Advanced Fellowship in Interventional/EUS

Introduction

The field of Endoscopy has undergone a dramatic transformation over the last 10 years. New instrument and device development have transitioned Endoscopy from a diagnostic tool into a powerful therapeutic modality for treatment and palliation of complex benign and malignant processes of the GI tract. The explosion of technology and minimally invasive procedures have lead to the need for sub-specialty training within Gastroenterology in order to learn and proficiently perform these procedures.

Program Description

The University of Chicago Advanced Fellowship in Interventional Endoscopy, provides a broad practical and scholarly exposure to clinical problems relating to GI oncology and advanced endoscopic techniques as well as in-depth investigative training. The program has a long and consistent history of graduating physicians that are scholarly clinicians as well as prominent clinical investigators. Direct and continuous contact and supervision by and with full-time faculty including senior and junior members offers a personal and individualized approach to the trainee’s educational, clinical and scientific development.

The training program utilizes the extensive clinical and endoscopic facilities found at the University of Chicago Medical Center. Because of the University of Chicago’s reputation as a top rated referral center and our location in the heart of the City of Chicago, there is a broad exposure to common gastrointestinal conditions, as well as unusual and difficult to manage clinical cases.

The one-year fellowship in Interventional Endoscopy is closely associated with the fully accredited three-year fellowship leading to Board Eligibility for Gastroenterology During these 12 months, the trainee will be part of the Interventional Endoscopy service that consists of three attendings, two advanced level practioners, two nurse coordinators, and visiting students. During this period he/she will become proficient in EUS, ERCP and advanced interventional endoscopic procedures and techniques (enteral stenting, EMR, endo-suturing, novel endoscopic imaging devices).

The endoscopy program at U of C has full access to research lab facilities for endoscopic projects, as well as dedicated equipment for animal model research and development at the Carlson Animal Research Facility. Opportunities for translational research in colon cancer and Barrett’s esophagus in particular, are available within the section. The interventional endoscopy program is also affiliated to the Minimally invasive surgical center and GI oncology center at University of Chicago.

Trainees are expected to participate in scholarly and research projects, and encouraged to apply for an ASGE grant.

The University of Chicago is an equal opportunity, affirmative action employer and applications are encouraged from minority groups and physically disadvantaged individuals. Please note non-US citizen applicants must have passed the ECFMG to apply.

Program Director:
Uzma Siddiqui, M.D.
Associate Professor of Medicine
Center for Endoscopic Research and Therapeutics (CERT)
University of Chicago Medical Center
5758 S. Maryland Ave, MC 9028
Chicago, IL 60637
Tel: 773-702-3329
Fax: 773-834-8891
email: usiddiqui@medicine.bsd.uchicago.edu

Additional Endoscopic Faculty:

Irving Waxman, MD
Professor of Medicine and Surgery
Director, Center for Endoscopic Research and Therapeutics (CERT)

Kevin Roggin, M.D. 
Associate Professor of Surgery

Vani Konda, MD
Assistant Professor of Medicine
Section of Gastroenterology

Affiliated Faculty:
Jeffrey Matthews, MD Professor of Surgery, Chair of Department of Surgery
Mitchell Posner, MD Professor of Surgery and Chief of Surgical Oncology
John Alverdy, MD Professor of Surgery, Director, Center for the Surgical Treatment of Obesity, Director, Minimally Invasive Surgery
Marc Bissonnette, MD Associate Professor of Medicine

Venue: All activities will be performed at the University of Chicago. No off-site clinical or research activities are anticipated.

Educational Program

Pre-requisites for Program

  • Completion of training in Internal Medicine
  • Completion of a three year Gastroenterology Training Program (Board Eligible/Certified)
  • License to Practice Medicine in Illinois (application may be pending)
  • Appropriate Visa requirements if non-U.S. citizen (ECFMG)

Educational Goals

The Advanced Fellowship in Interventional Endoscopy affords the applicant focused training in clinical care and/or clinical, translational work in the field of therapeutic endoscopy. This training is intended to further the sub-specialty training in Gastroenterology and serve as a “third tier” educational experience for GI Fellows intending to focus careers related to Academic Interventional Endoscopy.

Educational Activities

Educational activities will be adapted to individual Trainees. These activities will include participation in out-patient clinics and hospital service (evaluation and management of patients with complex benign and malignant gastrointestinal problems requiring minimally invasive intervention) under the supervision of Drs. Chennat and Waxman. Advanced Fellows will also be engaged in either clinical, translational research related to Endoscopy under supervision of clinical and/or research faculty. Advanced Fellows will also participate in weekly GI oncology, Interventional Endoscopy pathology conference, Thoracic Tumor board, weekly ERCP review conference, once a month Surgical Oncology Journal Club, GI Clinical Conference, bimonthly Pancreatico/Biliary conference, where they will be expected to present cases, review literature, and present research proposals and research in progress. Each Advanced Fellow will be expected to complete a research project pertaining to Interventional Endoscopy or EUS during the year of training.

Clinical Goals

Advanced Fellows will evaluate and manage out-patients and in-patients followed by or referred to the Interventional Endoscopy service at the University of Chicago under supervision of the clinical faculty. According to level of training, Advanced Fellows will perform supervised (or independent) endoscopic procedures pertaining to the diagnosis or treatment of complex pancreatico-biliary disorders, GI oncology, or minimally invasive endoscopic surgery. Advanced Fellows will review pathologic material pertaining to cases with GI Pathology Faculty, review radiographic procedures with Radiology Faculty and actively participate in co-management of surgical patients with Faculty from Department of Surgery.

After completion of training, the Advanced Fellow should be capable of staging by EUS and performing EUS-guided fine-needle aspiration of gastrointestinal and mediastinal malignancies, as well as evaluating and managing complicated patients with pancreatico-biliary disease to determine: diagnosis, indications for endoscopy/radiography, indications for medical therapy and appropriate therapeutic monitoring and/or indications for surgery. Finally, the advanced fellow should be capable of providing endoscopic palliation of malignant enteral or biliary obstruction as well as performing EUS-guided Neurolysis in the palliation of pain and have the basic concepts to perform EUS-guided therapeutic procedures.

Research Conferences

Advanced Fellows will participate in a monthly Endoscopy research conference and present research plans, research in progress or completed research projects. Advanced Fellows will be expected to submit research abstracts and attend the annual meeting of the American Society of Gastrointestinal Endoscopy (ASGE) and at least one other National or International Meeting in the field of Endoscopy.

Clinical Responsibilities

Advanced Fellows will attend one half-day advanced endoscopic procedures clinic with the clinical faculty, perform supervised or independent endoscopic procedures (according to level of training and skill). Advanced Fellows will be responsible for evaluating with faculty supervision all inpatient and outpatient referrals for advanced endoscopic procedures and following the patients post-procedure and through further outpatient contacts.

Evaluation Process

Advanced Fellows will be evaluated by:

  1. Evaluation sheet
  2. Research Projects will be assessed according to scientific merit with expectation for publication of original research, case reports/series, and/or systematic review.

How to Apply

Please apply through the ASGE website at http://asge.org/education/education.aspx?id=494

Deadline for application submission is March 1, 2012. Selection for interview will be determined only after full application materials are received and reviewed.