Gastroenterology

Residency Program at McMaster



Welcome to the Adult Gastroenterology Training Program. Our program has an exceptional track record of training leaders in academic and community gastroenterology. McMaster University is recognized worldwide as a leader in both gastrointestinal research and clinical practice. We take pride in our outstanding faculty and the positive training environment we provide.

Dr. Eric Greenwald, Program Director
Dr. Eric Greenwald, Program Director

Welcome

The Adult Gastroenterology Training Program is a two-year program accredited by the Royal College of Physicians and Surgeons of Canada (RCPSC). The program is based at the McMaster Campus of Hamilton Health Sciences (HHS), but also involves St. Joseph’s Hospital and the Juravinski and General Campuses of HHS. At all sites, trainees benefit from clinical and educational collaboration with the Departments of Surgery, Radiology, and Pathology. Trainees benefit from the rich training environment of the Michael DeGroote School of Medicine with world-renowned expertise in Clinical Epidemiology and Biostatistics.

Through a series of inpatient and outpatient rotations and generous elective time, trainees gain broad exposure to clinical gastroenterology and training in all CANMEDS competencies endorsed by the RCPSC. Trainees gain a solid grounding in the pathophysiology, diagnosis, and management of gastrointestinal disorders with dedicated training in nutrition, motility, and endoscopy. Trainees have access to state-of-the-art equipment, including a dedicated endoscopy simulator. An endoscopy course for new gastroenterology residents from across Canada is hosted in Hamilton each year by the Division of Gastroenterology.

The Farncombe Family Digestive Health Research Institute leads an internationally acclaimed program of bench to bedside research with highly respected faculty. Trainees in the Adult Gastroenterology Training Program are given protected time to engage in research and are encouraged to present their work at institutional, national, and international meetings. The Upper Gastrointestinal and Pancreatic Disease Cochrane Review Group also has a base at McMaster to facilitate the synthesis and knowledge translation of primary GI research to patients and clinicians. The Adult Gastroenterology Training Program takes pride in providing an experience that is individualized to the trainee’s career goals and interests while fulfilling RCPSC goals and objectives. Each trainee receives strong mentorship and career counseling from members of the faculty. Trainees are encouraged to undertake a third year of clinical or research training, which may include postgraduate training in Health Research Methodology through the Department of Clinical Epidemiology and Biostatistics.

In summary, the Adult Gastroenterology Training Program at McMaster University provides the structure and flexibility to accommodate both the individual needs of our trainees and the demands of our ever-changing patient populations.



Entry Requirements

Residents can be considered for training in Adult Gastroenterology at McMaster University if they have completed at least three years of training in an approved Internal Medicine Residency Training Program. Residents who are unsure of their eligibility for our program should contact the Postgraduate Medical Education Program prior to contacting the Adult Gastroenterology Training Program.
Residents who are eligible for Ontario Ministry of Health-funded training positions should apply through the Canadian Residency Matching Service (CaRMS). All other potential trainees, including those who graduated from non-Canadian medical schools, should contact the Postgraduate Medical Education Program for specific advice about their eligibility for training at McMaster University. Further information is available from The College of Physicians and Surgeons of Ontario website.

Applications must include:

  • A minimum of three letters of reference (including applicant’s core Internal Medicine Program Director)
  • Undergraduate and medical school transcripts
  • A personal letter
  • A curriculum vitae

Proof of citizenship MUST be submitted with each application since only Canadian Citizens, Permanent residents, or Landed Immigrants can apply to CaRMS positions in Ontario. One of the following documents must be submitted:

  • Canadian birth certificate
  • Permanent Resident card (both sides of the card)
  • Record of Landing, clearly showing the date of landing
  • Passport page showing Canadian citizenship

Applicants who will not be funded by the Ontario Ministry of Health (e.g. international medical graduates, those requiring a work authorization permit) will also need to provide details about their sponsorship and demonstrate successful completion of the Medical Council of Canada Evaluating Examination. Residents currently training outside of Canada or are uncertain of their eligibility to train at McMaster, should review the requirements for training found at the Postgraduate Medical Education Program website. Applicants for non-Ontario Ministry of Health-funded positions should send their application package directly to the Postgraduate Medical Education Program office before September 1st to confirm training eligibility.



