Clinical Instructor - Medicine (Gastroenterology)(Fellowship in Advanced Endoscopy and Pancreatology)

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PROGRAM ADVANCED ENDOSCOPY & PANCREATOLOGY ROTATION

GOALS AND OBJECTIVES

The Division of Gastroenterology at the University of Miami, Miller School of Medicine is offering a one year Advanced Endoscopy and Pancreatology Fellowship

Educational Goals:

The Advanced Endoscopy & Pancreatology fellowship offers hands-on experience in advanced endoscopic techniques applied to general GI, oncology and pancreatic disorders. This fellowship is designed for physicians who are planning a career in gastroenterology as an investigative and consultative therapeutic endoscopist with a focus in pancreatic diseases and disorders.  Fellows will receive advanced training in Diagnostic and therapeutic endoscopy, focusing on endoscopic ultrasound (EUS), Endoscopic Retrograde Cholangiopancreatography (ERCP), Balloon Enteroscopy, Endoscopic Mucosal Resection and Barrett’s Ablation.  The fellow will be immersed in gastrointestinal disorders in both non-cancer and cancer patients, and the endoscopic, diagnostic, and therapeutic modalities. The fellowship will emphasize the applications of modern diagnostic and therapeutic procedures in gastroenterology and pancreatology.

Primary goals:

Learn basic and advanced indications for endoscopic ultrasound with or without fine-needle aspiration biopsy (EUS FNA) in gastroenterology Learn indications and techniques for performing endoscopic retrograde cholangiopancreatography (ERCP) Learn the interplay between EUS and ERCP as complimentary technologies to approach pancreatobiliary diseases Understand and learn clinical and endoscopic management of pancreatic disorders including acute pancreatitis, chronic pancreatitis, pancreatic pseudocysts, pancreatic cysts, cystic neoplasms, and pancreatic neoplasms. Learn about gastrointestinal manifestations of patients undergoing treatment for different types of cancers not limited to the gastrointestinal tract Understand the management of dysplastic  Barrett’s and early esophageal cancer, using radiofrequency, EMR, and cryoablation

Clinical Experience:

This advanced endoscopy fellowship will consist of a one year fellowship at the University of Miami Hospital, University of Miami Hospital and Clinics/Sylvester Cancer Center, and Jackson Memorial Hospital. Fellows will have hands-on endoscopy experience, time for corresponding evaluation of inpatient consults, and dedicated research time for both clinical and translational research associated in advanced endoscopy and the associated corresponding medical conditions requiring these procedures. The Fellow will participate as the primary endoscopist during the procedures. The Fellow will also gain clinical exposure to pancreatic diseases and disorders in the outpatient and inpatient setting, and will attend interdisciplinary University of Miami Pancreas Center meetings to better understand pancreatology, advanced endoscopy, and the application of these novel diagnostic and therapeutic modalities into the clinical arena.

Competency Based Goals:

The following ACGME competencies are expected at the end of this rotation;

Patient care

• Fellows will learn to identify and understand the patient’s true needs, encompassing compassionate, respectful, and culturally competent care
• Deliver optimal care in a cost effective manner
• Learn to respect patient’s desire and wishes regarding their care particularly when dealing with terminally ill cancer patients
• Develop optimal patient/physician relationship  
• Learn to direct appropriate patient care between the Gastroenterology Service, Oncology and Surgery
• Discuss complications, benefits and limitations of different endoscopic procedures
• Detailed review of patient’s medical history including prior diagnostic tests, therapeutic procedures, chemotherapy and/or radiation treatments, and appropriate indication of different endoscopic procedures
• Develop the ability to be a leader and coordinate the care of oncological patients with the surgical team, oncologists and other healthcare workers

Medical Knowledge:

• Learn scientific method of problem solving an