- 1. UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINEADVANCED
SUBSPECIALTY TRAINING PROGRAM IN GASTROENTEROLOGYThe Division of
Digestive Diseases and Nutrition of the Department of
InternalMedicine at the University of South Florida College of
Medicine offers an accreditedcomprehensive residency program in
clinical gastroenterology which consists of threeyears of training.
There are two positions available this year. Our program no
longerparticipates in the Medical Specialties Matching Program.
Upon completion of thistraining, the individual will have met the
training requirements for qualification to takethe American Board
of Internal Medicine Subspecialty examination in
Gastroenterology(see attached: Goals and Objectives, Curriculum).
The training program has been fullyaccredited since its inception
by the ACGME. The Subspecialty Board pass rate for thelast two
cycles of residents has been 100%.I. Facilities A. Tampa General
Hospital:The gastroenterology unit at TGH consists of a suite of
five examinationrooms, offices, conference room, and other support
areas. The unit isequipped with fluoroscopy and video endoscopy.
The latest equipment fordiagnostic and therapeutic endoscopy is
available, including a Nd-YAG laserand esophageal, biliary and anal
manometry unit. Staffing consists of a full-time member of the
faculty, a first, second and third year GI resident;
andintermittently medical residents and medical students, as well
as sixgastrointestinal assistants. A consultant service is provided
for this 1000-bedgeneral hospital. An outpatient clinic meets once
a week. B. James A. Haley Veterans Administration Hospital:The
James A. Haley VA Hospital is a 600 bed facility. The
newGastroenterology Unit consists of a laboratory, three endoscopy
procedurerooms, a recovery room and offices. A full range of upper,
lower and biliaryGI endoscopic procedures are performed. The unit
is equipped with videoendoscopy and fluoroscopy.Esophageal
manometry, 24 hour pHmonitoring, Nd:YAG laser therapy and EUS
equipment are available. Fourfull-time GI assistants are available.
The GI consult service is staffed by afull-time member of the
faculty, a first, second and third-year GI resident, anurse
practioner, and intermittently a medical resident, and medical
students.Three outpatient clinics meet each week to care for
consultation and follow-up patients. C. USF College of Medicine
Clinics:The GI Facilities include the Center for Swallowing
Disorders and the newEndoscopy and Ambulatory Surgery Center which
is fully equipped foroutpatient endoscopy. The clinic building is
attached to the College ofMedicine which is located on the USF
campus and across the street from theTampa VAH.The Endoscopy and
Ambulatory Surgery Center is staffed by four full-timeassistants.
Faculty members attend to private patients in the clinic onassigned
days each week and may be assisted by GI residents.In 1987 the
Center for Swallowing Disorders (CSD) was established toprovide
tertiary level consultation and therapy for patients with both
2. neuromotor and obstructive types of dysphagia. Procedural
training foroutpatients and inpatients at USF Medical Clinics and
Moffitt Cancer Centerwill include upper endoscopy, complex
esophageal stricture dilation forbenign and malignant diseases,
pneumatic dilation for achalasia, botoxinjection, esophageal
protheses for malignant obstruction, esophagealmanometry and 24
hour pH studies for gastroesophageal reflux. Emphasiswill be placed
on the cognitive aspects of the diagnosis and management
ofdysphagia. D. H. Lee Moffitt Cancer Center and Research Institute
:This 162 bed tertiary care center opened in November 1986 and
provides thelatest in medical and surgical techniques for the
diagnosis, therapy andextended care for patients with malignant
diseases. The center recentlyreceived comprehensive cancer center
status from the NCI, the only facility inFlorida with this
designation. The gastroenterology services include a
dailyoutpatient consultation clinic; a 7 room, fully equipped
diagnostic andtherapeutic endoscopy unit and physiology laboratory
including Nd-YAGlaser, fluoroscopy, manometry, EUS equipment, argon
plasma coagulationand endoscopy. Full inpatient consultation
services, including nutritionsupport, are provided by our Division.
E. Libraries:There are excellent libraries in each hospital with a
complete collection ofjournals and textbooks. The College of
Medicine Library provides the servicefor computerized national and
international bibliographic literature search inaddition to an
extensive collection of textbooks and journals.II. GI Resident
Responsibility: A. Patient Care:1. The team (staff physician,
resident and students) is responsible for each patients 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 3. important part
of the care team and has significant teachingresponsibilities.
There is opportunity to participate in rounds of thehepatic
transplant team at TGH. 5. Regularly scheduled outpatient hours are
assigned for ambulatory carepatent management at both VAH and TGH.
