PEDIATRIC GASTROENTEROLOGY SUBSPECIALTY ROTATION CURRICULUM
OHSU pediatric residents rotate through pediatric gastroenterology rotation in one four week block
during the second year of their residency. In addition, they are exposed to gastrointestinal problems
during formal lectures, morning reports, while working in inpatient service, in neonatal and pediatric
intensive care units, and continuity clinics. The educational goals of the rotation are detailed below.
Rotation goal #1: to teach the residents the care of infants, children and adolescents with common
gastrointestinal, liver and nutritional problems
Rotation objective #1: to expose the residents to multidimentional aspects of care of children,
and their families, with gastrointestinal, liver and nutritional problems, and to teach them how to
coordinate the care between physicians, nurses, nutritionists, psychologists, social workers.
Instructional Strategies: 1. participation in inpatient and outpatient service with GI attending,
2. reading material from “Top 10 curriculum”.
Evaluation Strategies: on-site feedback from GI attending and end of rotation global evaluations
from all attendings who worked with the resident during that rotation.
Competencies addressed: MK, ICS,P,PC
Rotation goal #2: To experience multiple clinical problems within pediatric gastroenterology, hepatology
and nutrition to meet the curriculum items set forth by the APA educational guidelines for pediatric
residency.
Rotation objective #2: the resident will research and learn the clinical presentation, differential
diagnosis, management and pathogenesis of core gastrointestinal, liver and nutritional problems as
below:
1)
2)
3)
4)
5)
6)
7)
8)
9)
10)
Abdominal pain
Failure to thrive
Constipation
Gastroesophageal reflux
Gastrointestinal bleeding
Chronic vomiting
Chronic diarrhea
Pancreatitis
Celiac disease
Inflammatory bowel disease
11) Abnormal liver tests
12) Neonatal cholestasis
Instructional Strategies: The resident will have experience by following inpatients and seeing new
consults in the inpatient and outpatient setting with GI attending. The resident will become familiar with
laboratory, imaging and procedural aspects of gastrointestinal, liver and nutritional disorders through
review with the attending on service and/or radiologist as indicated. Small discussions will take place
before or after seeing each patient.
Evaluation Strategies: on-site feedback from GI attending and end of rotation evaluations from all
attendings who worked with the resident during that rotation.
Competencies addressed: MK, ICS,P,PC,SBP
Rotation goal #3: To establish a comprehensive understanding of nutritional requirements and
digestion and absorption of nutrients for optimum growth in children.
Rotation objective #3: The resident will be able to evaluate growth and nutritional status of
inpatients and clinic patients, the differential diagnosis of deviations from optimum growth and
nutrition, and interventions to correct them.
Instructional Strategies: The resident will have discussions with GI attendings about growth and
nutrition in children with or without gastrointestinal problems, and will receive articles on line.
Evaluation Strategies: on site feedback from GI attending and evaluations from all attendings
who worked with the resident during that rotation at the end of rotation.
Competencies addressed: MK, PC,PBL