Gastroenterology

The Gastroenterology Fellowship Program of the Division of Gastroenterology of the Department of Medicine of the Columbia University Medical Center Affiliation at Harlem Hospital is a 3 year fellowship program that begins July 1 of the first year and ends June 30 of the last year. It is our belief that training gastroenterologists in a city hospital setting with its diverse and international patient population provides a unique opportunity to achieve excellence in clinical gastroenterology training. It is our goal to train knowledgeable, skillful, compassionate Level-I gastroenterologists who are lifelong learners and team players who will consistently improve the medical community of which they are a part. It is our goal that fellows will by direct clinical experience or didactic instruction accomplish the Level-I educational and training goals set forth in “The Gastroenterology Core Curriculum,” Third Edition (2007) which is endorsed by the major societies of gastroenterology (AASLD, ACG, AGA Institute, and ASGE).

Organizational and Supervisory Structure

The fellows are closely supervised by the attending Gastroenterology faculty who are in turn supervised by the Program Director. The program accepts one fellow per year. There are a total of 3 fellows in fellowship at any one time.

Joan A. Culpepper-Morgan, MD
Program Director
James Robilotti, MD
Associate Program Director
Beverly Olivier
Program Coordinator
Susan Siera
Administrative Assistant
Edward Lung, MD
Chief, Advanced Endoscopy
Ari Goldstein, MD
Faculty Attending
Richard Mones, MD
Faculty Attending

Fellowship Overview

Gastroenterology fellows are expected to progress from novice to at least competent over the 3 years of fellowship. Each year will build on the previous years’ experience through a combination of clinical exposure and didactic reinforcement. The first year is characterized by exposure to basic algorithms, diseases, and procedures.  The first year fellow is dependent on the judgment of the more senior fellows and the attendings.  The second year fellow gains experience and comfort with problem solving algorithms, disease entities, and procedures through repetition.  The second year gains awareness of the personal, patient related and environmental factors that may alter their practice of gastroenterology. This fellow handles routine problems independently but needs help and supervision for more complex issues. This fellow is expected to know when help is needed. By the third year the fellow should have integrated previously learned and practiced algorithms, disease states, and procedures as well as personal needs, patient preferences, and environmental constraints into a relatively seamless mode of practice.  This fellow will have reintegrated basic science pathophysiologic mechanisms into their understanding of disease. Most importantly the senior fellow will know how to solve problems that fall outside of routine algorithms and will know how and when to ask for help. The third year fellow is also a valuable resource for the junior fellows and provides mentoring and leadership.