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Northeast Iowa Medical Education Foundation Program Family Residency

Gastroenterology Fellowship

All Applications for the Parkview Medical Middle Gastroenterology Fellowship Program shall exist submitted through ERAS. Parkview Medical Middle's fellowship programs are all dually accredited and volition exist accepting both DO and MD applicants. However, regarding sponsorship, Parkview will only be considering J-1 visas with sponsorship through ECFMG on a example-by-case footing.

Equally per the recommendation of the workgroup from the Coalition for Doctor Accountability, Parkview Medical Center will follow the guidelines put out by the coalition for Bookish Year 2021-2022:

  • The work group recommends that for the 2021-2022 academic yr, away rotations resume no earlier than August 1, 2021.
  • We are now accepting inquiries, please send audition rotation inquiries to GraduateMedicalEducation@parkviewmc.com

General Objectives of the Gastroenterology Fellowship Program

The Fellowship programs seeks to provide candidates with the opportunity to get consultant level subspecialists, qualified to function as independent resource for the communities in which they exercise. The Fellowship plan provides an intensive clinical exposure, an extensive didactic plan, in which the Fellow is expected to actively participate, both every bit a student and a trainer, and an introduction to clinical research. While opportunities to participate in active research projects are available, this is non a inquiry based fellowship programme and candidates anticipating careers every bit medico-researchers are encouraged to seek training in programs more than closely suited to their called career paths.

CLINICAL Experience Fellows accept formal pedagogy, clinical feel, and demonstrate competence in the evaluation and management of the following disorders:

  • Disease of the esophagus
  • Acid peptic disorders of the gastrointestinal tract
  • Motor disorders of the gastrointestinal tract
  • Irritable bowel syndrome
  • Disorders of nutrient assimilation
  • Inflammatory bowel diseases
  • Vascular disorders of the gastrointestinal tract
  • Gastrointestinal infections, including retroviral, mycotic, and parasitic infections
  • Gastrointestinal diseases with an immune ground
  • Gallstones and cholecystitis
  • Alcoholic liver diseases
  • Cholestatic syndromes
  • Drug-induced hepatic injury
  • Hepatobiliary neoplasms
  • Chronic liver affliction
  • Gastrointestinal manifestations of HIV infections
  • Gastrointestinal neoplastic disease
  • Acute and chronic hepatitis
  • Biliary and pancreatic diseases
  • Women'southward wellness issues in digestive diseases
  • Geriatric gastroenterology
  • Gastrointestinal haemorrhage
  • Cirrhosis and portal hypertension
  • Genetic/inherited disorders
  • Medical management of patients under surgical care for gastrointestinal disorders
  • Management of GI emergencies in the acutely ill patient

Internal Medicine sub specialties have, as their base, excellence in Internal Medicine. The Fellowship Program seeks to build on previously established knowledge and skills. The successful candidate will demonstrate competence in the wide field of Internal Medicine. Excessive exposure to Gastroenterology during an Internal Medicine Residency, thus limiting training in the other aspects of Internal Medicine does not optimally prepare a dr. to specialize in these fields. The well-rounded candidate, demonstrating mastery of the master specialty, volition ultimately become a better consultant and physician. During the class of the Fellowship programme, the trainee will spend a considerable amount of time on services other than Gastroenterology. These rotations are expected to broaden the knowledge and experience of the Fellow in such areas (i.east. Radiology, pathology, Surgery, Infectious disease) which touch on directly on patients with Gastroesophageal Affliction.

The program emphasizes graduated responsibility with the Fellow gradually assuming responsibility nether the supervision of both the rotation supervisor and the Program Director. It is expected that the trainee volition interact closely with attending physicians and other consultants. The Young man serves as an educator, mentor and supervisor for junior business firm-staff. The Fellow is too expected to serve every bit a resource and assist to the Nursing Staff of the Hospital. The Beau volition be assigned to medical staff committees in a nonvoting condition with responsibilities commensurate with level of preparation and skill. Administrative responsibilities are assigned under the supervision of the Program Director. In order to part effectively in the medical environment, the Boyfriend must get aware of costs, cost containment efforts, and the medical-legal implications of clinical decisions.

