USF GI Division is dedicated, alongside with ACGME, to help reduce burnout and help physicians discover joy and meaning in their work. Our mission is to provide equity throughout the years of training and not burden first years with an overwhelming amount of call and consult requirements. As seen below, while each training year will build in therapeutic and clinical skillset, alongside development of independent practice, the years are divided up rather equitably.

• Year 1: The goal of the first year is to develop basic procedural competencies in diagnostic upper endoscopy and colonoscopy, provide patient care in both outpatient and inpatient setting, and acquire diagnostic, prognostic and treatment skills, under the guidance of attendings.
• Year 2: The second-year fellow will have increased responsibilities during consultations and therapeutic procedures, including with junior fellows and rotating residents and students. They should learn to assess and care for a larger volume of patients and should perform diagnostic upper endoscopy and colonoscopy and begin to perform therapeutic maneuvers with direct supervision.
• Year 3: The senior fellow should demonstrate rapid assessment and planning skills and near-attending level care planning and management, while teaching medical students and other trainees at near-to or exceeding attending level teaching. Year III fellows should be able to perform diagnostic and therapeutic upper endoscopy and colonoscopy procedures, with direct supervision available.
• All 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.

All GI fellows 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 fellow also is required to prepare at least one scholarly manuscript suitable for publication during the three-year program. One to three 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.

Fellows take home-call for GI or hepatology emergencies at Tampa General Hospital and VA Medical Center. All fellows of any year will contact staff with new consults for review and decision-making consultation.