Digestive Diseases and Nutrition

Trainee Responsibilities

A. Patient Care

    1. The team (staff physician, resident and students) is responsible for each patient's care. Quality care for the individual patient is the goal of each physician team member.
    2. The first year GI resident has primary responsibility for patient care on consult services, is responsible for a comprehensive clinical evaluation and will perform upper GI endoscopy, flexible proctosigmoidoscopy, liver and small bowel biopsy and esophageal dilations under faculty supervision. Rotations are equally divided between VA and TGH consultation services. 
    3. The second year GI resident has responsibility for consultations and additional specialized procedures: colonoscopy and polypectomy, endoscopic hemostasis, percutaneous endoscopic gastrostomy, esophageal variceal sclerosis, laparoscopy and esophageal manometry. The GI resident is also responsible for the conduct of certain regularly scheduled teaching conferences. During three/four month rotations in the second year he/she will be assigned to the VAH, TGH consultation services, and for some rotations to the Moffitt Cancer Center. 
    4. The third year resident performs advanced therapeutic endoscopy like ERCP, EUS, laser therapy and clinical research, while remaining an important part of the care team and has significant teaching responsibilities. There is opportunity to participate in rounds of the hepatic transplant team at TGH. 
    5. Regularly scheduled outpatient hours are assigned for ambulatory care patent management at both VAH and TGH. Clinic patients are seen by appointment one half day each week. Each resident will also be assigned to 2 faculty members in the USF Clinic for 18 months each. This will provide a continuity of care for the outpatient experience covering the entire length of training during this weekly clinic. 

B. House Officers and Medical Students 

GI residents will assist the house officers and students in the development of clinical skills, knowledge and maturity in Internal Medicine and Gastroenterology. Primary GI resident responsibilities include: 

    1. Teaching patient care via basic history and physical examination methods, interpretation of laboratory and procedural data and therapy.
    2. Instruction in the development of logical approaches to clinical problems.
    3. Encourage in-depth reading on topics concerning patient care.

C. Research

GI residents are required to initiate and conduct their own project under supervision or assist in clinical investigation being conducted by a member of the faculty. Each GI resident also is required to prepare at least one scholarly manuscript suitable for publication during the three year program. Two months of protected time are provided in each year for pursuit of individual research. Support for attendance of national scientific meetings is dependent on submission of an abstract (second and third year). The division allows participation in one major scientific meeting a year per resident.

D. Pediatric Rotation

GI residents may rotate one month through the pediatric gastroenterology service at All Children’s Hospital in St. Petersburg on an elective basis.