GASTROENTEROLOGY
PRESBYTERIAN HOSPITAL
| GE01P Comprehensive Gastroenterology |
| Course Director: |
Dr. Reuben J. Garcia-Carrasquillo, (212) 305-1021, rjc3@columbia.edu |
| Coordinator: |
Ms. Helena Logan, (212) 305-4583 or (212) 305-4593, hl2040@columbia.edu |
| Given: |
August through June |
| Maximum: |
2 students per month |
| Start Date/Time: |
First weekday of the month, 7:30 AM |
| Site/Location: |
Columbia University Medical Center, Atchley Pavilion, 13th floor |
| Description: |
Provides direct clinical experience with and the opportunity to learn the pathophysiology of diseases of the GI tract and liver.
Learning Experience: Students will be integrated into GI consult service rounds at PH. Rounds are made 4-5 days a week by two GI fellows and an attending gastroenterologist. Students will also be exposed to the endoscopic procedures done daily by the consult service team and will develop an appreciation of the indications, utility and limitations of various procedures.
They will be able to view endoscopic images on a video screen.
A sizable portion of the patients seen suffer from acute GI hemorrhage and students will learn about the management of these cases. Students will also be able to participate in weekly GI and Hepatology clinics and all weekly conferences including Journal club and biopsy conference. Students will also have the opportunity to visit research labs in the division and discuss with the faculty involved the significance of the work being done.
Feedback: Continuous throughout the elective.
Evaluation: Will be based on a consensus of all faculty members involved in the student's education in this course. |
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| GE03P GI Clinical Research |
| Course Director: |
Dr. Jonathan David, (914) 337-6400, jd165@columbia.edu |
| Given: |
All year |
| Maximum: |
1 student per month |
| Start Date/Time: |
First weekday of the month, time to be arranged (contact course director) |
| Site/Location: |
Site/location to be arranged (contact course director) |
| Description: |
Colon cancer is the second leading cancer killer in the US, but screening for this has been encouraged by medical societies beginning only a few years ago.
Compliance is very poor, and there is controversy as to which method is best. The instructor is interested in three avenues of research:
- Demonstrating that colonoscopy is a better screening method that FOBT or flexible signoidoscopy
- Screening colonoscopy in the elderly (efficacy, cost effectiveness)
- Barriers to screening, especially at the level of the primary care physician (e.g. surveying primary care doctors about their knowledge and practices)
Objectives: To gain experience in clinical research, and to learn about colon cancer screening.
Learning Experience: The student will work closely with the instructor on clinical research projects relating to a colon cancer screening. Ideally, the student will be involved in study design, implementation, and manuscript preparation, in anticipation of publication in a peer review journal.
This elective is ideal for students interested in gastroenterology, oncology, or epidemiology.
Since projects often take many months to complete, the course is best for students early in the academic year so they can follow a study through to completion. However, this is by no means necessary.
Feedback: Continuous throughout the elective.
Evaluation: By the instructor. Students should call very early in the academic year, even if they are planning to take this course later in the year. |
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| GE04P GI Clinical Preceptorship |
| Course Director: |
Dr. Jonathan David, (914) 337-6400, jd165@columbia.edu |
| Given: |
All year |
| Maximum: |
1 student per month (contact the course director if full) |
| Start Date/Time: |
First weekday of the month, time to be arranged (contact course director) |
| Site/Location: |
Site/location to be arranged (contact course director) |
| Description: |
The instructor is a gastroenterologist in private practice in Riverdale (near the Allen Pavilion) and lower Westchester County.
The student will work with him in all his clinical and academic duties, including: consultations in the office and hospitals, observing procedures in the office and hospital and on rounds with fellows and residents.
Objective: To learn clinical gastroenterology in a community-based academic private practice.
Learning Experience: Clinical gastroenterology, some exposure to clinical GI research, practice management.
Feedback: Continuous throughout the elective.
Evaluation: By the instructor. |
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| GE05P Health Care Economics Research |
| Course Director: |
Dr. Jonathan David, (914) 337-6400, jd165@columbia.edu |
| Given: |
All year |
| Maximum: |
1 student per month |
| Start Date/Time: |
First weekday of the month, time to be arranged (contact course director) |
| Site/Location: |
Site/location to be arranged (contact course director) |
| Description: |
Description: The instructor is a gastroenterologist in private practice affiliated with the Columbia Alliance of Healthcare Management (CAHM), a collection of faculty from P&S, The Mailman School of Public Health, and Columbia Business School. He has broad experience doing endoscopy procedures in many settings, including his office endoscopy center, community hospitals, tertiary medical center, and a public city hospital. He is interested in the variations in health care delivery in these settings–preliminary research has shown that the cost of doing procedures varies greatly without any effect on quality.
Some preliminary ongoing studies:
- an examination of the bureaucracy of Medicare certification of endoscopy centers, and how cost of care is affected
- an investigation of the amount of ancillary work incident to outpatient endoscopy, and how this work varies among practice settings
- a review of safety and efficacy of office endoscopy, compared to endoscopy in a certified facility.
Objective: to gain experience in health care economics research, and to learn about issues in health care utilization.
Learning Experience: The student will work closely with the instructor on a clinical research project. Ideally, the student will be involved in study design, implementation, and manuscript preparation, in anticipation of publication in a peer-reviewed journal.
This elective is ideal for students interested in health care economics, utilization, or public health, especially joint MD/MBA or MD/MPH students. Since projects often take many months to complete, the course is best for students looking to stay at Columbia for residency, so they can follow a study through to completion. However, this is by no means necessary.
Feedback: Continuous throughout the elective.