Fellows will gain outpatient experience in the private offices of faculty members, typically once per week for an boilerplate of four hours.

The Fellow is encouraged to fix an annual scientific paper upon a subject acceptable to the Program Director. The newspaper is to be suitable for publication, and, following approval by the Plan Director and Director of Medical Didactics (DME) / Designated Institutional Official (DIO) should be considered for submission for publication to an appropriate peer-review journal. The newspaper may take the grade of an independent research projection, a instance study and review of the literature or such other form every bit the Programme Manager and DME / DIO may approve. If the paper is accustomed for presentation at a national briefing, the plan volition pay for the day of the presentation and one travel day associated with the conference. There may a possibility of coordination with the basic scientific discipline or translational research departments at CSU-Pueblo for inquiry projects too.

It is anticipated that the Young man will maintain membership in the American College of Gastroenterology. During the course of the Fellowship programme the Fellow is encouraged to attend at least one of the annual meetings of these organizations. The choice of meetings is subject to the approval of the Programme Manager. The goal is for the Swain to gain exposure to the professional societies they will collaborate with for the residue of their career.

The program will pay for each fellow to sit down for the Gastroenterology Board Review Form at the end of their tertiary year. Payment will include the toll of the course, airfare, room and board up to $2,000.00.

The Fellow is expected to proceeds competence in the clinical and ancillary evaluation of patients presenting with symptoms potentially arising from gastroesophageal illness. Listed beneath are procedural skills which should exist caused by the trainee during the form of the program. The Programme Director, advised by the kinesthesia members, serves equally the last arbiter of competence and satisfactory completion of the goals and objectives of the training plan.

Technical and other skills

one. Fellows have formal pedagogy, clinical experience, and must demonstrate competence in the functioning of the following procedures. A skilled preceptor must be available to teach and supervise the beau during these procedures, which must be documented in each fellow'due south record, giving indications, outcomes, diagnoses, and supervisor. Assessment is based on a formal evaluation process.

  • Esophagogastroduodenoscopy (EGD) (fellows must perform a minimum of 130 supervised studies).
  • Esophageal dilation (fellows must perform a minimum of 20 supervised studies).
  • Flexible sigmoidoscopy (fellows must perform a minimum of 30 supervised studies).
  • Colonoscopy with polypectomy (fellows must perform a minimum of 140 supervised colonoscopies and 30 supervised polypectomies).
  • Percutaneous liver biopsy (fellows must perform a minimum of twenty supervised procedures).
  • Percutaneous endoscopic gastrostomy (fellows must perform a minimum of 15 supervised procedures).
  • Biopsy for the mucosa of the esophagus, tum, small bowel, and colon.
  • Gastrointestinal motility studies and 24-60 minutes pH monitoring.
  • Nonvariceal hemostasis, both upper and lower (fellows must perform 25 supervised cases, including x active bleeders).
  • Variceal hemostasis (fellows must perform a minimum of twenty supervised procedures).
  • Other diagnostic and therapeutic procedures utilizing enteral intubation.
  • Moderate and witting sedation.

2. Fellows must take formal instruction and clinical experience in the interpretation of the following diagnostic and therapeutic techniques and procedures:

  • Gastric, pancreatic, and biliary secretory tests
  • Enteral and parenteral alimentation
  • Pancreatic needle biopsy
  • ERCP in all its diagnostic and therapeutic applications
  • Imaging of the digestive system, including:

- Ultrasound, including endoscopic ultrasound

- Computed tomography

- Magnetic resonance imaging

- Vascular radiography

- Contrast radiography

- Nuclear medicine

- Percutaneous cholangiography

Fellowship Curriculum

Clinical

  • iii years clinical
  • Mandatory inquiry fourth dimension throughout all three years, more heavily emphasized in first two years of fellowship
  • First year fellows will complete a ½ twenty-four hours continuity clinic twice per week. Second and third yr fellows will complete one half 24-hour interval of clinic in one case per week. The days assigned will be dependent on whether they are in Dispensary A, Dispensary B, or Clinic C.

