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Dr Lichtman in conference with patient

First year Curriculum

First year subspecialty residents undergo an intense immersion into inpatient pediatric gastroenterology. Our fellows complete a nine-month inpatient rotation that help them progress toward competency in patient care. Inpatient responsibilities include the care of patients on the pediatric GI service, providing consults to patients on other services and managing high-risk transports from and to other institutions.

Additionally, first-year fellows utilize a variety of resources to gain comprehensive knowledge in pediatric gastroenterology such as online journals, general scientific journals and textbooks, attending journal club and other internal conferences, and taking the annual in-service exam in pediatric GI offered by the ABP.

Outpatient Rotations

Continuity Clinic
Pediatric GI residents of all levels have a half-day of mentored continuity clinic per week at NC Children’s Hospital or one of our satellite clinics. Under attending supervision, subspecialty residents are responsible for the continuing care of patients with acute and chronic gastrointestinal problems and provide consultation on a wide variety of new and follow-up patients.

Liver disease clinic
Sub-specialty residents of all levels are required to have one month of outpatient liver disease clinic per year, supervised by a hepatologist. Additionally, there are rotations available at Duke University to gain additional exposure to the liver transplant program.

Second and Third Year Curricula

Second and third-year subspecialty residents have one block of inpatient service and one block of clinical elective each year. The second and third years also have liver clinic one month per year. Elective courses include:

    • Liver disease
    • Motility Clinic

The third-year resident may take this motility elective again if consistent with career plans.

Diagnostic and Therapeutic Procedures

Procedures are integral to the practice of our subspecialty. Our goal is that all pediatric GI subspecialty residents develop mastery in diagnostic endoscopic procedures. There is no minimum number of procedures that are required to achieve mastery. The predominant type of procedure in pediatric gastroenterology is diagnostic upper endoscopy/colonoscopy with and without biopsies. Rotation opportunities are also available with Adult GI and advanced endoscopy

The second year and third year fellows continue to perform endoscopic procedures when on-call or during inpatient service months.

Third year pediatric GI residents who would like additional training in diagnostic and therapeutic endoscopy may choose to complete an elective month were they spend 5 days/week performing all scheduled procedures in the endoscopy suite and operating room at UNC Chapel Hill.

After the second year, the fellow will show competency in the skills learned the first year, and after the third year mastery of skills.