Pediatrics

YOU ARE EXPLORING

Pediatric Gastroenterology, Hepatology and Nutrition Fellowship

The Pediatric Gastroenterology, Hepatology and Nutrition Fellowship at IU School of Medicine was one of the first pediatric GI programs in the United States, and fellows benefit from an excellent core faculty who are recognized nationally and internationally. The fellowship training program is ACGME-accredited and designed to provide a complete clinical experience in all areas of pediatric gastroenterology. Fellows gain the skills on which to build a career in patient care, research and teaching.

Clinical and translational research is integrated into the training program to promote the trainee’s preparation for active participation in academics. Bench research is widely available on the IU School of Medicine—Indianapolis campus in collaboration with other divisions in Pediatrics and/or Adult Gastroenterology. Fellows design their own research projects based on personal interests with guidance from faculty mentors.

The fellowship is clinically intensive, and trainees become proficient in all procedures and protocols employed in the evaluation and management of diseases of the gastrointestinal tract, liver and pancreas. Training primarily occurs at Riley Hospital for Children at IU Health (Indianapolis), which provides a large and diverse patient base.

Curriculum

Fellows become proficient in all procedures that are employed in the evaluation and management of patients with dysfunction of the gastrointestinal tract, liver or pancreas. They also develop experience in nutritional assessment and in the design of enteral and parenteral nutritional rehabilitation options during the fellowship program. Time is allotted during all three years of the training program for the development of clinical, translational or bench research skills. Fellows also participate in the preparation and presentation of clinical observations and data generated by well-designed research protocols and are active participants in the generation of manuscripts for publication.

Fellows are on inpatient clinical service for 5 months and in clinic/outpatient procedures for one month during the first year of fellowship training. Working alongside faculty, fellows provide care for patients admitted to the gastroenterology service, provide consults for patients on other services, and supervise and teach residents and students. Additional months are spent training in radiology, surgical pathology, pediatric surgery and nutrition. Two months are devoted to research or manuscript preparation. Fellows participate in continuity clinics six half-days a month during non-inpatient rotations. GI/Pathology Conference is conducted weekly. GI/General Surgery/Radiology Conference is held once each month. Morbidity and Mortality Conference is held quarterly. Additional educational conferences (including Book Club, Journal Club, Improve Care Now and Research Conference) are held monthly.

The second-year fellow is on clinical service for 4 of the 12 months. During this period, (s)he oversees the performance of the pediatric house officers and students in the management of all inpatients. The fellow provides inpatient consultation services with faculty. Additional months are spent in the hepatology/transplant and in advanced GI/adult procedures as core building months. Six months during the second year are academic months to be spent in research or in manuscript preparation. Continuity clinics are held six half-days a month on non-service months. GI/Pathology Conference is conducted weekly. GI/General Surgery/Radiology Conference is held once each month. Morbidity and Mortality Conference is held quarterly. Additional educational conferences (including Book Club, Journal Club, Improve Care Now and Research Conference) are held monthly.

Two of the twelve months are spent on inpatient clinical service. The remaining ten months are devoted to the completion of research activities. Fellows staff continuity clinics six half-days a month during non-inpatient rotations. GI/Pathology Conference is conducted weekly. GI/General Surgery/Radiology Conference is held once each month. Morbidity and Mortality Conference is held quarterly. Additional educational conferences (including Book Club, Journal Club, Improve Care Now, and Research Conference) are held monthly.

On-Call Duty

Fellows have on-call responsibilities during all three fellowship years. The call schedule (weeknights, weekends and holidays) is divided equally among fellows.

Research

Fellows can engage in basic science, clinical, translational or health services research. A scholarship oversight committee guides each fellow through his/her research project(s), and a monthly research conference offers a forum for discussion and evaluation of current projects in the section as well as generation of new ideas. Fellows are encouraged to present research data at regional and national scientific meetings and generate manuscripts for publication in peer-reviewed journals.

Primary research in the Division of Gastroenterology, Hepatology and Nutrition  centers on reflux esophagitis, esophageal pH monitoring, eosinophilic esophagitis, inflammatory bowel disease, gastrointestinal motility, hepatitis B and C, cholestatic liver disease, steatohepatitis, Cystic Fibrosis liver disease, short bowel syndrome/intestinal rehabilitation, pancreatitis and quality improvement.