Inflammatory Bowel Disease Fellowship
This program has been in existence for over 10 years. Approximately 12 individuals have completed the program over that time.
Duration: 6 months, 12 months or 24 months
Prerequisite Training/Selection Criteria: Eligible for a medical license (limited, temporary or full) in the Commonwealth of Massachusetts and Board eligibility in General Internal Medicine or completion of equivalent Internal Medicine Training in another country. Excellent academic achievement and a demonstrated interest in pursuing a career in patient care and research in Inflammatory Bowel Disease.
Goals and Objectives for Training
The treatment of Inflammatory Bowel Disease (Crohn's disease and Ulcerative Colitis) has changed significantly in the last 10 years. Advances in pharmacologic therapies, imaging modalities and molecular markers have revolutionized management of patients with these conditions. This has been reflected in the development of Centers of Excellence and dedicated scientific meetings to assist gastroenterologists in caring for this
patient population. A number of tertiary referral centers have now established sub-specialty fellowships in Inflammatory Bowel Disease (IBD) to allow trainees with an interest in these conditions to obtain appropriate skills in managing these complex diseases. As a major Center of Excellence in IBD, BIDMC has one the largest IBD clinical practices in this region, with over 4,000 patients seen here. Although we have mentored a small number of trainees with a research interest in IBD, we have not provided interested fellows with an opportunity for formal structured training in IBD.
The goal of this program is to develop and mentor fellows to become academic gastroenterologists with expertise in the management of patients with IBD. The objectives of this program will be to provide fellows with experience and expertise in;
Out-patient diagnosis and treatment of patients with Crohn's disease and ulcerative colitis (IBD)
Practical use of novel biologic therapies such as anti-TNF and anti-integrin antibodies, and evolving experimental treatments
Advanced imaging techniques with Narrow-Band Imaging, PET-CT scanning, and MR enterography
Management of severe IBD in the in-patient setting, including an understanding of the timing and type of surgical interventions
Use of nutritional and complementary therapies for mild-moderate disease
Clinical research skills such as data collection and analysis, IRB processes and human research training
Cross-disciplinary collaborations with nursing, radiology, surgical and research staff
Program Certifications: This program has been reviewed and recognized by the BIDMC General Education Committee.
Program Director: Alan C. Moss, MD
Assistant Director: Adam S. Cheifetz, MD
Gastroenterology Program Director: Ciarán P. Kelly, MD
Other Teaching Faculty: Mark Peppercorn, MD; Simon Robson, MD, PhD; Kenneth R. Falchuk, MD; Jacqueline L. Wolf, MD
Facilities: All rotations are conducted at Beth Israel Deaconess Medical Center. Fellows will spend time in the Gastroenterology Clinic.
Educational Program - Basic Curriculum
The program will include supervised ambulatory care clinics, endoscopy sessions, educational conferences and an opportunity to undertake clinical research.
Clinics - under the supervision and guidance of Alan Moss MD, Adam Cheifetz MD and Mark Peppercorn MD. These clinicians have regional and international recognition in IBD management and diagnosis.
Endoscopy - endoscopy sessions would provide supervised experience in surveillance colonoscopy, use of Narrow-Band Imaging, and management of strictures.
Formal Teaching - The Brigham & Women's IBD meeting and the BIDMC IBD Rounds occur on a monthly basis and include teaching on difficult IBD cases. Fellows' teaching each Wednesday includes a number of sessions on IBD. The Med-Surg combined conference allows for discussion with surgical colleagues on complex cases. The Longwood GI meeting includes cases from Children's Hospital Boston, thus including pediatric cases of IBD. Independent literature review will be encouraged.
Research - there is an active research program that includes clinical trials, outcomes research and translational studies using patient samples. Fellows will be encouraged to undertake a clinical research project as part of the fellowship.
Progression by PGY Level - In their second year, trainees will devote greater attention to academic development. They will also be expected to submit grant applications, meeting presentations and manuscripts for publication. Their clinical training will focus on the management of complex and complicated IBD cases, pre-surgical evaluation, management of patients failing standard therapy and management of special patient populations, including IBD in pregnancy, IBD in the elderly and IBD with short bowel syndrome.
Outcomes of Program Graduates
Graduates of the program will be prepared for a career as an academic gastroenterologist with an interest in IBD. The program will develop individuals for "Clinical Expertise / Innovation" or "Investigator" career tracks.