The PGY-1 year introduces the first-year resident to the basics of Obstetrics and Gynecology. In labor and delivery, the resident manages laboring patients and performs vaginal and cesarean deliveries for patients from all St. Luke’s affiliated practices. In Gynecologic Surgery, the resident develops technical skills in hysteroscopy, endometrial ablation, laparoscopic tubal ligation, and other basic procedures. Residents are introduced to the gyn oncology service during the first half of their intern year. They have an opportunity to care for oncology patients on the floor and learn preoperative and postoperative care from the gyn onc attendings during their office hours. Interns also start to go to the operating room to learn about the surgical management of oncology patients. In the clinic and on L&D, the resident performs vaginal and abdominal ultrasounds and must pass an oral exam with an MFM attending.
On the Allentown campus, the first-year resident has a more diverse role, moving freely between the OR, Clinic, and L&D. This freedom often makes the Allentown rotation a personal favorite, because it mimics the diversity that many residents look forward to in their future careers. The surgical ICU rotation allows interns to become familiar with critical care issues in the ICU and helps prepare for managing complicated patients particularly on our Gyn oncology rotations. Our interns average two calls per month.
Specialty Number of Weeks Labor and Delivery (Anderson Campus) 8-12 Night Float 8-12 Ob/Gyn (Allentown Campus including Allentown Clinic) 16-20 Gynecologic Surgery 8-12 Gyn Oncology 4-8 ICU 4
PGY-2 is a time to further develop one's obstetrical skills, such as complex repeat Cesarean sections and operative vaginal deliveries. The PGY-2 resident also becomes a mentor for the first-year residents, especially on labor and delivery. In Allentown, the PGY-2 resident takes on increasing responsibility in the OR and L+D. The night float rotation is an opportunity to manage the service more independently. The skills learned on night float at Allentown are an important building block to get the PGY-2 ready for their senior rotations at the higher acuity Anderson unit. During this year, the resident is exposed to more complex surgeries in the operating room during their Gyn Onc and benign gynecology rotations. They have the opportunity to perform more complex laparoscopic procedures as well as laparotomies and various other surgeries. On REI, the resident works in a busy practice which includes a private REI lab and performs surgery with the REI faculty. The resident also manages a weekly REI clinic, which includes menopausal patients as well as transgender patients, with one of our REI faculty. Finally, we have a designated research month which allows our residents concentrated time for data collection to ensure that a meaningful research project can be completed during their residency. Some of our residents have used this to take advantage of international research opportunities. For more information on the research requirement, please visit our section on Research and Publications. Our PGY-2 residents average two calls per month.
Specialty Number of Weeks Labor and Delivery (Anderson Campus) 8-12 Night Float (Allentown) 8-12 Ob/Gyn (Allentown Campus) 8-12 Gynecologic Surgery 8-12 Oncology 8-12 Reproductive Endocrinology and Infertility 4 Research (including international opportunities) 4
PGY-3 is devoted to the sub-specialty services of OB/GYN. On MFM, the resident learns to perform amniocentesis and complex ultrasounds including Doppler studies in addition to caring for high-risk patients in clinic and on the floor. On gynecologic oncology, the resident spends more time in the OR performing and assisting with pelvic dissection by laparotomy, laparoscopy and the robotic approach. Our Urogynecology rotation is well-known as a strong component of the residency program. The resident learns both medical and surgical management of incontinence and pelvic relaxation disorders and graduates with confidence in performing cystoscopy and many types of urogynecologic procedures. They return to REI for another four week rotation to build on what they already learned during their PGY-2 year. The PGY-2 residents have an opportunity to rotate at a private facility in the area the provides family planning and abortion services. They have weekly educational sessions with a faculty member during this rotation. They also provide care at the complex contraception clinic offered through our Star Wellness Women’s Health Centers. Our PGY-3 residents average two calls per month.
Specialty Number of Weeks Night Float 4-8 Ob/Gyn (Allentown Campus including Allentown Clinic) 12-16 REI 4 Urogynecology 8 Oncology 8-12 MFM 8-12 Family Planning 4
PGY-4 is a time to take on a more supervisory role. Whether in L&D, clinic, or gynecologic surgery service, the chief resident oversees and directs the day-to- day operations of these areas. During the clinic rotation, chief residents are able to take ownership of the care of the most complex patients at the Star Wellness clinic and can book surgical cases that the gyn team will then perform. They also act as mentor to the junior residents in continuity clinic each day. In the OR, the resident hones his or her technical skills in minimally invasive surgery, including laparoscopic and robotic hysterectomies and complex pelvic dissections. Residents train with traditional laparoscopic instruments and with the da Vinci® Surgical System. Over 85 percent of our hysterectomies are now performed either vaginally, robotically or laparoscopically. An office-based rotation helps to prepare the resident for private practice, allowing them to see patients with attendings at one of our affiliated practices. This rotation is a glimpse of what their days will look like after graduation and an opportunity for them to improve their billing and coding skills. The Munroe rotation is a unique opportunity to rotate in one of our practices in the Poconos. The residents spend four weeks helping to cover complex gynecologic surgery intermixed with ER and hospital consults and office practice. This rotation is part of the final preparation for our chief residents before heading into practice. A four week float rotation can be used to participate in our international experiences. Our PGY-4 residents average two calls per month.
Specialty Number of Weeks Night Float 4 Clinic 8-12 Gynecologic Surgery 8-12 Ob/Gyn (Allentown Campus) 8-12 Labor and Delivery (Anderson Campus) 8-12 Float/International elective 4 Office 4 Munroe 4