon insertion, endometrial biopsy, colposcopy). Time is spent with our lactation consultants, genetic counselor, billing specialists and surgical schedulers.
The hours vary depending on whether covering night float, L/D or the OR. The hospital has approximately 4,500 deliveries a year. The clinic service patients comprise about 1,000 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.
This rotation is done in the first half of the year. The average day is eight to nine hours. It begins with assisting on IVF chores and working into the daily morning 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 faculty. Cases are mostly robotic/laparoscopic/hysteroscopic with occasional open myomectomies.
This rotation is done in the second half of the year. The average day is 12 hours. Rounds on the antepartum MFM service are done before OB sign-out at 6:45 a.m. 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 faculty of the day. Office hours start at 8 a.m. on most days of the week. Responsibilities include seeing the return patients, consults, 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.
This is a new rotation to increase exposure to bench research, research concepts and quality improvement, and to start your mandatory research project. Some clinical office and OR time is done with the two research faculty who run the rotation.
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 7:30 a.m. OR. Responsibilities include preoperative notes and orders, and scrubbing in to major and minor cases. Surgical cases are done twice monthly at the outpatient surgery center located at the east end of campus. Residents participate in a weekly gyn consult/pre-operative clinic.
The hours vary depending on whether covering night float, OR or L&D. The hospital has approximately 4,500 deliveries a year. The clinic service patients comprise about 1,000 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.
This rotation is done in the second half of the year. The average day is eight to nine hours. It begins with assisting on IVF chores and working into the daily morning 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 faculty. Cases are mostly robotic/laparoscopic/hysteroscopic with occasional open myomectomies. Your level of participation and involvement increases as your exposure and educational level increases.
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 6:45 a.m. 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 8 a.m. on most days of the week. Responsibilities include working directly with the fellows and faculty 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 hours are Sunday from 7 p.m. to 7:15 a.m. and from 5:30 p.m. to 7:15 a.m. Monday through Thursday. This starts in the second half of the year. The PGY-3 shares responsibility and supervision of Labor/Delivery, postpartum patients, nurse triage phone calls, ER consults, and all in-house gyn-gyn/onc patients with PGY-1. 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 7:30 a.m. 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 and fellows. This includes pre and post-operative patients and consults.
The average day is from 8 a.m. to 5 p.m. You will have weekly clinics including colposcopy, IUD/nexplanon, acute needs and medical student sessions. On Monday and Thursday you will run ICC-intermediate care OB. The Thursday session is supervised by Department Chair Dr. John Repke. You also help triage acute phone call needs. On Wednesday you are the L&D chief to allow the PGY-4 on OB to have continuity clinic. There is time allowed on Friday for phone calls and catch-up.
This is designed for the second half of the year for one five-week block. This allows time for fellowship needs, increased training in any deficient areas, increased training in a desired area, or travel abroad for developing-country medicine.
The average day is 12 hours. This begins with rounds before 7:30 a.m. OR begins. Your primary role will be with all areas to increase your surgical skills as a Chief Resident. Your responsibilities also include overseeing the PGY-1 and medical student teaching.
Night float hours are Sunday 7 p.m. to 7:15 a.m., and 5:30 p.m. to 7:15 a.m. Monday through Thursday. This will be in the first half of the year. Your responsibilities include supervising and teaching the PGY-2 and medical students. You cover the MFM floor, inpatient GYN and ONC services, phone triage and ER consults.
The average day is 12 hours. Rounds are done on inpatients with the PGY-1. One to two days a week are spent in the OR. You scrub on all major cases. One to two days a week are spent in the OR with open, straight stick laparoscopy, and robotic cases. One to two days a week are spent in clinic with the PGY-1 and faculty. You participate in twice monthly multidisciplinary pathology case conference.
The average day is 12 hours. You come in to help the MFM service, Night Float senior and PGY-1 residents with any patient care rounds. You round on the Women’s Health antepartum patients. OB sign-out is at 6:45 a.m. Your main responsibility is to teach the PGY-1 L/D and postpartum 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 5:30 p.m. There is a Perinatal Conference on Fridays.
The average day is from 8 a.m. to 6 p.m. 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 department chair Dr. John Repke. You also help triage acute phone call needs. On Wednesday you are the L&D chief to allow the PGY-4 on OB to have continuity clinic. There is time allowed on Friday for phone calls and catch up.
The following FAQs were designed to provide you with concise information about various aspects of our graduate medical education environment.
Is there an orientation program for incoming residents?
