Welcome to the Gastroenterology Fellowship Program
The Gastroenterology Fellowship provides a unique educational opportunity to develop skills necessary to become an expert clinician in the specialty of gastroenterology. The fellowship is a 3-year program with opportunities to develop experience in advanced endoscopy (including endoscopic ultrasound and endoscopic retrograde cholangiopancreatography [ERCP]), hepatology, nutritional disorders, gastrointestinal oncology, and surgery of the gastrointestinal tract.
The fellowship assures a well-rounded experience in all care settings – inpatient, outpatient, and private practice, with an additional opportunity to perform clinical research in the field.
The Gastroenterology Fellowship experience
The 1st year of training focuses on clinical inpatient services. The fellow is responsible for all consults and procedures (other than ERCP). The 1st-year fellows split the consultations. 1 fellow is responsible for the Gastroenterology Service, caring for patients with diseases of the esophagus, stomach, bowel, liver, and pancreas. The other fellow is responsible for the “bleeding team.” All patients with significant bleeding are monitored and cared for by this team.
Formal teaching rounds occur daily with a service attending each morning. Bedside rounding occurs each afternoon while procedures are performed daily with an attending faculty member. The outpatient experience will occur with a continuity clinic 1-2 times each week.
The 2nd- year includes private practice rotation, hepatology and liver transplant, and research. There is a 4-month rotation to Mount Sinai Medical Center in Manhattan. During this time, the fellow has no responsibilities at Maimonides. The rotation includes 1 month of pre-transplant, 1 month of post-transplant, and 2 months of Hepatology Consult Service and Hepatology Clinic.
The fellow also rotates among private practice gastroenterologists for 3-4 months. The gastroenterologists have a fellow assist in the care (including procedures) of their inpatients. The fellow goes to at least 3 attending physician offices for follow-up outpatient experience over 3 months.
During the year, time for research is arranged for fellows. The goal is to prepare a project that can be implemented and presented before graduation. Although fellows are expected to participate in multiple projects, all fellows must prepare and present 1 project of their own during the fellowship.
The 3rd year of training places emphasis on outpatient care, research, and advanced endoscopy experience. This final year of training focuses on fine-tuning the knowledge, experience, and expertise gained within the first 2 years.
During the first 3 months, the 3rd-year fellow will assist the new fellow on the service. The remaining 9 months are divided between research, advanced endoscopy, outpatient office management, and outpatient clinic experience.
- Research – The fellow is required to develop and submit for publication at least 1 research study. At least 1 paper is to be presented in abstract form at a national medical meeting (poster and/or podium). The months provided in the 1st and 2nd year should have led to the preparation and implementation of at least 1 project to be completed by the end of the 3rd year
- Advanced Endoscopy – The most complicated procedures including ERCP, endoscopic ultrasound, laser, esophageal stent placement, endocinch, etc. are performed by the 3rd-year fellow
- Outpatient Office Management – A structured program provides outpatient experience focused entirely on managing private practice activities including billing, coding, documentation, processing endoscopes, etc
- Outpatient Clinic Experience – A clinic dedicated to diseases of the liver will be held once a week. Fellows manage their own clinic. Fellows are responsible for the follow-up of lab work and pathology reports from the clinic. In addition, esophagogastroduodenoscopies (EGDs) and colonoscopies will be scheduled with a supervising attending. EGDs will be limited to Barrett’s esophagus surveillance. Colonoscopies will be scheduled for patients needing high-risk screening
The future of medical care is you
Our program strives to provide the best educational experience in an environment that assures a balance between academic and clinical activities. We take great pride in our success in preparing residents to become the next generation of expert practitioners.
For more information, contact Siu Pik Lau, Academic Coordinator, at (718) 283-7476.