Frequently Asked Questions Clinical Educator Track 1. What are the overall goals of the clinical educator track? The emphasis of the clinical educator track at The University of Pennsylvania is to train fellows to become leaders in academic gastroenterology with a focus on clinical care and medical education. Fellows will develop the knowledge, skills, and attitudes pertaining to inpatient and outpatient care, medical education, and clinically oriented research. Fellows should develop a focus of interest towards the end of the first year in order to tailor the second and third years of the fellowship to meet their needs. 2. What are the inpatient clinical rotations for the clinical educator track and are they different from the basic science and Masters of Science in Clinical Epidemiology tracks? All first year fellows, regardless of track, will rotate through the Hospital of the University of Pennsylvania (HUP), Penn Presbyterian Medical Center (PPMC), and the Philadelphia VA Medical Center (PVAMC). All first year fellows, regardless of track, will rotate through independent gut and hepatology services at HUP. All first year fellows, regardless of track, will rotate through combined gut and hepatology services at PPMC and PVAMC. During the second and third year of fellowship in the clinical educator track, fellows will be expected to do additional inpatient rotations at HUP, PPMC, and PVAMC including but not limited to gut, hepatology, and pancreaticobiliary services. Depending upon fellow interests and needs, the total time for inpatient rotations will vary between 4 to 8 months for the second year, and 4 to 8 months for the third year. During the second and third year of fellowship in the clinical educator track, fellows will be expected to do at least one rotation on the colorectal surgery service and one rotation on the liver transplant surgery service. 1 3. What are the continuity clinic requirements for the clinical educator track and are they different from the basic science and Masters of Science in Clinical Epidemiology tracks? All fellows, regardless of track, will be expected to attend continuity clinic ½ day per week for the entire 3-year fellowship at HUP, PPMC, and/or PVAMC. All first year fellows, regardless of track, will attend the general gastroenterology clinic ½ day per week. During the second or third year of the clinical educator track, fellows will attend hepatology clinic ½ day per week for at block time of at least 6 months. During the second and third year of the clinical educator track, fellows will have the opportunity to attend a variety of subspecialty continuity clinics including but not limited to inflammatory bowel diseases, pancreaticobiliary diseases, motility, gastrointestinal malignancy, and nutrition. Fellows will participate in these subspecialty clinics for a minimum of at least 6 months. 4. Are the endoscopy rotations different among the basic science, Masters of Science in Clinical Epidemiology, and clinical educator tracks? All first year fellows, regardless of track, will be expected to complete 2 (one week) blocks of endoscopy at The Perelman Center for Advanced Medicine (PCAM) During the second and third year of the clinical educator track, fellows will have the opportunity to participate in additional endoscopic sessions to fit their needs. These rotations will occur at PCAM. All fellows, regardless of track, will be required to attend simulation endoscopic training at The Penn Medicine Simulation Center (www.uphs.upenn.edu/simcenter). 5. Are there other outpatient clinical rotations available to fellows enrolled in the clinical educator track? Clinical educator fellows will have the opportunity to participate in a wide variety of subspecialty clinics independent of their mandatory continuity clinics. These clinics include but are not limited to inflammatory bowel diseases, pancreaticobiliary diseases, motility, gastrointestinal malignancy, nutrition, viral hepatitis, liver transplant evaluation clinic, post liver transplant clinic, hepatobiliary tumor clinic, and pathology. All upper level fellows, regardless of track, will have 4 weeks of exposure to outpatient radiology including but not limited to plain film, CT, MR, and interventional radiology. Fellows should tailor their outpatient experiences to fit their learning goals. 2 6. What are the conferences available to fellows in the clinical educator track? A wide variety of conferences are available to clinical educator fellows. Monday morning liver conference: core topic, case presentation, or research Monday afternoon conference: 2 journal clubs monthly, 1 guideline review monthly, 1 problem-based module monthly Tuesday afternoon pathology conference: review of gastrointestinal and hepatology material Wednesday afternoon conference: clinical case conference, interdisciplinary conference, and GI grand rounds Thursday morning core curriculum conference: review of core topics in gastroenterology, hepatology, and pancreaticobiliary diseases Friday morning hepatobiliary tumor conference: multidisciplinary approach to benign and malignant hepatobiliary lesions Friday afternoon transplant selection committee meeting: review of outpatients and inpatients undergoing liver transplant evaluation Summer lecture series: brief overview of core topics in gastroenterology and hepatology for incoming fellows Subspecialty conferences: a wide variety of conferences pertaining to inflammatory bowel diseases, hepatology, GI motility, and pancreaticobiliary diseases are available. Fellows should select conferences to meet their educational needs. 7. What are the research requirements for fellows in the clinical educator track? Fellows are expected to complete a scholarly project during their 3-year fellowship. Depending upon fellow needs, research may last from 6-12 months. Research may be taken in blocks of time or in shorter segments dependent upon fellow needs. Research may encompass inquiry into gastrointestinal, pancreaticobiliary, or hepatic diseases Research may also encompass a project in medical education if so desired. Fellows should select a mentor and work with that mentor on the scholarly project. We anticipate that the fellow should produce a body of work suitable for publication or presentation at a local, national, or international meeting. Fellows are invited to peruse the Center for Clinical Epidemiology and Biostatistics web site (www.cceb.upenn.edu/education) that discusses a variety of courses that fellows may want to consider to enhance their research skills. 3 8. Are their opportunities for clinical educator fellows to teach? Clinical educator fellows will be given multiple opportunities to teach throughout their fellowship experience. All fellows, regardless of track, will be important sources of information for medical students, medical housestaff, and ancillary personnel in both the inpatient and outpatient settings. All fellows, regardless of track, will be required to participate in clinical case conference and other conferences above as necessary. Clinical educator fellows will also be given the opportunity to teach at The Perelman School of Medicine of The University of Pennsylvania. Educational experiences include but are not limited to giving lectures to medical students and facilitating break out sessions for students. Clinical educator fellows may wish to develop their own teaching program and enhance the educational experience of others within the health system including but not limited to medical students, housestaff, and ancillary personnel through lectures, seminars, and small group work. Clinical educator fellows will be expected to participate in curriculum design, implementation, and assessment. Clinical educator fellows will be given instruction on how to implement a variety of educational methods including but not limited to lectures, small group learning, problem-based learning, and information technology. 9. What are the administrative responsibilities of the clinical educator fellow? Clinical educator fellows will be expected to attend the Educational and Fellowship Committee meetings. Clinical educator fellows will be expected to develop leadership skills in medical education. Clinical educator fellows will be expected to create inpatient and outpatient schedules for the fellowship program. Clinical educator fellows will be expected to create endoscopy rotations for the fellowship program. Clinical educator fellows will be expected to organize clinical case conference, the Monday afternoon conference, the Tuesday afternoon pathology conference, the Thursday morning core curriculum conference, and the summer lecture series. Clinical educator fellows will be responsible for on-call rotations for the fellowship program. Clinical educator fellows will be responsible for vacation schedules for the fellowship program. Clinical educator fellows will be expected to assist in the orientation of incoming gastroenterology fellows. 4 Clinical educator fellows will be instrumental in creating new curriculae, maintain existing curriculae, and developing assessment tools for curriculae. Clinical educator fellows will be expected to work closely with the Program Director, Associate Program Director, the Head of the Division of Gastroenterology, and the Program Coordinator to facilitate clinical care, educational experiences, and promulgation of scholarly projects. 5