A graduate from the Gastroenterology fellowship program of Largo Medical Center will be expected to have the ability and qualifications to become a highly skilled consultant and caregiver in the treatment of gastrointestinal disorders with expectations of the best outcome performed in the most efficient manner. The fellow will be expected to become an excellent teacher, investigator and procedurist, well versed in all aspects of gastroenterology and using the most modern technology available.
The primary goal of the Gastroenterology fellowship program at Largo Medical Center is to provide an excellent foundation for residents in pursuit of a clinical career in gastroenterology and to eventually become certified in the subsection of gastroenterology of the American Board of Osteopathic Internal Medicine. The program will include extensive gastrointestinal consultations, training in multiple endoscopic procedures, including both interventional and diagnostic procedures, interpretation of both radiological and pathological information, and exposure to patients in multiple medical settings including hospital, ambulatory surgical units, clinics, and private offices. The fellows will be offered exposure to patients presenting with different gastrointestinal symptoms and will be supervised in endoscopic procedures. The training program will include interrelationships with other disciplines including surgery, pathology, radiology, and primary care physicians.
First Year Fellow
The first year fellow in gastroenterology will spend 12 months in clinical gastroenterology, which will include monthly rotations with multiple faculty members. During that time the fellow will be expected to develop basic endoscopic procedural skills, diagnostic skills and treatment approaches. Supervision will be carried out for all consultations, endoscopic procedures, hospital rounds, and patient contact.
Evidence based medicine and treatment will be stressed in the most cost efficient and thorough manner. The first year fellow will be actively involved in teaching rounds, clinical conferences, grand rounds, morning report, and tumor board. The first year gastroenterology fellow will also begin a research project.
The first year fellow in gastroenterology will participate in ambulatory clinics, which will be Faculty supervised.
Second Year Fellow
The second year fellow in gastroenterology will spend twelve months in clinical services, which will include endoscopic procedures, which may be more technically advanced than those in the first year program. This will include endoscopic retrograde cholangiopancreatography. Time will be spent both at the major facilities; Largo Medical Center and the Bay Pines Veterans Administration Medical Center, as well as elective opportunities will be included regarding hepatology, esophageal motility, research and other programs approved by the teaching faculty. The second year fellow will become a primary teaching resource for medical students, residents, and first year gastroenterology fellows. The second year fellow will also participate actively in morning report, grand rounds and lectures.
Third Year Fellow
The third year of the fellowship program in gastroenterology will be comprised of three months of clinical gastroenterology and elective programs which will include research, therapeutic endoscopic procedures-specifically endoscopic ultrasound (EUS), endoscopic retrograde cholangiopancreatography (ERCP) and other tertiary endoscopic procedures. The third year fellow will also be expected to participate actively in conferences and present Grand Rounds as well as regular lectures. The third year fellow will also be actively involved in teaching of medical students, residents, and first and second year gastroenterology fellows.
Conferences in which gastroenterology fellows will be involved include the following:
- Tumor board
- Gastroenterology journal club
- Morning report
- Case presentation
- Medical/surgical conferences
- Department of internal medicine meetings
- Mortality and morbidity conferences
- Conferences outside the hospital and clinic setting including the American Gastroenterology Association, American Society of Gastrointestinal Endoscopy, Florida Osteopathic Medical Association, American Osteopathic Association and the American Association for the Study of Liver Diseases
- Utilization review
Lecture series, conferences, journal clubs, and daily academic rounds round out the fellows’ clinical learning. Fellows receive a comprehensive structured cognitive and procedural clinical education in both inpatient and outpatient settings that will enable them to become competent, proficient and professional osteopathic gastroenterologists.
Patient Care Experience
The program provides extensive participation in patient care across two medical campuses. Fellows also participate in a weekly outpatient clinic experience. Training in endoscopic procedures, including EUSs and ERCPs, is designed to advance along with the fellow’s progression in training. Fellows receive exposure to patients across the disease and age spectrums.
The program is designed to provide educational and experiential input from a broad range of specialty providers at Largo Medical Center as well as affiliate institutions. The curriculum includes a core of didactics, which are modeled after the core competencies.
Working hours are generally 7 am to 7 pm. Fellows receive a total of 20 days of paid time off which can be used for vacation, personal needs, and holidays. Fellows are also allowed a total of 5 days of paid time for conference attendance and other educational needs.