Gastroenterology Elective
Areas of Learning
The resident is expected to broaden and deepen their knowledge base during the elective. Areas that residents should be familiar with include (as outlined by the Federated Council on Internal Medicine):
Common Clinical Presentations:
| Abdominal distension | Heartburn | |
| Abdominal pain | Hematemesis | |
| Abnormal liver function test | Indigestion | |
| Anorectal discomfort, bleeding, or pruritis | Iron-deficiency | |
| Anorexia, weight loss | Jaundice | |
| Ascites | Liver failure | |
| Constipation | Malnutrition | |
| Diarrhea | Melena | |
| Excess intestinal gas | Nausea, vomiting | |
| Fecal incontinence | Noncardiac chest pain | |
| Food intolerance | Swallowing dysfunction | |
| Gastrointestinal bleeding |
Procedural Skills:
| Paracentesis | Primary interpretation of tests | ||
| Placement of NG tubes | Test for occult blood | ||
Ordering and Understanding Tests:
| Examination of stool for ova, parasites | Fecal electrolytes | ||
| Qualitative stool fat | Fecal osmolarity | ||
| 24 hr. esophageal | Gallbladder radionuclide testing | ||
| pH monitoring Assays for H. pylori |
Gastric analysis, gastrin, secreting stimulation | ||
| Bernstein Test | Viral hepatitis serology | ||
| Bx of GI mucosa Blood tests for autoimmune, cholestatic, |
Lactose and hydrogen breath tests | ||
| genetic liver diseases | Laparoscopy Liver bx | ||
| Colonoscopy Computed tomography, MRI, US of the abdomen | Mesenteric angiography PTC scans of gastric emptying |
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| Contrast studies (UGI, SBFT, BE) | Serum B12 and Schilling tests | ||
| D-xylose test | EGD Flexible sigmoidoscopy | ||
| ERCP Esophageal manometry | |||
Evaluation of the Learners:
All residents will be evaluated by their preceptors mid month and at the end of the month.
Evaluation of the Curriculum:
Feedback from the residents will be sought.