BWH Gastroenterology and Hepatology Fellowship Program Information

The mission of the Gastroenterology and Hepatology Training Program at the Brigham and Women's Hospital is to train physician-investigators and future academic leaders in Gastroenterology.  The program is integrated with the Brigham and Women’s Faulkner Hospital and the VA Boston HealthCare System, for which the Brigham and Women's Hospital (BWH) serves as the parent institution.  Some of the formal gastroenterology teaching activities are conducted jointly with the Beth Israel-Deaconess Medical Center, Boston Children's Hospital, and the Harvard School of Public Health, thus providing our trainees with exposure to a wide range of clinical material and an array of qualified senior staff gastroenterologists with varied interests and specialized research and clinical expertise.

The program has been under the leadership of Dr. Stephen C. Wright (Program Director) and Dr. Molly L. Perencevich (Associate Program Director) since 2013.  In July, 2017 Dr. Perencevich will become the Program Director. 

Please note that you have a choice of applying to one of two distinctive tracks: the Basic Science Research Track , in which training in the laboratory is emphasized; and the Academic Clinical Research Track, in which training in clinical research methods is provided.

We are participating in the Electronic Residency Application Service (ERAS).  Once you have completed your application and are ready to select Brigham and Women's Hospital as the institution to which you are applying, please indicate to which of the two program tracks you are applying:  Basic Science Research or Academic Clinical Research (please note you may only choose one track ).

Our program participates in the National Fellowship Matching Program ("The Match") and is listed under "Research Track".

Applications must be completed in ERAS no later than August 15, 2017*; however, earlier application is strongly encouraged.

* Applicants should note that the GI Division of Brigham and Women's Hospital will participate in the Gastroenterology Match program for the 2018 Fellowship application cycle.

NOTE:  Foreign citizens must have a permanent resident visa to qualify for funding in our Basic Science Research Track.

PLEASE READ!!-- Partners Policy regarding USMLE Completion for residents

 

Gastroenterology and Hepatology Fellowship Training Program

Gastroenterology and Hepatology Fellowship Training Program

During the first year of training, the emphasis is on clinical gastroenterology and hepatology in the broadest sense with a focus on inpatient care.  The year includes rotations on the consult services at Brigham and Women's Hospital (7 months), Faulkner Hospital (2 months) and its affiliate Lemuel Shattuck Hospital (1 month), and the VA Boston Healthcare System (2 months). There are 34 clinical faculty members at the Brigham and Women's Hospital, 8 at the Faulkner Hospital, and 7 at the Veterans Administration hospitals.  Clinical training includes a broad exposure in gastrointestinal and liver diseases, gastrointestinal radiology, nutrition, and pathology.  The clinical service at Brigham and Women's Hospital averages 200 consults per month, the service at the Faulkner Hospital averages 100 consults per month, and the service at the West Roxbury Veterans Administration Medical Center average 80 consults per month.  A rotation at the Lemuel Shattuck Hospital (an affiliate of Faulkner Hospital) provides additional training in liver disease, liver biopsies, and gastrointestinal manifestations of AIDS.  Consulting rounds are made on a daily basis with the gastroenterology faculty.

Our program provides the majority of clinical training during the fellow’s first year to allow her or him to focus on academic pursuits during the second and third year of fellowship (see additional information about the tracks below).  However, fellows continue to receive clinical training in the outpatient setting and in endoscopy.  Each trainee sees patients in a weekly outpatient continuity clinic for all three years.  They also have a weekly endoscopy session during which they refine their skills in diagnostic and therapeutic endoscopy.  Fellows also provide some coverage on the consult services and vacation coverage.  Additional required training is provided to the fellows in capsule endoscopy and gastrointestinal motility by dedicated faculty.  Elective experiences in a broad range of GI and non-GI fields are also available, including inflammatory bowel disease (at the Crohn’s and Colitis Center), esophagus/motility, hepatology, transplant hepatology (MGH), pancreas, and GI oncology (Dana Farber Cancer Institute).

The program provides extensive training in a variety of diagnostic and therapeutic endoscopic procedures.  Each trainee can expect to perform at least 300 upper gastrointestinal endoscopies and colonoscopies, and to participate in specialized procedures.  An advanced endoscopy service comprised of attendings and an advanced endoscopy fellow provides services in ERCP, EUS, and additional advanced procedures.  Fellows receive broad exposure to inpatient and outpatient hepatology through time on the consult services and hepatology clinic.  The hepatology section includes 3 board certified transplant hepatologists who actively see patients at Brigham and Women’s Hospital and also work in the Massachusetts General Hospital liver transplant program.  There is an elective available for fellows in transplant hepatology which takes place at Massachusetts General Hospital.

Formal conferences include a weekly didactic conference that focuses on all areas of Gastroenterology and Hepatology, a clinical case conference every other week (Combined Longwood Gastroenterology Conference) involving the three teaching institutions of the Harvard Medical School area (BWH, Beth Israel-Deaconess Medical Center, and Boston Children’s Hospital), clinical research conference, journal club, endoscopy conference (including quality assurance), liver conference, liver histopathology conference, inflammatory bowel disease conference, pancreatic disease conference, motility conference, and board-preparation conference, and a monthly research seminar held jointly with the Harvard Digestive Diseases Center. The Division also has an active visiting scientist program.  Our trainees play a major role in the teaching of house-staff and Harvard medical students at the hospitals through which they rotate.

