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Rotations & Schedules

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GI Inpatient at UC San Diego Medical Center in Hillcrest

The gastroenterology inpatient rotation at UC San Diego Medical Center in Hillcrest encompasses inpatient consultations for general gastroenterology and advanced endoscopy at a tertiary care referral hospital. There may be medical students, interns, and residents on this rotation. This rotation offers experience in the care of underserved as well as a large HIV-infected patient populations. Hillcrest is also a referral center for pancreatology Common GI consult indications include upper GI bleeding (variceal and non-variceal, lower GI bleeding), iron-deficiency anemia, suspected GI malignancy, and pancreatico-biliary diseases (pancreatitis and choledocholithiasis). Fellows perform diagnostic and therapeutic endoscopic procedures including hemostasis and PEG tube placement and gain exposure to a variety of advanced endoscopic procedures including ERCP, EUS, stent placement, and endoscopic pancreatic necrosectomy.

MON TUES WED THURS FRI
AM

Continuity Clinic
(Mon or Fri)

Consults

GI Conference
(4/1/24)

Consults

Core Curriculum

Consults

Continuity Clinic
(Mon or Fri)

PM Consults
Chang, Attending

Consults
Anand, Attending

Consults
Kwong, Attending

Fellows Mtg
(3rd Wed)

Consults
Patel, Attending
Kwong, Advanced

Consults
Kalmaz, Attending
Kwong, Advanced

Jacobs Hepatology Inpatient

The hepatology inpatient rotation at UC San Diego Medical Center in Jacobs is predominantly a first-year rotation. There may be medical students, interns, and residents on this rotation. This rotation offers experience in the care of pre, peri, and post liver transplantation patients along with acute liver failure. Other common hepatology consult indications include management of cirrhosis including complications (ascites, encephalopathy, spontaneous bacterial peritonitis), hepatic complications of pregnancy and oncologic treatments, and chronic liver diseases such as hepatitis B and C. Fellows perform diagnostic and therapeutic endoscopic procedures including variceal banding and liver biopsies.

MON TUES WED THURS FRI

AM

Continuity Clinic
(Mon or Fri)

 

Overnight Consults

Rounds

GI Conference
(4/1/24)

Overnight Consults

Rounds

Core Curriculum


Overnight consults

Rounds

Continuity Clinic
(Mon or Fri)

 

PM

Overnight Consults/
Rounds

Liver Journal Club

Consults

Liver Transplant Selection Mtg


Liver Cancer Group Conf

 

Liver Path Conference

Consults

Fellows Mtg
(3rd Wed)

Consults Overnight Consults/ Rounds

Inpatient at Veteran Affairs San Diego Healthcare System

The inpatient rotation at the Veterans Affairs San Diego Healthcare System is predominantly a first-year rotation in the care of United States military veterans. There may be medical students, interns, and residents on this rotation. This rotation offers experience in addressing gastroenterology and hepatology consults in a veteran population. This includes elderly patients and patients with chronic diseases related to smoking and alcohol as well as military-related disabilities. Fellows perform diagnostic and therapeutic endoscopic procedures including hemostasis.

MON TUES WED THURS FRI
AM

Continuity Clinic
(Mon or Fri)

Endoscopy/
Consults

GI Conferences
(4/1/24)
Endoscopy/
Consults
Core Curriculum
Endoscopy/
Consults
VA Didactic Conf
Continuity Clinic
(Mon or Fri)
PM
Consults
VA Liver Tumor Board
Consults

Consults

Fellows Mtg
(3rd Wed)

GI/Path Conf

Consults

Consults

Gastroenterology/Hepatology Outpatient

The outpatient gastroenterology/hepatology rotation is predominantly a first-year rotation. Fellows will see new and returning patients in a variety of hepatology and gastroenterology clinics at the medical center and VA hospital. Fellows perform outpatient endoscopic procedures at the VA including colonoscopy with polypectomy and upper endoscopy.

MON TUES WED THURS FRI
AM Continuity Clinic
(Mon or Fri)
IBD Procedures

GI Conference

Motility Clinic

Core Curriculum

Pancreas Clinic
(1st Thurs)

Continuity Clinic
(Mon or Fri)
PM Wellness
VA Esophageal Clinic

VA or UCSD

Consults/Rounds

Fellows Mtg
(3rd Wed)

VA Liver/GI Clinic

Consults/Rounds

GI Path Conf

Gupta Clinic
(2nd Fri)

VA GI Clinic

Consults/Rounds

Outpatient at Veteran Affairs San Diego Healthcare System

The gastroenterology outpatient rotation at the Veterans Affairs San Diego Healthcare System (VASDHS) encompasses outpatient clinic and endoscopy in a veteran population. Fellows will perform high volume outpatient procedures including colonoscopy with polypectomy and endoscopy. Fellows also follow up pathology results and recommendations as well as gain experience with e-consults (electronic consults).

