The clinical training is divided among the three participating hospitals: Stanford University Medical Center, VA Palo Alto Health Care System, and Santa Clara Valley Medical Center. The first-year fellow will spend an equal amount of time at each hospital.
Stanford University Medical Center (SUMC)
The fellows manage the inpatient consult gastroenterology service and are supervised by faculty in all consultations and related procedures.
Fellows also obtain substantial clinical outpatient training by participating in weekly continuity clinics and other specialty clinics throughout the 3 years of training. On average, 40-50 inpatient consults and 450 outpatient visits total are seen in the gastroenterology and hepatology clinics per month. The endoscopy unit is fully equipped to provide endoscopic ultrasound, endoscopic retrograde cholangiopancreatography, capsule endoscopy, double-balloon enteroscopy, and manometry. Over 5,000 procedures are performed in the Endoscopy Unit annually
Unique to the clinical program at Stanford is the Liver Transplant Program at Stanford.Approximately 70-80 liver transplantations are performed at Stanford annually. Gastroenterology fellows have the opportunity to manage the inpatient hepatology service in partnership with the transplant hepatology surgeons. Fellows get substantial exposure to inpatient and outpatient transplant hepatology, as well as see all hepatology inpatient consults.
The inpatient service commonly includes medicine housestaff and medical students, and the fellow is also responsible for supervising and teaching them while on service. In addition to extensive hands-on learning, several weekly conferences are organized to provide a comprehensive clinical education.
Stanford University Medical Center
Stanford University Medical Center is a 600-bed tertiary care facility where most patients are referred by internists, surgeons and community physicians. Patients with complex gastrointestinal and liver diseases that present major diagnostic and therapeutic challenges are seen at Stanford.
Palo Alto VA Medical Center
The VA Palo Alto Health Care System is a 900-bed, multi-campus integrated facility of hospitals and clinics, and a tertiary referral center for satellite campuses much of Northern California. It has been consistently rated on of the best VA hospitals in the nation.
VA Palo Alto Health Care System (VAPAHCS)
The VA Palo Alto Health Care System is an 800-bed, multi-campus facility that serves as a tertiary referral center for other VA hospitals in Northern California and Nevada. It has consistently been rated one of the best VA hospitals in the nation.
At the main campus, the fellows receive training in both the inpatient and outpatient setting. Under faculty supervision, fellows manage the inpatient gastroenterology consult service and see patients in weekly hepatology and IBD clinics. The fellows also receive substantial endoscopy training. In addition to hands-on learning, there are weekly pathology and monthly tumor board conferences.
There are approximately 500 inpatient consultations, 4000 outpatient consultations, and more than 3000 endoscopic procedures annually. The endoscopy unit provides a full range of diagnostic and therapeutic procedures including endoscopic ultrasound, endoscopic retrograde cholangiopancreatography, double-balloon enteroscopy, and capsule endoscopy.
Santa Clara Valley Medical Center
Santa Clara Valley Medical Center is a 574-bed tertiary medical center, owned and operated by the County of Santa Clara. The Medical Center is part of the Santa Clara Valley Health and Hospital System.
It offers a full-range of gastroenterological services, including ERCP, capsule endoscopy, pH/motility studies, and deep enterosocpy.
The GI division sees approximately 14,000 outpatient visits and 1,100 inpatient consults per year.