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Saint Louis University
Gastroenterology Fellowship
Fellowship Program

• 12 Gastroenterology Fellows
  – 4 per year
  – No advanced fellowships
• Three locations
  – Academic university teaching hospital
  – Private hospital
  – VA
• 15 Faculty (2 part time)
Year 1

• SLUH                • VA GI Service
  Gastroenterology    • 3 months
  Consult Service           • Consults
• 9 months                  • Endoscopy
  – 3 Fellows         • Research 1 month
     • Consults         – Identify mentor
     • Endoscopy        – Identify project
                            • IRB ready
Year 2
• St. Mary’s Health Center
  – 3 months
  – Includes motility/functional bowel experience
  – 1.5 days per week outpatient
• VA Scoping
  – 3 months
  – Includes outpatient clinics, capsule studies
• Research
  – 4 months
• Liver service
  – 1 month
• Biliary/advanced endoscopy
  – 1 month
Year 3
• Liver Service (Brown Team)
  – 2 months
• Advanced endoscopy/biliary/pancreas
  – 2 months
• SLUH GI Consult Service
  – 1 month
• Endoscopy
  – 1-2 months
• Selectives
  – 4 months
• Research
  – 1 month
Selectives

•   GI radiology
•   GI pathology
•   Outpatient GI clinics
•   Pediatric GI
•   Biliary/advanced endo
•   Endoscopy
•   Nutrition (web-based education)
Conferences

• GI Grand Rounds            • Subspecialty Journal
  – Faculty, visiting prof     Club
• GI/Liver Tumor             • Motility Conference
  Conference                 • GI Fellows GR
• GI Pathology                  – Case Conference
  Conference                 • GI Research
• Liver Pathology              Conference
  Conference                 • Clinical Case
• Journal Clubs                Management
• Fellows                       – Nutrition
  Pathophysiology               – M&M
  Conference
Main Issues

• Current are relative minor
  – Supervision at the VA
  – Faculty participation in conferences
On the (very near) Horizon

– Funding of research time
– Incorporation of competencies
  •   Instruction in “practice management”
  •   “Specialty specific milestones”
  •   “Each program must define criteria for
      competence for all required and elective
      procedures”
On the (very near) Horizon

– Funding of research time
– Incorporation of competencies
  •   Instruction in “practice management”
  •   “Specialty specific milestones”
  •   “Each program must define criteria for
      competence for all required and elective
      procedures”

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Gi face off - issues facing medium programs - charlene prather

  • 2. Fellowship Program • 12 Gastroenterology Fellows – 4 per year – No advanced fellowships • Three locations – Academic university teaching hospital – Private hospital – VA • 15 Faculty (2 part time)
  • 3. Year 1 • SLUH • VA GI Service Gastroenterology • 3 months Consult Service • Consults • 9 months • Endoscopy – 3 Fellows • Research 1 month • Consults – Identify mentor • Endoscopy – Identify project • IRB ready
  • 4. Year 2 • St. Mary’s Health Center – 3 months – Includes motility/functional bowel experience – 1.5 days per week outpatient • VA Scoping – 3 months – Includes outpatient clinics, capsule studies • Research – 4 months • Liver service – 1 month • Biliary/advanced endoscopy – 1 month
  • 5. Year 3 • Liver Service (Brown Team) – 2 months • Advanced endoscopy/biliary/pancreas – 2 months • SLUH GI Consult Service – 1 month • Endoscopy – 1-2 months • Selectives – 4 months • Research – 1 month
  • 6. Selectives • GI radiology • GI pathology • Outpatient GI clinics • Pediatric GI • Biliary/advanced endo • Endoscopy • Nutrition (web-based education)
  • 7. Conferences • GI Grand Rounds • Subspecialty Journal – Faculty, visiting prof Club • GI/Liver Tumor • Motility Conference Conference • GI Fellows GR • GI Pathology – Case Conference Conference • GI Research • Liver Pathology Conference Conference • Clinical Case • Journal Clubs Management • Fellows – Nutrition Pathophysiology – M&M Conference
  • 8. Main Issues • Current are relative minor – Supervision at the VA – Faculty participation in conferences
  • 9. On the (very near) Horizon – Funding of research time – Incorporation of competencies • Instruction in “practice management” • “Specialty specific milestones” • “Each program must define criteria for competence for all required and elective procedures”
  • 10. On the (very near) Horizon – Funding of research time – Incorporation of competencies • Instruction in “practice management” • “Specialty specific milestones” • “Each program must define criteria for competence for all required and elective procedures”