Information for Pediatric Residents Rotating with the Digestive Disease and Nutrition Center (DDNC).
A maximum of one resident at a time is assigned by the resident program director to the DDNC for a 4 week rotation. During this rotation the resident is expected to work with the attendings and the fellows. Resident should set his/her own schedule in consultation with the faculty who are covering the in patient and procedure services. Residents are expected to observe and perform procedures where assessed as safe and appropriate by the attending physician. The resident is expected to perform a minimum of 6 consultations on hospitalized children over the course of the GI rotation. The resident is expected to attend a minimum of two clinic sessions; each clinic session is a half-day. Each rotating resident is strongly encouraged to prepare an end of rotation presentation on a topic that is of interest to the resident. The topic should be chosen with input from the attending near the beginning of the rotation. During the rotation the resident should try to gain insight into the chosen topic so that by the end of the rotation the resident has a comprehensive understanding of the topic.
As physicians in training, it is expected that residents will consult the literature before presenting cases to the attending physicians. It is important to understand the reason for the original consultation. Residents rotating with GI are encouraged to review the clinical guidelines and position statements available online at the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) http://www.naspghan.org/wmspage.cfm?parm1=295.
Review of the following topics available online are strongly encouraged:
2) gastroesophageal reflux,
3) abdominal pain,
5) celiac disease
There is a mailbox in the GI Office designated for the rotating residents. Check it daily for papers to read and information on division activities.
During the rotation residents are expected to participate in the weekly fellows’ conferences, pathology and radiology conferences. Participation in these conferences will be reflected on the resident’s evaluation. Participation in research conference is optional.
Throughout the GI rotation, residents are expected to have a good understanding of the following clinical problems frequently encountered in the primary care setting. Residents are expected to formulate an evaluation as well as management plan for the problems listed below. Attending faculty as well as fellows will be available should resident request tutorial (informal or formal).
Evaluation of Neonatal Cholestasis
Liver disease in older children and teenagers
Chronic Diarrhea - CF, dietary induced diarrhea, celiac disease
Public health nutrition – obesity, growth and development, formula composition, Abdominal pain/hyperalgesia
Inflammatory bowel disease – histopathology, diagnosis, treatmentTopic of interest will be presented based on the clinical exposure as well as new scientific and medical discussions.
See attached Schedule for goals and Objectives
PEDIATRIC GASTROENTEROLOGISTS & NUTRITIONISTS
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