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Gastroenterology Fellowship

Education and mentoring are critical to the Division of Division of Gastroenterology and Hepatology, which hosts one of the most robust general GI and advanced therapeutic endoscopy fellowships in the United States. Many of the prominent gastroenterologists practicing in central Indiana are former trainees of this program.

The Gastroenterology and Hepatology Fellowship at IU School of Medicine is a three-year ACGME-accredited program that combines clinical and academic training. The program curriculum is tailored to each individual fellow’s career goals. Of the three years, 18 months consist of clinical training and at least four months of faculty-mentored research. The comprehensive clinical curriculum provides fellows with rigorous training in the various aspects of gastrointestinal, pancreaticobiliary disease and liver disease, including an extensive endoscopy experience. Additional electives in areas such as GI motility, endoscopic ultrasound, advanced GI radiology, pediatric gastroenterology or GI pathology are available. Suitable fellows interested in a research career are enrolled in a four-year clinical investigator fellowship track, which includes at least 24 months dedicated to research.

Clinical Training

Inpatient Experience

Clinical training is carried out in three teaching hospitals on the IU School of Medicine—Indianapolis campus: IU Health University Hospital, Eskenazi Health and the Richard L. Roudebush VA Medical Center. Each of these hospitals is within walking distance from one another, and fellows spend approximately one-third of the training period in each setting. Clinical experience in endoscopy and as an inpatient gastroenterology consultant is gained at all three sites. In addition, dedication hepatology rotations are conducted at IU Health University Hospital.

Outpatient Experience

Training for fellows includes one half-day per week of continuity clinic, which is provided either at Eskenazi Health or the VA Medical Center. Each fellow spends at last one year of continuity clinic at one location and the remainder at the other; this ensures that all fellows receive ample training in working with a diverse group of populations and gain exposure to a variety of common gastrointestinal disorders. In addition, throughout their training, fellows participate in dedicated outpatient clinics for inflammatory bowel disease, motility disorders, pancreaticobiliary diseases and liver diseases, including pre- and post-liver transplant clinics.

Research Experience

With more than 30 faculty serving as potential mentors, several opportunities are available for clinical or basic research throughout fellowship training. This includes translational research on non-alcoholic steatohepatitis and drug hepatotoxicities; clinical studies on ERCP, pancreatic-biliary manometry, endoscopic ultrasound, colorectal neoplasms, alcohol and hepatitis C-related diseases, inflammatory bowel disease and GI motility disorders; and bench research on alcoholic liver disease, the genetics of alcoholism, expression of liver-specific genes, studies on biliary epithelial biology, and clinical pharmacology related to the liver and GI tract.

Conferences

Gastroenterology fellows participate in several didactic activities each week. These include GI Grand Rounds, Journal Club, GI clinical case conferences, multidisciplinary conferences, transplant hepatology conferences, pancreaticobiliary conferences, mortality and morbidity conferences, dedicated pathology conferences, a clinical guidelines series and a GI curriculum board review series. In addition, fellows attend national conferences and are encouraged to participate in a GI board-review course.

Application Process

The Division of Gastroenterology and Hepatology utilizes the Electronic Residency Application Service (ERAS) for fellowship candidate selections, and all positions are offered through the National Residency Matching Program. Selected candidates are invited to the IU School of Medicine–Indianapolis campus for interviews, which are held in September for positions beginning on July 1 of the following year.

The division typically supports five fellowship positions each year. All applicants must be enrolled or have completed an ACGME-accredited internal medicine residency program. The Gastroenterology Fellowship Program sponsors J1 Visas; however, may extend to H1-B Visas on a case-by-case basis if the applicant is already initiated by other sponsors.

For further information, contact the Gastronenterology and Hepatology Fellowship coordinator.

Advanced Training

In addition to the three-year Gastroenterology Fellowship Program, the Division of Gastroenterology and Hepatology provides advanced training in Endoscopic Retrograde Cholangiopancreatography (ERCP), Endocscopic Ultrasound (EUS) and Inflammatory Bowel Disease (IBD)—as stand-alone 12-month programs. Availability for these programs is limited to one or two positions each academic year. For more information regarding the advanced biliary-pancreatic endoscopy training, please contact program director Jeffrey Easler, MD. Advanced training positions in hepatology or motility are not currently open for applicants; support and funding may become available intermittently.