Clinical Training
Rotations
Inpatient Motility (One Month Block)
- Admit all motility patients and arrange plan of care with attending
- Write admission notes and follow-up on clean-out and care during at-home call and Saturday rounds (not to exceed 80 hours per week)
- Sign out all motility patients on a daily basis to the motility fellow on call and GI residents on call
- Prepare patient for OR/procedures (consent, catheters, NPO status, antibiotics, etc.), if needed and follow patient to IR
- Call schedule includes being available by beeper
- Review motility tracing with the in-charge attending and discuss results with the team
- Present results to family as a team with attending
- Present the cases on Friday morning
- Attend IR procedures (cecostomy)
Outpatient/Consult/Impedance (One Month Block)
- Three half days of clinic every week with Dr. Di Lorenzo
- Admit and follow all impedance patients
- Manage motility/impedance consults from inpatient services or ED
- Follow-up patients with rumination with psychologist and attending
Research/Writing
- Two half days of each week will be devoted to research and writing
- Expectation to have the research idea by end August, abstract by early December and one completed and another prospective paper in progress by the end of the year
- Submit internal grant application by the end of September
Acquiring Skills to Perform Motility Testing
The minimum number of each diagnostic motility test that a trainee must perform to attain the cognitive skills required to perform the test effectively are listed below:
- Esophageal manometry
- Esophageal impedance and pH monitoring
- Interpretation of video swallow studies
- Antroduodenal manometry
- Gastric emptying scintigraphy studies
- Gastric electrical stimulation placement
- Injection of botulinum toxin to the pylorus
- Colonic manometry
- Colonic transit studies
- Anorectal manometry (high resolution and 3-D) Rectal suction biopsies
- Injection of botulinum toxin to the anal sphincter
Didactic and Conference Attendance
- Fellows are required to attend all motility lectures except when they have approved time away
- Competency core lectures (If not completed during residency)
- Weekly clinical and translational research seminar series
- Monthly neurogastroenterology and motility research series
