Resident Information

CONTACT INFORMATION

Contact the GI office, Memorial Medical Center, D417, at least one week prior to provide on call schedule. Phone number is 545-0173.

Supervisor:

Howard Chodash, MD
Memorial Medical Center D417

Faculty:

Howard Chodash, MD
Stuart Torgerson, MD
Raymond Farrell, MD
Jatinder Ahluwalia, MD
Mei Chris Huang, MD

EDUCATIONAL PURPOSE

During this rotation, though clinical and academic interactions, residents will improve their skills in consultation for patients with biliary, hepatic, and gastrointestinal problemsas well as inpatient and outpatient management of patients with biliary, hepatic, and gastrointestinal problems.

TEACHING METHODS

Conferences:

Weekly Journal Club/Path. Conference 8-9am 1st Thursday of each month @ SJH and 2nd, 3rd and 4th Thursday of each month @ MMC.

Required Departmental Conferences 1200 MWThF Memorial Medical Center/St. John’s Hospital
GI Physiology & Clinical Lectures Noon Every Tues. Memorial Medical Center
Medicine Grand Rounds 0800 Every Tues.(Sept-June) Memorial Medical Center

Rounds:

Daily with attending physician (approximately two hours)

Clinics:

Resident Continuity Clinic as assigned. Residents will attend the ambulatory GI clinic Monday and Wednesday afternoon.

MIX OF DISEASES, PATIENT CHARACTERISTCS and TYPES OF CLINICAL ENCOUNTERS

Common Conditions:

GI bleeding PUD
Acute and chronic pancreatitis IBS
Inflammatory bowel diseases Gastroparesis & other GI motility disorders
Diarrhea/constipation Cirrhosis
Chronic hepatitis Biliary tract obstruction
Choledocholithiasis Nutritional deficiencies
Colon polyps and cancer Helicobacter pylori
GERD GI Malignancies

Setting:

Inpatient/outpatient management
Consults
Endoscopy lab observation of procedures

PROCEDURES

Procedures:

Perform Observe/Perform
Anoscopy Liver biopsy
Flex sig Proctoscopy
Paracentesis

SERVICES

Consultation for patients with biliary, hepatic, and gastrointestinal problems. Inpatient and outpatient management of patients with biliary, hepatic, and gastrointestinal problems.

READING LIST

AGA Medical Position Statement on Management of Oropharyngeal Dysphagia and Technical Review on Management of Oropharyngeal Dysphagia. Gastroenterology 1999; 116:455-478.

AGA Technical Review: Treatment of Pain in Chronic Pancreatititis. Gastroenterology1998; 115: 765-776.

AGA Medical Position Statement: Evaluation of Dyspepsia. Gastroenterology 1998; 114:579.

AGA Medical Position Statement: Irritable Bowel Syndrome. Gastroenterology 1997; 112:2118.

AGA Medical Position Statement: Guidelines for the Management of Malnutrition and Cachexia, Chronic Diarrhea, and Hepatobiliary Disease in Patients with HIV Infection. Gastroenterology 1996; 111:1722.

AGA Medical Position Statement: Guidelines for the Use of Enteral Nutrition. Gastroenterology 1995; 108: 1280.

Peptic Ulcer and Its Complications. Sleisenger and Fordtran’s Gastrointestinal and Liver Disease, 6th Edition; 620-78.

Acute Pancreatitis: Medical and Surgical Management. The American Journal of Gastroenterology 89: 578-585.

Recommendations for Prevention and Control of Hepatitis C Virus (HCV) Infection and HCV-related Chronic Disease. MMWR 47 (RR-19) 1998.

Suggested Technique for Fecal Occult Blood Testing and Interpretation in Colorectal Cancer Screening (brief summary). Ann Intern. Med 1997 May 15; 126(10):808-10.

ACG Physician Reference Guide: Keys to the Diagnosis & Treatment of Inflammatory Bowel Disease.

PATHOLOGIC MATERIAL

Reviewed on a case by case basis with attending physician and pathologist where appropriate to patient care.

OTHER EDUCATIONAL RESOURCES

METHOD OF EVALUATION

Evaluation of resident by standard performance evaluation form, formal direct observation, and evaluation by ancillary staff. Resident feedback by both face-to-face meeting and written evaluation. Program and faculty evaluation by standard performance evaluation form and face-to-face meeting.

LEVEL OF SUPERVISION BY FACULTY

Residents with little experience in the skills needed will observe and practice physical exam skills under direct supervision of attending physicians, while those with more experience will work with patients in concert with attending physicians.

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