Fellowship Training Detail by Year

 

Year 1

Outpatient: Fellows have one-half day per week of general pediatric gastroenterology clinic with their own outpatient population and all associated outpatient care for those patients. Approximately once a month, fellows also have a half day of urgent clinic. 

Inpatient: Fellows follow gastroenterology patients on both our inpatient service and separate consult service in C.S. Mott Hospital for a total of about 8 months. Service time is generally divided into 2 to 4 week blocks to promote continuity of patient care. Weekends are divided evenly among all fellows. When on service, the fellow is responsible for care of patients admitted to the GI service, ER and outpatient after hour calls.  The consult fellow is responsible for all inpatient consults during regular operating hours.

Call: Fellows will take call while on the inpatient service at C.S. Mott Children’s Hospital. This consists of home call both during the week and on weekends (there is a separate rotation for each). The fellow is required to return to the hospital for emergency procedures, patients with a changing clinical course, and critically ill admissions. Pediatric residents provide in-house night time inpatient coverage for non-acute issues.

Procedures: The on service fellow is responsible for all inpatient procedures. Fellows will have 3-4 outpatient procedure days per month while not on service.

Research: The Pediatric Gastroenterology faculty will work with each fellow to identify a clinical or basic science research project and mentor for years 2 and 3. The research project mentor may include members of the Pediatric GI division, as well as members of the Departments of Surgery, Internal Medicine, Physiology, Anatomy and Cell Biology, and the School of Public Health. A supervisory committee will be formed to evaluate each fellow’s research project.

Teaching: Fellows will receive both formal and informal teaching from the Pediatric Gastroenterology faculty. Fellows have a prominent role in resident and medical student education.

Year 2

Outpatient: Fellows have one-half day per week of general pediatric gastroenterology clinic with their own outpatient population as well as continued involvement with the urgent clinic.

Inpatient: 4-6 weeks on service with description and call as described above.  4 weeks of the consult service.

Procedures: Outpatient procedure days continue throughout fellowship.  Generally, fellows do 2-5 days per month depending on service obligations and scheduling.

Research: The fellow begins more focused work on their clinical or basic science research project.

Teaching: Fellows continue to receive both formal and informal teaching from the Pediatric Gastroenterology faculty. Fellows continue to have a prominent role in resident and medical student education.

Year 3

Outpatient: Fellows have one-half day per week of general pediatric gastroenterology clinic with their own outpatient population as well as continued involvement with the urgent clinic.

Inpatient: 4-6 weeks on service with description and call as described above.  4 weeks of the consult service.  During this time, the trainees are given a great deal more responsibility for patient care.

Procedures: Outpatient procedure days continue throughout fellowship. Generally, fellows do 2-5 days per month depending on service obligations and scheduling.

Research: During the first part of year 3, fellows complete their research projects with the goal of submitting one or more manuscripts for publication prior to completion of fellowship training.

Teaching: Fellows continue to receive both formal and informal teaching from Pediatric Gastroenterology faculty. They are expected to provide more teaching including giving talks to the general pediatric residents on specific pediatric gastroenterology topics.