Overview, goals, and objectives for conferences.

UNC GI WEEKLY AND MONTHLY EDUCATIONAL CONFERENCES

Drossman Teaching Conference (Functional GI Disorders or Biopsychosocial Conference) is generally held the first Monday of each month from 12:00 noon to 1:00 p.m. in Conference Room A 7th Floor BedTower. It is expected that fellows rotating through the FGID specialty clinic as part of their clinical fellow experience attend this conference, which, in the past, has involved handouts on treatment approaches for IBS, personality types of the IBS patient caseload, observation of and comment on mock interviews and role playing between attendees playing the part of physicians and patients, actual patient presentations, and the viewing of videos created by Drs. Drossman and Halpert in which they pose as physician and patient as a way to represent the pros and cons of the patient-physician relationship and how the physician can become more effective as a listener and in discerning communication through an individual’s body or non-verbal language, which can be as important, if not more important, as dialogue itself. This is an extremely useful learning experience for those physicians who expect or plan to work with IBS patients. Lunch is provided.

Epidemiology Research Seminar is held from 4:00 p.m. to each Wednesday in 4137 Bioinformatics. Fellows doing epidemiology work or who plan to do epidemiology work are expected to attend this conference.

Our GI Multidisciplinary Conference (1) is held each Tuesday (with the exception of DDW in May of each year) from 4:30 p.m. to in the O.R. Classroom on the second floor of the main hospital. This conference is our most important conference for teaching and patient care. The “clinical case” portion occurs on the 1st and 3rd Tuesdays of each month, in which 1 faculty member and 2 fellows are assigned to bring a clinical case for presentation (20 minutes each). This conference gives us the opportunity to review interesting and challenging cases seen recently on our consult service or in clinic with care providers within the GI division, as well as outside physicians. Learning objectives include 1) delineate the principles of gastroenterology and hepatology as illustrated by that week’s most instructive patients seen in UNC-Hospitals and clinics; 2) describe the changing methods and therapies applied in the UNC setting; 3) develop a habit of critical thinking through active discussion between trainees and faculty colleagues; 4) provide feedback to individual practices and groups.

As part of our GI Multidisciplinary Conference (1), our GI Grand Rounds occurs on the 2nd Tuesday of each month in which a key faculty member presents an in-depth talk on cutting-edge therapeutic advancements in the various subspecialties within our field. Each month covers a major area of GI health care, from novel therapies for IBD and HCV, to updates in continued quality improvement. The 4th Tuesday of each month is devoted to our Morbidity and Mortality (M & M) Conference in which we review and discuss complications related to procedures performed in our endoscopy suite.

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Again as part of our GI Multidisciplinary Conference (1), our GI Medicine-Surgery Conference is held each Tuesday from 5:30 p.m. to in the O.R. Classroom [summer hiatus during the months of July and August], following the GI Medicine Conferences.

Our GI Multidisciplinary Conference (2) is held each Wednesday morning from 7:30 a.m. to in 4137 Bioinformatics July through June of each year. Our Journal Club takes place during the first Wednesday of the month, the goal being to foster a sense of critical awareness in the literature towards sound medical decision-making. Prior to the session articles are posted on Googledocs via link notices sent to attendees. One attending and 1 fellow each present 2 articles, one as a summary review, and the other for in-depth discussion. Most of the remaining sessions are reserved for our “core curriculum conference.” Learning objectives include 1) explain pathophysiology as it relates to the particular organ system/disease process in gastroenterology and 2) describe the clinical correlation of the organ system/disease process. The goal of this conference is to present GI-related topics covering all of the major areas of GI and hepatology over a 3-year cycle for clinical fellows. This constitutes our core lecture and curriculum series and helps prepare our fellows to sit for boards. During the 2nd Wednesday quarterly each year we have closed meetings with our GI fellows. During the month of July, we double up sessions by scheduling topics at 4:30 PM on Tuesdays in the OR classroom on the 2nd floor of the main hospital preceding the start of our Multidisciplinary Conference (1) in August. This allows us to cover relevant topics extensively for our new fellow orientation series, including principles of sedation, esophageal motility testing, anorectal manometry, foreign body retrieval, radiology of the GI tract, endoscopy and mucosal sampling, management of upper and lower GI bleeds, and capsule endoscopy. Other sessions not relating specifically to AGA core curriculum topics include GI coding, billing and compliance, Olympus in-service demonstrations and training, UNC Meaningful Use Initiative, and the Joint Commission on GI Core Measures.