The fellowship training program is a full-time training plan that must be of a minimum of 36 months in duration.

  • A minimum of 33 months must include supervised direction of patients (clinical rotations)
  • A minimum of 12 months of grooming must be spent in whatsoever combination of the following
    • Inflammatory bowel disease, endoscopic ultrasound transplant medicine, move, diet, hepatology, oncology, biliary tract disease, advanced endoscopy including ERCP.
    • A minimum of five months must exist spent in a hepatology rotation
    • A minimum of 1 month rotation must focus on a gastrointestinal motility disorders

GI Conferences

Monday's Conferences:

  • Every quaternary Monday of the calendar month: Morbidity and Bloodshed briefing at 0700. Lectures volition be split between Pulmonary and Gastroenterology fellows in collaboration with the Internal Medicine Residents.

Tuesday's Lectures & Conferences:

  • Start, second, and 3rd Tuesday of the block (7am): GI Lecture Serial* details below
  • Quaternary Tuesday of the cake (7am): Pathology Conference

Wed's Conferences:

  • First Wed of Month: Medicine 1000 Rounds (0700): Fellows volition attend all grand rounds despite presenting or not presenting. This will help to enrich their internal medicine groundwork and go along them up-to-date on numerous topics.
  • 2d, tertiary and fourth Wednesday of the Block: GI – Mayo Board Review Videos (0700)

Thursday'due south Conferences:

  • Get-go Thursday of the month (every other Th): Journal Club (0700)
  • Alternating with Journal Club: Example Conference/ Review (0700)

Friday'southward Briefing:

  • DDSEP9 Q & A

Clinical Case Conference will be held every other Thursday, alternating with Journal Club, during which GI fellows present current or recent interesting clinical cases for discussion past the entire GI partition about proper diagnostic evaluation and management.

Grand Rounds will be held monthly on the offset Midweek of the calendar month at 7am, for faculty, fellows, and customs gastroenterologists that cover broad areas of clinical gastroenterology.

Fellows Journal Club & Research Update To review pertinent GI articles recently published in the literature; to critically review all aspects of a published article. It is likewise a time for fellows to update the faculty on the progress of their inquiry projects. Periodical Social club will exist held on Thursdays, alternating with Clinical Case Conference.

Research Seminar is presentations by fellows, kinesthesia, or invited speakers regarding GI basic or clinical inquiry and will be done every four months.

GI Summer Clinical Lecture Faculty review clinical aspects of astute direction of mutual GI diseases. This is an introductory clinical series that goes from July to September each year on Tuesdays at 7am.

Cadre Curriculum Lecture Series is where fellows learn in depth virtually basic GI pathophysiology and accomplish new non-textbook knowledge on focused GI topics in a seminar format through written report of literature and input from an assigned expert in the field. Fellows learn how to critically appraise and present recent scientific literature of a focused topic. This follows the GI/Hepatology Summer Clinical Lecture Series and goes from October to June each year.

Ambulatory Clinic

Parkview Gastroenterology operates an ambulatory clinic that will exist utilized for Fellowship preparation with continuity of care.

Parkview Gastroenterology 1600 N. Grand Avenue, Pueblo, CO 81003 Phone: 719-595-7680

The payer mix is 59.ii% Medicare, 10% Medicaid, 29.4% HMO/PPO/3rd Party, and 1.five% Self Pay. The approximate annual book for 2012 was 3,175 patients and the annual number of visits in 2012 was 21,289. The facility has sufficient infinite and patient book to accommodate 2 fellows in a continuity clinic for one half day each week. In that location are opportunities to expand the clinical services and as Parkview provides care to a medically underserved population, information technology volition not be difficult to expand the patient base as needed.

Faculty

Programme Director

Charles Ruzkowski, Doctor

Dr. Chuck Ruzkowski joined the Medical Staff at Parkview Medical Center in 2004 and works with Parkview Gastroenterology. He completed his medical degree at Chicago Medical School in Chicago, IL, followed past residency training in Internal Medicine at Loyola University College/Edward Hines, Jr. VA Hospital, Hines, IL. Dr. Ruzkowski attended University of Arizona in Tucson, AZ where he completed his Fellowship training in Gastroenterology. He is board certified in Internal Medicine and Gastroenterology and has over 15 years of endoscopic and do experience.

