Overview
The Interventional Endoscopy fellow will be a PGY-7 fellow. The goal of this fellowship will be to learn Interventional procedures, particularly EUS and ERCP, as well as luminal stenting, while further honing the skills acquired during the Gastroenterology fellowship training, such as performing Endoscopic Mucosal Resections for large polyps. The fellow will be completely supervised by fellowship-trained Interventional Endoscopists.
Principal Teaching/Learning Activities
The Interventional Endoscopy fellow (fellow) will perform all inpatient consultations in which an ERCP or EUS is requested or indicated, the fellow will be required to be intimately familiar with the entire clinical case, and will have to present the case to the Attending physician performing the ERCP or EUS. The fellow will perform the procedures under the close supervision of a skilled faculty preceptor. The fellow is responsible for all of the necessary preparation for the study, including issues in management of antibiotic prophylaxis and anticoagulation, and arrangements for General Anesthesia when appropriate. The fellow will follow up the patient post-procedure. The fellow will also communicate closely with the APP on the GI consult service, and also keep the Attendings apprised of the clinical scenario. Other advanced Endoscopic procedures which the senior fellow will be exposed to includes Pneumatic Dilation for Achalasia, Tumor Ablation, and Esophageal Stenting.
Problem Mix / Patient Characteristics / Types Of Encounters
For ERCPs and EUS, fellows generally see patients for the evaluation and therapy of biliary and pancreatic diseases. The majority of therapeutic cases involve either sphincterotomy with common bile duct stone extraction, biliary stenting of biliary or pancreatic neoplasms, biliary stenting of post-operative bile duct leaks, and EUS guided sampling of pancreatic masses or adenopathy.
Purpose and Principal Educational Goals by Competency
Patient Care
Principal Educational Goals
Learn the proper indications, contraindications, special needs, and procedural preparations for core Interventional procedures, such as ERCP or EUS.
Recognize and respond to the complications of diagnostic and therapeutic ERCP or EUS.
Achieve procedural technical competence in the performance of ERCP, EUS And Luminal stenting.
Learn the unique functions of the ERCP/EUS nurse procedural assistant.
Understand utilization of the various the tools and devices available to tackle a certain procedural problem
Correlate visual and pathologic findings at endoscopy/ERCP/EUS with clinical conditions.
Fellows will be Exposed to Endoscopic suturing and will gain proficiency in basic suturing techniques.
Fellows will also gain proficiency in TIF (Transoral Incisionless Fundoplication)
Medical Knowledge
Principal Educational Goals
Expand clinically applicable knowledge base of biliary/pancreatic disorders, including patient’s tolerance of ERCP/EUS in their management, as well as endoscopic stenting and suturing.
Practice-Based Learning and Improvement
Principal Educational Goals
Identify areas of personal deficiency in skill and knowledge in the performance of endoscopic and other core procedures of Interventional Endoscopy
Develop and implement strategies for correcting these deficiencies.
Learn to identify procedural complications and formulate strategies for avoiding those complications.
Interpersonal Skills and Communication
Principal Educational Goals
Learn to interact effectively with other members of the endoscopy suite team in order to optimize patient care.
Learn to interact effectively with patients and families to communicate the purpose of procedures and their results, and complications of procedures if necessary.
Learn to formulate comprehensive, clear and concise procedural reports to referring physicians.
Professionalism
Principal Educational Goals
Demonstrate compassion and empathy in dealing with patients undergoing procedures.
Adhere to principles of patient confidentiality.
Practice informed consent and informed refusal.
Identify and understand risk management issues in the performance of endoscopic procedures, especially relatively higher risk ERCP.
Systems-Based Practice
Principal Educational Goals
Understand the system under which outpatient and inpatient endoscopic procedures are provided.
Collaborate with other team members in helping patients effectively negotiate the system.
Understand the role of endoscopic management in a multidisciplinary approach to various patient disorders and problems.
Utilize evidence-based therapeutic management strategies to optimize patient care.
Comprehensive, affordable medical, dental and vision plans
Prescription drug coverage
Flexible spending accounts
Life insurance w/AD&D
Employer contributions to retirement savings plan when eligible
Paid time off
Educational Assistance
And much more
- Benefits offerings vary according to employment status
All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email [email protected]. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at [email protected]
