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Education

Rotations

Fellows in our 3-year Gastroenterology program will be assigned each year to rotations consisting of 12 blocks of approximately 1 month each at Allegheny General Hospital (AGH) or West Penn Hospital (WPH).  Below is a typical curriculum. Individual programs will vary, especially during the third year, according to the fellows' interests:

Rotation Month
   Year 1  
AGH Inpatient Consults 8
AGH Lab 2
WPH Lab/Consults 1
Nutrition 1

    Year 2
AGH Inpatient Consults 3
AGH Lab 1
WPH Lab/Consults 2
Inpatient Hepatology 3
Electives (research time, Pediatric GI, Colorectal Surgery, Radiology, etc.) 3

    Year 3
 
Elective (Research, Introduction to Advanced Endoscopy, etc.) Final schedule to be designed by fellow, program director, and appropriate faculty. 11
Introduction to Private Practice  1

AGH/WPH Inpatient Consult Floor

All inpatient or emergency room consults received will be evaluated and consultative opinion rendered. Daily attending teaching rounds will be made. The team will generally consist of three fellows (a combination of two 1st and one 2nd year fellows).

AGH Hepatology

This 2nd year fellow will see all inpatients with pre- or post-liver transplant issues. Attendance at the weekly Liver Transplant clinic is required.

AGH/WPH GI Lab

GI Rotations

The fellow will be responsible for performing all scheduled GI lab endoscopic procedures, both inpatient and outpatient.

AGH/WPH Advanced Endoscopy

Fellows will be responsible for performing inpatient consultations on patients who are felt to potentially require advanced therapeutic endoscopy. The fellow will also be responsible for scheduling and performing the respective procedures and providing post-procedure follow-up care.

Research

The program requires that all fellows complete two scholarly projects prior to the completion of their three year training. This research must consist of at least one original clinical research project, review article, or textbook chapter (which must be published, or in the form of a manuscript completed to the point of submission for publication), and may include one case report with critical review of the literature, or a similar scholarly work pre-approved by the program director.

Nutrition

The fellow will be exposed to the management of inpatient and outpatient nutritional issues under the direction of medical nutritionist, Dr. Vazquez.

Pathology

Fellows will participate in daily reviews of gross and microscopic pathology specimens with the Pathology attending physician.

Radiology

Exposure to CT Body, and GI Fluoro/MRI will occur. Allowances can be made should the fellow have a specific interest in other areas of radiology (for example, nuclear medicine, interventional radiology).

Pediatrics

This will be located at the Children’s Hospital of Pittsburgh. The rotation will consist of 2 weeks in an outpatient pediatric GI clinic.

Introduction to Advanced Endoscopy

This elective is designed for fellows who might have an interest in pursuing higher level training in advanced therapeutic endoscopy, or who simply wish a more concentrated but limited exposure to these techniques.

Outpatient Endoscopy

The North Shore Endoscopy Center (NSEC) has a high-volume, relatively fast-paced schedule of endoscopic procedures. Participation will give the fellow a closer approximation of a “private practice” model, and should serve to improve efficiency and bolster the fellow’s procedural volumes and experience. This experience will be made available only to senior (2nd and 3rd year) fellows who have already attained substantial experience with basic endoscopic procedures.

Private Practice

This will be assigned to each 3rd year fellow during the early months of the academic year. The fellow will accompany a GI private practitioner through their day-to-day activities, both inpatient and outpatient, clinical and procedural, and also introduce the fellow to administrative issues not encountered elsewhere during their training. Educational focuses will include time and office management, professional billing, interpersonal communication, and practice within a healthcare system.

General GI Continuity Clinic

Fellows will attend Continuity Clinic an average of 1/2 day/week. Each fellow’s preceptor will change every 6 months to provide exposure to different styles of practice, and to help facilitate different concentrations of exposure (ie, first-year fellows will generally be assigned to a faculty member with special interest/expertise in luminal gut disease such as IBD or IBS, second years to a hepatologist, and third years to a faculty person pertinent to their chosen field of advanced training).

 

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