The Division of Gastroenterology & Hepatology at the University of North Carolina School of Medicine offers a clinical fellowship program that accepts new fellows each year beginning in July. The clinical track is a three-year program for fellows who intend to enter clinical academic practice upon completion of the training program. The emphasis is on clinical gastroenterology with the opportunity for more formal clinical research training. Our program is nationally recognized and highly competitive; each year we receive approximately 400 applications.

Clinical Training

A first-year clinical fellow spends time on each of the core Clinical Rotations: 1) Luminal consultation service, 2) Hepatology consultation service , 3) Ambulatory, and 4) endoscopy, usually with time allotted for research and/or teaching/education activities.

During second year, in addition to the aforementioned rotations and research time, fellows can do rotations in nutrition, motility, and biliary consultations.

In the third year, the clinical fellow will hone skills in consultation, endoscopy, and teaching, and can do more intense (“Tier 2”) training in one of our clinical areas of expertise, including IBD, esophageal disease, liver disease, and functional & motility disorders.

Research Training

For clinical fellows focused on additional research training, it is expected that at the end of the first year a project mentor will be chosen and the outline of a research project will be developed. The mentor will help identify the resources required to carry out the research project. During the second year the fellow is expected to carry out the research project and during the third year continue further work on the project or a new project and write the project up for publication. It is hoped that preliminary work from the research project will be submitted in abstract form either to the AGA or ACG.

Teaching/Education Training

Clinical fellows will be nominated at the end of their first year to participate in the UNC Academy of Educators. This is a formal education training curriculum for physicians at UNC.  Fellows will also play active roles in teaching the GI organ block to first year medical students. Fellows will be paired with faculty during their 1st and second years leading small groups.  As the fellow advances in his or her education training, he or she will lead a small group during the third year of training.  Fellows will receive teaching feedback from both students and paired faculty for small groups.  In the 3rd year of training, fellows will be nominated for the UNC Teaching Scholars program. This program is designed to train fellows and junior faculty in education theory, conduct multi-disciplinary projects on education, and prepare a fellow or junior faculty for a career in teaching. There is also specific training on developing a teaching portfolio and preparing oneself for promotion on a teaching track. Finally, in the 3rd year, fellows are also given the opportunity to pursue a graduate certificate in education for health care professionals. This formal training certificate provides the tools and curriculum to prepare oneself for a career as an academic clinician educator. Fellows are given protected time for teaching to accommodate the online coursework. The fellowship covers the cost of this advanced degree.

The UNC School of Medicine actively promotes and supports careers in clinical education, and the gastroenterology clinical educator pathway can facilitate access to these resources. As part of my training, I was provided an opportunity to participate in the Teaching Scholars Program. This year-long program includes monthly seminars and individual projects. Through my participation, I developed new teaching skills, learned of pedagogy and assessment, and was instructed on how to navigate a career as a clinical educator. Moreover, the faculty members who lead this experience are excellent, and I was provided new networking opportunities not previously available.  –Dr. Craig Reed

The Residents as Teachers program within the Academy of Educators has been very beneficial. Although we never receive formal education training during medical school, we are expected to know how to effectively teach medical students and residents. This program has helped to increase my confidence in teaching by providing me with a new skillset of tools to use in order to engage learners in various environments as well as simple ways to incorporate the use of technology into teaching. Additionally, it is a great way to meet and interact with residents and fellows who have similar interests from other departments. –Dr. Kim Weaver

 

Summary of Rotations (Example only)

Year 1

  • Endoscopy – two-three months
  • Hepatology – two-three months
  • Luminal – two-three months
  • Ambulatory – two-three months
  • Research/Teaching – one month

Year 2

  • Biliary – one month
  • Endoscopy – two-three months
  • Hepatology – two-three months
  • Luminal – one-two months
  • Motility – 1/2 month; Nutrition 1/2 month
  • Ambulatory – two-four months
  • Research/Teaching – two months

Year 3

  • Biliary – three months
  • Endoscopy – three month
  • Hepatology – one month
  • Luminal – one month
  • Ambulatory – one month
  • Research/Teaching – three months

 

 

Salary and Benefits

Clinical fellows are appointed through our Office of Graduate Medical Education and are paid by the Department of Medicine in accordance with the GME pay scale. Benefits are found on this site as well.