Overriding Goals and Objectives for the University of Wisconsin
Gastroenterology and Hepatology Fellowship
The University of Wisconsin Gastroenterology Fellowship overriding goal objective is to train highly competent gastroenterologists and hepatologists. Using multiple educational tools and a diverse curriculum, all trainees achieve a level of excellence in the areas of patient care, medical knowledge, communication skills, practice based learning and improvement, professionalism, and systems based practice. A key component of this training includes fostering skills in endoscopic diagnosis and treatment of GI diseases within the context of both consultation and continuity of care.
All fellows participate in clinical or basic research and thus the program goal is to afford the fellow an opportunity to explore a future career with either an investigative/teaching, clinical focus, or both. First year of fellowship is weighted towards clinical and endoscopic training, however protected time is afforded to initiate an interest in a research project. The second and third years are dedicated to elective time directed towards a fellow's career path: academic vs. practice. With an academic career path, the complexity of contemporary research, both clinical and basic, requires the progressive acquisition of research skills and sufficient time to become familiar with (and expert in) research technologies.
Fellowship at the University of Wisconsin aims to train fellows to:
- Develop the clinical skills necessary to identify and evaluate patients with gastrointestinal, pancreatic and liver diseases.
- Become proficient in the management of gastrointestinal and liver diseases encountered in hospitalized patients and outpatients.
- Gain competence in a variety of procedures including diagnostic and therapeutic endoscopy, colonoscopy, biopsies (mucosal and liver), dilation, Capsule endoscopy, ph-metry, and motility studies. In addition, all fellows will be exposed to endoscopic ultrasound and ERCP.
- Gain an understanding of the anatomy, physiology and pathology of gastrointestinal and liver diseases.
- Acquire a knowledge base for gastrointestinal and hepatology regarding the natural history, prevention, diagnosis and treatment of the major diseases.
- Acquire a detailed fund of knowledge of the various classes of drugs used in gastroenterology including sedation and sedative pharmacology.
- Understand the importance of nutrition, malnutrition and enteral and parenteral feeding, including the indications and ramifications of feeding tubes.
- Adopt a critical approach to the literature pertaining to gastroenterology and hepatology and demonstrated in Journal Club reviews
Practice Based Learning:
- Learning and improvement that involves the investigation and evaluation of care for their patients, the appraisal and assimilation of scientific evidence, and improvements in patient care.
- Adopt a critical approach to the literature pertaining to gastroenterology and hepatology and demonstrated in Journal Club reviews.
Interpersonal and Communication Skills:
- Effective exchange of information and collaboration with patients, their families and other health professionals.
- Submit and present research at peer scientific meetings.
- Complete a research project leading to a publication in a peer reviewed journal.
- Incorporate humanistic health care and patient values at all times.
- Commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to patients of diverse backgrounds.
Systems Based Practice:
- An awareness of and a responsiveness to the larger context and system of health care as well as the ability to call effectively on other resources in the system to provide optimal health care.
- Integrate health promotion and cultural, socioeconomic, ethical, occupational, environmental and behavioral issues with medical care.