Curriculum

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Rotations

VA Inpatient Consult Service

This is a required rotation at the first F1 (6-8 months), second F2 (6-8 months), and third F3 (4-6 months) training levels. Fellows perform procedures at the VA hospital scheduled through the clinics and inpatient consult service. They are also responsible for seeing the inpatient consults assigned to them. The goal of the rotation is to enable the fellow to serve as a consultant in the recognition, evaluation, and proper treatment of patients with gastrointestinal, pancreatic, hepatobiliary and nutritional problems.

MVH Inpatient Consult Service

This is a required rotation at the F1 (3 months) , F2 (3-5 months), and F3 (3- 5months) training levels. Fellows are assigned to this site for a consult experience in a community hospital setting. They also perform endoscopic procedures needed for these patients.

Hepatology Outpatient

This is a required one-month rotation at the F1 level. During the dedicated hepatology month, fellows predominately see patients with a broad spectrum of liver diseases in an ambulatory setting at Dayton VA Medical Center. The fellow also attends the Hepatitis C clinic. The fellow is also required to attend the hepatobiliary tumor board conferences held at Dayton VA Medical Center and MVH once a month. These conferences involve case discussions with the gastroenterologists, surgeons and intervention radiologists.

Research

This is a required rotation for F1 (1 month), F2 (2 months), and F3 (2 months) training level. Fellows are required to complete a case report for journal submission and a clinical/basic science project under the direction of an attending of their choice. This rotation provides dedicated time for work on these requirements. Fellows are also required to be involved in a Quality improvement project under the supervision of a GI attending.

Children’s Medical Center

This is a required rotation at the F1 (one half month) and F2 (one half month) training level. Fellows rotate in a pediatric gastroenterology clinic to get exposure to common cases in pediatric gastroenterology.

Continuity Clinics

All fellows do a half day of continuity clinic every week at the Dayton VA Medical Center. There is also a half day clinic every week at Miami Valley Hospital. In addition, they do liver and Hepatitis C clinic during their hepatology rotation.

Sample Rotation Schedule

Month

F1

F2

F3

Clinic coverage

July

VA

VA

MVH

F3

August

VA

MVH

VA

F1

September

VA

VA

MVH

F3

October

VA

MVH

Liver

F2

November

MVH

VA

Research

F1

December

VA

VA

MVH

F2

January

MVH

Research

VA

F3

February

VA

MVH

VA

F1

March

Research/DCH (1/2 month)

VA

MVH

F1

April

MVH

Liver

VA

F2

May

VA

MVH

Research

F2

June

Liver

VA

VA

F3

Sample Monthly Conference Schedule

Conferences are held once a week, August–July.

Week      

Week 1

Pathology

Critical Journal Review

Case Report

Week 2

Chapter 8

Journal Club

Case Report

Week 3

Pathology

Journal Club

Research Report: F3

Week 4

Chapter 21

Fellows Lecture: Diarrhea

Case Report