Hepatology

During this rotation, residents should develop an approach to the following conditions:

• Abnormal liver function tests

• Acute and chronic liver failure

• Viral hepatitis

• Autoimmune liver disease

• Metabolic liver disease

• Cholestatic liver disease

• Ascites and spontaneous bacterial peritonitis

• Varices

• Hepatic encephalopathy

• Indications and contra-indications for liver transplant

• Post liver transplant complications

• Immunosuppressive agents and drug interactions

• Liver masses and hepatocellular carcinoma

Updated August 2025.

By the end of this rotation, residents will be graded as “progressing as expected” in each of the following and in the Global Rating.  The expected level of performance in the PGY1 year is Interpreter level,  PGY2 is Manager level, PGY3 is Educator level (See Program Information - Overall Goals and Objectives).

1. Medical Expert

• Data Collection and Clinical Reasoning: The resident appropriately collects and synthesizes clinical information to formulate a primary diagnosis and appropriate differential.

• Clinical Decision Making: The resident is able to make appropriate and cost-effective investigation and management decisions based on the context of the case and best available evidence.

2. Communicator

• Patient and Family Communication: The resident communicates with and about patients and family in a patient-centered manner.

• Documentation and Verbal Presentation: The resident appropriately documents and presents cases for new consults, progress notes, and handover of care (succinctly organized, prioritized, summarized) including answering the question asked by the referring service.

3. Collaborator

• Interdisciplinary Team: The resident works well in a team, shares work, and interacts with referring physician and other healthcare providers effectively.

4. Leader

• Efficiency: The resident prioritizes tasks and manages time effectively.

5. Health Advocate

• Personal and Team-based Learning:  The resident addresses disease prevention, risk factor reduction, and health surveillance when indicated. 

6. Scholar

• Personal and Team-based Learning:  The resident demonstrates an effective personal learning strategy (reading around cases, appropriate use of resources) and shares knowledge with other team members.

7. Professional

• Scope of Practice:  The resident is trustworthy and responsible, knows limitations (asks for help appropriately), and responds well to feedback.

Assessment

We will use the following In-Training Evaluation Report (ITER):  

• Hepatology

Entrustable Professional Activities (EPAs)

This rotation focuses on mainly Core of the Discipline EPAs. However, due to scheduling, a resident may do this rotation during Foundations. Residents are allowed to start Core of Discipline EPAs during the Foundations stage. This rotation is an ideal learning environment for the following EPAs:

• FD2: Managing patients admitted to acute care settings with common medical problems and advancing their care plans

• CD1: Assessing, diagnosing and managing patients with complex or atypical acute medical presentations

• CD2: Assessing, diagnosing, and managing patients with complex chronic diseases

• CD3: Providing internal medicine consultation to other clinical services

• CD5: Performing the procedures of Internal Medicine (Paracentesis)

• CD10: Implementing health promotion strategies in patients with or at risk for disease   (e.g. Discussing variceal screening, Alcohol use)

Rotation Supervisor

Dr. Mahmod Mohamed

mahmod1@ualberta.ca

Medical Education Program Coordinator

medndgi@ualberta.ca