Incoming residents are provided with both a general institutional and department specific orientation program. The Institutional orientation provides an overview of the graduate medical education office, employment requirements, HR benefits, and integrated hospital systems (IT, Imaging).
The departmental orientation comprises two to three days. Topics include residency structure, curriculum requirements, professional billing, and documentation. Simulation with pelvic exams, vaginal delivery, suturing and fetal monitor strips are done. Tours of the inpatient and outpatient settings are included. You will also spend time learning a.m. and p.m. rounds and signouts.
All interns also participate in the ALSO Course (Advanced Life Support in Obstetrics). This is done in conjunction with our Family and Community Medicine program and occurs in the early days of June.
Is there a formal didactic curriculum and what is its structure?
A formal didactic curriculum, administered by departmental faculty, exists both for the PGY-1 residents and for the residency as a whole. The Basic Obstetrics and Gynecology (BOG) lecture series is designed for the PGY-1 residents, and is held in the first two months of residency. These lectures occur three times per week. Selected topics provide fundamental training in common OB/GYN issues. The Wednesday Education Series is a repeating two-year curriculum which covers all of the CREOG educational objectives.
What programs exist for resident education (e.g. lectures, journal clubs, grand rounds, board review courses)?
With a few exceptions, the resident educational program is concentrated into a weekly Wednesday afternoon session that spans from 12:30 to 5 p.m. The conferences held during this time period include:
- Chairman’s Rounds
- Chapter Review
- Journal Club
- Faculty Lecture Series
- Grand Rounds
- Simulation Labs, approximately four per year
- Residency Meetings
- CREOG and Board Review Lectures
In addition to the Wednesday afternoon education, residents have the opportunity to participate in:
- Oncology – Pathology reviews
- Perinatal – NICU Friday Conference
- MFM fellow education topics
- Monthly GME-sponsored lectures
Is there a feedback structure that allows for the resident to evaluate the program’s curriculum?
Residents provide feedback at monthly resident meetings and during the course of rotations. Formal reviews of the curriculum and program occur yearly. The residents give evaluations of each rotation at their completion. They also anonymously evaluate the faculty they work directly with during these rotations. Residents complete an evaluation of the Wednesday Education Curriculum each year. They also evaluate the program each year. A comprehensive review of the curriculum occurs each year with the above information and input from each of the Division Chiefs, the Department Chair and the Assistant and Program Directors.
Is attendance at regional and national conferences encouraged? Is it funded, and if so, to what degree?
Attendance at regional and national conferences is strongly encouraged. The department provides funding for travel and lodging if the resident will be making an oral presentation of research findings. Although department funding is not provided for CME courses and non-oral academic presentations, funds from the individual resident’s educational disbursement may be used.
What are the required rotations for the first year? Subsequent years?
The residency curriculum is designed to provide exposure to both general and subspecialty fields within OB/GYN, in addition to critical and primary care. Learn more about the required rotations here.
Are there opportunities to do “away” rotations?
Elective rotations, both within the institution and at non-affiliated institutions are built into the second half of the PGY-3 year. Electives are decided by each resident and approved by the faculty and the Office of Graduate Medical Education. Electives regarding any area of women’s health are appropriate.
Is there a formal mentoring program for new residents, and do faculty serve as mentors?
All residents are provided with the opportunity to select a formal faculty mentor, although it is not required. Most mentorship relationships develop informally through the resident’s involvement in research activities. If a resident is identified as being someone who may benefit from structured mentoring at anytime during residency, a faculty mentor is often selected with the aid of the Program Director.
Are research opportunities provided to residents? Is this a required experience?
Research is a valued and important part of resident education. Completion of a formal research project is required for graduation from the program. Research projects are either resident or faculty initiated. Residents must devise and propose to the IRB his/her research during the PGY-2 year and conduct enrollment during the PGY-3 year. Each PGY-3 presents at our department research day held on the Friday before our Chief Resident Graduation. Residents are encouraged to publish this presentation. Residents also have opportunities for other projects.
Is there a possibility of “protected” time for research?
Our PGY-2 residents spend 10 weeks on a research rotation. This includes exposure to bench research, research concepts and quality improvement, and time to start your mandatory research project.
How are fellowships handled?
Residents who desire to pursue a fellowship after residency often receive mentorship from faculty in that particular subspecialty. Most fellowship applications occur at the end of the PGY-3 year with interviews occurring at the beginning of the PGY-4 year. There is time built into the PGY-4 year for interviewing. Residents in the past have done rotations at particular institutions where they are interested in applying. Our residency has placed residents in Gynecologic Oncology, Maternal-Fetal Medicine and Minimally Invasive Gynecologic Surgery fellowships.
