Description of fellowship program (PDF)
The goal of the subspecialty fellowship is to train physicians to achieve excellence in the practice of clinical pediatric gastroenterology, scholarly basic science and clinical research, and medical education. The goals of this program are achieved over the course of three years of training.
GI fellows accept graduated responsibility in the clinical management of children with gastrointestinal, hepatic and nutritional disorders under the direct supervision of a board certified pediatric gastroenterologist while rotating through the gastroenterology inpatient service and the liver transplant inpatient service. This responsibility includes patient care, parent conferences, consultations with other subspecialties, night and weekend call, and interfacing with the many services that interact with pediatric gastroenterology, nutrition, and liver transplant.
The first year of the fellowship will be primarily clinical in nature, during which the fellow will become trained in the evaluation and management of children with diseases of the gastrointestinal system and their nutritional consequents. During the course of the first year, the trainee will be introduced to the ongoing research programs of each contributing faculty member so that by the end of the year, the GI resident will be able to select a research area to pursue. The second and third years will be devoted primarily to investigation in the field of Pediatric Gastroenterology and Nutrition, but the GI resident will continue to participate in the clinical activities of the Division to the appropriate degree to maintain and hone clinical skills. After completion of the fellowship, the GI fellow will have met the requirements for board eligibility in Pediatric Gastroenterology and Nutrition set forth by the America Board of Pediatrics.
The program permits achievement of the above goals by providing:
- A broad based experience with pediatric gastroenterology patients that span the entire spectrum of varied and complex diseases in the field; the volume of patients in sufficiently great to ensure that the subspecialty fellows have the opportunity to become clinically competent in the management of common as well as uncommon gastrointestinal, hepatobiliary, and pancreatic diseases in patients ranging from infancy through young adulthood.
- A consult service that provides expert evaluation of the gastrointestinal manifestation of a broad spectrum of pediatric illnesses.
- To encourage the development of teaching skills, fellow participation is required at the weekly pediatric GI Journal Club/case discussion meeting. In addition, the resident presents 1-2 times /year at the combined adult GI/Pediatric GI Clinical Conference –also a weekly event. The GI fellow also will present 1 of the 5 “Board Review Lectures in Gastroenterology” at the Noon Lecture Series designed for pediatric house staff and students.
- With time spent in the Ambulatory Procedure Unit (APU), the fellow is exposed to and mentored by faculty to successfully master all the standard G-I procedures (endoscopy including sclerotherapy and foreign body removal, colonoscopy, percutaneous liver biopsy). By the end of their third year, the goal will be complete independence in performing all those procedures.
- Per American Board of Pediatrics requirements, fellows are required to pursue a scholarly activity with the help of a Scholarship Oversight Committee. Fellows must complete a project which involves the development and testing of hypotheses or involves extensive research and advanced critical thinking.