TRAINING PROGRAMS AND FELLOWSHIPS

PROGRAM DESCRIPTION

BROWN GI FELLOWSHIP

Brown Alpert Medical School and affiliated hospitals (Rhode Island Hospital, The Miriam Hospital, and Providence Veterans Affairs Medical Center) offer a three-year ACGME- accredited training program in gastroenterology for three fellows each year.

The goal of the program is to prepare board eligible internists for a career in clinical or academic gastroenterology. The atmosphere is scholarly and provides a wide exposure to clinical gastroenterology and hepatology and to related clinical, translational and basic scientific research. The fellowship aims to inspire clinical excellence and mold socially responsible physicians in an atmosphere that promotes congeniality, diversity, a personalized approach to trainee aspirations and fosters a spirit for life-long learning. The program is customized to the individual fellow with the aim of producing a strong foundation in general gastroenterology, In addition, it provides an opportunity to sub-specialize in a niche such as hepatology, advanced endoscopy, GI motility, inflammatory bowel disease (IBD) or women’s health

THE CURRICULUM

In the first year of fellowship (PGY4) two weeks are spent on the inpatient consult service at Rhode Island Hospital, two weeks on the inpatient consult service at the VA Medical Center and two weeks rotating through ambulatory outpatient and endoscopy blocks. This cycle is then repeated through the first year. The second (PGY5) year includes 4-6 months total time to develop a research program. There are many choices with particular emphasis on the molecular basis of gastroenterological and liver diseases, translational and clinical programs in inflammatory bowel disease, and clinical research in hepatology including viral hepatitis and NAFLD. Fellows also participate in a longitudinal scholarly and quality improvement project. Extensive experience in specialized endoscopic techniques is available at the PGY6 level, including diagnostic/therapeutic biliary and pancreatic endoscopy, pancreatic, esophageal and colonic stent placement and endoscopic ultrasound. Over the course of the program, each fellow will perform about 1,500 endoscopic procedures, including 100-200 advanced procedures (ERCP and EUS).

Electives: Up to three elective months are available in the PGY5/6 years. In recent years hepatology and IBD have been especially popular electives.  Furthermore, each fellow is encouraged to take advantage of a funded, one-month international elective in their final year. 

Women's Gastrointestinal Health: In the PGY5 year all fellows attend at the Center for Women's Gastrointestinal Medicine at the Miriam Hospital. This rotation is focused on gastroenterological and hepatological problems related to pregnancy, and other gender-specific areas. These include pelvic floor dysfunction, gastroenterological aspects of gynecological oncology and exposure to bariatric surgery 

Pancreatico-Biliary Program - Each third-year fellow will spend at least 4 months rotating on the advanced endoscopy service.  During this rotation, the fellow will perform therapeutic ERCPS including direct cholangioscopy.  During this rotation, the fellow will be performing endoscopic ultrasound including pancreatic cysts drainage.  In addition, the fellow will be actively involved in endoscopic ablation therapies for Barrett’s esophagus and esophageal cancers, esophageal and enteral stent placement as well as removal of large polyps. 

CAREER PATHWAYS

Physician/Scientist Pathway

This is intended for fellows who wish to develop an independent research career and is designed to provide individuals with both a strong clinical background and the opportunity to pursue extensive training in basic research that will advance the understanding of the molecular basis of gastroenterological and hepatological diseases. Up to 18 months devoted research time is available within the three-year fellowship for such individuals.

Women's Gastroenterological Health Pathway

All fellows will spend time rotating through the Center for Women’s Gastrointestinal Medicine, focusing on gastroenterological issues unique to women.  For physicians who wish to develop an academic career focused on women’s gastroenterological health, there is a Women’s Gastroenterological Health Pathway, directed by Dr. Amanda Pressman, that is available to one fellow every three years.  After the common PGY 4 year, a fellow in the Women’s GI Health Pathway will spend additional time at the Women’s Medicine Collaborative, building expertise in women’s gastroenterological health.  This will include GI disorders related to or impacting pregnancy, pelvic floor disorders, functional GI disorders, GI motility, and GI and liver disorders more prevalent in women.  A fellow in this pathway will develop clinical and research skills focused on projects related to this specialized patient population.

DIVISION CONFERENCES

Journal Club

Rhode Island Hospital

Twice Monthly

Pathophysiology Seminar

Rhode Island Hospital

Weekly

IBD Tele-conference

Rhode Island Hospital

Weekly

Case Management

Rhode Island Hospital

Twice Monthly

Board Review Course

Rhode Island Hospital

Monthly

Pathology

Rhode Island Hospital

Weekly

Research Meeting

Liver Research Center

Weekly

 

 FACULTY

There are thirteen full-time physician/scientists, and over twenty clinical participating faculty members, and each brings a unique quality to the Program. Research programs, including the molecular biology of viral hepatitis B and C, hepatocellular carcinoma, NAFLD, gene therapy of gastrointestinal malignancy, esophageal motility disorders, IBD and H. pylori and gastric cancer. There is considerable additional expertise in therapeutic and interventional endoscopy, and in clinical translational and outcomes research protocols.

FAST FACTS

  • Graduates: There is no 4th year positions in our program. Over the past 9 years, 9 graduating fellows have pursued 4th year training (6 in advanced endoscopy, 2 in IBD, 1 in transplant hepatology), 13 have joined private practices and 5 have taken full-time academic positions.  All passed their GI board examination at their first attempt.
  • On-call: On-call commitment is 1 in 9 nights and weekends, covering RI hospital and the VA Medical Center only. Call is equitably spaced across each PGY year.
  • Teaching: fellows supervise residents and medical students on GI electives and lead small groups at the Brown Alpert medical school during the students 2nd year GI curriculum. 
  • Salaries (2019-2020):
    PGY4 $67,750

    PGY5 $71,000

    PGY6 $73,500

 GI FELLOWSHIP TRAINING APPLICATION

The Brown University Fellowship Program is a participant in the National Residency Match (http://www.nrmp.org/fellowships/medical-specialties-matching-program). Application for a position in the Brown gastroenterology fellowship is through the electronic residency application service https://www.aamc.org/students/medstudents/eras/fellowship_applicants/

For inquiries relating the fellowship contact Lorie Griffin,  Program Coordinator, at lgriffin@lifespan.org or Dr. Steven Moss, Program Director at Steven_Moss@brown.edu