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Gastroenterology Fellowship

Overview

Children’s National Health System offers a three year fellowship training program in Pediatric Gastroenterology, Hepatology, and Nutrition. Our goal is to prepare fellows to become academic pediatric gastroenterologists.

Goals of the program are to:
  • Provide an environment in which the trainee will gain experience evaluating and treating a variety of gastrointestinal conditions
  • Allow the fellow to develop the knowledge and skills to manage these conditions independently
  • Foster an environment of intellectual curiosity

Expectations of the fellow are to:
  • Become proficient in the evaluation, diagnosis, and management of children with gastrointestinal, liver, and nutritional disorders
  • Become competent in procedures used to diagnosis and manage gastrointestinal disease
  • Produce a mentored work product based on basic or clinical research under the guidance of a mentor and scholarship oversight committee
  • Develop and refine skills in the six ACGME core competencies

All clinical activities are based at the main campus of Children’s National in Washington, DC. Children’s National is a 300 bed, free-standing children’s teaching hospital which provides services for the metropolitan DC area and we frequently care for referral patients from the mid-Atlantic region, the nation, and many international patients. This ensures a very busy and diverse in-patient, out-patient, and procedure experience. The fellowship program is fully accredited and provides a rich and varied experience because of its many service, educational, advocacy, and research opportunities. The educational and research parts of the program are especially strengthened by our partnership with the Children’s National Sheikh Zayed Research Institute for Surgical Innovation, the Children’s National Clinical and Translational Science Institute, the Pediatric Intestinal and Liver Transplant Program at Georgetown University, and close links with allied agencies, including the National Institutes of Health and the Food and Drug Administration.
 
Faculty hold academic appointments at George Washington University (GWU) School of Medicine, and the center is the primary pediatric training site for GWU medical students. One fellow is accepted into the program each year. Fellows rotate on the two inpatient services, Gastroenterology (GI) and Intestinal Rehabilitation/Liver (IRL). The first year of fellowship focuses on clinical training, while the second and third years are dedicated to basic science or clinical research.

Clinical Rotations

The first year of fellowship is clinically based. The fellow rotates through the inpatient and consult services of the GI and IRL teams. The clinical experience is supplemented by weekly fellows continuity clinic and select subspecialty clinics. The fellow supervises all aspects of the patients’ care, under the supervision of the attending physician. This includes initial evaluation, formulation of a differential diagnosis, and management, including performing diagnostic procedures, and interpretation of radiologic and pathologic results. While on the inpatient services, the fellow will also perform consultation for patients whose primary condition is non-GI related. The fellow performs procedures on all inpatients and patients seen in consultation.
    
Second and third year fellows spend the majority of their time in the research setting (see “Research” section). The fellow will continue to have half day of continuity clinic each week at the main hospital. Additionally, the fellow will rotate through various subspecialty clinics (see below). The fellow will have two half day procedure sessions each month during the second and third years.
    
During the second year, the fellow will spend one month with the GI Transplant team at Georgetown University Hospital, under the direct supervision of Stuart Kaufman,MD, medical director of pediatric transplantation. The objective is gain an understanding and appreciation of the evaluation and perioperative care of patients undergoing liver and small bowel transplants.

Monthly Block Rotation Schedule
Year 1

7 GI
3 IR§
1 Research∞
1 Vacation†

-1/2 day continuity clinic/week

§ During IR rotation, fellow will attend the following clinics: Liver clinic Friday afternoon,
    IR clinic Wednesday afternoon, Transplant clinic Tuesday morning
∞ Research elective will be divided into two, two-week blocks. Each block will half day of     Nutrition/TPN, half day research planning.
† Vacation will occur in 1 week blocks

Year 2*

1 GI
1 Georgetown transplant
1 Vacation

Year 3*

1 GI
1 IR
Procedures with Adult Gastroenterology (2 weeks)
1 Vacation

*During 2nd and 3rd years: 
       Half day continuity clinic week
       Half day outpatient procedures- 2x/month
       Half day subspecialty clinic/month (IBD, Motility, Eosinophilic Esophagitis, Aerodigestive)
       Half day liver clinic twice a month

Subpecialty Clinics

IBD
Motility
Eosinophilic Esophagitis
Aero digestive clinic
Liver
Intestinal Rehabilitation/Short Bowel
Transplant clinic

Call Schedule

Year 1- Mon/Th 5pm-8am
Year 2- Tues 5pm-8am
Year 3- Wed 5pm-8am
        1:3 weekends
               -Year 1- Sat 8am-Sun 5pm
               -Years 2/3- Fri 5pm-Mon 8am
 


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