Rotations
Curriculum Overview
The first year of the Gastroenterology Fellowship Program is clinically based. The fellow rotates through the inpatient and consult services of the Gastroenterology (GI) team. The clinical experience includes a weekly fellow continuity clinic and various 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. It also includes performing diagnostic procedures and interpreting radiologic and pathologic results.
Second- and third-year fellows spend more of their time in the research setting but continue to attend weekly continuity clinic and various subspecialty clinics. Fellows also participate in procedure blocks throughout the second and third years.
During the second year the fellow will spend one month with the Pediatric Liver and Intestinal Transplant team at Georgetown University Hospital under the direct supervision of our joint transplant hepatologists. Fellows rotate through the inpatient transplant ward, ICU and outpatient clinics and attend the team’s transplant rounds and conferences. The objective is to gain an understanding and appreciation of the perioperative management and longitudinal care of patients undergoing liver and small bowel transplants.
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Year 1
- 5 months - IP Attending Service
- 5 Months - IP Consults Service (half day procedure in the AM per week)
- 2-week elective of procedures
- Motility - 2 weeks
- Half day continuity clinic per week
- Vacation - 4 Weeks
Year 2
- 4 weeks - IP Attending Service
- 4 weeks - Liver rotation at Georgetown
- Vacation - 4 weeks
- Half day continuity clinic per week
- 12 half-day procedures for the entire 2nd year
Year 3
- 4 weeks - IP Attending Service
- 4 weeks - IP Consults Service (half day procedure in the AM per week)
- Half day continuity clinic per week
- 12 half-day procedures for the entire 3rd year
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- IBD
- Liver
- Motility
- Eosinophilic Esophagitis
- Aerodigestive
- Celiac
- Feeding Disorders
- Tube Feeding
- Nutrition
- Eating Disorders
- Intestinal Rehabilitation/Short Bowel
- Transplant
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Weeknight and weekend calls are divided among the fellows.
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Procedures performed include, but are not limited to:
- Colonoscopy
- Esophageal/antroduodenal/colonic/anorectal manometry
- Esophageal dilatation
- Esophageal variceal sclerosis and ligation
- Foreign body removal
- Hemostasis
- Percutaneous and endoscopic gastrojejunostomy tube placement
- Percutaneous endoscopic gastrostomy tube placement
- Percutaneous liver biopsy
- pH/impedance probe testing
- Polypectomy
- Upper endoscopy