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Department of Internal Medicine

Department of Internal Medicine

Gastroenterology and Hepatology Fellowship Program

Training Program Outline

Overview: Statement of Purpose 
The Division of Gastroenterology and Hepatology is committed to providing trainees an educational experience in a nurturing environment that provides the opportunity to learn the clinical and procedural skills necessary to become a competent physician in the treatment of gastrointestinal diseases. The Division recognizes that each trainee has individual strengths, weaknesses and goals. The Curriculum is developed to provide educational opportunities for all types of learners; encompass the knowledge and skills required of all gastroenterologists; and remain flexible in its structure to allow trainees to pursue advanced knowledge and skills related to their career goals.

 

Educational Purpose

The purpose of this fellowship is to train physicians to become competent in the practice of gastroenterology.

 

Goals and Objectives

 • Develop competency in the care of gastrointestinal and liver related illnesses in the inpatient setting

 

Inpatient Service Block (4 weeks each)
 

GI Consults

Liver Consults

VA Mather

Research

ERCP

PGY4

8

2

2

1

0

PGY5

2-4

1

2

5-7

0

PGY6

0-2

1-2

0-1

1-10*

6-8*

*Research Track fellows are afforded the greater amount of research time. Clinical fellows are currently being trained in ERCP during their 3rd year but this is subject to change.


  • Develop competency in the care of gastrointestinal and liver related illnesses in the outpatient setting

 

Continuity Clinics Blocks (6 months each)

General GI

Hepatology

IBD

Motlity

Biliary/Elective

PGY4

PGY4

PGY5

PGY5

PGY6

PGY6


• Develop the ability to access medical information, critically assess new information and present a synthesis of this information to an audience of peers.

Teaching Methods

A variety of teaching methods are used throughout the training program, including experiential learning, didactic lectures, group discussions, self-directed learning, oral case presentations and videotape review. Experiential learning occurs in research, outpatient and inpatient settings and is structured in specific rotations.

Outpatient experience occurs in continuity clinic rotations of 6-month duration throughout the training, including General GI, Hepatology, IBD, Biliary, Pancreatic and Motility clinics.

Inpatient and research rotations of 4-week durations include GI Consultations, Liver Consultations, VA Mather Consultations, ERCP and Research.

Conferences include:

• GI Grand Rounds (Tuesday, 7:30 AM at La Bou Cafe)
• Endoscopy Rounds (Tuesday, 5:30 PM in UCDMC GI Endoscopy Unit)
• Thursday Academic Conferences
        o 8:00 AM Journal Review (PSSB 3rd Floor Conference Room)
        o 9:00 AM Pathophysiology Review (PSSB 3rd Floor Conference Room)
        o 10:00 AM Pathology Conference (Pathology Building)
        o 11:00 AM Radiology Conference (Radiology Classroom, Davis Tower 1704)
        o 12:00 PM Clinical Case Conference (ASCU Auditorium)
• Journal Club (Monthly)

Methods of Evaluation

Assessments of the six core competencies are be made throughout the training period. Specific benchmarks must be reached at each period of training in order to progress and complete the training program. Progress is reviewed with each fellow on a semi-annual basis with the Program Director. Remediation of any deficiencies will be addressed at that time and a corrective plan of action developed.