Thomas Jefferson UniversitySidney Kimmel Medical College

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Structure of Fellowship

The fellowship training program in gastroenterology is under the direction of Anthony J. DiMarino, Jr., MD, Robert Coben, MD serves as the Academic Coordinator and Stephanie Moleski, MD is the Associate Academic Coordinator of the program. During the first year, clinical training is divided between inpatient gastroenterology consultation services and ambulatory endoscopic and clinical experiences and two months of dedicated research. The second year is comprised of rotations through the inpatient gastroenterology consultative services, inpatient hepatology consultation/liver transplantation service at TJUH, ambulatory endoscopic and clinical experiences (including a clinic for liver transplantation patients), and three months devoted to research. Research and scholarly activities will comprise the majority of the third year Third year fellows can gain additional training in advanced interventional endoscopy, hepatology, motility, inflammatory bowel disease, and basic science research. During the three years of the fellowship, trainees maintain longitudinal outpatient gastroenterology and hepatology clinics which are always supervised by full time faculty. Each trainee is allotted four weeks paid vacation per year. Trainees have ample opportunity to acquire all the necessary diagnostic and therapeutic skills.

During the first year of fellowship, trainees are encouraged to meet with each of the basic science and clinical faculty in order to discuss participation in research. First year fellows are expected to have their research projects approved by Dr. DiMarino by October 1 of their first year. It is expected that fellows will engage in scholarly writing and plan and execute basic or clinical research. This is the primary focus of research rotations but, by necessity, these efforts continue during other rotations. Fellows are expected to submit the results of their research efforts for presentation at local and national meetings and, if suitable, for publication. The Division sponsors fellows to attend at least one national meeting per year.

Trainees at Jefferson are intimately involved in educating Jefferson medical students, residents and visitors from other institutions. Fellows organize and participate actively in numerous divisional educational experiences including journal club, literature review, pathophysiology conference, clinical case conference, GI grand rounds, GI research conference, quality assurance conference, inflammatory bowel disease conference, GI pathology conference, GI radiology conference, gastrointestinal endoscopy conference and interdisciplinary conference which includes GI/surgery/radiology/pathology. In addition to GI grand rounds and GI research conference, each year a nationally recognized gastroenterologist or hepatologist is invited to be the James L.A. Roth Visiting Professor at Jefferson Medical College. This three day program includes grand rounds, lectures, case presentations and informal seminars.

Fellows are formally evaluated by faculty on their clinical judgment, medical knowledge, history taking, physical examination, procedure skills, humanistic qualities, professional attitudes and behavior, medical care, self-motivated learning, and overall clinical competency. These written evaluations are discussed with the trainees on a regular basis. Fellows also evaluate faculty members on their availability, organization, teaching skills, fund of knowledge and interpersonal relationships. They also have the opportunity to evaluate the training program's overall quality, diversity of patient population, quality of teaching programs, structure and/or organization of the program, opportunity for and the quality of research experience and preparation for their future career.