MON TUES WED THURS FRI
AM
Continuity Clinic
(Mon or Fri)

Endoscopy
(Jr Fellow)

Econsult/Path
(Sr Fellow)

GI Conferences
(4/1/24)

Endoscopy
(Jr Fellow)

Econsults/Path
(Sr Fellow)

Core Curriculum

Endoscopy
(Jr Fellow)

Endoscopy
(Sr Fellow)

VA Didactic Conf
(Jr and Sr Fellow)

Continuity Clinic
(Mon or Fri)
PM

Endoscopy
(Sr Fellow)

Econsults/Path/ Consults
(Jr Fellow)

T32 Fellow Scoping

Endoscopy
(Sr Fellow)

GI Clinic Area

 

Econsults/Path/ Consults
(Jr Fellow)

Endoscopy
(Sr Fellow)

Fellows Mtg
(3rd Wed)

GI Path Conf

Capsule Endoscopy

IBD Clinic

T32 Fellow Scoping

Endoscopy

(Sr Fellow)

Gupta Clinic
(1st Fri)

T32 Fellow Scoping

Gastroenterology Inpatient Rotation at Jacobs Medical Center

The gastroenterology inpatient rotation at Jacobs Medical Center encompasses inpatient consultations for general gastroenterology and advanced endoscopy at a tertiary care referral hospital. This rotation offers experience in the care of geriatric and oncologic patients as well as inpatient management of inflammatory bowel disease. There is a large volume of both GI cancer patients (esophagus, stomach, colorectal, and pancreato-biliary) as well as GI complications of non-GI cancers (graft vs. host disease in bone marrow transplant patients, biliary or bowel obstruction from metastatic tumors). Fellows perform diagnostic and therapeutic endoscopic procedures including hemostasis and gain exposure to a variety of advanced endoscopic procedures including ERCP, EUS, stent placement and balloon assisted enteroscopy.

MON TUES WED THURS FRI
AM
Continuity Clinic
(Mon or Fri)

Inpatient Consult

GI Conference
(4/1/24)

Inpatient Consult

Core Curriculum

Inpatient Consults

Continuity Clinic
(Mon or Fri)
PM Inpatient Consults/ Rounds

Consult/ Rounds

Consult/ Rounds

Fellows Mtg
(3rd Wed)

Inpatient Consults Inpatient Consults

Gastroenterology at Kaiser Permanente

The inpatient gastroenterology rotation at Kaiser Permanente® encompasses inpatient consultations for general gastroenterology, general hepatology, and advanced endoscopy. This rotation offers experience in the care of patients in a busy integrated healthcare delivery system with demographics reflecting working and middle class patients. Common consult indications include upper GI bleeding (variceal and non-variceal, lower GI bleeding), iron-deficiency anemia, suspected GI malignancy, and pancreatico-biliary diseases (pancreatitis and choledocholithiasis). Fellows perform diagnostic and therapeutic endoscopic procedures including hemostasis and PEG tube placement and gain exposure to a variety of advanced endoscopic procedures.

MON TUES WED THURS FRI
AM
Continuity Clinic
(Mon or Fri)

Inpatient Consult

GI Conference
(4/1/24)

Inpateient
Consults

Core Curriculum

Inpatient Consult

Continuity Clinic
(Mon or Fri)
PM Inpatient Consults

Inpatient Consults

Inpatient Consult

Fellows Mtg
(3rd Wed)

Inpatient Consult Inpatient Consult

Gastroenterology Float Rotation

The Gastroenterology float rotation consists of providing available coverage for various rotations for a fellow on vacation. On weeks without coverage needed, fellows can participate in research. There is also outpatient clinic and endoscopy experience at the VA on weeks without coverage.

MON TUES WED THURS FRI
AM
Continuity Clinic
(Mon or Fri)

Research or Covering Rotation

GI Conference
(4/1/24)

Research or Covering Rotation

Core Curriculum

Research or Covering Rotation

VA Didactic Conf

Continuity Clinic
(Mon or Fri)
PM

Research or Covering Rotation

VA Endoscopy or Covering Rotation

 

Research or Covering Rotation

Fellows Mtg
(3rd Wed)

VA IBD Clinic or Covering Rotation

Research or Covering Rotation

Clinical Research Rotation

The Clinical Research Rotation is available for second and third-year fellows. Fellows select a project early in their training and work with a faculty member over the course of their fellowship.

MON TUES WED THURS FRI
AM
Continuity Clinic
(Mon or Fri)

Research

GI Conference
(4/1/24)

Research

Core Curriculum

Research

Continuity Clinic
(Mon or Fri)
PM Research

Research

 

Research

Fellows Mtg
(3rd Wed)

Research Research

Research (NIH T32) Rotation

Fellows on the T32 Research rotation spend a half-day per week in their continuity clinic. They have additional outpatient endoscopy sessions at the VA. The majority of time for research fellows is spent working on their research studies with their faculty sponsors. This includes basic, clinical, translational, and outcomes research.

MON TUES WED THURS FRI
AM
Continuity Clinic
(Mon or Fri)

Research

GI Conference
(4/1/24)

Research

Core Curriculum

Research

Continuity Clinic
(Mon or Fri)
PM

Research or
VA Endoscopy
(available times if desired)

Research

 

Research

Fellows Mtg
(3rd Wed)

Research or VA Endoscopy
(available times if desired)

Research or
VA Endoscopy (available times if desire)

Rotations By Year

Rotation Months
Year 1 GI-Hepatology Outpatient
VA Inpatient Consult
TH/Jacobs Inpatient Consult
Hepatology Inpatient
HC Inpatient Consult
3
3
1
3
2
Year 2 VA Outpatient
TH/Jacobs Inpatient Consult
Kaiser
Float (coverage/research)
Research
HC Inpatient Consult
3-4
2-3
1
1-2
2
1
Year 3 VA Outpatient
TH/Jacobs Inpatient Consult
Kaiser
Float (coverage/research)
Research
3
3
2
1-2
2-3