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The gastroenterology fellowship curriculum is structured to provide training in all aspects of the specialty. The first year fellow spends six months on the gastroenterology consult service, three months on the hepatology service, two months on the ambulatory care service and one month on clinical research. On the gastroenterology consult service, fellows will gain a strong academic foundation in gastroenterology that will foster independent thinking, excellent clinical judgment, and procedural skills. In addition, the fellow will acquire the tools necessary for lifelong continuing education. Fellows on the inpatient service are exposed to a full range of clinical disorders across a diverse mix of patients. Emphasis will be on evaluation and management of diseases of the gastrointestinal tract (esophagus to colon) and pancreas.
Fellows rotating on the hepatology service will acquire expertise in performing consultations primarily focusing on the liver. The fellow will be expected to create a plan for pertinent diagnostic studies and laboratory tests, and to formulate an appropriate differential diagnosis. Additionally, the fellow will acquire knowledge of the indications for liver biopsy and in endoscopic variceal ligation. The fellow is expected to develop competencies in the evaluation and referral of patients with liver disease for liver transplantation and in the management of their post-transplant care, including transplant rejection.
On the ambulatory care rotation, fellows will gain a strong foundation in the care of ambulatory patients, acquiring expertise in providing ongoing continuity of care and outpatient consultation. Fellows learn to provide effective care in an outpatient setting and develop an understanding when to refer patients for invasive procedures or hospitalization. Fellows will achieve competence in all aspects of outpatient care, including social and ethical issues, and patient education skills.
During the research rotation fellows will acquire the knowledge and skills in proper design of a research project, learning how to properly state a research hypothesis and formulate a research protocol. Fellows will learn how to perform a computerized literature search and to properly scrutinize and analyze research papers, acquire the skills to present medical research associated topics utilizing oral presentations with appropriate audiovisual aids, how to write brief abstracts for submission to meetings and how to write a proper research manuscript for publication.
During the second year fellows will spend three months rotating on the gastroenterology consult service, two months on the hepatology service, two months on the ambulatory care service, four months in the performance of electives and one month on clinical research.
The third year fellows spend two months on ambulatory care, four months on research and the remainder of the year is flexible and structured to allow the fellow the to focus on esophagology, including 24 hour pH monitoring, esophagogastroduodenoscopy (EGD), esophageal manometry and impedance monitoring, or endoscopic retrograde cholangiopancreatography (ERCP), endoscopic ultrasound and advanced therapeutic endoscopy.