Hepatobiliary Transplant Conference is held the first and third Wednesday of each month from 12:30 p.m. to 1:30 p.m. in the Aventis Conference Room on the first floor of the Cancer Hospital. The liver fellow is expected to attend this conference. Lunch is provided.

IBD Journal Club occurs every 8 weeks (2 months) on the last Monday of the month at 5:00 p.m. in conference room 4137 Bioinformatics. Fellows are welcome to attend but do not need to present papers, which is done by our IBD faculty members who choose articles considered to be of relevance for clinical decision-making in IBD. A maximum of 4 papers are reviewed, with presentation of 5-10 minutes per paper (a projector is used).

Liver Histopathology Conference is given by the Department of Pathology on the second and fourth Wednesday of each month from 1:00 p.m. to 2:00 p.m. in the Surgical Pathology suite on the third floor (30149) of the Women’s Hospital (room 30208). The liver fellow is expected to attend this conference.

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Medicine Grand Rounds is held each Thursday from 12:00 p.m. to in the fourth floor clinic auditorium of the Old Clinic Building. Lunch is provided.

Pathology Review takes place on Thursdays from 7:30 a.m. to in the pathology residents area on the third floor of the Women’s and Children’s Hospital. Since only one hour is devoted to pathology review, efficiency is premium, and only pertinent cases are to be brought for discussion. A continental breakfast is provided.

Pelvic Floor Disorders Conference is held the third Wednesday of each month from 7:30 a.m. to in 4002 Old Clinic Building (Urogynecology Conference Room). This is an interdisciplinary conference during which motility cases are discussed with the input of clinicians from OB-GYN, radiology, urogynecology, and surgery. It is expected that fellows doing motility work attend this conference. Additionally, motility lab working rounds take place each Monday at in B0007 in our GI Procedures Unit.

All fellows are welcome to attend the Radiology Conference held each week day from 12:00 p.m. to in the radiology conference room in the basement of the Women’s Hospital. In particular, the Wednesday PM conference is recommended for GI physicians.

Research Seminar Series (GI Research Conference) is held each Thursday from 4:30 p.m. to in 2004 Marsico from August through May.

The Solid Organ Transplant Journal Club is held the first Thursday of each month from 10:00 a.m. to in the Surgery Conference Room on the third floor of the Old Clinic Building. Breakfast is provided. For more information contact Ruthann Conoley at RConoley@unch.unc.edu. There is also an abdominal transplant meeting held each Tuesday in the Surgery Conference Room from 9:00 a.m. to 10:00 a.m. A portion of this meeting is devoted to discussion of our liver transplant patients.

Our Stem Cell Research Group meets the 2nd Monday of each month (excluding June – August) from 4:00 – 5:00 p.m. in room 4004 Marsico.

Transplant Selection Committee meets every Wednesday from 2:00 p.m. to 3:00 p.m. in the Transplant Clinic area on the 4th floor of the Old Clinic Building. The liver fellow is expected to attend this conference.

On Monday mornings at , the Tumor Board Conference meets to discuss pathology and radiologic results of patients with GI tumors. This is held in the radiology conference room in the basement of the Women’s Hospital, with a continental breakfast provided. For more information about this conference, contact

Lisa Gangarosa or Shannon Taylor of the Clinical Cancer Center at 6-9700.