Program Director: Vincent S. Fierro, D.O., FACOI
LECOM Health – Millcreek Community Hospital
5515 Peach Street
Erie, PA 16509
The Gastroenterology Fellowship is an ACGME accredited program designed to provide broad training in Clinical Gastroenterology and is designed to prepare Fellows for a career in academic medicine or clinical practice. The goals of the program are to develop:
- Independent critical thinking
- Clinical skills necessary to care for those with digestive disorders
- Proficiency in utilization of basic endoscopic technology
- Thorough knowledge of current literature in Gastroenterology
The Fellowship in Gastroenterology based out of LECOM Health Millcreek Community Hospital, has affiliates at University Hospitals in Cleveland, St. Vincent’s Hospital of Allegheny Health Network, and with North Eastern Ohio Gastroenterology and Associates in Warren/Boardman, Ohio operating out of the Mercy and Steward Health Systems. It is a three-year program of clinical training which is available to individuals who have completed three years of postdoctoral training in Internal Medicine.
Millcreek Community Hospital (MCH) is a community hospital setting in a big environment in the LECOM Health System. The LECOM Health System consists of MCH, LECOM, Senior Living Center, a skilled nursing facility located adjacent to the hospital, Medical Associates of Erie, a physician group practice, and a Wellness Center. The Gastroenterology Fellow can expect to see sufficient patient volume and variety through this Health System and affiliated hospitals. The training at these sites provides clinical opportunities in various interventional techniques and a vast exposure to direct patient care in various aspects of digestive disorders.
Unique to this program is the emphasis on education with several opportunities to teach Gastroenterology to medical students in the classroom at LECOM as well as third and fourth-year students along with medical Residents at MCH. All Fellows will have the opportunity to earn a masters degree in medical education, health services administration, biomedical ethics, or public health through LECOM while completing their fellowship training. The Master’s degree provides each Fellow with the opportunity to develop an educational niche which could serve as the foundation for an academic career.
- GI Inpatient/Consult Service: The Fellow will function in conjunction with attending and medical team for gastrointestinal and hepatologic issues at all hospitals. The Fellow will be exposed to several perspectives on evaluation and treatment plans. At the majority of our hospitals, residents, interns, and medical students will be involved in the educational process and Fellows will provide guidance and teaching. In addition to gaining patient care experience, Fellows will perform endoscopic procedures during this time as well.
- Outpatient Clinics: The Fellow will participate in a fully equipped and staffed outpatient clinic with new patients, weekly, under supervision of GI faculty. Clinic represents a cross-section of various digestive disorders allowing the Fellow to obtain further clinical exposure to long-term management to chronic conditions as primary health provider with faculty supervision. As skill level advances, further autonomy in the management of these patients is employed.
- Endoscopy Training: The Fellow will be trained in a comprehensive and extensive experience in the areas of esophagogastroduodenoscopies, colonoscopies, liver biopies, manometry, video capsule endoscopy, therapeutic procedures such as dilatations, hemostasis, foreign body extractions, paracentesis, as well as ERCP.
- Hepatology and Liver Transplant: There is consistent exposure to various liver disorders throughout entirety of training and focused exposure to hepatology and transplant at University Hospital, incorporating end-stage management of liver disease, selection of appropriate transplant candidates, complications of liver disease, therapeutic opportunities in liver biopsy, paracentesis, and endoscopic management.
- Conferences and Education: Clinical experience is supplemented by conferences and lectures held in conjunction with departments of Internal Medicine, Radiology, Pathology, and Surgery. Fellows are also encouraged to attend conferences in various aspects of gastroenterology offered throughout the country and develop and employ research protocols. Basic outline of conferences and opportunities include:
- Attending rounds daily on inpatient and consult service
- Medical case-based conference – daily
- Gut Club – weekly
- GI Journal Club monthly
- GI pathology rounds twice weekly
- GI Grand rounds internal and external speakers every other week
- GI Fellow lectures provided weekly to interns, residents, and students
- Nutrition conference twice monthly
- Didactic rounds one hour per week
- Medical Grand rounds and Medicine Journal Club weekly
- Board review every other week
- Junior faculty for gastroenterology system at LECOM
- Peer review and core competencies
- Research: This is incorporated into the overall curriculum to be conducted and performed along with other clinical and educational responsibilities. Fellows are encouraged to develop original investigations as well as participate and collaborate with multi-institutional studies. Epidemiological studies may be available via collaboration with Department of Public Health Services.
- Osteopathic Manipulative Medicine:
- Junior faculty for Osteopathic Manipulative Medicine at LECOM
- Lectures and hands-on training in Osteopathic Manipulative Medicine
- Clinical application of Osteopathic Principles
- St. Joseph Health Center – Warren, OH
- Trumbull Memorial Hospital – Warren, OH
- St. Elizabeth Boardman Hospital – Boardman, OH
- University Hospitals – Cleveland, OH
- AHN St. Vincent Hospital – Erie, PA
For more information please contact the Fellows listed below:
- Thomas Geisler, D.O. firstname.lastname@example.org
- Ryan Carbaugh, D.O., email@example.com
Thadeus Dapash, D.O., firstname.lastname@example.org
Zachary Kwasnicka, D.O., email@example.com
Selection of residents and fellows shall not be based on race, sex, religion, national origin, age, sexual orientation, veteran status, color, or disability, which would not directly impede the training process or any other characteristic protected by law.