OHSU Advanced Endoscopy Fellowship

Oregon Health & Science University
3161 SW Pavilion Loop
Mail Code: L461
Portland, Oregon 97239
503-494-7738 (V)
Website

1 Position Available

Program Type: Both ERCP & EUS

Authorized Administrative Official: Katherine Rose Franklin

Program Director: Emily Jonica (email)

Duration: 1 Year

Inclusive Dates of the Program: 7/1/2026 to 6/30/2027

Program Website: www.ohsu.edu/school-of-medicine/gastroenterology

Accepts applicants from outside of North America? No

Accepts applicants with J1 visas? No

Accepts applicants with H1B visas? No

Accepts applicants with E3 visas? No

Supervised Procedures Procedure	Faculty Involved in AEF Training	Total Annual Volume	Annual Volume with hands-on AEF Involvement
ERCP	6	750	250
Diagnostic EUS	6	900	250
Interventional EUS	6	125	10
Deep enteroscopy	5	85	5
Luminal stenting	6	20	5
ESD	1	10	0
Bariatric endoscopy	1	10	0
POEM	2	12	0
Endoscopic management of GERD and Barrett’s	1	300	0
Other (specify) Endoluminal vacuum therapy	6	20	5

Unsupervised Trainee Activities Procedure	Value
General GI procedures (per year)	275
Inpatient general GI service (weeks/year)	up to 4
Inpatient advanced endoscopy service (weeks/year)	22
Ambulatory clinics (per year)	6
Committed time for research (days/month)	1

Requirements for Application

1. Standard ASGE Application Packet
   • ASGE Application
   • Post-Undergraduate Education
   • USMLE Scores
   • Certification of Completion of Residency
     1. Prior to appointment in the advanced endoscopy fellowship, fellows should have completed a three-year ACGME-accredited gastroenterology fellowship
     2. Fellows from non-ACGME-accredited programs must have completed at least three years of gastroenterology education prior to starting the fellowship
   • Personal Statement
   • Curriculum Vitae
   • 3 Letters of Reference

Additional Information about Program

The advanced endoscopy fellow (AEF) will be trained over the course of one year in a broad array of cognitive and technical skills in advanced endoscopy procedures. These include but are not limited to the following procedures:

1. Diagnostic EUS
2. EUS with fine needle aspiration/biopsy
3. ERCP with sphincterotomy, stricture dilation, stent placement and removal. Stone extraction, cholangioscopy, electrohydraulic lithotripsy (EHL) and endoscopist-driven ESWL
4. Luminal stenting
5. Interventional EUS (e.g., lumen apposing stent placement)
6. Management of postoperative complications including fistula management, such and endoluminal vacuum therapy and endoscopic closure
7. Double balloon enteroscopy
8. Upper endoscopy with endoscopic mucosal resection
9. Colonoscopy with endoscopic mucosal resection

The AEF may have exposure to endoscopic management of esophageal disorders (e.g., Barrett’s, RFA and POEM) if desired.

Overall, the program strives to achieve the minimum standards for training in advanced endoscopy supported by the American Society for Gastrointestinal Endoscopy.

Position:
One 4th year AEF who has completed a three-year ACGME (or equivalent) accredited fellowship in gastroenterology, hepatology, and nutrition.

Fellow Responsibilities:
The AEF will have an integral role in the care of patients before, during, and after procedures.

The AEF is expected to have a firm understanding of the indication for each procedure being performed: this will require review of pertinent clinical history, data and cross-sectional imaging by morning team huddle.

Schedule Structure:
The schedule will include approximately even distribution alternating between inpatient and outpatient endoscopy monthly rotations, focused on patients undergoing interventional endoscopy procedures. The final schedule will be determined by the Program Director with the primary emphasis being achievement of minimum procedure volumes in the core procedures (EUS, EUS-FNA, ERCP, luminal stenting, and endoscopic mucosal resection) to allow for assessment of competency. Sessions should not be interrupted (i.e., moving from one attending’s block to another) to ensure continuity of care.

Inpatient Months:
While on inpatient, the AEF will have a thorough understanding of all the patients on the therapeutic consult service list. The AEF should see all post-procedure patients from the previous day before team huddle, and staff briefly with the inpatient therapeutic attending. If there is an adverse event, the AEF should remain engaged in that patient’s care until resolution. The AEF will participate in an AM outpatient session and then inpatient procedures with the same of different faculty as scheduled.

Separate from inpatient interventional service (~22 weeks/year), the AEF will be expected to provide up to 4 weeks of general GI service coverage. This may be less than 4 weeks, and may vary on a year-to-year basis depending on needs of the division and number of general GI faculty. This will count towards the 90 independent general GI sessions required (each session = 1/2 day) over the course of the year (see below regarding session breakdown).

Outpatient Months:
The AEF will rotate daily with outpatient attendings which will be pre-assigned and divided equally amongst the faculty. There will be a concerted effort to schedule full days with the same attending and maintain a steady outpatient schedule throughout the year with the goal of maximizing hands on participation in advanced endoscopy procedures.

Assuming that the AEF is on pace to exceed the minimum volume standards for procedures, the AEF may be assigned intermittent ambulatory clinic sessions with rotating faculty. The anticipated volume will not exceed one session (½ day) every 1-2 weeks while on outpatient blocks. The AEF will complete all notes for ambulatory clinic patients with whom they participated.


Academic time:
The AEF should be allocated no less than one day per month dedicated to academic pursuits.
The fellow will be expected to submit 1 abstract to DDW during the year, and have 1 first-name author manuscript submission for a peer-reviewed journal in process by graduation.

Vacation:
The AEF will receive 4 weeks of paid vacation.

General endoscopy and inpatient sessions:
Since the standard is to perform one day of independent work per week during AE fellowship, Consistent with consensus standards, the AEF will participate in unsupervised independent clinical work. Considering a 5-day work week, this means an average of no more than 1 day/week over the academic year. Excluding vacations and CME, this is a 45-week year and translates into 90 independent sessions. Depending on the needs of the division, these sessions may be ambulatory general endoscopy blocks (one session = ½ day), inpatient general GI service (one session = ½ day), and general GI weeknight (0.73 session) and weekend (Friday 5PM – Monday 7AM is equivalent to 4 sessions).

Independent practitioner requirements:
The AEF is expected to achieve ABIM board certification for Gastroenterology & Hepatology during the academic year.

Please Note: All data in this program description is entered on a voluntary basis