Elements of Training of the Gastroenterology Fellowship Training Program

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Clinical

GI fellows receive a minium of 18 months of clinical training and six months of research training during the three year program. For most GI fellows, the program consists of two clinical years (first and third) and one research year (second year). However, the program is able to adapt to individual fellow's needs for additional clinical or research training beyond the minimum requiremeents.

Clinical training consists of three-month rotations at each of the five teaching hospitals. Fellows coordinate the GI/hepatology consult service (in conjunction with an attending staff gastroenterologist, rotating internal medicine residents and medical students) and perform endoscopic procedures. Fellow consults, follow ups and participation in endoscopic procedure clinics are fully supervised by staff gastroenterologists. Night call responsibility averages every fourth night and every two to four weekends. Call is taken at home. Fellows are fully supervised by staff gastroenterologists during on-call time.

Continuity Clinic

A Continuity Clinic is assigned to each fellow at one of the five teaching hospitals for their entire three years in the program. Fellows continue to participate in this supervised half-day clinic during their research training.

Research

Research training begins during the first year with selection of a faculty mentor and development of a focused research project. Research opportunities range from basic science "bench" projects to clinical projects or "outcomes" studies. Mentors are usually GI faculty members, but University faculty outside of the GI section are also available for specific projects. During the 6-12 month research period, fellows continue to take night call, including emergency endoscopies.

Teaching Conferences

Teaching conferences include a weekly two-hour citywide GI conference, consisting of fellow case presentations and discussions, didactic lectures, GI histopathology and radiology, basic science and research presentations, journal club, and guest lecturers. Each teaching hospital also has its own conference schedules, including internal medicine grand rounds, core curriculum lectures, and M&M conferences (which include GI topics), as well as GI section pathology and surgical conferences, journal review, etc.

Training Facilities

The training rotations are completed at University of Minnesota Medical Center, Minneapolis VA Medical Center, Hennepin County Medical Center, Regions Hospital, and Abbott Northwestern Hospital. There are 23 full-time gastroenterologists among the five teaching hospitals.

Each teaching hospital has a fully staffed gastroenterology procedure clinic, with facilities for diagnostic and therapeutic upper GI endoscopy, colonoscopy, sigmoidoscopy, and endoscopic retrograde cholangiopancreatography. Liver biopsy, paracentesis, and motility studies are done at all facilities. The VA and Hennepin facilities offer endoscopic ultrasonography, and EUS with fine needle aspiration is performed at Hennepin. All facilities have medical and surgical intensive care units and full surgical, pathology, and radiology services, including CT, MRI, and MR-CP. A liver transplantation program (average of 35 cases per year) is present at University of Minnesota Medical Center. Pediatric GI services and interactions are available at all hospitals except VAMC. The pediatric GI training program at University of Minnesota Medical Center participates in GI teaching conferences.Site-Specific Rotation Information