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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 |