Application Deadline

September 1st.

 

Administrative Structure

The People in the Program
Role of External Program Ombudsperson
Residency Program Committee
Role of Site Coordinators
Role of Hepatology Curriculum Coordinator
Role of Motility Curriculum Coordinator
Role of Nutrition Curriculum Coordinator
Role of Endoscopy Coordinator
Role of Mentor
Role of Research Coordinator
Role of Academic Half Day Coordinator
Role of OSCE and Written Exam Coordinator
Role of Chief Resident
Responsibilities of the Elected Gastroenterology Resident


General Expectations

We expect each resident to develop into a consultant sub-specialist over 2 years of training. This requires a transition from the role of trainee to one of greater responsibility. It is expected that residents assume the role of consultant quickly, as their knowledge of the subspecialty increases. This has implications for punctuality, reliability, oral and written communication abilities, teaching and supervision of junior house-staff, and interactions with allied health staff. Performance in these areas is monitored and assessed at regular intervals, with feedback provided. Moonlighting is not encouraged when it compromises a trainee's ability to function punctually and efficiently, thereby compromising his or her ability to meet the Program's objectives.

The primary aim of the Adult Gastroenterology Training Program is to produce a gastroenterologist capable of providing comprehensive care to patients with gastrointestinal problems. These include disorders of the gastrointestinal tract, pancreas, biliary tree and liver. Implicit in this prime objective is the expectation that the candidate meets the requirements of the Examination for Certification in Gastroenterology of the Royal College of Physicians of Canada



Design & Duration

The requirements of the Royal College of Physicians and Surgeons of Canada for training in adult gastroenterology are a minimum of 18 months in clinical activities and up to 6 months in research.  A trainee’s acceptance into the program implies a 2-year commitment.  A third-year is optional, individualized, and dependent on available external funding. Because of the recognized strength in basic and clinical gastrointestinal research at McMaster University, the Adult Gastroenterology Training Program has often attracted candidates who seek careers combining clinical practice with research. Thus, three months of research are offered in the first year of training. Up to 3 additional months of research are also available in the second year to trainees who demonstrate sufficient interest and productivity in their first-year experience. For other trainees, clinical electives are undertaken in lieu of a second research block.

Clinical rotations are located primarily at the McMaster, Juravinski and General Sites of Hamilton Health Sciences, and at St. Joseph’s Hospital. There is a Site Coordinator at each location to assist residents in optimising their experience.  Each location offers a unique experience.

The McMaster Site offers considerable experience in ambulatory care. The McMaster Site also houses the GI Clinical Investigation Unit and a Motility Laboratory, offering diagnostic breath testing, motility assessments of the upper and lower tracts, 24-hour pH-metry, and capsule endoscopy. Trainees gain exposure to gastrointestinal complications of pregnancy, given on-site specialized services in Maternal Medicine. With the Children’s Hospital on-site, trainees can also interact with faculty and trainees in pediatric gastroenterology. The McMaster Site also has a large state-of the-art endoscopy unit, including interventional endoscopy, ERCP, and argon plasma coagulation. Endoscopic ultrasound is provided at the McMaster Site.

The Juravinski Site offers a busy inpatient service, with complex cases focused on inflammatory bowel diseases, motility disorders, liver diseases, and acid-peptic diseases. The Juravinski Site also houses the Cancer Centre, and offers exposure to gastrointestinal complications of malignancy. The gastroenterology service works closely with an active group of surgeons interested in colorectal disorders and pancreaticobiliary disorders. The clinical service also interacts extensively with advanced interventional gastrointestinal radiologists.

