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Gastroenterology Fellowship ProgramProgram structureYear One:Inpatient GI Service: Duration: 8 months Components:
Inpatient Consult Service: Fellows will be responsible for the day-to-day operation of the inpatient consult service, including history and physical examinations, chart review, and organization and presentation of laboratory data and x-ray. Fellows supervise residents and medical students who rotate through the service. They verify the findings of the history and physical examination and differential diagnosis before formal attending rounds are made. Rounds will be made with the attending staff during which each applicable case will be formally reviewed and official recommendations made. Fellows are required to write the orders on patients who undergo gastrointestinal procedures, as well as admission orders for patients admitted by the full time attending staff. As a fellow, you will be responsible for all procedures performed on inpatient consult cases. This includes review of the patient's chart for the specific indications, risks and complications or each procedure, as well as any informed consent necessities connected with post-operative orders. Inpatient GI Ward Service: This service is comprised of patients admitted by a member of the attending staff for gastrointestinal evaluation or management. A fellow's responsibilities include an initial history and physical examination, orders and management plan. You should expect to assist the attending in any endoscopic procedures or tests performed on these patients. Fellows are not expected to provide in-house coverage either
nighttime or weekends for inpatients on this service. Patients are
signed out at night to the housestaff team for evening and weekend
coverage. Critically ill patients, especially those requiring ICU care,
are admitted directly to medical housestaff coverage. Fellows follow
these cases only in a consult capacity. Outpatient:Duration: 2 months Components:
Each fellow spends the equivalent of three (2) months on an ambulatory care block. Fellows see patient's four (4) days per week at Aurora Sinai Medical Center, and are also responsible for being present and assisting outpatient procedures assigned in the GI Lab. In addition, fellows will be scheduled by the secretary to do a one month rotation in Inflammatory Bowel Disease (IBD). This rotation will be at an outside location. During rotations outside Aurora, fellows will be expected to attend all conferences and lectures scheduled on Wednesdays at 4:30 p.m. Research:Duration: 2 months Each fellow will be required to develop a research project of any area of interest pertinent to the GI practice. The goal is that by the second and third year of training, fellows will be able to present a poster at national meetings and submit a manuscript for publishing in a GI journal. Year Two:Components: Inpatient GI service (8 months)
Second year fellows will attend a hepatology rotation at St. Luke's Medical Center. The purpose is to provide experience in the pre- and post- operative evaluation of patients with severe liver disease referred for liver transplantation as well as comprehensive outpatient hepatology. Fellows are also expected to round on the nutrition support service bi-weekly. Fellows also participate in a weekly outpatient oncology rotation at the Aurora Sinai Medical Center under the supervision of Dr. Gary Shapiro. These rotations will provide you the opportunity to acquire experience in the care of patients with gastrointestinal malignancies and to familiarize yourself with critical issues in nutritional support. Second year fellows will attend a hepatology rotation at Aurora St. Luke's Medical Center. The purpose is to provide experience in the pre- and post- operative evaluation of patients with severe liver disease referred for liver transplantation as well as comprehensive outpatient hepatology. Fellows are also expected to round on the nutrition support service bi-weekly. Fellows also participate in a weekly outpatient oncology rotation at the Aurora Sinai Medical Center under the supervision of Dr. Gary Shapiro. These rotations will provide you the opportunity to acquire experience in the care of patients with gastrointestinal malignancies and to familiarize yourself with critical issues in nutritional support. In addition, fellows will be scheduled by the secretary to do a one month rotation in Inflammatory Bowel Disease (IBD). This rotation will be at an outside location. During rotations outside of Aurora, fellows will be expected to attend all Conferences and Lectures scheduled on Wednesday at 4:30 p.m. New Paragraph Year Three:Components:
Advanced Endoscopy and ERCP: The third year concentrates on instruction in advanced endoscopic procedures: therapeutic ERCP, small bowel enteroscopy, pneumatic esophageal dilation, laser therapy, GI stents and GI manometry. The third year fellow will manage outpatients and inpatients that undergo advanced procedures. The third year fellow is personally responsible for management of patients on the therapeutic endoscopy service. The third year fellow will continue to perform research throughout the last year of fellowship. Gastroenterology Fellowship Program links
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