What teaching responsibilities for medical students are expected of residents?
All residents are expected to help in the development of our medical students. At any one time, most services will have from one to three students with them. Teaching usually is on a one-to-one basis during rounds or at the patient bedside. Each resident on an individual basis can develop more formal “lectures.” Fourth-year electives or sub-internships are also available though our department.
If residents have teaching responsibilities, how much time per week is spent with students? Is it “protected” time?
It’s hard to quantify how much time per week is spent with the students. They accompany the residents throughout the daily team activities with the exception of their noon lecture series. There is no “protected” time for student teaching built into the schedule.
Is there any formal training for residents on how to teach students and other learners effectively, and how to provide feedback?
Lectures and examples of student teaching are given to the residents. In the PGY-3 year, the residents are offered to attend a CREOG Teaching Seminar. One of our simulation days is focused on “Residents as Teachers.” Excellence in resident teaching is recognized with an annual teaching award presented by the medical school.
How often are residents evaluated?
Residents are evaluated very frequently during the whole course of the program. This includes daily to weekly review of procedures and patient care and end of rotation summary evaluations. Periodic 360-degree evaluations are done from the inpatient and outpatient venues.
What is the structure of the evaluation (forms, face-to-face, etc)?
Each resident reviews their portfolio twice yearly with the Program Director. During this interaction, milestone evaluation progress and end of rotation evaluations are reviewed.
The review of procedures and patient-care evaluations are done real-time at the end of encounters so directed feedback can be elicited. A form is then generated to complete milestone assessments.
What other forms of feedback does the resident receive (in-training exam, etc.)?
The CREOG in-service exam is taken yearly by all residents in January. The scores on this exam are used to help structure an education program and highlight strengths and weaknesses, not as a measure for advancement. Each resident meets with the chairman after CREOGs to discuss their score and on what areas to work. Finally, a significant amount of feedback comes directly from faculty during specific rotations.
What support structures are in place for residents in academic need?
Residents who need a more formal, structured educational program are paired with a mentor who provides guidance in this endeavor. The mentor then devises a program in conjunction with the resident and program director.
What are the basic resident benefits?
Is parking a concern for residents at your program?
There is a large, well-lit, gated lot directly in front of the hospital where staff park at night. Most of the time, there is ample space in this lot. During the day, a lot to the side of the hospital in easy walking distance is utilized. The lot is safe and patrolled by security. Crime is very low in Hershey, PA, and safety in the lot is rarely an issue. There is no cost for parking.
Are meals paid for when on call?
A meal stipend is placed on the resident ID card and renewed quarterly.
What is your family leave policy?
Residents participate in FMLA through Human Resources. Non-education related absences are subject to approval from the Administrative Chief and the Program Director. To be able to sit for ABOG Written Boards, the cumulative sum of all absences/paid time off may not exceed eight weeks in sum of any given academic year for PGY-1 through PGY-3 residents, and six weeks for PGY-4 residents, with a total of 20 weeks maximum.
Is there reimbursement for educational supplies and books?
Each resident has an educational disbursement fund, which may be used for books and supplies.
How are residents represented at the institution level? How is the resident member of the Graduate Medical Education Committee selected?
Residents are represented through a Resident Council. The council is run through the office of Graduate Medical Education. Representatives from each specialty meet monthly to discuss institutional Graduate Medical Education issues. The representative for our department is selected on a volunteer basis. Learn more about Resident Council here.
Is there a union? Is membership mandatory? Are there dues?
There is no resident union at the Medical Center.
Is there a House Officers Association?
We participate in the Electronic Residency Application System (ERAS).
Interviews are granted to exceptional candidates following receipt of a complete ERAS application. Interview invitations are emailed, generally beginning around early October.
Our interview days are generally Wednesdays in November and December. Interview sessions are typically half-days beginning in the morning with a light breakfast. The session will begin with welcome from current residents. Our chair, Dr. Richard Legro, provides an introduction to the program. You will then have individual interviews with faculty members, fellows and residents, as well as a tour from a PGY-1 resident and a lunch with faculty, residents and fellows.
The candidates, upon accepting the invitations to interview, are sent specific instructions from the Program Coordinator outlining the interview day. They are asked to report to room C3626 to begin the interview day.
Penn State Health Milton S. Hershey Medical Center
Department of Obstetrics and Gynecology
500 University Dr.
P.O. Box 850, MC H103
Hershey, PA 17033-2390
General Contact Information