The General Site offers a busy gastroenterology consultation service. Patients requiring admission under a gastroenterologist as the most responsible physicians are transferred to the Juravinski Site. With state-of-the-art facilities, the General Site is recognized as a regional centre of excellence in cardiovascular care, neurosciences, trauma, and burn treatment. Trainees on consultation service gain exposure to gastrointestinal and nutritional complications of these complex medical conditions.

The St. Joseph’s Site offers a busy clinical gastroenterology service with specialized interests in gastrointestinal motility and functional disorders. It also has a large endoscopy unit, including interventional endoscopy, ERCP, and argon plasma coagulation. As the hospital also provides regional and tertiary specialty services in respirology, rheumatology, nephrology, and psychiatry, trainees gain exposure to gastrointestinal and nutritional aspects of behavioral, psychiatric, and complex medical disorders. A large outpatient clinic allows the residents to experience not only in-patient consultation but also ambulatory care. With the regional thoracic and esophageal surgery program being based at St Joseph’s, and the availability of a comprehensive motility laboratory, the residents gain exposure to all aspects of esophageal disease. With the presence of the Brain-Body Institute, with its unique imaging facilities (including PET and fMRI) and interest in gut-brain interactions, the academic research mission of the Institute complements the educational opportunities offered by the clinical service.



Teaching Rounds

A major part of the Adult Gastroenterology Training Program at McMaster University involves active participation of the trainees in a series of regularly scheduled educational activities.

Academic Half-Day in Gastroenterology (Wednesday 0800 h to 1300 h)

Academic Half-Day sessions occur on Wednesday mornings throughout the year. Sessions repeat on a 2-year cycle, allowing residents the opportunities to attend each session during the 2-year program. The Academic Half-Day is protected time when trainees meet as a group to address a wide variety of topics in GI and Hepatology. In addition to core GI topics included under the Medical Expert CanMEDS competency, several sessions designed to satisfy the requirement for teaching of the Collaborator, Communicator, Health Advocate, Manager, Scholar, and Professional domains are also included. This learning experience is partly self-directed and partly didactic. Its structure and content are monitored by the Residency Program Committee, the Academic Half-Day Coordinator and the Program Director. A syllabus is outlined each year by the Chief Resident(s), the Academic Half-Day Coordinator and the Program Director based on feedback from the residents.

The Half-Day begins with Radiology Rounds at 0800 h (see below).

This is followed by a semi-didactic teaching session (0900 h to 1000 h) on a predefined subject, led by an invited speaker from the clinical division, the Farncombe Institute or another division. This session is used twice each year for a practice OSCE and written examination. This is followed by the weekly Journal Club (1000 h to 1100 h). The rest of the morning (1100h-1200h) is allocated to group discussion of a complicated, interesting and difficult case. Once every three months, the case discussion takes the form of morbidity and mortality (M & M) rounds, wherein adverse outcomes or complications of therapy are reviewed with the aim of improving patient safety and quality of care. The M & M rounds are preceded by lecture sessions on various topics related to medical ethics. All staff, including those on service at each training site, are encouraged to attend this session to facilitate discussion. Once every three months, the case discussion takes the form of combined Gastroenterology and Surgery Inflammatory Bowel Disease (IBD) case rounds, wherein challenging IBD cases are reviewed with guided discussion by Gastroenterology and Surgery Staff. These rounds aim to promote communication and collaboration between the two services. All trainees attend regardless of the particular site of the current rotation. The Academic Half- Day ends with the Farncombe Institute GI Rounds at 1300 h (see below).  An evaluation form for the Half-Day lecture is distributed by the Chief Resident (or designate) at each session. 

