Residents

Green Team

Introduction

Pediatric Gastroenterology is an integral part of pediatric training. Many GI and nutrition issues will frequently present to primary pediatricians (e.g., constipation, chronic diarrhea, abdominal pain, failure to thrive, in addition to questions about optimal infant nutrition, how to progress the diet, and to deal with feeding problems).

The pediatric gastroenterology core “Green Team” rotation provides an opportunity for the resident to develop an understanding of the pathophysiology, clinical manifestations, and management of complex common and unusual disorders of the gastrointestinal tract, liver, and pancreas. Residents participate in both the outpatient and inpatient settings, and emphasis is placed on the performance of a detailed and focused history and physical examination and the interpretation of laboratory, imaging studies, and GI procedures (e.g., upper endoscopy, colonoscopy). Following completion of the rotation, residents will be able to evaluate and manage common gastrointestinal problems in pediatric patients and recognize and initiate the initial evaluation and management of children with complex disorders that may require sub-specialty consultation.

Goals and Objectives

To develop the knowledge, skills, and attitudes to acquire competency in patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice applicable to the pediatrician dealing with common gastrointestinal problems.

Link to Detailed Goals and Objectives

General Expectations

The PGY I and PGY III assigned to GI/Liver Transplant will be responsible for the day-to-day management of all medical patients followed by either the GI service or the Liver Transplant Service (except those followed in the PICU and except for any liver or liver/small bowel transplant patients followed by the Pediatric Liver Physician Assistant [PA]). The intern will also participate in outpatient GI clinics (doing 2 weeks inpatient and 2 weeks outpatient.

 

PGY I

PGY III

Inpatient

Pre-round on all patients before Work Rounds

Supervise PGY I

Daily progress notes

 

H&P on all new patients

H&P on all new patients if intern is unable to perform

Write all patient care orders

Supervise order writing; help with TPN orders

 

Faculty Preceptors

  • John Kerner, M.D.
  • Dorsey Bass, M.D.
  • Rachel Bensen, M.D, M.P.H.
  • William Berquist, M.D.
  • Roberto Gugig, M.D.
  • Maheen Hassan, M.D.
  • Nasim Khavari, M.D., M.P.H.
  • Rebecca McKenzie, M.D.
  • Eric Sibley, M.D., Ph.D.
  • Ann Ming Yeh, M.D.
  • Each week, one of the above attendings and one fellow are assigned to each inpatient service (GI and Liver). For the outpatient half of green team, each attending listed above will have their own clinic day. When interns go to Santa Clara Valley Medical Center (SCVMC) for clinic, they will work with one of the following attendings:
  • Chris Fink, M.D.
  • Manuel Garcia, M.D.
  • Christine Nguyen, M.D.

Elective in Pediatric Gastroenterology

Introduction

Like our “Green Team” rotation, the pediatric gastroenterology selective provides an opportunity for the resident to develop an understanding of the pathophysiology, clinical manifestations and management of both common and unusual disorders of the gastrointestinal tract, liver and pancreas. Residents participate in both the outpatient and inpatient (consults only) settings and emphasis is placed on the performance of a detailed and focused history and physical examination and the interpretation of laboratory and imaging studies in children with symptoms of gastrointestinal tract, liver and pancreatic disorders. Following completion of the elective, residents will be able to evaluate and manage common gastrointestinal problems in pediatric patients and recognize and initiate the initial evaluation and management of children with complex disorders that may require sub-specialty consultation.

For more information on selecting an elective, visit: http://med.stanford.edu/peds/rotations.html

Orientation

Immediately after morning report, the resident will go to 750 Welch Road, Suite 116 where Dr. Kerner will orient the resident to the elective rotation.

Faculty Preceptor

John Kerner, M.D.
Phone: 650.725.9813
Fax: 650.498.5608

jkerner@stanfordhealthcare.org

Resident Roles and Responsibilities

While on elective, the resident will primarily follow the outpatient schedule used by the Green Team. The responsibilities are as follows:

  1. Attend all outpatient clinics. During the clinic, the main focus will be on seeing as many patients as possible. Residents will be asked to take histories and perform physicals on most patients and then present them to the attending. On some patients, the resident will observe as the attending takes the history. The resident’s role will be determined by the attendings in clinic that day and be based on which patients have the best physical findings, on the best and most educational use of the resident’s time, and on the need to keep the flow of patients moving on busy clinic days.
  2. Participate in selected consults. Guidelines for consults: inpatients that are new to the GI service. Priority for resident time is to remain outpatient.

An elective can be customized to fit the specific interests of the resident with prior approval from the faculty preceptor. Please contact Dr. Kerner a month in advance of the elective start for special requests.