During the first year of the Pediatric Gastroenterology, Hepatology and Nutrition Fellowship, fellows focus primarily on clinical training. Patient care takes place in both inpatient and outpatient settings.
A vital part of clinical training is outpatient service. Fellows are required to attend a continuity clinic one-half day each week during which time they see gastroenterology patients that they can follow through the entire three years of training. Patient continuity is stressed as part of each fellows’ education. Faculty members of the Division of Pediatric Gastroenterology and Nutrition provide oversight at this clinic as attending physicians.
While on clinical inpatient service, fellows perform daily rounds with attending physicians. Fellows 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
Fellows on inpatient service have 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. Attending physicians directly observe and review fellows’ notes on individual patient charts.
Fellows and attending physicians perform daily consults. Residents/house staff on the GI rotation have the option of rounding on consult patients. Fellows are responsible for assessing consults first, and then present a prepared differential diagnosis and treatment plan to the attending physician on service.
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 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 Neonatal Intensive Care Unit.