Evaluation: By the instructor.
Note: Students must speak with the instructor before registering. Preferably, they should call very early in the academic year, even if they are planning to take this course later in the year. |
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MARY I. BASSETT HOSPITAL
| GE20C Digestive Diseases |
THIS ELECTIVE IS NOT OPEN TO VISITING STUDENTS.
Columbia P&S students must have prior approval from the Office of Medical Education, (888) 547-6349. |
| Course Director: |
Dr. Thomas Brasitus |
| Course Coordinator: |
Ms. Leann Smith, (888) 547-6349, leann.smith@bassett.org |
| Given: |
All year, housing is provided. |
| Maximum: |
1 student per month |
| Start Date/Time: |
First Monday of the month, 8:30 AM |
| Site/Location: |
Bassett Hospital, One Atwell Rd., Cooperstown NY, Medical Education Office |
| Description: |
Provides diagnostic and management experience with a wide spectrum of disorders related to the Digestive Diseases.
Objectives: Students will be taught to improve bedside skills. The student will be expected to attain familiarity in clinical decision-making, and an understanding of the indications for the usual and specialized techniques for the diagnosis and treatment of Digestive Diseases.
Learning Experience: The student is afforded intensive involvement in the practice of modern gastroenterology as seen in a rural acute care diagnostic referral hospital, working directly with the course faculty and a second- or third-year medical resident, in both inpatient and outpatient settings.
Proper history taking and physical examination and interpretation of GI imaging procedures will be stressed as the student answers consultations and works up new outpatients in the GI Clinic.
There will be ample opportunity to become familiar with the various technical procedures of gastroenterologic practice. Clinical work is supplemented by weekly clinical management conferences and rounds, journal club and GI medical and surgical problem rounds, pathology conferences, and other didactic sessions pertaining to gastroenterology and general medicine.
Conferences to be attended: Internal Medicine Conference on Monday and Friday; GI Journal Club on Wednesday; Bassett Biliary Center (BBC) on Tuesday.
The student will be expected to share in the formal presentations at some of these conferences.
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HARLEM HOSPITAL
GE40H Gastroenterology |
| Course Director: |
Dr. Jay Cowan
Ms. Debbie Blocker, (212) 939-1430, db133@columbia.edu |
| Course Coordinator: |
Ms. Leann Smith, (888) 547-6349, leann.smith@bassett.org |
| Given: |
August |
| Maximum: |
1 student per month |
| Start Date/Time: |
First day of the month, 9:00 AM |
| Site/Location: |
Harlem Hospital Center, 135th St. and Lenox Ave., Division of Gastroenterology
Martin Luther King, Jr. Pavilion, Room 13-106 |
| Description: |
The course emphasizes clinical training in gastroenterology hepatology.
Learning Experience: Students are required to take an active role in daily consultations on the wards. Cases are presented daily to the supervising attending. The GI fellows, residents and students participate in the discussion of the differential diagnosis, the plan for evaluation and treatment. Weekly conferences held by the division include journal club, and pathophysiology. Pathology is held two times a month. Students are asked to prepare at least one conference. The procedures can be visualized by the videoendoscopy system.
Feedback: Continuous throughout the elective.
Evaluation: Will be based on a consensus of all faculty members involved in this course.
Faculty: Drs. Emmanuel Gbadehan, Alfred Gaymon, and Jonathan David. |
ST. LUKE'S – ROOSEVELT HOSPITAL CENTER
ST. LUKE'S SITE and ROOSEVELT SITE
| GE50L Gastroenterology |
| Course Director: |
Dr. Donald P. Kotler, (212) 523-3670, dkotler@chpnet.org |
| Coordinator: |
Ms. Valerie Gray, (212) 523-3680, vgray@chpnet.org |
| Given: |
All year |
| Maximum: |
2 students per month (exchange students permitted) |
| Start Date/Time: |
First day of the month, 8:00 AM |
| Site/Location: |
St. Lukes-Roosevelt Hospital Center, St. Luke's Hospital, Styvesant 4, Endoscopy Suite
114th and Amsterdam Ave., New York NY |
| Elective Schedule |
M-F 8am-5pm |
| Description: |
This course is provided by the merged Gastrointestinal Service at the St. Luke's and Roosevelt Hospital.
Objective: The course is intended to provide the student with a broad exposure to gastrointestinal and hepatologic disorders.
The student will be an integral member of the consultation service, will be able to evaluate and follow referred patients under the supervision of a gastroenterology fellow and attending physician, and participate in the discussion of all patients seen by the gastroenterology service.
Learning Experience: In this setting, they will learn to elicit a precise and well directed gastrointestinal history, and perform a complete physical examination of the abdomen. The student will be expected to deliver a focused differential diagnosis and offer a plan of management. The student will be expected observe the diagnostic, endoscopic and therapeutic procedures or his/her consults. He/She will be taught to review radiologic and histologic studies pertaining to their patients. The student will attend a gastrointestinal clinic weekly and gain experience in outpatient gastroenterologic problems under attending supervision. The student is expected to read selectively regarding patient problems as well as selected topics in pathophysiology and clinical gastroenterology. The student will be required to attend and participate in the many educational sessions of the Gastrointestinal Service, including Journal Club, Physiology Seminars, Gastrointestinal Pathology, Radiology conferences and Research conferences. This elective is ideally suited for a student who is contemplating a career in internal medicine, gastroenterology or surgery.
Feedback: Continuous throughout the elective.
Evaluation: Will be based on a consensus of the supervising attending involved in the student's education in this course.
Please note that once approved, students MUST contact the course director and coordinator two weeks prior to the start date of the elective.
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