Attendance at Academic Half-Day is MANDATORY for all residents, except for those residents who are on vacation, post-call or on electives (distance > 50 km from McMaster University).  The minimum required attendance at Academic Half-Day is 80%. This policy will be reinforced by the Program Director and the Chief Residents who regularly take attendance at Academic Half-Day and expect an explanation for any residents missing any Half-Day sessions. A summary of resident attendance at the Academic Half-Day is provided to the Program Director every 6 months. Should any given resident’s attendance fall below the acceptable standards (< 80%), a letter will be sent to the resident by the Program Director. Should there be no adequate justification for these absences and the overall attendance during the two years of residency training falls below 80%, the FITER will reflect this in the “Scholar” and the “Professional” sections of the CanMEDS competencies. 

Journal Club (Wednesday 1000 h to 1100 h)

Trainees meet each week to critically appraise newly published research papers using an evidence-based approach. A faculty member is assigned to each session to guide the discussion, review the topic in detail, and teach research methodology as relevant. All trainees attend regardless of the particular site of the current rotation.

Radiology Rounds (Wednesday 0800 h to 0900 h)

Trainees on inpatient and outpatient services present the clinical history of patients with radiographic findings of interest. Basic approaches to the interpretation of GI radiology are reviewed. These rounds are chaired by GI radiologists (Drs. Parag Vora and Nina Singh). Through participation in these rounds, trainees will appreciate the importance of close collaboration between radiologists and gastroenterologists to optimize patient care. All trainees attend regardless of the particular site of the current rotation.

Pathology Rounds (Wednesday 1100 h to 1200 h Monthly)

These are combined clinical pathology rounds at which interesting cases are discussed in the context of histopathology and clinical findings. These rounds are chaired by GI pathologists (Dr. Jennifer Ramsay) at McMaster Site once per month. Trainees identify interesting cases from the inpatient and outpatient services, and GI pathologists present interesting specimens from other sources. These rounds are attended by residents and faculty. Through participation in these rounds, trainees can learn about the close collaboration between pathologists and gastroenterologists to optimize patient care. All trainees attend regardless of the particular site of the current rotation.

Combined Gastroenterology and Surgery Inflammatory Bowel Disease Case Rounds (Wednesday 1000 h to 1130 h Quarterly)

Every three months, a topic-oriented IBD Case Rounds takes place and the GI residents (alternating with General Surgery residents) are responsible for presenting challenging IBD cases and conducting a literature review on the topic with guided discussion by GI and Surgery Staff. Cases are chosen to highlight important issues in the medical and surgical management of IBD. Through participation in these rounds, trainees can learn about the close collaboration between surgeons and gastroenterologists to optimize patient care. All trainees attend regardless of the particular site of the current rotation.

Farncombe Institute GI Rounds (Wednesday 1200 h to 1300 h)

These rounds are the main weekly avenue at which clinicians and basic scientists meet. There is a formal seminar (45 minutes) given followed by discussion (15 minutes). Speakers include visiting faculty, in-house faculty, clinical trainees, and research trainees in the Farncombe Institute. The topics vary considerably but, overall, they cover the spectrum of GI physiology, pathophysiology, mucosal immunity, inflammation, drug therapy, and the clinical management of all gastroenterological or hepatological diseases. GI trainees are expected to organize and present at least 1 formal presentation every year on their research protocol/results. All trainees attend regardless of the particular site of the current rotation.

Farncombe Research-in-Progress Seminars (Wednesday 0900 h to 1000 h)

These rounds are a forum for the informal presentation of research in progress. Since GI residents are expected to undertake a research project, this event affords trainees the opportunity to present their own work. The rounds are organized by the Farncombe Institute. Attendance by trainees is encouraged.

Morbidity and Mortality (M & M) Rounds (Wednesday 1100 h to 1200 h Quarterly)

The goals of M & M Rounds are to: identify medical errors, improve patient care by implementing preventative strategies for further errors, review medical literature related to medical errors and medico-legal issues, and encourage residents to consider research in Quality Improvement. These rounds are not intended to be punitive and are moderated by an attending physician supervisor and the Chief Residents to ensure this is followed. All faculty members and health care providers involved in the case are invited to participate to facilitate the discussion. Residents prepare and present M & M Rounds at least once during their residency.

