Training

Rotations

Clinical activities in patient and outpatient facilities/areas with a full array of pediatric and related services and full range of pediatric subspecialists.

Inpatient

• Active participation, leadership, teaching and mentoring experiences throughout training
• Member of GI Admissions and consultation team
• Member of GI and Nutrition team

Outpatient

• Continuity clinic half clinic session throughout training
• Participation in clinics with special focus
• IBD
• Celiac disease
• Hepatology
• Eosinophilic esophagitis
• Transplant Hepatology

On call for ER, referring physicians and for urgent patient evaluations are experiences that improve several aspects of competency based training (eg. patient care, knowledge, interpersonal communications, professionalism, systems based practice, etc.)

Procedures

• State of the arts faciliteis to support a busy and exciting service of specialized GI diagnostic and therapeutic procedures
• Diagnostic EGD (and biopsy)
• Diagnostic Colonoscopy (and biopsy)
• Flexible sigmoidoscopy (and biopsy)
• Ileoscopy via ileostomy (and biopsy)
• Polypectomy
• Hemostasis in GI bleeding
• Variceal band ligation, sclerotherapy, heater probe, argon plasma coagulation
• Percutaneous endoscopic gatrostomy
• Liver biopsy
• Dilation of esophageal strictures
• Foreign body retrieval
• Rectal suction biopsy
• Capsule endoscopy
• Esophagela pH-Multichannel impedance
• Breath hydrogen testing
• Pancreatic stimulation
• Calorimetry

Call

In accordance with the current ACGME guidelines.

Electives

2nd and 3rd year fellows further their experience in GI related disciplines (eg Transplant, Pathology, Radiology, Surgery)

Research

The 2nd and 3rd year fellows are devoted mainly to research in basic science or clinical projects.

Scholarly Activities

• The scholarly experience must begin the first year and continue throughout training
• Timely development of requisite skills, project completion and presentation to scholarship oversight committee, in accordance with American Board of Pediatrics certification requirements.
• GI Research Lab is currently engaged in the following routine clinical and research related activities
• Analysis of intestinal disaccharidases
• Analysis of pancreatic functions (enzymes of exocrine pancreas)
• Detection of gastric in tracheal and middle ear fluid

Current Research Projects

• Identification of macrolipase, macroamylase, and gastric lipase from remnant serum samples PI: Karoly Horvath. Co-investigator: Prateek Wali
• Plasma levels of Ghrelin and Obestatin in children with failure to thrive and obesity. PI: Karoly Horvath Co-investigators: Prateek Wali and Jeremyh King
• Retrospective analysis of digestive enxyme activities in comparison to the histological changes and clinical characteristics of children. PI: Karoly Horvath Co-investigators: Seema Khan, Beth Loveridge-Lenza, and Prateek Wali.
• The efficacy of montelukast versus oligoantigenic diet in the treatment of Esoinophilic Esophagitis and use of serum and stool ECP in the follow-up of EE. PI: Seema Khan Co-investigators: Stephen McGeady, Zhaoping He, and Dalal Tonb.
• An open-label safety and efficacy study of reslizumab (CTX55700) for the treatment of pediatric subjects with eosinophilic esophagitis who completed study RES-5-0002. PI: Seema Khan Co-investigators: Karoly Horvath and Kim Klipner
• Complementary and Alternative Medicine (CAM) Use in Pediatric Irritable Bowel Syndrome and Functional Dyspepsia: A Pilot Study. PI: Seema Khan Co-investigators: Alycia Leiby, Amy Barone, and Jobayer Hossain