Gastroenterology Postgraduate Program

The Division of Gastroenterology subspecialty program is a fully accredited two-year residency.  Residents enter the program after completing three years of internal medicine.  The first year of the GI training program allows residents to complete their requirements for internal medicine and to write the internal medicine Royal college examinations.  After completing the second year of the GI program, residents qualify to write the gastroenterology examinations of the Royal College.

The GI program in the Department of Medicine has always been recognized as a strong clinical program, with excellence in resident teaching.  The large referral base of the Ottawa hospital provides an excellent opportunity for residents to see a multitude of common and rare medical conditions and emergencies as well as outpatient gastroenterology related illnesses.  This large referral base also exposes residents to a multitude of both emergency as well as routine endoscopic procedures including a variety of specialized procedures. This large referral base provides a strong foundation for our teaching program – facilitating both clinical teaching as well as research opportunities.

Participation in IBD Rounds, Academic ½ Day, M&M Rounds, journal Club and GUT Club are expected over the course of both years regardless of which rotation the resident is doing.

Longitudinal clinics occur in both years.  In the first year one half day per week is given to a longitudinal clinic in general gastroenterology.  In the second year one half day per week is given to a Longitudinal Liver Clinic with either Dr. Tom Shaw-Stiffel or Dr. Linda Scully.  A similar ½ day per week is give to a longitudinal Inflammatory Bowel Disease Clinic under the supervision of Dr. Saloojee or Dr. Sy.

Longitudinal clinics allow residents the opportunity to perform the initial consultation, and then follow these patients.   These one-half day per week clinics allow the residents to take on the primary caregiver role and therefore the resident is expected to attend these clinics while on their general GI clinic rotations.  The residents are exempt from these clinics only during elective and research periods.  The longitudinal clinics have been an excellent learning experience for our residents and have been highly rated by them.

The program has benefited greatly from the development of the inflammatory bowel disease clinic at the Ottawa hospital.  This clinic serves the needs of the inflammatory bowel disease population by providing a multidisciplinary clinic including a General Surgeon, a Gastroenterologist, and the support of nutrition services.  The clinic has allowed the creation of an IBD longitudinal clinic as well as provided opportunities for research projects.  Currently Drs Saloojee and Sy attend IBD clinic as does Dr. M. Friedlich from the Department of Surgery.

Being a small program, we have the luxury of having a very close relationship with our residents and an open door policy.  Both the program director and the division chief are easily approachable and responsive to the needs of the residents.  Residents also have close contact with the rotation supervisor and undergo a post rotation evaluation, which also gives the staff an opportunity to discuss matters of career planning, and any concerns the residents may have.  The program director meets with the residents every six months to formally go over their evaluations and to also discuss career planning and any concerns they may have.

Strengths of This Program

  • Diverse clinical experience afforded by the large referral base.
  • Protected educational time. Very good service to educational ratio making this an excellent clinical training program with a record of producing solid gastroenterology.
  • The members of the division are dedicated clinical teachers.
  • The program administrator works tirelessly to better the program, Spearheading such initiatives as videoconference equipment, and the GI website. Through her diligence, the program runs seamlessly.
  • Longitudinal clinics provide residents with a feeling of ownership over patient care. Residents form long term physician-patient relationships and witness the effects of management decisions.
  • Multidisciplinary IBD clinic allows a concentrated exposure to IBD patients and collaboration with surgeons and other personnel.
  • The multitude of rounds, Journal clubs, and Gut clubs ensures a complete exposure to issues in Gastroenterology.
  • The enthusiasm of our colleagues in pathology, radiology and surgery add to the learning experience of our residents.