The Advanced Gastrointestinal Endoscopy Fellowship Program provides the possibility of intense EUS training with the goal of developing future leaders in the field.
Exposure to other advanced procedures such as EMR and NOTES is made available in accordance with the needs of individual fellows and existing opportunities
Use of an animal lab and simulation based training will allow rapid acquisition of basic skills and enhanced exposure to new and advanced techniques. A complete text and video library is available to augment teaching.
Upon completion of the Advanced Endoscopy fellowship, you should be able to:
- Utilize EUS to diagnose and manage patients with a variety of GI disorders.
- Identify the unique features of dedicated echoendoscopes, catheter probes, and EUS and EUS accessories
- Identify normal EUS anatomy
- Establish the T, N, and M stage for luminal tumors and pancreatic cancer
- Differentiate the various types of cystic pancreatic tumors
- Identify the utility of EUS for evaluating patients with chronic pancreatitis including autoimmune pancreatitis
- Differentiate the various subepithelial mass lesions
- Assess the N stage for lung cancer
- Integrate EUS into the care of patients with inflammatory bowel disease
- Demonstrate proper technique for EUS guided biopsy (FNA, Trucut)
- Recognize the technical aspects and role of interventional EUS procedures including, but not limited to, stone retrieval, cyst drainage, pseudocyst drainage, celiac plexus block and neurolysis, duodenal and other luminal stenting, and ampullectomy
- Begin the process of overseeing and teaching these skills and techniques to GI fellows
- Integrate proper reimbursement and billing into their practice
The following is a sample of the Advanced Endoscopy Fellowship Weekly Schedule
The advanced endoscopy fellow will typically be assigned to 60% time doing EUS and other advanced procedures; 20% research; and 20% clinical service (if U.S. Board eligible). Clinical service will be necessary to cover a portion of the fellow salary and other costs and may include general GI consultations, in-patient consultations with night call, general endoscopy and supervision of standard GI fellows.
In addition to hands-on performance of these techniques, the curriculum includes a series of didactic lectures. These lectures are provided by the EUS and ERCP staff, other GI and Non-GI physicians who utilize these techniques, radiologists, oncologists, and conferences directed by advanced fellows.
In addition to the weekly GI divisional and research conferences, there are separate endoscopy conferences, GI divisional Endoscopy Group Meeting, and a monthly GI Research Group meeting. As an advanced fellow, you will be responsible for presenting at several of these forums and for the coordination of intermittent advanced endoscopy meetings.
Regular and structured meeting are held between fellows and identified mentors to design and conduct research protocols. Fellows also work with other members of the GI Division with diverse skills and investigative backgrounds. Research projects are further developed and implemented in one of our varied GI Subspecialty Clinics and Interest Groups.
You will have dedicated blocks of time for work on mutually agreed upon research projects. The development of two prospective EUS-based studies is required. You will be encouraged to initiate the planning and dialogue of at least one of these studies prior to beginning the fellowship program.
Publications and Presentations
It is anticipated that each of the prospective studies developed will generate results and information suitable for publication in a major GI subspecialty journal. Two additional critical manuscripts are expected. These may include a major subject review, case report (limited to one only) or a retrospective review. The development of abstracts for at least two of the major national GI meetings (DDW week: AGA/ASGE; fall ACG) also is anticipated.
Opportunities are available for teaching rotating Gastroenterology fellows in the endoscopy suites and residents and fellows during conferences.
To ensure you gain proficiency and develop the corresponding technical skills, your performance is monitored throughout this program. You are formally evaluated by your supervising faculty member following the completion of each clinical rotation; and then meet with the program director to review these evaluations. In addition, you regularly evaluate the faculty to ensure your educational goals are being met.