TRAINING PROGRAMS AND FELLOWSHIPS
Brown University and affiliated hospitals (Rhode Island Hospital, The Miriam Hospital, and Providence Veterans Affairs Medical Center) offer a three year ACGME accredited training program in gastroenterology. The goal of the program is to prepare board eligible internists for a career in clinical or academic gastroenterology. The atmosphere is scholarly and provides a wide exposure to clinical gastroenterology and hepatology and to related clinical, translational and basic scientific research.
The Gastroenterology Division provides a particularly strong background in hepatology, gastrointestinal motility, inflammatory bowel disease and gastrointestinal malignancy. In the first year of fellowship (PGY4) one month is spent on the inpatient consult service at Rhode Island Hospital, one month on the inpatient consult service at the VA Medical Center and one month rotating through ambulatory outpatient and endoscopy blocks. This cycle is then repeated through the first year. The second (PGY5) year includes six months to develop a research program. There are many choices with particular emphasis on the molecular basis of gastroenterological and liver diseases, translational and clinical programs in inflammatory bowel disease, and clinical research in hepatology including viral hepatitis and NAFLD. Extensive experience in specialized endoscopic techniques is available at the PGY6 level, including diagnostic/therapeutic biliary and pancreatic endoscopy, pancreatic, esophageal and colonic stent placement and endoscopic ultrasound. Over the course of the program, each fellow will perform up to 2,000 endoscopic procedures.
Electives: Up to six elective months are available in the PGY5/6 years. In recent years hepatology, pediatric gastroenterology, radiology, pathology, liver transplantation and international programs have been popular.
Women’s Gastrointestinal Health: In the PGY5 year all fellows participate in the Center for Women’s Gastrointestinal Medicine at the Miriam Hospital. This rotation is focused on gastroenterological and hepatological problems related to pregnancy, and other gender-specific areas, including pelvic floor dysfunction and gastroenterological aspects of gynecological oncology.
This is intended for fellows who wish to develop an independent research career, and is designed to provide individuals with both a strong clinical background and the opportunity to pursue extensive training in basic research that will advance the understanding of the molecular basis of gastroenterological and hepatological diseases. Up to 18 months devoted research time is available within the three year fellowship.
Women’s Gastroenterological Health Pathway
For physicians who wish to develop an academic career in women’s gastroenterological health, this position is available once every three years. After the common PGY 4 year, fellows will be training mainly at the Miriam Hospital, developing the clinical and research skills to launch a career focused on women’s gastroenterological health.
|Journal Club||Rhode Island Hospital||Twice Monthly|
|Pathophysiology Seminar||Rhode Island Hospital||Weekly|
|IBD Conference||Rhode Island Hospital||Monthly|
|Case Management||Rhode Island Hospital||Twice Monthly|
|Board Review Course||Rhode Island Hospital||Monthly|
|Pathology||Rhode Island Hospital||Weekly|
|Research Group Meeting||Liver Research Center||Weekly|
|Research Journal Club||Liver Research Center||Weekly|
There are ten full-time physician/scientists, and twenty-four clinical participating faculty members, and each brings a unique quality to the Program. There are many N.I.H.- funded research programs, including the molecular biology of viral hepatitis B and C, hepatocellular carcinoma, NAFLD, gene therapy of gastrointestinal malignancy, gallbladder and esophageal smooth muscle physiology, esophageal motility disorders, H. pylori vaccine development and gastric cancer. Additional expertise is in therapeutic and interventional endoscopy, inflammatory bowel disease, and in clinical research protocols.