Course/Rotation Title: GASTROENTEROLOGY
Date of Last Review/Update
3/07
Course/Rotation Director: Ira Schmelkin, MD
Location of Clinical Encounters
Inpatient % time =50%
(Check all that apply)
[X]
Wards
[X]
ICU
[X]
ED
[ ]
Other (please specify)
Outpatient% time = 50%
(Check all that apply)
[X]
Clinic
[ ]
Home
[X]
Other: Endoscopy
Course/Rotation description with educational purpose/value
The goal of this rotation is to prepare future general internists with the skills and knowledge to
appropriately evaluate, treat, and refer in a timely fashion patients with common GI illnesses.
Residents should review all appropriate policies within the curriculum which may apply to this
rotation.
Types of Clinical Encounters: (PLEASE SPECIFY)
Outpatient consult and follow ups
Inpatient consult and follow ups
Endcoscopy: upper, lower, capsule, therapeutic
ERCP
Biopsies (trans-cutaneous and endocscopic)
Types of Patients: (PLEASE SPECIFY)
[X]
Adults of all ages
[X]
Male
[X]
Female
[X]
Children < 18 years old
[ ]
Other (please specify)
Mix of Diseases: (PLEASE SPECIFY ANY ADDITIONAL DISEASES


Cirrhosis
GI malignancies and polyps
1








GERD & its complications (Barrett’s, stricture, carcinoma)
Peptic ulcer disease / H.Pylori
Upper, lower and obscure origin GI bleeds
Hepatitis – infectious and noninfectious
Acute and chronic pancreatitis
Biliary tract disorders
Inflammatory bowel disease
IBS and other functional bowel problems
Types of Procedures: (PLEASE SPECIFY):




Observe and assist at endoscopy
Diagnostic and therapeutic paracentesis
Observe and assist in liver biopsies
Observe and read capsule endoscopy
Describe the level of supervision by faculty:
[X]
[X]
[X]
Attending staff will supervise and precept all patient care activity directly or indirectly.
Attending staff will provide mid rotation feedback
Attending staff will provide end-of-rotation feedback
Competency Based Objectives/Expectations. Please see Roman Numeral II with additional
items specific to this rotation as below:
Patient Care
 The approach to and management of patients with common GI symptoms, such as
abdominal pain, diarrhea and vomiting. (This also falls under the competency of MK).
 Colon cancer and polyps: Etiology, epidemiology, genetics, diagnostic and screening
methods, management & treatment. (This also falls under the competencies of MK and
SBP).
 Diagnosis and management of Cirrhosis – complications, management. (This also falls
under the competency of MK).
 Diagnosis and management of gastric and esophageal problems; including GERD, peptic
ulcer disease, and H. pylori infection. (This also falls under the competency of MK).
 Diagnosis and management of acute and chronic pancreatitis (This also falls under the
competency of MK).
 Diagnosis and management of viral & non-viral hepatitis.
 Diagnosis and management of Metabolic, autoimmune, alcoholic liver disease.
 Diagnosis and management of biliary tract disorders. (This also falls under the
competency of MK).
 Inflammatory bowel disease. (This also falls under the competency of MK).
 IBS and other functional bowel problems. (This also falls under the competency of MK).
 The “GI” exam - detection of organomegaly, abdominal masses, ascites, icterus, rectal
lesions.
2






Become familiar with endoscopy – rational use, contraindications, and findings. (This
also falls under the competency of MK).
See office patients; participate in evaluation and Rx of new GI consults and follow-up
patients
Perform inpatient consults; present cases and discuss. (This also falls under competency
of PBLI).
Review GI-related x-rays
Review biopsy specimens with pathologist
Observe and assist at endoscopy
Medical Knowledge
 Attend discussion sessions; Grand Rounds - informal conferences
 See above and Roman Numeral II
Practice-Based Learning
 See Roman Numeral II
Interpersonal and Communication Skills
 See Roman Numeral II
Professionalism
 See Roman Numeral II
System-Based Practice
 Understand how a Gastroenterologist functions within the health care system and
coordinates care with primary care physicians, oncologists, surgeons, critical care
physicians and other providers.
Check Any Methods Used For Teaching and Assessment:
[X] Ambulatory Clinic (feedback written & verbal)
[ ] Annual In-service Exam (feedback written)
[ ] Attending Rounds (feedback written & verbal)
[ ] Board Review (feedback written examination)
[X] Cancer Conference
[ ] Case Management Evaluation (360 degree written evaluation)
[X] Chart Stimulated Recall & Feedback (feedback verbal)
[X] Direct Observation and Feedback (feedback written & verbal)
[ ] GME Core Curriculum
[ ] Interns Report (feedback written & verbal)
[ ] Journal Club (feedback written & verbal)
[X] Medical Record Review (feedback written & verbal)
[ ] Mentor Feedback (feedback written & verbal)
[X] Monthly End of Elective Exam (feedback written)
[X] Monthly Mini CEX (feedback written & verbal)
[X] Monthly Competency Based Written Evaluation
3
[ ] Morning Report (feedback written & verbal)
[ ] Multidisciplinary Rounds Feedback (feedback verbal)
[ ] Nursing Evaluation (360 degree written evaluation)
[ ] Patient Evaluation (360 degree written evaluation)
[ ] Patient Management Discussions (feedback written & verbal)
[X] Procedure Logs
[ ] Performance improvement Multidisciplinary Morbidity and Mortality
(feedback written & verbal)
[ ] Semi Annual Program Director Feedback (feedback written & verbal)
[ ] Student Evaluation (feedback written & verbal)
[ ] Supervised Sign In Rounds (feedback written & verbal)
[ ] Supervised Sign Out Rounds (feedback verbal)
[ ] Other _______________________________
Other Policies:
The Course Director recognizes that the trainee is accountable to all BMC Residency and GME
Personnel Policies and Procedures. The Course Director recognizes that the residents are
expected to attend all continuity clinics and mandatory educational conferences unless excused
by the Program Director or Chief Medical Resident with advanced notice.
Check The Educational Materials Used (beyond direct patient care):
[X] Reading List (Please Specify):
There is no required reading list, but the resident will be expected to delve into standard GI texts
and journal articles based on the patients he/she encounters.
[X] Review of Appropriate Radiology Images (Please Specify):
 Review GI-related x-rays
[X] Review of Appropriate Pathology (Please Specify):
 Review biopsy specimens with pathologist
[X] Review of Appropriate Laboratory Data (Please Specify):
 Review GI-related laboratory data
4