Residents may design their own elective to meet personal educational goals. Objectives and supervising attending must be approved by the program director.

ACGME Required Selectives (can be taken in either the PGY 2 or PGY 3 year)
Adolescent Medicine
Residents may fulfill their requirement in adolescent medicine at either the on campus adolescent medicine clinic or at Bucknell University. The on-campus clinic affords residents the opportunity to treat children from early adolescence to young adulthood. The practice manages both routine needs of this unique age group as well as accepting consultation from referring physicians for a wide range of specific adolescent issues.  In addition, the clinic serves as the primary pediatric sports medicine site for the health system.  The Bucknell University experience consists of caring for older adolescents and young adults enrolled at Bucknell University.  Residents participate in caring for patients at the Student Health Clinic.  They also work with members of the Division of Orthopaedics and Sports Medicine to provide care for collegiate athletes.  Residents may choose either location or a combination of both to complete their requirement.

Community Medicine
Residents have the opportunity to elect one of five pathways to complete this rotation:

• The Traditional Pathway allows residents to work alongside with non-campus general pediatricians who are ABP certified in a community practice site.  Residents gain an understanding of the limitations of practicing away from a hospital setting as well as an understanding of the cost constraints based on payor mix and reimbursement.
• The Administration in Medicine Pathway allows residents to work with individuals in our health insurance company, legal services and human resources departments, and patient satisfaction team.  Emphasis is placed on the concepts of the third party payor model, contract laws, malpractice, managing employees, and creating an environment for quality healthcare and patient satisfaction. 
• The Child Advocacy Pathway permits exposure to outside advocacy agencies such as Head Start, The Danville Child Development Center, Montour County Children and Youth Services, our local WIC office, The Danville School District, and Geisinger’s Child Advocacy Center.  Residents gain an understanding of adjunctive therapeutic and diagnostic opportunities available through government and other private agencies in the community. 
• The Camp Medicine Pathway permits residents to spend a month at a camp caring for children with special needs.  Residents learn first hand how families deal with the constraints of these illnesses from simple logistic issues to how these families find specialty medical care in our rural environment. Camp rotations occur at either Camp Victory or Camp Setebaid.
• The International Pediatrics Pathway permits resident to travel to foreign countries to experience the medical delivery systems of other cultures. Learners develop an understanding of the lack of medical care and at times the more judicious use of limited resources in other countries. The program typically hosts four trips per year.  Resident expenses are covered including airfare, lodging, meals, malpractice insurance, pre-travel medicine visits, and required vaccinations and medications.  Recent trips have taken our program to Honduras, India, Ukraine, Japan, Kenya, Brazil and Ecuador. 

Neurodevelopmental Pediatrics
The required month of neurodevelopmental pediatrics affords residents the opportunity to treat patients in our Neurodevelopmental, Growth and Development and Pediatric Psychology clinics. Members of the neurodevelopmental pediatric faculty are all board certified in the specialty and are engaged in federally funded research and serve on national committees. Residents will gain first hand experience in diagnosis and management of children with autism, neurodevelopmental disabilities, mental retardation, neurogenetic abnormalities as well as pediatric behavioral disturbances.