Patients seen at large institutions receive their care from a variety of different providers - and our fellowship program believes that in order to provide the best care possible, you need to be able to integrate all voices into that care.
Our conferences are intended to utilize a multidisciplinary approach. This is intended to not only help the immediate patient being discussed but also provide a model that beyond fellowship, ideal patient care involves a team that works together.
Our weekly division meeting includes both "Table Rounds" and a formal presentation.
"Table Rounds" occur in the first 40 minutes of the meeting and allow the inpatient team to discuss complex cases currently admitted. This allows for feedback from the other 20 faculty members as well as additional services that attend our meetings (including Child Psychiatry).
The formal presentation includes a 60 minute presentation including:
Presentation from a Center of Excellence that includes a clinical update, any new quality initiatives occurring within the Center, and an update on current research projects
Joint Conference with Mucosal Immunology and Biology Research Center (MIBRC) - A member of the MIBRC presents their primary research and a member of the clinical division presents a related, clinically-oriented research paper
Clinical Conference - First year fellows present an interesting case that they recently saw. This is also an opportunity for the faculty mentor (and other members of the division) to give individual feedback to the fellow on their presentation style.
Quality Improvement & Morbidity and Mortality Conference - Members of the Quality Improvement Team present new division-wide QI initiatives. This is also the opportunity for the fellows to provide updates on their longitudinal QI projects
Radiology conference brings Pediatric GI faculty and Pediatric Radiology faculty together to discuss challenging patient cases and common diagnostic dilemmas including:
Balancing need to limit ionizing radiation in patients with Crohn's disease vs timely/ideal imaging (CT enterography vs MR enterography)
How to longitudinally monitor Crohn's disease with imaging
Correlating Endoscopy Findings with Radiology Findings
Getting answers from endoscopy and colonoscopy is an important part of every gastroenterologists care. In this multi-disciplinary conference, pathologists and GI fellows/faculty come together to discuss what really goes into a pathology report and how this can be translated to patient care.
Fellows are required to attend weekly lectures on Friday mornings that cover a wide variety of common and uncommon GI conditions. These lectures target Learning Objectives of the American Board of Pediatrics and are adjusted on a yearly basis based on fellow feedback.
Many lectures are given by Pediatric GI faculty but guest speakers are also invited from other MGH Divisions such as Adult GI, Adult Hepatology, and Pediatric Surgery.
First year fellows are granted 5 days of protected time in the summer/fall in order to study for their General Pediatrics Boards. To provide maximal support of our fellows, additional resources are available for those who struggle with test taking strategy.
Our fellows create a board review course for each other (led by 2nd and 3rd year fellows) that are based on In-Service exam scores.
Fellows are strongly encouraged to attend weekly Grand Rounds when they have a relevance to either GI/Liver disease or health equity. These occur on Tuesday mornings as a hybrid of Zoom and in person options.
Videos of some examples of Pediatric Grand Rounds at MGfC are below on Youtube.
2021 David Todres Memorial Lecture (6/8/2021) by Dr. Richard Goldstein (Children's Hospital Boston)