Medical students and resident will perform routine histories and physical examinations on all gastroenterology patients with emphasis on clinical diagnosis and treatment. They will also participate in endoscopic procedures and will be expected to have an active role in the management of G.I. patients in both inpatient and outpatient settings.
Upon completion of this selective, the student will be able to:
1. Take a pertinent history and perform a thorough physical examination on patients with G.I. or liver pathology.
2. Have an understanding of the natural history of most common intestinal problems. Readily recognize the most common features of:
Some of the most common disease processes such as Gastroesophageal Reflux, Constipation, Abdominal Pain, Failure to Thrive and Rectal Bleeding; Inflammatory Bowel Disease (e.g. Ulcerative colitis, Regional Ileitis, Granulomatous Colitis, Universal Colitis); Diarrheas; Malabsorption Secondary to Myriad Etiologies (e.g. Infections, Celiac Disease, Pancreatic Insufficiency, etc.); Hepatitis (e.g. Neonatal, Chronic Active, Cirrhosis and it's complications).
3. Coherently collate both the physical findings with the history to arrive at a differential diagnosis.
4. Put forth a goal-oriented systematic approach to -the treatment of the disease process-encountered.
5. Compare and recognize different G.I. lesions as viewed endoscopically (e.g. ulcers, gastritis, esophagitis, colitis, etc.)
6. Differentiate microscopically some of the degrees of severity of hepatitis as well as biliary atresia, hypoplastic ducts, etc.
Evaluation will be based on observation and participation of the student during the rotation by both the resident and attending staff. A stand "Evaluation of Competency" form as outlined by the American Board of Pediatrics and furnished by the Department of Medical Education will be completed at the end of the rotation.
Students and Residents will:
1. Attend morning rounds with the Attending Gastroenterologist.
2. Observe both upper and lower endoscopy.
3. Observe percutaneous liver biopsies.
4. Examine any in-patient consultation including those patients in the neonatal nursery or in the ICU.
5. Participate in Journal Club, G.I. Conferences, and other didactic conferences that would be relevant to the diagnosis or treatment of either G.I. or liver pathology.
6. Be involved in the nutritional support team that will review inpatient nutritional problems whether secondary to dietary inadequacies, short gut syndromes, N.E.C. and intravenous hyper alimentation.
Upon completion, the students or residents will receive a quiz, either written or verbal, based on pathology encountered.