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WellSpan Medical Education

Obstetrics & Gynecology

Experience That Lasts a Lifetime.

ObGyn-residents

WellSpan York Hospital's residency in obstetrics and gynecology is a four-year categorical program approved for four residents at each level. University affiliated, it is designed to train physicians for the general practice of obstetrics and gynecology, as well as to provide a solid foundation for further subspecialty training. WellSpan York Hospital is a tertiary care and regional referral center, serving a population base of over 620,000 as part of the WellSpan Health System.

Well-Seasoned, Credentialed Leadership.

The OB/GYN Residency program is organized by the Program Director, Dr. Paul Burcher and Associate Residency Program Director, Dr. Patricia Reddy. The teaching staff consists of five Perinatologists, four Maternal Fetal Medicine Fellows, two Reproductive Endocrinologists, two Gynecologic Oncologists, three Gynecologic Oncology Fellows, eight robotic surgeons, a laborist group, four clinic preceptors and two urogynecologists. In addition the residency program has 30 highly trained and dedicated general teaching faculty, six midwives, and two CRNPs. WellSpan has Fellowship programs in Maternal-Fetal Medicine and Gynecologic Oncology.

A Well-Balanced Approach to Quality Education.

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The first two years of residency concentrate on obstetrics and gynecology with rotations in obstetrics (6 months), gynecologic surgery (6 months) and night float (4 months). In addition, PGY-1 residents spend one month of Critical Care in an ICU setting, one month in Special Gynecology, and a one month Intro to Pathology and Ultrasound; PGY-2 residents spend one month each in an introduction to the subspecialty areas of Perinatology, Gynecologic Oncology, and Urogynecology. A Clinical Research and Genomics rotation and curriculum has recently been added and augments their knowledge of research, statistics and evidence-based medicine.

In the program’s third year, emphasis is placed on the four subspecialties with a two-month Maternal Fetal Medicine rotation including full genetic services, intensive fetal assessment, high-risk obstetrical ultrasound and Doppler technique; a two-month rotation in Gynecologic Oncology; a two-month rotation in Reproductive Endocrinology and Infertility (REI); and a two-month rotation in Urogynecology. The third year is completed with two months of night float, one month of elective studies, and one month of obstetrics and research.

The final year of the program is divided between Gynecology, Obstetrics and Ambulatory Medicine. The Chief Residents take on a supervisory and leadership role and assume full responsibility for the Obstetrics Service, Gynecology Service and Ambulatory Women's Health Clinic. Chief Residents are also involved in Community Health Education programs for women of all ages.

A Careful Blending of Independence and Supervision.

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Supervision is constant throughout training. The level of responsibility is progressive and based on ACGME Milestones with the evaluation of the development of skills and experience. Personal initiative, motivation and eagerness to learn are encouraged.

Comprehensive Outpatient Experience.

Over 18,670 outpatient visits in the residents' clinics provide a vast range of clinical cases and resident experience. Residents are responsible for the ambulatory and follow up care of their service patients, charged with the scheduling of diagnostic tests, procedures, return visits, and hospital admission as necessary.

Throughout the four years, residents attend continuity clinics, with the chief residents and attending preceptors supervising and directing these activities in the new YHOBG Office Center.

Attending obstetricians/gynecologists and subspecialists are present or readily available as teachers and consultants.

The ambulatory teaching setting includes combined Ob/Gyn continuity clinics, as well as a high-risk obstetrical clinic. A full range of testing procedures is available, including the most current techniques in fetal assessment, obstetrical ultrasound, Doppler and genetics.

The outpatient subspecialty clinics include, reproductive endocrinology, colposcopy with LEEP, urogynecology with urodynamic testing capability, minor office surgery and gynecological oncology, including medical chemotherapy and pediatric and adolescent gynecology. Supervised by subspecialists and faculty with areas of particular expertise, these clinics provide a multidisciplinary approach for patient care on the residents’ service.

Diverse Inpatient Experience.

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In order to ensure maximum exposure to a broad range of clinical problems and a wide variety of techniques and therapeutic approaches, our inpatient teaching service provides care to both resident service and attending faculty patients.

