Gastroenterology and Hepatology Fellowship Curriculum
General GI Consultation
- Inpatient consultations and procedures
- Team includes 2-3 fellows and 1 attending, rotating students and residents
- Approximately 6 months over 1st year and 2 - 4 months in the 2nd and 3rd years
- Consultations at UMMC or Baltimore VA
- Supervision of residents, students, case presentations at patient management conference
- Weekly outpatient clinic
Hepatology/Transplant Consults
- Inpatient transplant and non-transplant hepatology inpatient consultations and procedures at UMMC
- Team includes 2-3 fellows and 1 attending, rotating students and residents
- Approximately 6-8 months during fellowship
- Case presentations, participation in transplant board meetings
Advanced Endoscopy Consults
- Inpatient pancreaticobiliary consults at UMMC and Baltimore VA
- Inpatient and outpatient ERCP, EUS, stent, RFA and cryotherapy of Barrett's esophagus, single balloon enteroscopy, EMR, ESD, POEM
- Team includes advanced endoscopy fellow and attendings
- 1 month in 1st year, additional exposure in 2nd and 3rd year if interested
- Endoscopy case presentations at patient management conference
IBD Consults
- Inpatient IBD consults and procedures at UMMC and Baltimore VA
- Outpatient IBD clinic
- 1 month in 1st year, 1-2 months in 2nd and 3rd year
- Dedicated conferences include weekly multidisciplinary patient care conference, IBD-LIVE (monthly multi-institutional multidisciplinary conference)
Midtown Consults
- Inpatient GI and hepatology consults at Midtown Campus
- Inpatient and outpatient procedures
- Teaching opportunities for students and residents
- 1-2 months during 1st year, 2-3 months in 2nd and 3rd year
- UM Midtown Campus is located 1.3 miles (5 min drive) from UMMC
Elective Rotations
Fellows have the opportunity to pursue internal or external elective rotations in their 2nd and 3rd year, based on personal interest and future career goals. Examples of elective rotations include motility, bariatric endoscopy, advanced therapies and management of patients with Barrett's esophagus, intensive outpatient hepatology or intensive outpatient IBD experience.
Call
The division provides 24 hour per day service throughout the year. All fellows participate in home call on nights and weekends, with attending supervision by phone or in person if a procedure is required. A call room is available if needed for overnight stay. On weekends, rounds on inpatient consults are conducted with an attending physician.
Outpatient Endoscopy
Fellows are given dedicated months of endoscopy training – typically 1 month first year and 1-2 months during the second and third years. In addition, second and third year fellows are allotted one half-day per week of endoscopy time. Lastly, fellows perform the necessary procedures on patients seen during a consultative rotation.
Outpatient Continuity Clinic
All fellows participate in 12-18 months of weekly continuity clinic at the Baltimore VA. The remaining 18 months are spent in subspecialty clinics.
Research
Emphasis is placed on clinical and basic research to prepare trainees for academic careers and careers as tertiary referral subspecialists. Funding is available through the NIH T32 training grant in Gastroenterology, as well as other research grants awarded to our faculty. The GI Division has extensive basic laboratory research space in the adjacent Bressler Building, the Baltimore VA, and the Health Sciences Facility. These facilities contain state-of-the-art equipment for molecular biology, cell culture, animal research, and biochemical and microbiological studies. Through collaborations there are extensive core facilities available for specialized projects.
Major areas of current federally funded investigation include bile acids and colon cancer and nuclear receptors as related to colon cancer progression. Clinical research projects are carried out in the inpatient and outpatient facilities. Current examples of clinical research include telemanagement of patients with IBD, adherence to colorectal cancer screening in African American men, histologic predictors of relapse in ulcerative colitis, and outcomes in endoscopic eradication therapy in patients with Barrett's esophagus.
Please see attached compilation of fellow scholarly works during the 2019-2020 academic year.