1. Saint Louis University
Gastroenterology Fellowship

2. Fellowship Program
• 12 Gastroenterology Fellows
– 4 per year
– No advanced fellowships
• Three locations
– Academic university teaching hospital
– Private hospital
– VA
• 15 Faculty (2 part time)

3. Year 1
• SLUH • VA GI Service
Gastroenterology • 3 months
Consult Service • Consults
• 9 months • Endoscopy
– 3 Fellows • Research 1 month
• Consults – Identify mentor
• Endoscopy – Identify project
• IRB ready

4. Year 2
• St. Mary’s Health Center
– 3 months
– Includes motility/functional bowel experience
– 1.5 days per week outpatient
• VA Scoping
– 3 months
– Includes outpatient clinics, capsule studies
• Research
– 4 months
• Liver service
– 1 month
• Biliary/advanced endoscopy
– 1 month

5. Year 3
• Liver Service (Brown Team)
– 2 months
• Advanced endoscopy/biliary/pancreas
– 2 months
• SLUH GI Consult Service
– 1 month
• Endoscopy
– 1-2 months
• Selectives
– 4 months
• Research
– 1 month

6. Selectives
• GI radiology
• GI pathology
• Outpatient GI clinics
• Pediatric GI
• Biliary/advanced endo
• Endoscopy
• Nutrition (web-based education)

7. Conferences
• GI Grand Rounds • Subspecialty Journal
– Faculty, visiting prof Club
• GI/Liver Tumor • Motility Conference
Conference • GI Fellows GR
• GI Pathology – Case Conference
Conference • GI Research
• Liver Pathology Conference
Conference • Clinical Case
• Journal Clubs Management
• Fellows – Nutrition
Pathophysiology – M&M
Conference

8. Main Issues
• Current are relative minor
– Supervision at the VA
– Faculty participation in conferences

9. On the (very near) Horizon
– Funding of research time
– Incorporation of competencies
• Instruction in “practice management”
• “Specialty specific milestones”
• “Each program must define criteria for
competence for all required and elective
procedures”

10. On the (very near) Horizon
– Funding of research time
– Incorporation of competencies
• Instruction in “practice management”
• “Specialty specific milestones”
• “Each program must define criteria for
competence for all required and elective
procedures”