Active resident participation is structured throughout the four years on the private, as well as, the resident teaching service in both obstetrics and gynecology. High risk Antepartum patients are housed in a monitored of the maternal area.

Our annual deliveries average 3100, with about 600 deliveries on the residents' service. Ob/Gyn residents manage their own OB residents' service and assist in the Labor & Delivery management of attending OB patients with consulting readily available from the perinatologist. A dedicated laborist faculty team is in place to aid resident teaching and learning.

Twenty-four hour in house anesthesia services, attending and neonatal coverage further enhance this environment for effective teaching and comprehensive learning. WellSpan York Hospital has a Level IIIB NICU, caring for the most complex neonatal problems including extreme prematurity.

Gynecological surgical procedures are approximately 5,000 per year, with 99.9% available for resident participation. In conjunction with the care of resident service patients, the residents execute the pre-operative evaluation, maintain operative responsibilities and manage the post-operative period for private patients under the supervision of obstetricians/gynecologists and subspecialists.

Residents are afforded the unique opportunity to acquire considerable surgical expertise in vaginal, diagnostic and operative laparoscopic, infertility, robotic and gynecological oncologic surgery in the traditional hospital operative suite and at a busy Outpatient Surgical Center. PGY-4 residents expand their non-robotic MIS skills with a weekly half-day in the OR at affiliate WellSpan Gettysburg Hospital.

A Strong Academic Foundation Enhances the Resident Clinical Experience.

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WellSpan York Hospital is a Regional Medical Campus of Drexel University College of Medicine and a core affiliate for Penn State Hershey, Sidney Kimmel Medical College of Thomas Jefferson University and Lake Erie College of Osteopathic Medicine (LECOM). Basic clerkships in obstetrics and gynecology, and elective rotations are offered throughout the year.

Academic teaching is provided through weekly departmental meetings OB/GYN and subspecialty conferences (gynecology oncology, reproductive endocrinology, urogynecology, and maternal-fetal medicine).

A Journal Club and Department Case Conference/QA Conference are held monthly. Guest lecturers of national and international reputation are regularly invited.

Residents also attend one major US conference each year of their choice and are encouraged to attend local or regional meetings.

The presence of medical students and other trainees allows residents to develop their own teaching skills as well. A Clinical Research rotation and curriculum is in place, and a Ph.D.-level Clinical Research Specialist is available to assist with teaching and performance of research and performance improvement projects. The Department of Obstetrics and Gynecology also conducts an active research program, with residents encouraged to become involved in ongoing research and required to participate in at least one research project during their four years of training.

A Stimulating, Challenging and Well-Structured Environment.

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The OB/GYN Residency program of WellSpan York Hospital maintains a critical balance between academic and clinical experiences, supplemented by primary care and subspecialty rotations.

This balance enables residents to mature fully into well-qualified obstetricians/gynecologists, well-equipped to handle any challenges presented by the health care environment of tomorrow.

A dedicated 1/2 day of protected educational sessions is held each Wednesday morning covering a full core OB/GYN curriculum, pathology, primary care and subspecialty curriculum.

A state-of-the-art Simulation Center provides new opportunities for education and evaluation of technical skills (e.g., laparoscopic trainers), teamwork, and interpersonal and communication skills (e.g., critical situation drills for shoulder dystocia, septic shock, the Communication and Patient Experience/CAPE curriculum, etc.). OSCEs are scheduled annually for summative evaluation in the simulation center, and plays an important role in our curriculum.

A Supportive Environment.

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Despite its large size, WellSpan York Hospital provides a friendly backdrop for your residency. Here, a feeling of community exists. Ancillary assistance abounds, which for the resident translates into no bloods to draw, IVs to start, EKGs to run or patients to transport. Laboratory results are promptly available through electronic records.

Adding to the program advantages, WellSpan York Hospital's diversity affords each resident experience with a wide range of clinical problems and educational opportunities.

While basic concepts can be taught, clinical decision making must be acquired through practice. In our OB/GYN program, early responsibility greatly aids the learning process by enabling residents to apply what has been learned. This approach to education not only makes for a strong four-year program, but makes the experience gained valuable throughout one's lifetime.

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