Internal Medicine — Rotation Detail
GI at Armed Forces Hospital
Tutors
This rotation offers comprehensive training in gastroenterology across inpatient, outpatient, and procedural settings. Residents manage acute GI emergencies (e.g., GI bleeding, IBD flares), chronic disease clinics, high-volume endoscopy procedures, and advanced diagnostics. Daily educational activities (morning meetings, grand rounds), simulation-based procedural training, and exposure to technologies like capsule endoscopy and Fibroscan are integrated. A 24/7 emergency service ensures hands-on urgent care experience.
Typical Resident Schedule
| Day | Activities |
|---|---|
| Sunday | - Morning meeting - Inpatient round - Outpatient Clinic - Simulation lab |
| Monday | - Morning meeting - Inpatient round - Endoscopy |
| Tuesday | - Morning meeting - Inpatient round - Fibroscan/Motility - Grand round |
| Wednesday | - Morning meeting - Inpatient round - Abd.US/Capsule - Research/Journal club |
| Thursday | - Morning meeting - Inpatient round - Endoscopy |
Rotation Content
Inpatient
Acute Conditions:
- Acute GI bleeding (variceal/non-variceal)
- Severe IBD flares (ulcerative colitis/Crohn’s disease)
- Acute pancreatitis
- Cholangitis
- Esophageal obstruction (e.g., food impaction)
- Infectious colitis (e.g., C. difficile, bacterial)
- Acute viral hepatitis (A/B/E)
- Decompensated liver disease (ascites/encephalopathy)
- Ischemic colitis
Other Inpatient Scenarios:
- Post-operative GI complications (e.g., anastomotic leaks)
- Nutritional support for malabsorption syndromes
- Management of GI fistulas
- Acute upper/lower GI perforation
Outpatient
Chronic/Follow-Up Conditions:
- Irritable Bowel Syndrome (IBS)
- IBD
- Gastroesophageal Reflux Disease (GERD)
- Peptic ulcer disease
- Celiac disease
- Chronic pancreatitis
- Barrett’s esophagus surveillance
- Functional dyspepsia
- Eosinophilic esophagitis
- Gastroparesis
- Fatty liver disease
Preventive/Screening:
- Colon cancer screening (FIT tests, colonoscopy)
- Early detection of esophageal/gastric cancer
- Lynch syndrome/Familial Adenomatous Polyposis (FAP) surveillance
Other/Special Services
- Endoscopy (2,000+ cases/year)
- ERCP
- Capsule endoscopy
- Fibroscan/liver elastography
- GI motility studies (coming soon)
Teaching Activities
- Daily: Morning meetings & case reviews
- Weekly: Grand rounds, journal clubs
- Monthly: Advanced Endoscopy Workshop
- Bi-weekly: Simulation lab sessions
Future Plans
- Integrate gastrointestinal motility studies within 3 months.
- Expand research on endo-bariatric procedures.
- Host annual international endoscopy workshops with live demonstrations.