Dr. Ruzkowski specializes in colon cancer screening, liver disease, and all gastrointestinal disorders, including reflux disease, irritable bowel syndrome and Celiac Sprue, and provides a broad variety of invasive and non-invasive treatments.

Attendings

Dr. Dionisio

Dr. Paula Dionisio, a Pueblo native and graduate of Central High School, graduated magna cum laude from the Academy of Notre Dame in 3 years before attending Georgetown Academy School of Medicine. Dr. Dionisio and so completed her Internal Medicine Residency and Gastroenterology Fellowship at the esteemed Mayo Clinic.

Dr. Dionisio specializes in colon cancer screening, liver affliction, and all gastrointestinal disorders, including reflux disease, irritable bowel syndrome, and Celiac Sprue, and provides a broad variety of non-invasive treatments.

Dr. Polintan

Dr. Lirio S. Polintan has been practicing in Pueblo since 1981. Dr. Polintan is Board Certified in Internal Medicine and Gastroenterology and is a Fellow of the American College of Physicians; American College of Gastroenterology, and American Gastroenterological Association. He is also a member of the American Social club of Gastrointestinal Endoscopy.

Dr. Polintan is experienced in diagnostic EGDs, colonoscopies, and therapeutic endoscopic procedures including ERCP, papillotomy, stent insertion, PEG-PEJ insertion, esophageal motility studies, and studies of liver disease.

Dr. Yang

Dr. Yang is the Parkview Gastroenterology Squad'south newest addition, joining the team with 33 year of experience. He is Board Certified in Internal Medicine and Gastroenterology. He attended Loyola University Stritch School of Medicine for medical schoolhouse and completed his residency at the University Of Illinois Higher Of Medicine. He received is gastroenterology fellowship grooming at Wayne State University. He now specializes in celiac illness, acrid reflux and GERD, Hepatitis C, IBS, ulcerative colitis, hemorrhoid, intestinal pain, and colonoscopy.

Dr. Calcagno

Dr. Christopher Calcagno graduated from Philadelphia College of Pharmacy with a Doctor of Chemist's Degree and completed a Pharmacy Practice Residency at Christiana Infirmary in Delaware. Afterwards, he attended Philadelphia College of Osteopathic Medicine with an Army Health Professions Scholarship. He completed his Internal Medicine Residency and Gastroenterology Fellowship at Brooke Army Medical Center in San Antonio, TX. He was promoted to the rank of Lieutenant Colonel and completed his military service equally Chief of Gastroenterology and Medical Director of the Endoscopy Heart at William Beaumont Army Medical Heart in El Paso, TX for which he was awarded the Ground forces Meritorious Service Medal.

Dr. Calcagno specializes in colon cancer screening, gastroesophageal reflux disease, hemorrhoid banding, liver affliction and other gastrointestinal disorders, and provides a wide variety of invasive and not-invasive treatments.

Dr. Giang

Jimmy Giang, Exercise was born and raised in Portland, Oregon and attended the University of Oregon, graduating with a Bachelor's of Science, prior to moving to Colorado for medical schoolhouse. He then attended the Rocky Vista University Higher of Osteopathic Medicine where he completed his last 2 years of medical schoolhouse rotations at Parkview Medical Center. He went on to complete his Internal Medicine Residency and Gastroenterology Fellowship all at Parkview Medical Center, interim as both the chief internal medicine resident every bit well as the chief gastroenterology fellow.

Dr. Giang is Parkview Medical Eye's newest practicing gastroenterologist and is also the newest add-on to cadre faculty for the gastroenterology fellowship programme.

