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The faculty of the Division of Gastroenterology are committed to the training of physicians and
scientists in the specialty fields of Gastroenterology and Hepatology. This commitment encompasses
education of medical students, residents, fellows, and fully trained physicians in practice.
Our curriculum covers fellowship, that period of training
which follows residency in internal medicine, for physician trainees. [The Division also offers training
to holders of advanced degrees in the sciences (usually Ph.D. degrees in biologic sciences) who wish to pursue
research that is relevant to gastrointestinal, pancreatic, and hepatobiliary medicine.]
Our training program comprises two categories of fellowship: Physician-Scientist
and Clinician-Teacher. These pathways cover the following six basic skills
that are to be mastered by trainees:
- Knowledge base of anatomy, physiology, nutrition, biochemistry, cell biology, genetics, and pharmacology that is relevant to the specialty;
- Clinical care of hospitalized patients with disease;
- Technical aspects of gastroenterology/hepatology practice; including endoscopic procedures and liver and other tissue biopsies;
- Ambulatory care skills (including disease prevention and screening);
- Research training; and
- Ancillary skills geared to each trainee’s career plans.
All trainees will participate in clinical research training to understand the process of generating new knowledge in
Medicine. Trainees will work with one or more mentor(s) through their 3 to 5 year program to achieve a good grasp of
addressing clinically relevant questions with scientific rigor, and have first hand experience in analyzing and presenting
scientific data. The program is committed to providing the trainee with protected time to focus on a selected topic of
special training on a rotational basis in all of our teaching institutions. Specialized areas of training embedded within
the fellowship include:
- GI Pathology – where trainees will learn the techniques of preparing tissue sections, special
histochemical and immunocytochemical staining methods, as well as interpretation of morphological structures in
various disease states.
- GI Radiology – where trainees will learn the principles and methods of imaging including abdominal
plain films, ultrasonography, CT scan, MRI and PET. They will be able to study how to interpret imaging results
with expert GI radiologists.
- Specialized Clinics - where patients presenting with a defined disorders are cared for by a focused
and concentrated effort and expertise. These training scenarios afford unique opportunities to benefit the trainees
in the following areas: Hepatology Liver Transplantation, Barrett’s Esophagus, Inflammatory Bowel Disease,
Esophageal Motility Disorders, and Hematopoietic Stem Cell Transplantation.
Physicians who enter fellowship already have substantial knowledge in most of these areas that serves as a base for further
learning. The fellowship in Gastroenterology has two levels of training, level I for general gastroenterology and hepatology,
and level II for more complex and difficult diagnoses and procedures. Fellows progress to level II training after
demonstrating competence in general gastroenterology and hepatology.
Our curriculum is largely based upon the
Gastroenterology Core Curriculum, developed by the major gastroenterology societies. The Third Edition of this Core Curriculum
was published in May 2007, and our curriculum has been updated to reflect these changes. The fellowship adheres to the program
requirements of the ACGME as specified by the RRC for gastroenterology.