A maximum of one resident at a time is assigned by the pediatric residency program director to the Division of Gastroenterology and Nutrition for a 4-week rotation.

Each resident should set his or her own schedule in consultation with the faculty who are covering the inpatient and procedure services.

As a resident rotating with our division, you are expected to:

• observe and perform procedures where assessed as safe and appropriate by the attending physician
• perform a minimum of 6 consultations on hospitalized children over the course of your rotation
• attend a minimum of 2 clinic sessions (each clinic session is a half-day)
  

Each rotating resident is strongly encouraged to prepare an end-of-rotation presentation on a topic of interest to you. The topic should be chosen with input from the attending near the beginning of the rotation. During the rotation you should try to gain insight into the chosen topic so that by the end of the rotation you have a comprehensive understanding of it.

As a physician-in-training, it is expected that you will consult the literature before presenting cases to the attending physicians. It is important to understand the reason for the original consultation. You are encouraged to review the clinical guidelines and position statements available online at the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN).

Review of the following topics available online are strongly encouraged:

1. constipation
2. gastroesophageal reflux
3. abdominal pain
4. cholestasis
5. celiac disease

Throughout the GI rotation, you are expected to have a good understanding of the following clinical problems frequently encountered in the primary care setting. You also are expected to formulate an evaluation and management plan for the problems listed below. Attending faculty and fellows are available should you request tutorial (informal or formal).

• Evaluation of neonatal cholestasis
• Liver disease in older children and teenagers
• Reflux/GI motility
• Chronic diarrhea—CF, dietary induced diarrhea, celiac disease
• Public health nutrition—obesity, growth and development, formula composition, abdominal pain/hyperalgesia
• Inflammatory bowel disease—histopathology, diagnosis, treatment

Your topic of interest will be presented based on your clinical exposure, as well as on new scientific and medical discussions.