Saint Louis UniversityGastroenterology Fellowship

Fellowship ProgramFellowship Program

• 12 Gastroenterology Fellows12 Gastroenterology Fellows– 4 per year4 per year– No advanced fellowshipsNo advanced fellowships

• Three locationsThree locations– Academic university teaching hospitalAcademic university teaching hospital– Private hospitalPrivate hospital– VAVA

• 15 Faculty (2 part time)15 Faculty (2 part time)

Year 1Year 1

• SLUHSLUH Gastroenterology Gastroenterology Consult ServiceConsult Service

• 9 months9 months– 3 Fellows3 Fellows

• ConsultsConsults• EndoscopyEndoscopy

• VA GI ServiceVA GI Service• 3 months3 months

• ConsultsConsults• EndoscopyEndoscopy

• Research 1 monthResearch 1 month– Identify mentorIdentify mentor– Identify projectIdentify project

• IRB readyIRB ready

Year 2Year 2

• St. Mary’s Health CenterSt. Mary’s Health Center– 3 months3 months– Includes motility/functional bowel experienceIncludes motility/functional bowel experience– 1.5 days per week outpatient1.5 days per week outpatient

• VA ScopingVA Scoping– 3 months3 months– Includes outpatient clinics, capsule studiesIncludes outpatient clinics, capsule studies

• Research Research – 4 months4 months

• Liver serviceLiver service– 1 month1 month

• Biliary/advanced endoscopyBiliary/advanced endoscopy– 1 month1 month

Year 3Year 3

• Liver Service (Brown Team)Liver Service (Brown Team)– 2 months2 months

• Advanced endoscopy/biliary/pancreasAdvanced endoscopy/biliary/pancreas– 2 months2 months

• SLUH GI Consult ServiceSLUH GI Consult Service– 1 month1 month

• EndoscopyEndoscopy– 1-2 months1-2 months

• SelectivesSelectives– 4 months4 months

• ResearchResearch– 1 month1 month

SelectivesSelectives

• GI radiologyGI radiology

• GI pathologyGI pathology

• Outpatient GI clinicsOutpatient GI clinics

• Pediatric GIPediatric GI

• Biliary/advanced endoBiliary/advanced endo

• EndoscopyEndoscopy

• Nutrition (web-based education)Nutrition (web-based education)

ConferencesConferences

• GI Grand RoundsGI Grand Rounds– Faculty, visiting profFaculty, visiting prof

• GI/Liver Tumor GI/Liver Tumor ConferenceConference

• GI Pathology GI Pathology ConferenceConference

• Liver Pathology Liver Pathology ConferenceConference

• Journal ClubsJournal Clubs• Fellows Fellows

Pathophysiology Pathophysiology ConferenceConference

• Subspecialty Journal Subspecialty Journal ClubClub

• Motility ConferenceMotility Conference• GI Fellows GRGI Fellows GR

– Case ConferenceCase Conference

• GI Research GI Research ConferenceConference

• Clinical Case Clinical Case ManagementManagement– NutritionNutrition– M&MM&M

Main IssuesMain Issues

• Current are relative minorCurrent are relative minor– Supervision at the VASupervision at the VA– Faculty participation in conferencesFaculty participation in conferences

On the (very near) HorizonOn the (very near) Horizon

– Funding of research timeFunding of research time– Incorporation of competenciesIncorporation of competencies• Instruction in Instruction in “practice management”“practice management”

• ““Specialty specific milestones”Specialty specific milestones”

• ““Each program must define criteria for Each program must define criteria for competence for all required and elective competence for all required and elective procedures”procedures”

On the (very near) HorizonOn the (very near) Horizon

– Funding of research timeFunding of research time– Incorporation of competenciesIncorporation of competencies• Instruction in Instruction in “practice management”“practice management”

• ““Specialty specific milestones”Specialty specific milestones”

• ““Each program must define criteria for Each program must define criteria for competence for all required and elective competence for all required and elective procedures”procedures”