Mock OSCE and Written Examinations

In preparation for the Royal College of Physicians and Surgeons Examination in Gastroenterology, two mock OSCE and written examinations are held annually. The results of these tests are reviewed with the resident and should be used as a tool to guide the setting of future learning objectives. They are NOT used by the Residency Program for evaluative purposes. These mock examinations are MANDATORY for all residents.

Canadian Association of Gastroenterology (CAG) Basic Science Video Conferencing Rounds (Wednesday 1200 h to 1300 h Monthly)

This national initiative of CAG is an interactive satellite broadcast to all GI training programs in Canada. Prominent speakers present on a variety of topics with trainees from each site able to ask questions “live”. These interactive lecture series are intended to integrate clinical Gastroenterology with basic science and pathophysiology. All trainees attend regardless of the particular site of the current rotation.

Multidisciplinary Academic Half-Day (MAD) (Wednesday 1300 h to 1700 h Quarterly)

The Postgraduate Medical Education Office organizes multi-disciplinary sessions for all residents on Wednesday afternoons at McMaster University. The MAD days provide a forum for residents to meet, discuss and learn about issues that cross all disciplines of medicine. They are intended to focus on the Non-Medical Expert CanMEDS roles. The topics are derived from the interests and leadership of the resident planners who are the steering committee of the Postgraduate Medical Education Office. Topics may include financial planning, career planning, professionalism, and social contract, international health, and physician involvement in the inner city, the power of overcoming barriers, resident stress, and harassment. Attendance at MAD days is MANDATORY for all residents, except for those residents who are on vacation, post-call, or on electives (distance > 50 km from McMaster University). 

CanMEDS Sub-Specialty Medicine Combined Rounds (Thursday 1500 h to 1700 h Quarterly)

These are interactive lecture series organized by the Internal Medicine Sub-Specialty Programs Committee. They are intended to focus on the Non-Medical Expert CanMEDS roles. Topics may include hospital administration, patient complaints, the power of habit, billing, and office management. Attendance at the CanMEDS rounds is highly encouraged.

Medical Ground Rounds (Thursday 0800 h to 0900 h)

These are rounds attended by faculty and house staff from all divisions of the Department of Medicine. Topics focus on clinical issues, with an emphasis on critical appraisal and evidence-based learning. The rounds are organized by the Department of Medicine and are broadcast to all three Hamilton Health Sciences Sites. Attendance by trainees is strongly encouraged.

First Year GI Residents’ Endoscopy Training Course

This is an intensive 2-day training course hosted by McMaster University but attended by First Year GI residents from across Canada. This course incorporates didactic lectures, small group discussions, hands-on training on simulation, and dinner event with debate by course faculty.  Topics covered include endoscopic techniques, endoscopy reporting, preparing for endoscopy, bioethics, endoscopy unit management, endoscope construction and care, and endoscopic equipment and accessories. Attendance is MANDATORY for all first-year trainees.

Electrocautery workshop

This is an annual workshop organized by ConMed Canada. The workshop is intended to provide trainees with the principles, practice, and safety of electrosurgery and the various electrosurgical technologies available. Trainees also have the opportunity to gain hands-on exposure to endoscopic electrocautery and accessories. 

Speakers’ Training Workshop

This is an annual workshop designed to help residents develop their presentation skills. This workshop is filled with practical information on improving delivery skills, and also includes interactive coaching sessions for participants to immediately apply the learning. This seminar emphasizes personal delivery styles and the mechanics of presenting. Trainees will learn the power of body language, eye contact, and gestures for enhancing their personal effectiveness and style. Also included are techniques for maintaining control of the audience through planned movements, key body angles, balanced actions and proper phrasing. Other discussion points will include optimizing visual design elements, especially when presenting research data and other information that may appear challenging. For optimal skills coaching session, trainees are required to deliver about 5 to 7 slides, containing materials that they are familiar presenting.

