The Gastroenterology Fellowship at Baylor College of Medicine offers the Academic Clinical Track and the Research Track.
Academic Clinical Track
The clinical track is a three-year program for fellows who intend to enter clinical academic practice upon completion of the training program. The emphasis is on clinical gastroenterology and hepatology with the opportunity for more formal clinical research training.
The fellowship program is based at several hospitals and clinics, including Michael E. DeBakey Veterans Affairs Medical Center, Ben Taub Hospital, and Baylor St. Luke’s Medical Center. These training sites provide a diverse experience in different clinical environments.
First-year fellows split their at the MEDVAMC, BSLMC, and Ben Taub Hospitals on general GI services. Second-year fellows divide their time among the following rotations: BSLMC; hepatology; research; and general GI. The third year allows the fellows to develop sub-sub specialty expertise and hone their ability to function as a consultant.
Focused rotations are available in hepatology, IBD, and motility. During the second and third year, fellows are exposed to ERCP, but this experience is not designed to train to proficiency. During all three years, fellows will have a weekly continuity clinic at Ben Taub.
We offer research training in Digestive Disease Epidemiology and Outcomes.
The research track is a comprehensive four-year program for those who plan to pursue a research career. The research track will include 24 months of clinical rotations. All fellows must complete a minimum of 18 months of clinical gastroenterology training to be permitted to sit for the GI board exam. The other two years will include graduate school work, mentored research and career development activities.
Funding for the research track fellowship is primarily from Institutional Public Health Service fellowships. Salaries from federal sources carry a year-for-year payback that requires the fellow to work in an academic setting after completion of training. Because of these funding considerations, applicants to our research programs must be either US citizens (by birth or naturalization) or hold a permanent immigrant visa status (green card).
Salary is commensurate with cumulative experience. Research fellows on training grants are paid according to the current NIH pay scale. Please refer to the NIH notice in regard to stipends. Stipend amount is determined by the number of previous years of related work experience, including lab time, private sector time, hospitalist time, and time as chief resident.
We are anticipating accepting applications for our T32 track again for the 2018-2019 Academic year.
Each clinical fellow has one half-day per week of continuity clinic. In this clinic, fellows see four to five new patients and four to five return patients. This clinic is precepted by several GI attendings. In addition, fellows participate in the following subspecialty clinics: general liver clinic, IBD clinic, and motility clinic/lab.
The GI section is active in several clinical venues:
The MEDVAMC has a faculty of 13 gastroenterologists and hepatologists. There is an active inpatient GI as well as a separate inpatient hepatology consult service that follow 15-20 patients on average per day. The GI Endoscopy Center at MEDVAMC consists of five endoscopy rooms and performs an average of 8,000 procedures annually.
The GI service at BTH has a faculty of five gastroenterologists. The endoscopy center consists of four endoscopy rooms and performs approximately 5,000 procedures annually, both on in patients and outpatients. The fellows’ continuity clinic is at Ben Taub and provides exposure to a wide variety of clinical conditions in both gastroenterology and hepatology.
Baylor St. Luke's Medical Center practice involves a busy tertiary referral practice. Patients are referred by local physicians and community gastroenterologists from inside and outside Houston. The faculty perform about 3,000 endoscopic procedures annually.
Specific areas of clinical expertise in the section include:
Our Gastrointestinal Motility laboratories at MEDVAMC and Baylor St. Luke's Medical Center offer high resolution esophageal manometry, Bravo wireless pH monitoring, and impedance-pH monitoring. Our Motility laboratories perform an average of 300 procedures per year. The fellows have an opportunity to observe and aid in the performance of these procedures, and they receive instruction on their interpretation. In addition, during a dedicated luminal rotation, they have an opportunity to see patients in the MEDVAMC and Baylor motility clinic, where they are exposed to patients with GI motility issues.
Inflammatory Bowel Disease
Four faculty members have a focused practice in IBD providing tertiary referral care, clinical trials, and an active clinical research program.
The Transplant Hepatology group is comprised of six faculty members. There is an active transplant program with > 100 liver transplants annually. Additionally there is an extremely busy clinical trials program focused on viral hepatitis, and other liver diseases.
There is an active advanced endoscopy group of seven gastroenterologists spanning the Baylor hospitals providing ERCP/EUS and other innovative endoscopic procedures.