Pediatric Gastroenterology – Electives

Elective: Nutrition

The first year fellow will spend time working with the registered dietician and leaders in other divisions to further develop their understanding of nutrition. This elective will be completed during the fellow’s research block scheduled in the fall of their first year of fellowship. The schedule and timing of the sessions should be agreed upon by the fellow, program director (or assistant program director) and supervisors of this elective.

Objectives:

  • Develop skills in writing and managing TPN and have in-depth exposure and teaching in regards to the management of children on parenteral nutrition.
  • To introduce the fellow to the nutritional assessments and requirements of pediatric patients by learning to provide diet counseling and the impact of nutrition on GI patients.

Enable the fellow to work under the supervision of our Registered Dietitians to develop a better appreciation of the integral role nutrition plays in the care and management of patients.

Elective: Adult GI

The second or third year fellow will spend approximately two weeks working with the adult gastroenterologist practice at Hartford Hospital/UConn affiliated. The schedule and timing of the sessions should be agreed upon by the fellow, program director (or assistant program director) and supervisor of this elective.

Objectives:

  • To provide the fellow with increased exposure and hands on training to perform polypectomies and skill with techniques for managing GI bleeds.
  • To provide the fellow with additional training in upper endoscopies and colonoscopies.
  • To provide the fellow the chance to observe advance endoscopic procedures such as endoscopic retrograde cholangiopancreatography (ERCP), endoscopic ultrasound (EUS), etc.

Elective: GI Psychology

The first year fellow will develop his or her understanding of GI functional disorders and psychosocial aspects of chronic and acute illness. This elective will be completed during the fellow’s research block scheduled in the spring of their first year of fellowship. The schedule and timing of the sessions should be agreed upon by the fellow, program director (or assistant program director) and supervisors of this elective.

Objectives:

  • To provide increased learning and exposure about GI functional disorders.
  • To provide education about psychosocial aspects of chronic and acute illness.

Elective: Liver Clinic and Inpatient Experience

The GI fellow develop his or her understanding of pediatric liver disease and transplant. This elective will be completed during the second or third year of fellowship. The schedule and timing of the sessions should be agreed upon by the fellow, program director (or assistant program director) and supervisors of this elective.

Objectives:

  • To learn more about liver transplantation including management of patients in acute liver failure, listing patients for transplant, liver transplant and complications, and post-operative and longer management of liver transplant patients.
  • To learn about the diagnosis, management and care of patients with acute or chronic Hep B, Hep C, and Autoimmune Hepatitis. Please see the ABP Content Guidelines for additional topics and specifications.

Elective: Aerodigestive Clinic and Procedure Experience

The GI fellow develop his or her understanding of the care of patients with aerodigestive diseases. This elective will be completed during the second or third year of fellowship. The schedule and timing of the sessions should be agreed upon by the fellow, program director (or assistant program director) and supervisors of this elective.

Objectives:

  • To learn more about aerodigestive diseases in particular focusing on GI presentations, diagnostic procedures and long term management plans.
  • To participate in a multidisciplinary clinic with GI, ENT, Pulmonology, Speech Therapy, and Social Work in order to better understand the complexity of medical care for this patient population.

Elective: Advanced IBD

The GI fellow develop his or her understanding of the care of patients with pediatric IBD. This elective will be completed during the second or third year of fellowship. The schedule and timing of the sessions should be agreed upon by the fellow, program director (or assistant program director) and supervisors of this elective.

Objectives:

  • To learn more about the diagnosis, management and medical and surgical treatment options for pediatric patients with inflammatory bowel disease. This will include direct patient care under the supervision of Dr. Hyams.
  • Observe any IBD surgical cases such as a colectomy, ileocecal resection, etc.

Elective: Board Study

The GI fellow develop a curriculum for pediatric board or pediatric gastroenterology board study. The fellow is expected to submit his or her anticipated schedule to the supervisor prior to starting the elective in addition to scheduling regular check ins with the supervisor to ensure that he or she is staying on track.

Fellows who have a history of difficulties with standardized exams or who are interested in formal assessment of testing skills are encouraged the contact Dr. Mark Greenstein who is a resource such evaluations for the pediatric residents and fellows at Connecticut Children’s.

Objectives:

  • To provide dedicated time to prepare for standardized exams.
  • Create an anticipated study plan/schedule.
  • Develop needed review material.
  • Complete practice questions.