The initial training period is similar for all Fellows whether they have elected to pursue a career in clinical practice or research. Three hospitals participate in this program including Yale-New Haven Hospital (a tertiary care university hospital), the West Haven Veterans Administration Hospital, and the Hospital of St. Raphael (a major teaching community hospital). Yale-New Haven Hospital and the Hospital of St. Raphael together are approximately 1,500 beds, reflecting the significant scope/volume of cases our GI fellows see. Acquisition of both consultative and endoscopic skills are emphasized in a broad spectrum of gastrointestinal and hepatic diseases and are designed to produce subspecialists competent to practice consultative gastroenterology and hepatology.
Weekly conferences including multi-disciplinary, pathophysiology, research and pathology conferences and journal clubs supplement bedside teaching. There is a core curriculum for Digestive Diseases that is presented at a weekly conference that spans the entire training program. Journal Club and patient safety and quality improvement conferences are integrated into a weekly clinical case conference. Fellows maintain a continuity clinic throughout the three year training program.
After the initial 18 months, those Fellows who are destined for clinical and academic clinical practice will receive additional clinical training that includes broad exposure and allows time to develop a focused interest. This exposure and opportunities to develop focused interest include initial experience in advanced endoscopy training, motility training, and transplant training. Clinical trainees are allotted time to participate in relevant clinical research under the preceptorship of a faculty mentor. All fellows are expected to complete scholarly projects during their three years.
Our program offers an additional fourth year of training in endoscopic ultrasound(EUS).Fellows enter this year after having completed three years of a gastroenterology and hepatology fellowship.