At Yale, fellows acquire clinical experience throughout their training. The first year fellow spends most of the time on the inpatient and outpatient clinical service and learns various aspects of clinical practice of Pediatric Gastroenterology and Hepatology. Second and third year fellows continue their clinical experience during the research years. They attend Gastroenterology and Hepatology clinics on a weekly basis. They also continue to perform procedures and take calls on regular basis.
Fellows participate in the diagnosis and management of patients on gastroenterology service, liver transplant service, as a consult to patients on pediatric, oncology or surgical services and in the pediatric ICU, and neonatal ICU. Fellows learn to handle various emergencies and very complicated patients with gastrointestinal and liver disorders. Fellows participate in outpatient GI/Hepatology clinics under the supervision of the faculty. This clinical training allows the fellows to gain experience and competency in managing common and chronic pediatric gastrointestinal, nutritional and liver problems including transplantation.
Fellows receive extensive training in diagnostic workup (including endoscopy, colonoscopy, pH probe studies, motility studies and liver biopsy), as well as therapeutic endoscopy (including sclerotherapy, band ligation, foreign body removal, esophageal dilation, endoscopic injections and polypectomy).
Fellows also participate in the care of children with liver transplants. Yale has a very active liver transplant program. More than 60 children have received liver transplant since 2007.