During the three years of training, the fellow will become proficient in performance of the following procedures:
1. Pan-upper gastrointestinal endoscopy
2. Video capsule endoscopy
3. Colonoscopy and sigmoidoscopy
4. Polypectomy
5. Esophageal variceal sclerosis/band ligation
6. Removal of gastrointestinal foreign bodies
7. Percutaneous endoscopic gastrostomy placement
8. Dilation of esophageal strictures
9. Small intestinal biopsy
10. Suction rectal biopsy
11. Percutaneous liver biopsy
12. Paracentesis
The trainee will also become familiar with the indications, use and interpretations of findings of esophageal and anorectal manometry, esophageal pH probe studies, ERCP and breath hydrogen analysis.
Proficiency is defined as understanding the clinical indications and contraindications, proper sedation techniques and intra-procedural monitoring, physical performance of the procedure, interpretation of abnormal and normal findings and proper post-procedural monitoring.
The trainee will maintain a written log of each procedure performed, the date, patient identification, findings and comments.
Trainees will be expected to demonstrate competence in gathering accurate, complete and reliable clinical data from:
- History
- Physical examination
- Laboratory and imaging tests
Trainees will be expected to demonstrate effective written and oral communications, including:
- Communicating appropriately with children, family members, other physicians (including the primary care provider), nursing staff and other personnel.
- Writing appropriate consultations and follow-up chart notes.
- Reliably following up on diagnostic tests, imaging studies and treatment issues related to patients.
The trainee should demonstrate awareness of the social, ethical and economic issues involved in patient care and clinical research, and which may relate to their clinical decisions.
The trainee should demonstrate awareness of the social, ethical and economic issues involved in patient care and clinical research, and which may relate to their clinical decisions.
Trainees will be expected to rotate on the inpatient pediatric GI service and on the outpatient GI service during the first year. While on the inpatient service the fellow is responsible for admitting all gastroenterology, hepatology and nutrition service patients and performing all consultations. During the second and third years of fellowship, the trainee will attend a half-day GI clinic each week and will be expected to follow-up on the needs of patients seen in clinic, under the supervision of a GI faculty member.
Trainees will be able to critically evaluate clinical Pediatric GI and Hepatology literature, to avidly read the pertinent textbooks and journals and be capable of performing computerized literature searches.
Trainees will present a Topic Conference Seminar two times per year, a Research Conference each year, a GI-Surgical Conference twice per year and will deliver Core Lectures to residents and medical students.
Second- and third-year trainees will engage in a clinical or laboratory research project that will result in the preparation of at least one abstract for a national meeting, and preparation of a manuscript to be submitted for publication. In addition, trainees will develop an understanding of project design, protocol development, manuscript preparation and writing, grant writing and the bioethics of research and research subject consent procedures.
Trainees will participate in the evaluation of faculty and of the GI training program and will follow guidelines outlined in the UCD Housestaff Manual and The Children's Hospital Housestaff Manual.