A critical part of a fellow’s clinical training is the outpatient experience. For this experience, fellows are required to attend a continuity clinic one-half day each week during which time they see gastroenterology patients they can follow through the entire three years of training. Patient continuity is stressed as part of the fellow’s education. The faculty members of the Division of Pediatric Gastroenterology and Nutrition provide oversight at this clinic as attending physicians.
While on the clinical inpatient service, the fellow will perform daily rounds with the attending physician. The fellow will function in the role of attending when relating to house staff providing:
- Relevant articles about interesting cases
- Supervision in developing differential diagnoses, problem oriented lists and care plans
- Education regarding typical GI, liver and nutrition problems
The fellow on the inpatient service has the responsibility to organize and develop treatment plans and diagnostic evaluation plans for pediatric patients with a variety of gastrointestinal, hepatologic and nutritional problems on the GI service. Evidence of the fellow's process is provided by direct observation by the attending physician on service while on rounds and review of the fellow's notes on each of the individual patient charts.
Daily consults are done by the fellow and attending on the inpatient service. The residents/house staff on the GI rotation has the option of rounding on consult patients. It will be the fellow’s responsibility to assess consults first, then present to the attending on service a prepared differential diagnosis and treatment plan.
Our inpatient clinical service is distributed so the primary group of patients with hepatologic, gastrointestinal and nutritional problems are located at Children’s at Egleston. Inpatient consults referred by other subspecialty services and general pediatrics are also seen at Children’s at Egleston by the fellow and attending on the inpatient service.
Occasional consults are also seen at Children’s at Hughes Spalding while neonatal consults are seen at Grady Memorial Hospital and Crawford W. Long Hospital in the NICU.