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Division of Gastroenterology and Hepatology

Fellowship Overview

The goal of the Fellowship Training Program is to provide strong clinical and research training in gastroenterology and hepatology.  We are constantly striving to improve our program to provide the best training possible.

The Fellowship Program incorporates two teaching hospitals:  The Medical University Hospital (MUH) with 510 beds, and the VA Medical Center (VAMC) with 400 beds. The two hospitals provide an abundance of clinical material and significant variety in disease processes.  In particular, MUH is a tertiary facility providing a high level of care in all aspects of Internal Medicine where renal, bone marrow, cardiac, and liver transplantation programs are ongoing.

We offer a three-year fellowship based at the two hospitals.  Rotations are done in the first 24 months on the general luminal, biliary-pancreatic and liver services.  Duties include inpatient care and consultation, and outpatient clinical evaluations and treatment.  These rotations also include training in routine diagnostic and therapeutic upper and lower GI endoscopy, liver biopsy and diagnostic and therapeutic paracentesis.  Opportunity is provided during the second year for limited endoscopy and research experience.  The remaining 12 months are used for more specialized training, tailored to individual fellow’s needs, aptitudes and wishes.  The focus should be identified within the first months of starting the program, if possible, to ensure appropriate planning.

The areas of focus include Hepatology and Transplantation, Gastroenterology Disease and Motility, Clinical Research Methods, and Advanced Endoscopic Procedures (ERCP, EUS, enteroscopy, stent placement for digestive malignancy, etc.).  Each area requires a single major time commitment such that the fellows leaving the program are thoroughly trained in whatever area of focus they have chosen.  For advanced endoscopy training, it is believed that at least 500 ERCPs are required to achieve real competence, sufficient for someone to be productive in a junior faculty position, attract patients, and legitimately teach.  Proficiency requires a full year of training.  The same caveats apply to endoscopic ultrasonography.  Thus, ERCP and EUS training cannot be offered to an individual in a three-year program.  For given third year tracts, fellows will be expected to compete with peers in the program, and with candidates from institutions outside MUSC, both in the U.S. and abroad.  Opportunity will be available for training in advanced research methods in the laboratory, statistics, computer literacy and business studies, where they are applicable to the research projects.  Fellows are encouraged to develop research projects and present data at regional and national meetings.

Our fellows are actively involved in the teaching of medical students and residents throughout their fellowship.  They also attend the Rutledge Tower and VAMC GI Clinics where they administer continuous care to ambulatory patients over the course of their fellowship.  Each weekly clinic is supervised by an attending gastroenterologist.

There are a number of regularly scheduled weekly conferences.  These include an ERCP review session, GI Grand Rounds (involving, on a rotational basis, presentation of clinical subjects, clinical or basic research, Journal Club and GI physiology), Pathology Conference, Medicine Grand Rounds, and Multidisciplinary Case Conference (involving GI/Liver Medicine, General Surgery, Radiology, Oncology, Pediatric GI and Transplant Services).  An annual post-graduate course is presented each year with faculty chosen from leading gastroenterologists inside and outside the country.

Applications are being taken through ERAS. Unfortunately, we do not accept H1 Visas. Any questions should be directed to the Fellowship Coordinator at (843) 876-4269.

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