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Advanced Endoscopy Fellowship

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Advanced Endoscopy Fellowship

Geisinger's one-year Advanced Endoscopy Fellowship is for physicians who plan a career in gastroenterology with a focus on interventional endoscopy as an investigative and consultative therapeutic endoscopist.

We’re looking for the best gastroenterologists. To join us, you must be certified by the American Board of Internal Medicine or an equivalent body and have completed a three-year training program in gastroenterology. We’re also looking for evidence of superior performance in GI subspecialty training, based on your academic record and recommendations — specifically regarding your endoscopic skills.

As our fellow, you’ll receive advanced training in:

  • Endoscopic ultrasound (EUS) including therapeutic EUS procedures such as placement of AXIOS stent for WON, gallbladder drainage, and gastro-enterostomy, EUS-guided fiducial placement and EUS-guided hemostasis
  • Endoscopic Retrograde Cholangiopancreatography (ERCP), ampullectomy, SpyGlass cholangioscopy, intraductal ablation, and significant volume of pancreatic endotherapy; EUS-guided ERCP in altered anatomy, EUS-guided biliary drainage and EUS-Directed transgastric ERCP (EDGE) procedures
  • EndoHepatology with EUS-guided liver biopsy, Shearwave, FibroScan and EUS-guided portal pressure measurement
  • Barrett’s esophagus diagnosis and therapy, including endoscopic mucosal resection (EMR), ESD, RFA, conventional and Hybrid-APC and Cryoablation (both spray and balloon cryotherapy)
  • Complex colon and duodenal polypectomy, with use of various assistive devices, Endoscopic Full Thickness Resection, EMR and ESD
  • Luminal stenting of esophagus, duodenum and colon
  • Interventional IBD and management of difficult strictures of the GI tract
  • Device-assisted enteroscopy with single balloon, NaviAid and Spirus technologies
  • Endoscopic management of GERD with EndoFlip, Stretta and TIF procedures
  • Various other advanced techniques including endoscopic treatment of Zenker’s diverticulum, hemorrhoidal therapy, pneumatic dilation, Per Oral Endoscopic Myotomy (Z-POEM, E-POEM, and G-POEM) and Overstitch endosuturing
  • Endobariatrics with endoscopic weight and metabolic management

Most of your training in advanced endoscopic procedures will take place at Geisinger’s main hospital in Danville. You’ll also gain experience at Geisinger Community Medical Center in Scranton and Geisinger Wyoming Valley Medical Center in Wilkes-Barre. You’ll spend about 20% of your time supervising core GI fellows who are performing inpatient GI procedures, staffing the inpatient consultation service and managing complex biliary and pancreatic cases. In these cases, you’ll serve as an attending.  

Your duty hours won’t exceed 80 per week.

 

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Program overview

Curriculum

The advanced gastrointestinal endoscopy fellowship program provides for personalized EUS, ERCP and other advanced training with the goal of developing future leaders in the field.

When you complete the program, you’ll be able to:

  • Use EUS and ERCP to diagnose and manage patients with a variety of GI disorders
  • Integrate EUS into the care of patients with GI neoplasms
  • Demonstrate proper technique for EUS guided biopsy
  • Understand the role and technical details of luminal stenting
  • Manage complications of acute and chronic pancreatitis including WON, pseudocysts, pancreatic duct leaks minor papilla access
  • Begin the process of teaching these skills and techniques to GI fellows
  • Integrate proper reimbursement and billing into their practice
Schedule

Your time will usually be assigned as follows:

  • 70% dedicated to performing EUS/ERCP and other advanced procedures
  • 10% dedicated to research
  • 20% dedicated to clinical service, which includes inpatient procedures and consultation with attending level night call and the supervision of GI fellows
Conferences

Our advanced endoscopy fellows also take part in departmental and multidisciplinary conferences, including the weekly Core Curriculum Conference, weekly multidisciplinary Tumor Board meetings and monthly Foregut, GI pathology, GI radiology, Journal Club and research conferences.
Scholarly activity

Geisinger has a strong research culture. Here, you’ll be expected to be part of scholarly activity that generates results and information suitable for publication in a major GI subspecialty journal. We require our fellows to produce one manuscript and one video submission. These may include a prospective study, a major subject review, a case series or a retrospective review. You’ll also develop an abstract for at least one of the major national GI meetings (DDW, ACG).
Teaching opportunity

You’ll have opportunities to teach gastroenterology fellows in the endoscopy suite and residents and fellows during conferences and in the inpatient consult service.
Evaluation

You’ll be mentored and monitored during training, to make sure you gain the knowledge and technical skills you need to succeed after leaving the program. Our advanced fellows are evaluated by supervising faculty each month and have semi-annual performance reviews with the program director. Because we want this program to meet your personal goals, you’ll also evaluate the faculty and the program. The fellows also keep a detailed procedure log of all their procedures.
Training facilities and support

You’ll train in dedicated EUS and ERCP rooms with on-site cytology support. The 25,000-square-foot, 10-room endoscopy suite allows us to perform fluoroscopic procedures simultaneously in two rooms and EUS simultaneously in three rooms. The department has a conference room with video conferencing capability, a video library and clinic and office space.
Research program

Clinical research will be an integral part of your fellowship. We have a robust research effort with ongoing single- and multi-center research projects, including industry-sponsored studies.

You’ll be part of regular meetings with advanced endoscopy attendings to design and conduct research protocols, and your research may be in collaboration with other members of the GI Department, the Weis Center or the Henry Hood Center for Health Research.

We encourage you to begin planning for at least one of these studies before you even begin your fellowship. Our research team will be happy to help you with research protocols and IRB paperwork. Browse recent publications and presentations at national/regional conferences by our department.

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