The second and third years of training are primarily research oriented. The half-day per week in the outpatient clinic continues throughout training. Fellows provide weekend coverage once a month and brief coverage for vacations. Fellows also have one to two months of elective or on-service time during each of the second and third years of fellowship training.
During the first month of the fellowship program, fellows participate in a department-wide didactic course addressing many areas critical for careers in academic medicine, including:
- Critical literature review
- Computer use
- Statistical epidemiology
- Research design
- Grant or proposal writing
A research project will be designed well in advance of starting the research portion of the fellowship. The project will be designed along with a research oversight committee in keeping with the Accreditation Council for Graduate Medical Education (ACGME) and American Board of Pediatrics (ABP) requirements. The oversight committee will consist of a primary mentor from within the division, or a mentor from within the basic or epidemiological sciences or a funded established researcher(s) from the Department of Pediatrics. Training can encompass basic or clinical projects.
Once data are generated, fellows analyze the data with standard computer programs under the supervision of a mentor. Then, fellows write the data in the format of a manuscript and submit it to an appropriate journal for publication.
The goal is to have a project that provides enough data to generate a:
- First author peer-reviewed manuscript
- Presentation on original research for national and international meetings
- "Niche" and set of tools that can be further developed and applied to a successful career in academic medicine
Fellows maintain a role in teaching house officers, medical students and other allied health professionals primarily with:
- Activities in ward round
- Patient evaluation on the wards
- Gastroenterology clinics
- Didactic lectures (at least once per year)
While on inpatient service, fellows perform all of the diagnostic and therapeutic procedures on patients in the gastroenterology or hepatology inpatient service and those patients for which consultation has been rendered under the direction of a board-certified pediatric gastroenterologist.