The outpatient gastroenterology/hepatology rotation at UC San Diego Medical Center in Hillcrest is predominantly a first-year rotation. Fellows will see new and returning patients in a variety of hepatology and gastroenterology clinics including general hepatology, general gastroenterology, and liver transplant clinics. Fellows are expected to be very closely supervised by attending physicians in terms of outpatient consults, presentations, and endoscopic procedures. They will present every case to an attending physician. Fellows learn how to conduct outpatient hepatology and gastroenterology consultations efficiently and how to perform basic EGD, colonoscopies, and liver biopsies. They start to learn therapeutic procedures (i.e., esophageal band ligation in non-bleeding settings). All procedures are supervised by an attending physician who is present in the room.
Second- and third-year fellows on this rotation are expected to need less supervision by the attending physician than first-year fellows in terms of consults, presentations, and endoscopic procedures. Second- and third-year fellows are expected to provide more complete gastroenterology consultations; to be comfortable performing basic EGD, colonoscopies, and liver biopsies; and to be comfortable performing therapeutic procedures (i.e., actively bleeding variceal hemostasis). All endoscopic procedures are supervised by an attending physician who is present in the room.