Gastroenterology Elective Opportunities

General Objectives

These rotations take place under the main supervision of two staff gastroenterologists. During the rotation, the residents will spend time on the inpatient consult service. This is to allow exposure to the full breadth of gastrointestinal disease seen in the hospital setting. Residents will generally be involved in endoscopic procedures performed on patients they have seen in consultation.

Residents will also spend time in ambulatory care clinics and endoscopy clinics under direct staff supervision. Therefore, the main objective of this rotation is to gain a solid grounding in all aspects of the practice of gastroenterology.

Specific Objectives

Medical Experts:

  • Acquire a thorough knowledge of the range of clinical problems in the Gastroenterology.
  • Develop clinical skills required to accurately assess patients with GI disorders.
  • Demonstrate appropriate choice of lab, radiologic, endoscopic, and other investigations in diagnosis of GI disorders.
  • Function effectively as a consultant in the GI inpatient service and in ambulatory clinics.
  • Recognize ones limits by seeking appropriate consultation when required.

Communicator:

  • Display the ability to communicate effectively with patients and families and thereby establish a therapeutic relationship.
  • Learn the importance of actively involving patients so that they are partners in their ongoing care.
  • Elicit relevant information, not only from patients but from their families and other professionals in order to develop a shared plan of care.
  • Synthesize and convey patient information succinctly and accurately to GI staff in order to develop an appropriate management strategy.
  • Synthesize and convey patient information succinctly and accurately in a written format in the hospital chart an in clinic consultation reports.

Collaborator:

  • Work collaboratively with other in hospital services, particularly medicine and general surgery for the betterment of patient care.
  • Work collaboratively with radiology in choosing and arranging investigations.
  • Work collaboratively with pathology in the interpretation of endoscopic and liver biopsy results.
  • Work collaboratively with nurses in the endoscopy unit to ensure timely completion of endoscopic tests.

Manger:

  • Learn to manage time effectively on a busy inpatient consult service.
  • Learn to appropriately allocate finite hospital resources such as inpatient admissions, radiologic and endoscopic investigation. Learn to prioritize patients needing endoscopy in an appropriate fashion.
  • Serve in a leadership role as junior staff on the inpatient consults service.

Health Advocate:

  • Engage in health promotion where appropriate.¬† For example counsel smoking cessation in patients with Crohns. Counsel alcohol cessation in patients with liver disease.

Scholar:

  • Learn to search and critically appraise the literature as it relates to questions of patient care.
  • Use clinical material seen in this rotation to present at divisional rounds, academic half day an M&M rounds.
  • Use clinical material seen in this rotation to develop a research question for research block.
  • Take a leadership role in the education of junior residents and medical students on the inpatient consult service.

Professional:

  • Demonstrate a commitment to patients, the profession and society through the provision of ethical, honest, compassionate care.