Core and Wray
Elective
Rotation:
Block Rotation
GASTROENTEROLOGY
1.
Location:
The office and inpatient practice of the attending gastroenterologist.
2.
Duration:
Two to four weeks
3.
Goals:
To gain increased knowledge and expertise in the proper evaluation and management of common
gastrointestinal disorders in conjunction with the appropriate subspecialist.
4.
Objectives:
a. To demonstrate competence in the diagnosis and management of:
Esophageal disease, including varices and reflux
Gastric disease including gastritis, gastric ulcer and gastric malignancy
Duodenal disease including duodenitis and duodenal ulcer
Upper gastrointestinal bleeding
Lower gastrointestinal bleeding
Motility disorders of the gastrointestinal system
Inflammatory bowel disease
Infectious gastrointestinal disease including bacterial disease, pseudomembranous colitis,
herpes proctitis, parasitic disease, and viral hepatitis
Vascular insufficiency of the intestine
Diverticulosis and diverticulitis
Functional digestive disorders
Common anal pathology including fissures, fistula and abscess
Acute and subacute necrosis of the liver, infectious and noninfectious causes
Chronic liver disease and cirrhosis
Cholelithiasis, cholecystitis, choledocholithiasis
Diseases of the pancreas, including acute and chronic pancreatitis and pancreatic
malignancy
b. To gain increased expertise at procedures associated with gastroenterology, including:
Insertion of nasogastric tube
Liver biopsy
Flexible sigmoidoscopy
Colonoscopy
Esophagogastroduodenoscopy
c. To gain increased expertise in the appropriate use of diagnostic investigation as it pertains to
gastroenterology.
Liver function tests
Coagulation panels
Ultrasonic evaluation of the hepatic and biliary system
Computerized tomography of the abdomen
Radionucleotide scanning of the hepatobiliary system
Percutaneous transhepatic cholangiography
Esophagogastroduodenoscopy and retrograde cholangiopancreatography
5.
Methods:
a. The gastroenterology rotation is a two- four-week block rotation taken as an elective during
the R2 or R3 year.
b.
c.
d.
6.
The resident participating in this rotation will work under the supervision of a
gastroenterologist. This will include participating in the attending’s outpatient practice, care
of the attending’s hospitalized patients and consultations on other hospitalized patients.
Further experience in gastroenterology is obtained through consultations on the inpatient
medicine service.
Topics in gastroenterology are included in the core didactic curriculum.
Evaluation:
This area of knowledge will be evaluated as per procedures delineated in the Evaluation section of
the Policy and Procedures manual.
SG/2000
Revised: MT/2008
Reviewed and Approved:
Date:
Mark E. Wallace, MD, Interim Program Director