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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) and intestinal rehabilitation/liver (IRL) teams. 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. 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 seen in consultation.

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 GI/Intestinal Transplant team at Georgetown University Hospital under the direct supervision of the pediatric transplant team. 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.

Block Rotation Schedule

Year 1

  • IRL - 4 months
  • GI inpatient and consults - 5 months
  • Outpatient procedures - 8 weeks
  • Motility - 2 weeks
  • Ambulatory (general GI clinic, subspecialty clinics, procedures) - 4 weeks
  • Vacation - 4 weeks  

-1/2 day continuity clinic/week

Year 2

  • GI inpatient and consults - 4 weeks
  • Georgetown transplant - 4 weeks
  • Vacation - 4 weeks

Year 3

  • GI inpatient and consults - 4 weeks
  • IRL - 4 weeks
  • Vacation - 4 weeks

Subspecialty Clinics

  • Liver
  • Motility
  • Eosinophilic Esophagitis
  • Aerodigestive
  • Celiac
  • Feeding Disorders
  • Tube Feeding
  • Nutrition
  • Eating Disorders
  • Intestinal Rehabilitation/Short Bowel
  • Transplant

Call Requirements

Weeknight and weekend calls will be divided among the fellows.

Procedures

The first-year fellows perform all inpatient and consult procedures when on service.  Second- and third-year fellows will participate in two ½ day outpatient procedure blocks per month. 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