Hamilton Association of Gastroenterology (Last Wednesday of each month)

These are professional / social evening events at which gastroenterologists and GI trainees discuss clinical issues of common interest (e.g. practice guidelines or regional deployment of service). Attendance by trainees is encouraged.

Hamilton District Gut Club (2nd Thursday of each month)

These are professional / social evening events at which difficult cases from the region are presented and discussed. The rounds are held at a restaurant in the Hamilton area and are organized by Dr. Bruno Salena. The rounds are attended by many community gastroenterologists, surgeons, and radiologists. Attendance by trainees is encouraged.

Annual Department of Medicine Research Day

The Department of Medicine Resident Research Day is a high profile educational and social event where residents can share their work with core internal medicine residents, subspecialty residents, and faculty. GI residents are encouraged to submit at least one abstract to the Department of Medicine Research Day for presentation each year.

Annual Farncombe Trainee Research Day

The Farncombe Trainee Research Day is an educational and social event where clinical and basic trainees can share their work with each other. GI residents are encouraged to submit at least one abstract to the Farncombe Research Day for presentation each year.

PAIRO Resident Well Being Day (Annual)

Resident well-being is becoming increasingly recognized as an area that medicine has not devoted enough time to. The PAIRO Resident Well-Being Days are held at McMaster University every year featuring topics related to residents’ lives and other fun filled participating events.

Scientific Conferences

Residents are encouraged to attend at least one national or international meeting every year (e.g. Canadian Digestive Disease Week, Digestive Disease Week). In case of limited attendance allowance, the selection will be made by the Program Director based on career goals, equity, and fairness. A random draw will be used in case of stalemate.

Conferences allowed per Academic Year:

CAG GRIT Course (contingent on acceptance of abstract to GRIT)

CDDW / CASL Meeting (contingent on acceptance of abstract to main meeting)

International conferences (e.g. DDW, ACG annual meeting, AASLD), subject to Program Director’s approval.

National / Regional conferences of sound academic value, subject to Program Director’s approval (Canadian IBD Conference, North American IBD Conference, ACG Second Year Fellows’ Course).

Funding

Funding per resident per academic year is currently set at $1,500 per year. The amount is subject to annual review by the Program Director based on available funding resources.

The annual allowance must be used by the end of the academic year, any unused amount cannot be carried forward.

Approval for all meetings and funding requests must be submitted prior to booking of airline tickets or hotel accommodation. An official request must be submitted via medportal at least 2 months before the conference date. Funding will not be approved retroactively.

Residents are encouraged to approach the research supervisor first for partial or complete funding support.

Additional funding may be available for any resident who is presenting a poster or talk at a conference.

Meetings funded by industry (with no prior approval by the Residency Program Committee or the Program Director) are not permitted.

Guidelines for travel reimbursement

Residents are to refer to the McMaster University Travel Guidelines for policy on reimbursement.

To claim a travel allowance, an expense form can be obtained from the GI Residency Program Assistant. The resident is responsible for completing the sections pertaining to contact information and meeting details (dates, location, purpose), as well as for signing and dating the form. The Program Assistant will complete the remainder of the form detailing the expenses, based upon the ORIGINAL receipts and credit card statements submitted by the resident. The resident should also keep a photocopy of these receipts for their files.

For airfare to be reimbursed, three items are required: itinerary/invoice/bill/receipt which the travel company provides at the time of booking the flight + credit card statement + boarding passes are required.

For meals to be reimbursed, original, itemized receipts and credit card statements are required.

The resident is encouraged to submit their expenses within 15 days. The time to reimbursement is dependent upon the Finance Department.


Program Overview

  • Definition

    Gastroenterology is the medical subspecialty that deals with the investigation, diagnosis, and management of conditions affecting the digestive system, including the liver and pancreas. The subspecialty can be further defined by and separated into pediatric and adult streams based on differences in clinical diagnoses, knowledge, and procedural skills. There is overlap in some aspects of the two streams in the care of adolescent patients transitioning to adult gastroenterology care.

