Curriculum

Fellows are involved in the care of hospitalized and ambulatory patients, and learn to care for patients as a consultant Gastroenterologist/Hepatologist

Inpatient Gastroenterology Rotation - The Inpatient Gastroenterology Rotation is for the fellow to gain the knowledge and technical skills necessary to fulfill the role of an independent gastroenterology consultant in the acute care setting. The primary site for learning is the main campus at MetroHealth Medical Center.

The consult service team may include two gastroenterology fellows, rotating internal medicine residents and/or medical students for whom the consult attending physician is expected to directly supervise and teach

Fellows are expected to participate in every aspect of patient care, including but not limited to initial evaluation of the patient, daily follow up, and endoscopic evaluation.

The faculty shall consist of credentialed, active staff gastroenterologists at MetroHealth Medical Center. 

Endoscopy Training - Fellows learn to perform endoscopic procedures on patients under direct supervision of faculty. Endoscopic training is provided in diagnostic and therapeutic procedures such as EGD, colonoscopy, flexible sigmoidoscopy, enteroscopy, capsule endoscopy, and motility studies.

During the first year, fellows will learn and develop the basic technical skills and cognitive knowledge required to perform upper endoscopy and colonoscopy. In the second and third years, fellows will learn and develop the basic and advanced technical skills and expand the cognitive knowledge required to perform upper endoscopy and colonoscopy independently.

Gastroenterology/Hepatology Outpatient Clinics:

• The Gastroenterology continuity clinic experience enables the fellow to develop the knowledge and skills required to practice as an independent gastroenterology consultant.  The emphasis will be on accumulating the clinical experience, skills, and knowledge necessary to manage common outpatient gastroenterology disorders. Fellows are assigned a one-half day a week continuity clinic throughout the course of their training.
• Fellows will develop longitudinal relationships with their patients in order to observe disease processes over time.
• The Hepatology continuity clinic is to allows fellow to develop the knowledge and skills required to recognize, diagnose and treat a broad spectrum of routinely seen acute and chronic liver diseases. On average, fellows will spend one half day every other week in general Hepatology clinic.
• Fellows will develop longitudinal relationships with patients in order to observe the natural history and effects of treatment on liver disease.

Elective Rotation - Elective rotations is to provide the fellows a well-rounded education in Gastroenterology and its subspecialties; thereby, enabling the fellow to develop the knowledge and skills required to recognize, diagnose and treat a broad spectrum of disorders in Gastroenterology/Hepatology.

Fellows will have the opportunity to rotate through specialty clinics in Motility, Inflammatory Bowel Disease, and Colorectal Surgery. The fellows will also have an opportunity to complete “away” rotations in Transplant Hepatology at the Cleveland Clinic Foundation.

Research Training – the main objectives of the research experience are to develop critical thinking skills, to cultivate healthy practice-based learning and improvement habits, and to advance medical knowledge within our field.

See Gastroenterology Fellowship Handbook for more details.