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What to Expect & Rotations

What to expect

  • Work room for gastroenterology fellows in the clinic building
  • Laptop with token for remote access to electronic medical record and imaging
  • An iPhone to facilitate taking call (there is a pager as a backup)
  • $1500 educational stipend
  • 15 days vacation and 5 days educational leave
  • $720 Health and Wellness stipend
  • $3500 housing stipend
  • $1000 relocation stipend

A sample schedule by fellowship year is provided below. General principles include:

Night and weekend call

First-year fellows are on call approximately two weekdays a week and one weekend a month. Second-year fellows are on call one weekday a week and one weekend month.

Outpatient clinic

Continuity Clinic runs throughout the year for one half day per week. There are additional half day out-patient clinics for IBD and Complex Liver Disease throughout the year for fellows to attend when not taking in-patient call.

Training sites

Most clinical duties will be at KP San Francisco’s main campus (2425 Geary Boulevard, located in the center of San Francisco). The Esophageal Advanced Training program and 2 months of In-patient consults in your second year will occur at Kaiser Oakland, a 45-minute commute by car or mass transit from San Francisco Medical Center. A liver transplant rotation will be at UCSF, a 10-minute commute from the main San Francisco Kaiser Campus. There will be no call responsibilities at the San Francisco medical center when at the UCSF or Oakland sites.

Conferences

A 40-week comprehensive gastroenterology introduction and review course on key topics will be held every year taught by local faculty, regional or outside experts. There will be rotating weekly or twice weekly conferences on GI Case presentations, complex liver disease, QA, QI, Journal Club, Research review, and IBD review board.

Research

All fellows are expected to participate in research and quality improvement projects. The research will largely utilize retrospective data collected among the >4 million members in Kaiser Permanente Northern California (KPNC), although prospective trials are also in progress. This represents one of the world’s largest comprehensive data sets including procedure, pathology, radiology and comorbidity data. KPNC residency and fellowship programs are equipped with a dedicated GME Research Project Mananger, a strong Division of Research with >50 investigators, >600 staff (analysts, project managers, etc.) and a dedicated bio-statistical unit for assisting with projects related to graduate medical education. Mentorship is available from knowledgeable research faculty with extensive project experience with KPNC.

Rotation/Activity
PGY-1
PGY-2
PGY-3
Inpatient Acute Consultation Service, San Francisco 6 months
2 months
Outpatient Consultation/follow-up Clinic, San Francisco 1 month
Endoscopy Lab/Simulation Training/Research Mentoring 2 months
Inflammatory Bowel Disease Clinic 1 month
Advanced Endoscopy 1 month
2 months
2 months
Small bowel capsule/enteroscopy 1 month
Advanced Esophageal Training, Oakland
2 months
In-Patient consults/procedures, Oakland
2 months
Liver Transplant, UCSF
2 months
Imaging and Pathology, San Francisco
1 month
Endoscopy Lab/Research (on or off-site)
2 months
Research (on or off-site)
3 months
Electives (on or off-site)
1 month
3 months
Advanced Motility, Vallejo
1 month
Surgical Care/Nutrition, San Francisco
1 month
Total 12 months
12 months
12 months
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