Clinical Gastroenterology Training
Educational Goals and Objectives
- First Year, the fellow will evaluate the patient with gastrointestinal disease by obtaining important data through the medical history and physical examination, combining this with laboratory data to formulate a relevant, complete differential diagnosis; the indications, risks and benefits of endoscopic procedures, basic endoscopic techniques.
- Second and Third Years, the fellow will evaluate the patient with gastrointestinal disease at the specialist level, using endoscopy and advanced techniques in complex patients. There will be emphasis on evidence-based methods and analysis of outcomes of therapy with reference to socioeconomic and political issues.
- First Year, the fellow will understand the indications for upper endoscopy and colonoscopy, and the integration for these procedures used in the evaluation and treatment of patients with gastrointestinal diseases.
- Second and Third Years, the fellow will understand the indications for endoscopic retrograde cholangiopancreatography (ERCP), endoscopic ultrasound and the integration of these procedures into the evaluation and treatment of patients with gastrointestinal diseases.
The fellow will also:
- understand the pathophysiology and pathology of various gastrointestinal diseases.
- understand the molecular and genetic basis of gastrointestinal diseases.
- gain experience in capsule endoscopy, esophageal manometry, and 24 pH monitoring.
Through evaluation and management of inpatients and outpatients, the fellow will:
- gain knowledge of the evaluation and management of patients using evidence based methodology, as well as the limits of current evidence.
- gain experience in the management of patients with chronic illnesses and with recurrent exacerbations such as inflammatory bowel disease, by following patients in the continuity clinic after discharge, and developing discharge plans.
- understand the advantages and limits of technology in gastrointestinal diseases through review of current endoscopic therapies at the frontier of endoscopic therapy.
- learn the best methods for developing efficiencies in the office, hospital and endoscopy unit.
- understand the needs of patients and the need to provide patient satisfaction with evaluation and therapy.
- be cognizant of outcomes of decisions and therapies and outcome measurement.
- choose a mentor for guidance in developing practice skills and models.
- General clinical gastroenterology will be taught in didactic lectures and seminars.
- Performance of histories and physical examinations of patients will be learned on the general service and the service of the full time faculty with discussion on daily attending rounds and review of radiological studies on these patients.
- The fellow will participate in the evaluation and testing of patients referred to the motility laboratory, including esophageal manometry, and 24 hour pH monitoring.
- The fellow will attend introductory lectures in gastrointestinal endoscopy.
- In addition to the core seminars, clinical gastroenterology will be mastered from inpatient consultations to the GI service and responsibility in the outpatient GI clinics including outpatient GI private offices.
- The fellow will participate in rounds in clinical nutrition and attend monthly seminars in nutrition with emphasis on nutrition in gastrointestinal disease, including gluten free diets.
- The resources of the divisional library, NYPBMH library and the Cornell Online Library will be utilized, as will seminars under the auspices of the New York Society of Gastroenterology (NYSGE).
- Materials from the American Medical Association Council on Medical and Judicial Affairs will be used.
The fellow will understand:
- gastroesophageal reflux disease, Barrett's esophagus and peptic ulcer disease
- inflammatory bowel diseases
- irritable bowel syndrome
- small bowel disease, with emphasis on celiac disease
- pancreatic diseases
- tumors of the gastrointestinal tract
- parasitic diseases (frequently seen in our diverse immigrant population)