USF’s Advanced Endoscopy Fellowship is a combined program with Moffitt Cancer Center that trains one fellow a year in advanced gastrointestinal endoscopic procedures. During the one year of training, participants will split their time evenly between Tampa General Hospital and Moffitt Cancer Center. The fellowship is one of the only programs in the country that combines training at a large teaching hospital and a top 10 cancer center. By spending 6 months at each site, the fellow will have the unique opportunity of comprehensive endoscopic training in both benign and malignant GI disease. The program is designed for recent gastroenterology fellowship graduates who wish to receive specialized training in EUS, ERCP and other interventional endoscopic procedures.

Tampa General Hospital

TGH is a 1,000 bed tertiary care referral center for West Central Florida, serves a population in excess of 4 million, and is the primary teaching hospital for USF.  The hospital is the 6th busiest transplant center in the country and performs over 100 liver transplants yearly. TGH is ranked #2 in Florida, and the GI division is ranked #34 in the country by U.S. News & World Report.

Moffitt Cancer Center

MCC is the first NCI-designated Comprehensive Cancer Center based in Florida and is a high-volume referral center for pancreatic cancer, gastric cancer, esophageal cancer, colorectal cancer, appendiceal cancer, HCC, cholangiocarcinoma and neuroendocrine tumors. MCC is ranked #8 on the U.S. News & World Report’s Best Hospitals for Cancer.

The fellow will develop a strong foundation in endoscopic management of both GI oncology and complex benign GI diseases. The fellow will be responsible for performing all advanced endoscopic procedures, documenting procedure notes, communicating appropriate information to patients / general GI team and following patients post-procedure. The fellow will NOT be responsible for seeing consults, doing general GI procedures or any inpatient service obligations. The advanced endoscopy fellowship is purposely structured this way to MAXIMIZE procedure volume for the advanced endoscopy fellow. While there will be no clinic responsibilities for the fellow when at TGH, there is a ½ day week of GI clinic with advanced endoscopy attendings at Moffitt.

Procedures Performed

Between both institutions, providers perform over 1,000 EUS and 600 ERCP procedures a year. Advanced fellows will gain exposure to the following procedures:

• EUS
• ERCP
• Spyglass Cholangioscopy
• EMR/ESD
• RFA / Cryotherapy
• Cystgastrostomy / Necrosectomy
• Enteral Stenting
• Endoscopic Suturing
• Deep / Balloon-Assisted Enteroscopy
• Interventional EUS (EUS GJ, EDGE)

Didactics

Comprehensive lectures on pertinent topics in advanced endoscopy will be given to the fellow by our faculty. The fellow will attend GI tumor board, liver tumor board, pancreas tumor board and pancreaticobiliary case conferences. The fellow will participate in monthly journal club and clinical case conferences.

Research

The fellow will be required to complete one mentored research project at TGH or Moffitt and participate in the Fellows’ Annual Research symposium. In addition, the fellow will present their research at a national meeting (i.e. DDW or ACG). The fellow will have access to a research coordinator and statistician to help with study design, implementation and analysis.