GastroenterologyG.I. Fellowship Program Structure

The Division of Gastroenterology & Nutrition at The University of Texas Health Science Center at San Antonio (UTHSCSA) offers a fully accredited three-year fellowship training program in Gastrointestinal Diseases designed according to guidelines for training gastroenterologists put forth by the American Board of Internal Medicine and by the Gastroenterology Core Curriculum directive put forth by the American College of Gastroenterology, American Association for the Study of Liver Diseases, American Gastroenterological Association Institute and the American Society for Gastrointestinal Endoscopy.

Core training in our GI fellowship is composed of rotations that cover the spectrum of clinical gastroenterology and hepatology. We offer a specialized and unique diagnostic and therapeutic approach to both inpatient and outpatient consultations, a broad array of diagnostic and therapeutic endoscopic and other investigative procedures and mentorship in management of chronic liver disease including outpatient consultation as well as longitudinal care for the patient both pre- and post- liver transplantation. Our goal is to provide outstanding and comprehensive care to our community via core training in endoscopy and consultation at three major training facilities including a new, state-of-the-art outpatient facility within the University Health System, Audie L. Murphy Veterans Administration Hospital and San Antonio Military Medical Center. Fellows will have the opportunity to gain further experience in selected subspecialties such as pancreatobiliary (exposure to advanced endoscopy including ERCP and EUS), abdominal radiology, pediatric gastroenterology, colorectal surgery, GI oncology, women’s health, inflammatory bowel disease, obscure GI bleeding evaluation and hepatology with renowned and invested faculty. Our goal is for our trainees to successfully complete the ABIM certifying examination in Gastroenterology with our support, mentorship and commitment to the highest degree of fostering professionalism and academic preparation.

The first year of the fellowship focuses on introduction to endoscopy and consultative gastroenterology and hepatology in the inpatient and outpatient settings with a weighted emphasis on inpatient training. The second and third year curriculum broadens to include continued training in endoscopy and consultative services while also including opportunities to participate in electives across five fields of subspecialty. There is an expectation and ample opportunity to develop and complete clinical research and quality improvement projects as well as to receive training in up-to-date technology in GI including interpretation of high-resolution esophageal manometry, esophageal wireless pH studies, wireless capsule endoscopy, breath hydrogen studies, anorectal manometry and training in device-assisted enteroscopy. Fellows in the program will gain exposure to ERCP and EUS but will not necessarily be trained to competency in these procedures, both of which require a separate additional year of clinical training that is also offered as a (competitively recruited) fourth year option at our institution.

On-Call Schedule - No in-house call is required during the Fellowship Program. Fellows provide beeper call for clinical emergencies during weeknights and weekends. Averaged across the three-years, call is every 6th week. The duty hours and call schedule conform to the requirements of the residency review committee of the ACGME.

Gastroenterology Conferences - There are weekly mandatory conferences that include the Fellows’ rotating conference topics (Journal Club, Board Review, Complications, Pancreatobiliary Series, Guest Speakers’ Series), Pathology Conference, Core Curriculum Conference Series, GI Grand Rounds, "Box of Chocolates" interactive staff presentations and Fellow Case Presentation conference, for a total of five-six hours of conferences per week. Each fellow is also encouraged and financially supported to attend at least one national academic conference per year as a presenter and attendee and we also attempt to support top tier trainee attendance for away rotations to heighten exposure to subspecialty areas of interest.