Gastroenterology Fellowship Rotations

GI Inpatient at UC San Diego Medical Center in Hillcrest (HC GI)  

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)

​GI Conferences

Consults

​Consults​Consults
​Continuity Clinic
(Mon or Fri)
​PMConsults​

​Consults

Core Curriculum

Fellowship Ops Mtg (3rd Tues)

Consults​Consults​​Consults


UCSD Hillcrest Medical Center

Hepatology Inpatient at UC San Diego Medical Center in Jacobs (Hep In)

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)

​GI Conferences

Rounds

​Rounds​Rounds
​Continuity Clinic
(Mon or Fri)
​PM

​Consults

Rounds

​Liver Journal Club

Consults

Liver Transplant Patient Selection Mtg

Liver Cancer Grp Conf

Core Curriculum

Fellowship Ops Mtg (3rd Tues)

              UCSD Thornton Hospital     UCSD Jacobs Medical Center

Inpatient at Veteran Affairs San Diego Healthcare System (VA In)

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)

GI Conferences

Endoscopy/
Consults

​Endoscopy/
Consults
​Endoscopy/
Consults
VA Didactic Conf
​Continuity Clinic
(Mon or Fri)
​PM
​Consults
VA Liver Tumor Board
​Consults
Core Curriculum
Fellowship Ops Mtg (3rd Tues)
​Consults

​GI/Path Conf

Consults

​Consults

VA San Diego Healthcare System

Gastroenterology/Hepatology Outpatient (GI-Hep Out)

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)
​GI Conferences
IBD Procedures

VA Endoscopy

​Motility Clinic
VA Didactic Conf
​Continuity Clinic
(Mon or Fri)
​PM​IBD Clinic
​VA Esophageal Clinic
Core Curriculum
Fellowship Ops Mtg (3rd Tues)
​Liver Path Conf
Liver Clinic
​VA Liver/GI Clinic

​GI Path Conf

Gupta Clinic(alternating)

VA GI Clinic

Outpatient at Veteran Affairs San Diego Healthcare System (VA Out)

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)

​GI Conferences

Endoscopy
(Jr Fellow)

Econsult/Path
(Sr Fellow)

​Endoscopy
(Jr Fellow)

Econsults/Path
(Sr Fellow)

​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

Core Curriculum

Fellowship Ops Mtg (3rd Tues)

​Econsults/Path/ Consults
(Jr Fellow)

Endoscopy
(Sr Fellow)

​GI Path Conf

Capsule Endoscopy

IBD Clinic

T32 Fellow Scoping

​Endoscopy
(Jr Fellow)

Endoscopy
(Sr Fellow)

T32 Fellow Scoping

Gastroenterology Inpatient Rotation at Jacobs Medical Center (TH)

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)

​GI Conference

Consult/ Rounds

​Consult/Rounds

​GI Path Conf

Consults/Rounds

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

​Consult/Rounds

Core Curriculum

Fellowship Opts Mtg (3rd Tues)

​Consult/Rounds​Consults/Rounds​Consults/Rounds

Gastroenterology at Kaiser Permanente (Kaiser)

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)

​GI Conferences

Consult/ Endoscopy

​Consult/ Endoscopy​Consult/ Endoscopy
​Continuity Clinic
(Mon or Fri)
​PM​Consults/ Endoscopy

​Consults/ Endoscopy

Core Curriculum

Fellowship Ops Mtg (3rd Tues)

​Consults/ Endoscopy​Consults/ Endoscopy​Consults/ Endoscopy

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)

​GI Conferences

Research or Covering Rotation

​Research or Covering Rotation

​Research or Covering Rotation

VA Didactic Conf

​Continuity Clinic
(Mon or Fri)
​PM

​Research or Covering Rotation


​VA Endoscopy or Covering Rotation

Core Curriculum

Fellowship Ops Mtg (3rd tues)

​Research or Covering Rotation

​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)

​GI Conferences

Research

​Research

​Research

VA Didactic Conf

​Continuity Clinic
(Mon or Fri)
​PM​Research

​VA GI Clinic

Core Curriculum

Fellowship Ops Mtg (3rd Tues)

​Research​VA Endoscopy​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)

​GI Conference

Research

​Research

​Research

VA Didactic Conf

​Continuity Clinic
(Mon or Fri)
​PM

​Research or

VA Endoscopy(available times if desired)

​Research

Core Curriculum

Fellowship Ops Mtg (3rd Tues)

​Research

​Research or

VA Endscopy(available times if desired)

​Research or

VA Endoscopy (available times if desire)

Rotations by Year

​Rotation​Number of 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