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Clinical Training
Your training will include extensive exposure to common and unusual gastroenterology and hepatology problems. This experience will help you to develop the clinical skills necessary to evaluate and manage inpatients and outpatients with these problems. You will become skilled at diagnostic and therapeutic endoscopy. Through your patient care experiences and educational conferences, you will rapidly expand your gastroenterology and hepatology knowledge base.

During your fellowship you will work closely with faculty providing patient care in ambulatory and inpatient settings. The favorable faculty ratio, large, diverse patient population and state-of-the-art diagnostic, therapeutic and research facilities combine to create an ideal educational setting.

The "Mayo Clinic way" of graduate medical education ensures you will have the finest teaching and the broadest patient care experience possible during a busy, hands-on fellowship. In your continuity clinic, you will follow a group of patients over the duration of your training program to gain an understanding of the long-term course of diseases. Your clinical activities are designed based on the educational value of each experience.

The primary training sites are Mayo Clinic and Mayo Clinic hospital in Jacksonville. Pediatric GI rotations are at Nemours Children's Clinic in Jacksonville. Liver transplant training takes place on the busy Mayo Clinic transplant service. Elective rotations at Mayo Clinic in Rochester, Minn., may also be available.

The following is a typical Gastroenterology Fellowship training schedule:

First Year Length
GI Hospital and Procedures 4 one-month blocks
GI Clinic and Procedures 3 one-month blocks
Motility Clinic and Procedures 1 month
Liver Hospital 1 month
Liver Clinic 2 one-month blocks
Nutrition 1 month
Second Year Length
Research 11 months
GI Hospital and Procedures 1 month
Third Year Length
GI Hospital and Procedures 1 month
GI Clinic and Procedures 4 one-month blocks
Liver Hospital 1 month
Liver Clinic 2 one-month blocks
ERCP/EUS 2 one-month blocks
Electives 2 months

Continuity clinic occurs throughout the three years. Elective options include pediatric gastroenterology, pathology, radiology, HIV clinic, advanced endoscopic training, additional research time, rotations at Mayo Clinic in Rochester or special programs you design.

Endoscopic Training
Training is provided in:

  • Diagnostic and therapeutic upper endoscopy
  • Colonoscopy
  • Sigmoidoscopy
  • Esophageal dilatation
  • Liver biopsy
  • PEG placement
  • Variceal and non-variceal hemostasis

You also will gain experience in advanced techniques like ERCP, endoscopic ultrasound, laser, photodynamic therapy and stents. Endoscopic training takes place daily on clinical rotations.

Special Clinical Training
Dedicated periods are set aside to provide clinical training in important areas of gastroenterology. During the following rotations you will work with a faculty member who has special interest and expertise in the area:

  • Hepatobiliary disease
  • Clinical nutrition and nutritional support
  • Motility disorders, motility studies
  • GI radiology and pathology
  • Management of liver transplant patients
  • Pediatric gastroenterology

Additional opportunities are available for the development of clinical and research expertise within these areas.

Didactic Training
Clinical conferences, seminars, small discussion groups, journal clubs and one-on-one instruction are all an integral part of the Gastroenterology Fellowship.

Teaching Conferences
We maintain an active schedule of teaching conferences, averaging two conferences each week. The goal of these conferences is to help you develop the knowledge and skills necessary to function as an effective consultant in gastroenterology in a clinical academic setting. Faculty members and fellows present conferences.

During a series of GI Core Conferences, faculty members provide a didactic review of important topics in gastroenterology. GI Basic Science Conferences cover important areas of GI physiology. Visiting professors give state-of-the-art talks and review cases with GI fellows.

Other regular conferences provide teaching in the format of case discussions and literature reviews, and include:

  • GI Medical-Surgical Conference
  • GI Case Conference
  • Journal Club
  • Endoscopy Conference
  • GI Research Conference
  • Swallowing Interest Group
  • Esophageal Cancer Interest Group
  • Liver Transplant Selection Conference

You also will participate in other system-wide conferences and training programs, such as Grand Rounds and Clinical-Pathologic Conferences.

Research Training
A portion of your GI fellowship is dedicated to research. This provides you the opportunity to define, develop and perform formal clinical research projects under the guidance of experienced faculty. The Clinical Research Center provides facilities, equipment and research nurse assistants to support your clinical research projects.

There are opportunities to collaborate with basic scientists at Mayo's Birdsall Research Center in Jacksonville, or with researchers at Mayo Clinic in Rochester. You will share the information generated during the research year through presentations at national meetings and in publications.

In addition to the formal research block, during clinical training you will complete additional research projects, case reports or topic reviews.

Teaching Opportunities
We will help you develop your teaching skills, and your ability to give effective oral presentations. You will participate in the formal and informal teaching of colleagues, internal medicine and family medicine residents, medical students and nursing staff. You may have the opportunity to make presentations at national meetings sponsored by Mayo Clinic.

To ensure that you acquire adequate knowledge and develop your technical skills, your performance will be monitored carefully throughout your fellowship. Your supervising faculty member will provide an evaluation after each clinical rotation. In addition, you will regularly evaluate the faculty to ensure that your educational needs are being met.

Career Development
You will meet periodically with faculty members, administrators and the program director to discuss your career goals. Mayo recruits many of its staff physicians from its own training programs. Thus, when you successfully complete the Gastroenterology Fellowship Program, job opportunities may be available at one of Mayo Clinic's group practices.

Call Frequency
The residency call rotation is different for each rotation. Mayo Clinic College of Medicine follows the recommendations of the Accreditation Council for Graduate Medical Education (ACGME).

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