Pediatrics

Pediatric Gastroenterology, Hepatology and Nutrition Fellowship

The Pediatric Gastroenterology, Hepatology and Nutrition Fellowship at Indiana University 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 and 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 clinical service for five of the twelve months. One month is spent in the outpatient GI clinic and endoscopy suite. Five months are spent on the inpatient service where fellows oversee the performance of the pediatric house officers and students in the management of all inpatients. Fellows provide inpatient consultation services, along with faculty. Additional months are spent in the departments of Radiology/Pathology, Nutritional Support, Transplant Hepatology, and GI Subspecialty Clinics. Two months during the first year are academic months to be spent in research or in manuscript preparation. Continuity clinics are held 1-2 half-days a week during non-service months. GI/Pathology Conferences are conducted twice monthly along with division teaching conferences. Monthly conferences include Research Conference, GI/General Surgery/Radiology Conference, Improve Care Now Conference, Fellow’s Didactic Conference and Journal Club. Morbidity and Mortality Conference, in addition to the GI/Pulmonology Conference are held quarterly.

Fellows are on the clinical service for four of the twelve months. Two additional core rotations include Advanced Clinical Elective and Advanced Procedures/Surgery. The remaining six months are devoted to academic growth in their research area. Fellows will attend 1-2 half-day continuity clinics per week during non-service months.

Two of the twelve months are spent on the clinical service. The remaining ten months will be solely devoted to the completion of research activities. Fellows will attend two half-day continuity clinics per week during non-service months.

On-Call Duty

The fellows have out-of-hospital call responsibilities during all three fellowship years. The call responsibilities are equally divided among the 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.