Basic Science Research Track

The Basic Science Research Track fellowship is designed specifically for fellows who desire a career in basic laboratory research and are prepared to make a major commitment to basic scientific research. 

During the second and third years of the Basic Research Track, which may be funded through our NIH Institutional Gastroenterology Training Program, the emphasis is on rigorous scientific training in laboratory research, with limited clinical responsibilities (i.e., fellows participate in one weekly outpatient continuity clinic initiated in year one and the procedures related to that clinic) and a subspecialty clinic.  In addition, Basic Research Track trainees participate for approximately two-four weeks per year on the inpatient consult service.  Trainees are expected to initiate, organize and conduct their own experiments in the laboratory under the guidance and close supervision of a preceptor within the Division or the Harvard Medical Area.  Because of the proximity to, and close ties with, the basic science departments at Harvard Medical School and the Massachusetts Institute of Technology, trainees will have the opportunity to develop projects and to receive training in a variety of basic disciplines, utilizing molecular and cell biological, biochemical, physiological, biophysical, physical-chemical or immunological techniques.  The Brigham and Women's Hospital, together with the Harvard Medical School, Children's Hospital Boston and Beth Israel-Deaconess Hospital, has been designated as a Digestive Diseases Center by NIH and is the recipient of a Digestive Diseases Center Award.  This Center facilitates close interaction and collaboration among investigators with interests in the digestive and hepatic-pancreatico-biliary systems in these institutions.  Research interests of the faculty at Brigham and Women's Hospital and the VA Boston HealthCare System vary widely but all of the laboratories share equipment and expertise and interact closely in a collegial atmosphere.  The Division also has been designated as a Center for Autoimmunity, which, together with the Dermatology and Neurology divisions, is funded to study autoimmune diseases such as Inflammatory Bowel Disease.

The following members of the academic research faculty, who participate in the Gastroenterology and Hepatology Training Program, provide a wide scope of research activities in virtually all of the major scientific disciplines.

Richard S. Blumberg, MD
Wolfram Goessling, MD, PhD
Raj K. Goyal, MD
Matthew J. Hamilton, MD
Hiroshi Mashimo, MD, PhD
Sahar Nissim, MD, PhD
Scott B. Snapper, MD, PhD
Carlo G. Traverso, MD, PhD
Jerrold R. Turner, MD, PhD
Zhenglun "Jerry" Zhu, MD, PhD

OTHER SELECTED PROGRAM FACULTY
Richard Maas, M.D., Ph.D. (Department of Genetics, BWH)
Thomas Roberts, Ph.D. (Dana-Farber Cancer Institute)
Charles Serhan, Ph.D. (Department of Anesthesiology, BWH)
Cox Terhorst, Ph.D. (Department of Immunology, Harvard Medical School)

Academic Clinical Research Track

The Academic Clinical Research Track fellowship is designed specifically for fellows who desire a career in academic gastroenterology and are prepared to make a major commitment to clinical research.

The first two months of the second year are spent at the Harvard School of Public Health.  The curriculum includes required courses in biostatistics and epidemiology, as well as electives such as decision analysis, ethics, policy and management, or health policy.  For the remainder of the year it is expected that the fellow will work with a mentor, develop plans for projects in clinical research, and apply for research funding.  The third year is devoted to ongoing clinical research under the supervision of their mentor.  In addition, it is possible for some fellows to take additional courses and obtain a Master’s degree in Public Health.  Clinical Research Track trainees participate in brief inpatient clinical rotations during the second and third year, as well as their weekly continuity clinic and endoscopy sessions.  They are also encouraged to do clinical electives that fit their interests and future plans.

The following are members of the academic clinical research faculty in a wide range of disciplines.

Hiroyuki Aihara, MD, PhD
Jessica Allegretti, MD, MPH
Peter A. Banks, MD
Robert Burakoff, MD, MPH, FACG, FACP
Walter Chan, MD, MPH
Disentuwahandi Punyanganie De Silva, MD, MPH
Stephen J. Drewniak, MD
Sonia Friedman, MD
Alison Goldin, MD, MPH
Norton J. Greenberger, MD
Nikroo Hashemi, MD, MPH
Jennifer Inra, MD
Kunal Jajoo, MD
Richard S. Johannes, MS, MD   
Joshua Korzenik, MD
Linda S. Lee, MD
Ramona Lim, MD
M. Valerie Lin, MD
Wai-Kit Lo, MD, MPH
Frederick L. Makrauer, MD
Julia McNabb-Baltar, MD, MPH
Jennifer Nayor, MD
Molly L. Perencevich, MD
Ruma Rajbhandari, MD
Anna E. Rutherford, MD, MPH
Marvin Ryou, MD
John R. Saltzman, MD
Helen Shields, MD
Sapna Syngal, MD, MPH
Christopher C. Thompson, MD
Jerry S. Trier, MD

We hope the information provided will be useful in your evaluation of our comprehensive program.  We appreciate your interest and look forward to receiving your application.

NOTE: Foreign citizens must have a permanent resident visa to qualify for funding in our Basic Science Research Track.

For more information on the Basic Science Research Track or the Academic Clinical Research Trackcontact
Clayton Bemis(617) 525-7743.

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