beth israel deaconess medical center a harvard medical school teaching hospital

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Hepatology Fellowship Curriculum

Our curriculum is based on the recommendations of the the Gastroenterology Leadership Council: the American Association for the Study of Liver Dieases, the American College of Gastroenterology, the American Gastroenterological Assocation, and the American Society for Gastrointestinal Endoscopy for advanced (Level 2) training in Hepatology.

Clinical Fellowship

The Clinical Fellowship lasts 1 year. Clinical activity includes continuous exposure to clinical care, both inpatient and outpatient. The trainee participates in three or four outpatient clinics per week, both pre-transplant and post-transplant. The trainee participates in one session per week of endoscopy and performs one to two liver biopsies per week. The trainee attends at least four conferences per week, including: hepatopathology, lecture series or journal club, transplant selection committee, tumor board, and morbidity and mortality conference. Moreover, the trainee is expected to contribute to presentations at all of the above conferences at some point in time. Regarding inpatient care, the trainee is expected to help care for the ICU hepatology patients on a daily basis. This includes rounding with the on-service attending each morning and contributing to the education of residents and GI fellows.

Duty Hours

The trainee works an 8-10 hour workday, Monday through Friday. They take weekend call on average once per month. Weekend call usually runs from 9 AM until 3 PM, and the trainee is expected to be available from home at all times, and come to the hospital for emergency cases like acute liver failure or gastrointestinal bleeding.

Conferences

The Trainee will be given the opportunity to attend one international conference during the year of training.

Clinical and Basic Research

Liver fellows are encouraged to enter a research track in either basic or clinical research. There are more than 20 clinical research projects underway in Hepatology and Transplant. Fellows are encouraged to apply for extramural research funding and to enter a formal research program.

Feedback

All fellows are assessed every 3 months by all liver attendings and the GI Fellow evaluation form is utilized. Fellows are also encouraged to give feedback on the teaching and training program. All Fellows meet and discuss their progress and the program with the Faculty Dean biannually.