Clinic patients are seen byappointment one half day each week. Each
resident will also be assignedto 2 faculty members in the USF
Clinic for 18 months each. This willprovide a continuity of care
for the outpatient experience covering theentire 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
examinationmethods, 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 gastro-enterology service at All Childrens
Hospital in St. Petersburg on an elective basis. III. Rotations: An
example of a typical rotation follows. Rotations may
changeaccording to number of residents/year, service load and
educational needs: Jul Aug SeptOctNovDecJan FebMar Apr May June1st
Yr VAH TGH TGH RES VAH TGHTGHRES TGH VAH2nd Yr VAH TGH RES VAH TGH
TGHRESVAH TGH MCC3rd Yr TGH MCC VAH RES TGH VAHVAHRES PEDSMCC IV.
Conferences: 4. Basic Science Conference - Friday, 7:30 - 8:30 AM,
weekly, Veterans Administration Hospital. Research Conference -
Friday, 7:30 - 8:30 AM, monthly, as part of the pathophysiology
schedules. X-Ray Conference - Friday, 7:30 - 8:30 AM, monthly, V.A.
Hospital Medical Grand Rounds are held on Thursday at Noon at the
Medical Center. TGH GI Surgery-Radiology Conference - A
multidisciplinary conference held Tuesday, 4:00 - 5:00 PM TGH
Gastroenterology Conference - Tuesday, 5:00 PM - 6:00 PM. The
format for the GI conference varies from week to week: faculty
lecture, clinical conference, endophotography imaging and
hepatology, alternative with GI pathology on consecutive weeks. GI
Journal Club and QA, Risk Management Conference - evenings,
monthly. Postgraduate Courses - are conducted by the Division, and
usually involve some participation by the residents from the
Division. A guest faculty of internationally known experts join the
USF faculty.V. Administrative Data: A. Salary:The salary structure
for postgraduate training at USF is based on the level ofprior
postgraduate training and experience. Residents are paid
bi-weekly.Malpractice and disability insurance are provided while
working in Universityaffiliated facilities. Group health insurance
is available for individuals andfamilies. B. Communicable Disease
PreventionPrior to beginning training at the University of South
Florida and its affiliatedinstitutions, you must complete a
Certification of Communicable DiseasePrevention form before patient
contact will be permitted. C. Uniforms: White coats are provided
for all residents. D. Pagers: Long-distance pagers are assigned to
all residents. E. Parking: There is adequate parking at all
facilities. F. Vacation: Three weeks of vacation is granted each
year. G. Meeting time: Up to 1 week is provided to attend
out-of-town G.I.meetings/conferences/courses. The Division provides
funds to attend onenational meeting per year. 5. H. Residents must
have a valid Florida medical license.VI. Applications:Applications
and supporting documents (typewritten) must be completedand
submitted no later than December 31. A recent black and
whitephotograph (2" x 3") must be signed along the margin and
attached to theapplication. Note: International Medical Graduates:
Applicants must holda J-1 visa or Resident Alien Registration card
at the beginning of thefellowship. They must have completed three
years of General InternalMedicine Residency in a U.S. accredited
training program. Only completedapplicant files, including all
supporting documents and letters ofrecommendation, will be
considered for review. Following review ofthese documents, personal
interviews will be granted to qualified candidates.For further
information you may write or call the Division of DigestiveDiseases
and Nutrition academic office. Telephone: (813) 974-2034; FAX:(813)
974-5333; e-mail: [email protected] published and in
press, as well as past research will only beconsidered under the
following circumstances: 1) originals/copies ofpublished papers
must be submitted; 2) letter of acceptance from thepublisher must
be submitted for all accepted articles or articles in press; 3)past
research has to be independently verified by a letter from
thepreceptor/research advisor or supervisor, or through
appropriatepublications.A transcript of your medical school record
and three letters ofrecommendation must be provided to complete the
application. Promptsubmission of the application and all required
documents will be theresponsibility of the applicant. No applicant
will be given final considerationfor interview until all documents
are received. Those applicants selected fora personal interview
will be notified by letter or telephone. Be certain youprovide us
with the proper telephone numbers required on yourapplication.
Telephone numbers are vital for notifying you of your
interviewdate. It may prove detrimental to scheduling of your
interview date if you failto complete this important section of
your application.Programs, activities and facilities of the
University of South Florida areavailable to all on a
nondiscrimination basis, without regard to race, color,creed,
religion, sex, age or national origin. The University is an
AffirmativeAction Equal Opportunity Employer.Please return your
application and supporting documents to the followingaddress:
Division of Digestive Diseases and Nutrition University of South
Florida College of Medicine Attn: Joanne Penders, Academic
Coordinator 12901 Bruce B. Downs Blvd., MDC Box 82 Tampa, Florida
33612-4799 Telephone: (813) 974-2034 Fax: (813) 974-5333 E-mail:
[email protected]