  • Gastroenterology Practice

    Gastroenterologists provide care for patients with a wide range of conditions affecting the digestive system. Common patient presentations include abdominal pain, constipation, diarrhea, difficulty swallowing, gastrointestinal bleeding, indigestion, liver dysfunction, and suspected cancer of the digestive system.

    Gastroenterologists provide consultation for emergent, urgent, and non-urgent patient presentations, perform diagnostic and therapeutic gastrointestinal endoscopic procedures, and provide acute and long-term medical management and/or surveillance of the patient’s condition. 

    The rapid evolution in gastroenterology care has led to specialization within the discipline, with some physicians undergoing advanced training and/or focusing their practice in areas such as hepatology, liver transplantation, inflammatory bowel disease, gastrointestinal motility, intestinal failure, pancreaticobiliary conditions, and advanced endoscopic interventions.

  • Eligibility requierements to begin training

    Royal College certification in Internal Medicine or Pediatrics
    OR
    Eligibility for the Royal College certification examination in Internal Medicine or Pediatrics 
    OR
    Registration in a Royal College-accredited residency program in Internal Medicine or Pediatrics (see requirements for these qualifications)

    A maximum of one year of training in Gastroenterology may be undertaken at the fourth year residency level during training for certification in Internal Medicine or Pediatrics.

  • Eligibility Requierements for Examination

    All candidates must be Royal College certified in Internal Medicine or Pediatrics in order to be eligible to write the Royal College examination in Gastroenterology.



Goals & Competencies

Royal College Goals & Objectives for Training

Introduction
Medical Expert
Communicator
Collaborator
Manager
Health Advocate
Scholar
Professional


General Objectives of the Training Program

Introduction
General Objectives: First Year
General Objectives: Second Year
General Objectives: Optional Third Year


Rotation-specific objectives

Sites
McMaster Site Outpatient Rotation
Goals and Objectives of the McMaster Outpatient Clinic Rotation (Year 1)
Goals and Objectives of the McMaster Outpatient Clinic Rotation (Year 2)
Juravinski Site In-Patient Rotation
Goals and Objectives of the Juravinski Site Inpatient Rotation (Year 1)
Goals and Objectives of the Juravinski Site Inpatient Rotation (Year 2)
St. Joseph's Site Inpatient Rotation
Goals and Objectives of the St. Joseph's Site Inpatient Rotation (Year 1)
Goals and Objectives of the St. Joseph's Site Inpatient Rotation (Year 2)
Hamilton General Site Junior Attending Consult Rotation
Goals and Objectives of the General Site Inpatient Rotation (Year 2)
Hepatology Rotation
Goals and Objectives of the Hepatology Outpatient Rotation (Year 1)
Motility Rotation
Goals and Objectives of the Motility Rotation (Year 2)
Clinical Nutrition Rotation
Goals and Objectives of the Clinical Nutrition Rotation (Year 2)
Community GI Rotation
Goals and Objectives of the Community GI Rotation (Year 2)
Pediatric Gastroenterology Rotation
Goals and Objectives of the Pediatric Gastroenterology Rotation (Year 2)


Endoscopy training

Introduction
First Year GI Residents' Endoscopy Training Course
Resident Practice Audit Program Gastro-Enterology (RPAGE)


Additional aspects

Medical Ethics and Quality Assurance
Research Training
Research Activity
Electives
Evaluation
Career Planning and Counseling
Stress During Residency
Resident Safety
On-call and Leave
Moonlighting


 

Please send us your questions to gastroen@mcmaster.ca

Eric Greenwald

MSc, MD, FRCPC
Gastroenterology
Greenwald, Eric
Associate Professor
Adult Gastroenterology Residency Program Director


egreenw@mcmaster.ca