Dr. Goff

Dr. Goff travels to Parkview Medical Center to educate and train some of the senior fellows who are interested in advanced procedures. He earned his available of scientific discipline in biology from the University of California at Irvine where he graduated Summa Cum Laude with Honors. He also received his doctor of medicine degree from the aforementioned school. He went on to complete his internship and residency in Internal Medicine at the University of Oregon Health Science Center in Portland, OR, then completed his fellowship in Gastroenterology from the University of Colorado Wellness Scientific discipline Center in Denver, CO. Dr. Goff is currently a Clinical Professor of Medicine at the Academy of Colorado Schoolhouse of Medicine and is ane of just 300 physicians in the nation to have his Enquiry Certification from the Academy of Pharmaceutical Physicians and Investigators (AAPI). He is the current Governor of the Country of Colorado for the American College of Gastroenterology, sits on the Medical Executive Commission at St. Anthony Infirmary, is a Board Member of Rocky Mountain Clinical Enquiry and the American Liver Foundation and received the Peak of Excellence Honor from the American Liver Foundation in 2012. Dr. Goff is also a fellow member of the American College of Physicians, the American Gastroenterological Association, Alpha Omega Blastoff, the American Association for the Study of Liver Disease, the American Society for Gastrointestinal Endoscopy, the Gastrointestinal Research Group, and the American College of Gastroenterology.

Dr. Kulig

Dr. Kulig works with the GI fellows during their Hepatology Transplant Rotation during their 2nd and 3rd years of training at Presbyterian St. Luke's Hospital in Denver, Colorado. Dr. Kulig was raised in west key Wisconsin and attended Carleton College prior to medical school at the University of Wisconsin. He and his married woman moved to Portland, Oregon for internship and residency prior to coming to Denver for Fellowships. He completed two years of a clinical substance corruption fellowship prior to Gastroenterology and Hepatology Fellowship at the Academy of Colorado in Denver. Dr. Kulig then served as Director of Hepatology at the Denver VA Infirmary from 2006-2009, prior to serving as the Manager of the Porter Eye for Liver Care from 2009-2015. He was recruited forth with many colleagues to the Presbyterian/St. Luke's Transplant Center in 2016, where he is currently providing General and Transplant Hepatology care. Clark enjoys working in a multi-disciplinary environment to provide well-coordinated care to patients with complex and unique types of liver affliction. Dr. Kulig leads the weekly Hepatobiliary Briefing. He enjoys travelling, camping ground, camping and fishing with his wife and three children.

Fellows

Commencement Yr Fellows

Rajiv Singh, MD

Hometown: Toronto, Canada

Medical School: Medical University of the Americas

Residency: Parkview Health Organisation Internal Medicine Residency


Anuj Vyas, DO

Hometown: Houston, Texas

Medical School: Midwestern University - AZCOM

Residency: HCA Healthcare North Texas Medical City Weatherford


Second Year Fellows

Michael Harris, DO
Michael Harris, DO

Hometown: Springfield, MO

Undergraduate: Missouri State University

Medical School: Kansas Metropolis Academy of Medicine & Biosciences

Residency: Parkview Medical Middle


Amanda Sullivan, DO
Amanda Sullivan, Do

Hometown: Bricklayer, OH

Undergraduate: Morehead State University

Medical School: Academy of Pikeville

Residency: Southeastern Regional Medical Middle

Third Year Fellows

Jaclyn Fackler, DO
Jaclyn Fackler, Exercise

Undergraduate: St. Ambrose University

Medical School: Rocky Vista University College of Osteopathic Medicine

Residency: Henry Ford Macomb Hospital


Ben Pottebaum, DO
Ben Pottebaum, DO

Hometown: Sergeant Bluff, IA

Undergraduate: Iowa State University

Medical Schoolhouse: Des Moines University

Residency: Parkview Medical Center


All Applications for the Parkview Medical Eye Gastroenterology Fellowship Program shall be submitted through ERAS . Parkview Medical Heart'south fellowship programs are all dually accredited and will be accepting both DO and MD applicants. However, regarding sponsorship, Parkview will only exist considering J-1 visas with sponsorship through ECFMG on a case-by-example basis.

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Source: https://www.parkviewmc.com/medical-education/fellowship-programs/gastroenterology-fellowship-/

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