GI Fellowship Clinical Training

gastroenterology-fellowship-research-uh

The Gastroenterology Fellowship program provides hands-on, focused clinical training with the goal of advancing the understanding, diagnosis, treatment and prevention of diseases of the gastrointestinal and liver organs.

Inpatient Rotations:

  1. Gastroenterology consultation service at UH Cleveland Medical Center - fellows work closely with a gastroenterology attending to see patients with acute gastrointestinal and pancreaticobiliary diseases hospitalized on the non-GI medical teams, surgical services, UH Seidman Cancer Center, ob/gyn service and occasionally, Rainbow Babies & Childrens Hospital. Where possible, fellows are encouraged to perform endoscopic procedures on the patients for whom they performed consultations.
  2. Hepatology consultation service at UH Cleveland Medical Center - fellows work with a faculty hepatologist to see inpatients with compensated and decompensated liver disease, including patients awaiting liver transplantation, as well as patients who are post-transplant.
  3. Inpatient Gastroenterology service (Dworken team) at UH Cleveland Medical Center - fellows work with a team including a gastroenterology attending, liver attending, one or two residents, two to four interns and medical students. The team cares for patients with a wide spectrum of illnesses including gastrointestinal bleeding, inflammatory bowel disease, biliary tract disease, pancreatic disease, hepatitis and cirrhosis. During this rotation fellows are expected to serve as an educator to the team and, where possible, perform endoscopic procedures on the patients.
  4. Gastroenterology and Hepatology consultation service at the Louis Stokes Cleveland VA Medical Center - fellows work with a faculty member and see a wide variety of inpatient consultations; they also perform endoscopic procedures on the inpatients.

Outpatient Rotations:

  1. Endoscopy rotation - fellows are assigned to work with specific faculty members at UH Cleveland Medical Center and the Louis Stokes Cleveland VA Medical Center to perform endoscopic procedures on outpatients. The specific procedures will vary depending on the case mix and the fellows’ level of training. During this rotation, fellows also develop skills in interpreting esophageal manometry, pH testing, breath hydrogen testing and capsule endoscopy.
  2. Endoscopy service at the Louis Stokes Cleveland VA Medical Center - fellows perform endoscopic procedures on outpatients under the direct supervision of a faculty member, with the specific procedures depending on the case mix and the fellows’ level of training. Fellows will also attend a supplemental outpatient clinic to see semi-urgent consultations.
  3. Liver outpatient rotation - fellows are assigned to work with specific faculty members at UH Cleveland Medical Center and the Louis Stokes Cleveland VA Medical Center. Fellows will attend pre- and post-liver transplant clinics, general hepatology clinics and viral hepatitis clinic.
  4. Inflammatory Bowel Disease Rotation at UH Cleveland Medical Center - fellows work closely with Jeffry Katz, MD, attending his outpatient clinics at UH and a satellite ambulatory facility and performing outpatient endoscopic procedures on patients with inflammatory bowel disease.
  5. Ambulatory Gastroenterology rotation - fellows attend a variety of specialty-focused and general gastroenterology clinics at both UH Cleveland Medical Center and satellite facilities.
  6. Community Gastroenterology rotation - fellows work with faculty members at an ambulatory surgical center and affiliated community hospital and perform outpatient endoscopic procedures.

Outpatient Clinics

At the beginning in the first year, all fellows attend two half-day continuity clinics, including one at UH Cleveland Medical Center and one at the Louis Stokes Cleveland VA Medical Center. Both clinics are closely supervised by faculty members and provide an opportunity for fellows to develop a panel of patients as well as see new consultations. Clinic duties are suspended while on inpatient rotations.