Gastroenterology

 

Pediatric Gastroenterology Fellowship

The Pediatric Gastroenterology Fellowship program has been ACCME accredited since 2008. It is a 3-year program open to graduates who have successfully completed an ACGME accredited Pediatric residency program. The program aims to train physicians in the art and science of Pediatric Gastroenterology, Hepatology and Nutrition. It is based at Stony Brook University Medical Center and its affiliated Medical School. The 3 year fellowship will include a one month rotation in the division of Adult Gastroenterology at Stony Brook Medical Center and one month rotation at Morgan Stanley Children’s Hospital in New York City with their Liver & Intestinal Transplant Service.

The Division of Pediatric Gastroenterology currently consists of:

  • 3 Board Certified Pediatric Gastroenterologists
  • 2 Full-time Nurse Practitioners / IBD Educator/Celiac Educator
  • 1 Fellow per year
  • 1 Nutritionist
  • 2 Administrative Secretaries
  • Endoscopy Unit Staff
  • Motility Lab Staff

 

Clinical Services

  • 5000 ambulatory visits/year
  • 500 in patient consults/year
  • 500 endoscopies per year, including
  1. Colonoscopy
  2. Diagnostic upper panendoscopy
  3. Establishment and maintenance of patients on enteral/parenteral nutrition (including nutritional assessment)
  4. Sigmoidoscopy (rigid and flexible)
  5. Paracentesis
  6. Percutaneous liver biopsy
  7. Rectal biopsy
  8. Small bowel biopsy
  9. Anorectal manometry
  10. Breath hydrogen analysis
  11. Dilatation of esophagus
  12. Endoscopic retrograde cholangiopancreoscopy (ERCP)
  13. Therapeutic upper panendoscopy (sclerosis of esophageal varices)
  14. Esophageal manometry
  15. Pancreatic stimulation test
  16. Esophageal pH monitoring including Bravo wireless pH monitoring
  17. Placement of percutaneous gastrostomy

 

Division provides ongoing care for patients with:

Inflammatory Bowel Disease
Gastroesophageal Reflux Disease
Constipation/Hirschsprung Disease
GI Bleed
Failure to Thrive
Parental and Enteral Nutrition Support
Growth failure and malnutrition 
Malabsorption
GI infection 
GI allergy 
Motility disorders 
Digestive tract anomalies
Functional bowel disorders
Cholestasis/Liver Disease
Jaundice 
Liver failure
Infectious/metabolic liver disease 
Pancreatitis
Liver and Intestinal transplant

 

Research

Current research interest of the Division include:

  • Celiac Disease
  • Gastro esophageal Reflux - ph monitoring
  • Inflammatory Bowel Disease
  • Epidemiological studies
  • Nutrition related research in children with Cystic Fibrosis


Stony Brook University Medical Center has a NIH Funded Clinical Research Center which provides support for clinical research projects. This includes:

  • Nursing services
  • Laboratory & technical support
  • Radiology support
  • Nutrition services
  • Statistical consultations

 

Recent abstracts and Publications 2007 to present

 

Fellow’s Clinical and Research Activities :

FIRST YEAR:


Clinical: The first year subspecialty resident will primarily have clinical responsibilities. These will include managing inpatients, outpatients, and an introduction to a wide variety of endoscopic procedures. The first year resident will be familiarized with the indications, pre-procedure evaluation, patient preparation, conscious sedation, the technical aspects of the procedure, as well as post-procedure management. All clinical responsibilities of the first year subspecialty resident will be strictly supervised by a designated GI attending. The first year subspecialty resident will review endoscopic pathology and become proficient in recognizing common findings. Clinical experience will be augmented by weekly GI conferences and monthly interdepartmental conferences (radiology, pathology, and surgery).

Research: The first year subspecialty resident will be expected to familiarize him or herself with the IRB approval process and be certified by the University’s IRB to conduct clinical and basic science research. The resident will also learn the fundamentals of biostatistics and research methodology. During weekly GI conferences, the resident will be instructed in the review and critical analysis of manuscripts. The trainee will be encouraged to formulate a case report. During this year, the resident will decide on an area of research interest under the guidance of the program director and be assigned to a specific research mentor.


SECOND YEAR:


Clinical: The resident continues to regularly participate in outpatient sessions, assuming more of a supervisory role. The second year resident will rotate with adult gastroenterology for one month to obtain proficiency in therapeutic procedures. The trainee will further develop the clinical management skills and procedures commonly practiced in pediatric gastroenterology. Night call will be equally shared with the first and third year trainee.

Research: The second year trainees will be expected to complete a protocol with IRB approval during the first six months of this year. A clinical vignette abstract will be encouraged for submission to a national meeting. The trainee will be supported by the division to attend a national conference.


THIRD YEAR:


Clinical: The resident continues to regularly participate in outpatient sessions, assuming a supervisory as well as administrative role. The trainee will master the clinical management skills and procedures commonly practiced in pediatric gastroenterology. Weekly GI clinical conferences as well as interdepartmental conferences will be organized by the third year trainee under the supervision of a designated GI attending.

Research: Midway through the third year, the trainee will be expected to have completed data collection for his or her research. During the second half of this year, the resident will analyze the data with his or her research mentor and begin preparation of a manuscript for submission to a peer reviewed journal. The trainee will be supported by the division to attend a national meeting to present his or her data as an abstract or oral presentation.

Fellows conduct weekly continuity clinics under the supervision of the faculty.

Fellows are encouraged to develop their own research project under the mentorship of the faculty within the Division of Pediatric Gastroenterology or the Medical School at large.

 

Applying to the Program:

Applications to the fellowship program are accepted ONLY through the electronic residency application service (ERAS).

Requirements include:

  1. Scheduled completion of a US-based ACGME accredited pediatric residency program
  2. US Citizen, permanent resident, or J-1 visa. Unfortunately we are unable to consider applicants with H-1 visas. For other types of visas, please contact us.
  3. Please include in your ERAS application three letters of recommendation including one from an attending physician in pediatric gastroenterology.

Invitations for interviews will be sent via email. Final selection will occur using the national resident matching program (NRMP).

For further information, please contact:

ANUPAMA CHAWLA, MD
Program Director
or
JEFFREY MORGANSTERN, MD
Assistant Program Director

Last updated by Webmaster on January 05, 2010

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