Pediatric GI Fellowship – Second Year
Majority of time is spent on research project (9 months). In the second and third years, a minimum of two to three hours per week is spent with the fellow in planning and critiquing research results obtained. In addition in the monthly fellows meeting with the fellowship director, progress in the fellows’ research projects is reviewed.
Intensive two-week course in Clinical Research Design for fellow (July) with the option of taking a year-long course in the Science of Clinical Investigation (Graduate Training Program in Clinical Investigation: one-quarter each in Design of Clinical Studies, Quantitative Analysis of Clinical Data, Ethical and Regulatory Issue in Clinical Research, and Modern Biomedical Measurement).
Biostatistics course is available at the Bloomberg School of Public Health and Hygiene, Johns Hopkins School of Medicine. All fellows are encouraged to take this course.
One-month Consultation Fellow — During this month the fellow consults on children with a wide variety of gastrointestinal, hepatic and nutrition problems. The fellow reviews the consultations with the attending gastroenterologist and, in the case of nutrition, consults with the nutritionist as well. The consultations are provided to inpatients, Emergency Department consultations, and calls from pediatricians and other gastroenterologists. For nutritional consultations, the fellow sees patients with a wide variety of nutritional disorders and therapies, which include total parenteral nutrition, enteral formulas, over- and undernourished patients. In addition, the consult fellow is expected to participate in the weekly pediatric nutrition conference and make formal case presentations to the group.
One month of GI Inpatient service — During the Pediatric GI Pediatric gastroenterology fellows are responsible for daily ward rounds with the pediatric intern, senior assistant resident and pediatric gastroenterology faculty attending to teach and supervise the pediatric house officers regarding patient management-progress notes and daily orders. In addition, the pediatric GI fellows are responsible for performing necessary procedures on these patients under the supervision of the attending pediatric gastroenterologist.
Procedure Half-days per week — During this activity the fellow will perform the following procedures under the supervision of the faculty and together with the faculty will discuss the results with the caregivers, write recovery orders and follow up on any biopsies obtained.
Clinics: Four Hopkins half-day clinics per month — General Pediatric GI, IBD and Liver Clinic. In the general pediatric GI clinic, patients with a wide variety of GI and nutrition disorders are seen including all these disorders covered under the NASPGHAN guidelines, including GI motility problems, functional abdominal pain, acid peptic disease, short bowel syndrome, congenital anomalies of the GI tract, patients with IBD, infectious and immunologic diseases of the gut, and pancreatic diseases. In the liver clinic, patients with a wide variety of hepatobiliary disorders are seen including neonatal cholestasis, metabolic liver disorders, viral hepatitis B and C, AIH, PSC, gallstones, and syndromic liver diseases such as Alagilles syndrome.
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