Program Overview

Three fellows are selected each year based upon their clinical abilities and potential to become outstanding gastroenterologists and hepatologists. In the first year of the program, all trainees develop the clinical and procedural skills necessary to become competent as a sub-specialist in gastroenterology. Experience is gained in both the inpatient and outpatient setting with an emphasis on maintaining continuity of care.

Simulator training and hands-on demonstrations are provided to first year fellows prior to the start of clinical rotations as an introduction to endoscopy.  Procedures in which first year trainees become proficient include upper endoscopy, esophageal dilation, hemostasis, endoscopic treatment of varices, capsule endoscopy, colonoscopy and polypectomy. Continuity clinics include hepatology and general gastroenterology.

During the second year of training, protected time is provided for research. Those fellows with academic interests may be afforded more time for research or considered for the K30 Mentored Clinical Training Program which confers a Masters Degree in Medical Sciences. Under the guidance of a faculty mentor, each trainee is expected to develop a research proposal tailored to their interests and future goals. In addition, trainees gain experience with esophageal and anorectal manometry, pH studies, and chromoendoscopy.  Continuity clinics during this year are focused on gastrointestinal motility, inflammatory bowel disease, and nutrition.

The third year of training allows advanced training in endoscopic procedures, hepatology, nutrition, small bowel disorders, inflammatory bowel disease, motility and other areas of interest. Fellows are encouraged in this final year to pursue interests that align with their individual career goals.

Throughout the three years, trainees spend the majority of their time at UC Davis Medical Center (UCDMC), a 625-bed, university-based, tertiary medical center. UCDMC serves over 33 counties, covering a 65,000 square-mile area. Here, fellows have the opportunity to see a diverse patient population with complex and rare conditions.  In addition, fellows also rotate at the Sacramento Mather VA Medical Center.  The Mather VA is a tertiary inpatient and outpatient facility caring for United States military veterans with often complex chronic diseases and disabilities. Specialty care provided includes general gastroenterology, hepatology (pre/post-transplant), inflammatory bowel disease, and advanced endoscopic procedures such as endoscopic ultrasound and ERCP. Fellows perform procedures at both of these technologically advanced centers. Call is divided among all nine fellows. Fellows are responsible for night and weekend call at both UC Davis Medical Center and the Sacramento Mather VA Medical Center.

Throughout the year, one half-day per week is devoted to education of the trainees. Weekly board review, journal review, pathology rounds, radiology conference, and clinical case conference occur during this time.  In addition, weekly endoscopy conference, biweekly GI Grand Rounds, monthly Journal Club, and quarterly morbidity and mortality conference are also offered through the year.