Endoscopy Simulator

Thought I’d share a photo of my residency program’s GI endoscopy simulator!  Earlier today, I had fun testing out some of the EGD and Colonoscopy scenarios on this machine.  Once a month, our program allows for “Simulation (sim) Lab.”  Essentially, it’s an hour-long block wherein residents practice code blue 90’s, rapid responses, central line insertions, and even practice with the simulator. Interestingly, not only does … Continue reading Endoscopy Simulator

I Matched into GI Fellowship!

Matching into a three-year clinical Gastroenterology fellowship program is a dream come true.  Match Day was December 6th, 2017.  I remember anxiously driving home to meet my wife Claudia and puppy Chloe so that everyone was there to hear the news as soon as I pulled up the NRMP 2017 Medical Specialties results online. Sitting down at my desk, I opened Chrome and started to … Continue reading I Matched into GI Fellowship!

Fellowship Candidacy

Life in residency is always busy.  Time flies by.  I am nearly three months into my third and final year of residency (PGY-3).  I was scrolling through social media earlier today, and noticed a familiar big announcement: Today ACGME residency programs start receiving applications. #ERAS2018 pic.twitter.com/ScKRMXMt2r — ERAS (@ERASinfo) September 15, 2017 The start of a brand new cycle of residency applications is a momentous … Continue reading Fellowship Candidacy

Acute and Chronic Pancreatitis

In this section, I’ll outline important facts about Acute Pancreatitis and Chronic Pancreatitis that most residents and hospitalists should be aware of.     Acute Pancreatitis Hospitalists, listen up!  This is the #1 GI cause of hospitalization in the States. Clinically: c/c severe epigastric pain 80% are classified as “Mild Pancreatitis” Recovery within few days 20% are classified as either Moderate or Severe Moderate:  pancreatic … Continue reading Acute and Chronic Pancreatitis

Esophageal Metaplasia and Neoplasia

Esophageal cancer accounts for a jaw-dropping amount of cancer-related deaths, and is now classified as the 6th-highest cause of death in this group.  In this installment of the study guide series, I will discuss Barrett Esophagus (I learned this entity as Barrett Metaplasia) and esophageal cancer (neoplasia).   Barrett Metaplasia Metaplasia:  columnar epithelium replaces the physiologic squamous epithelium in the distal portion of the food pipe. PRE-MALIGNANT CONDITION … Continue reading Esophageal Metaplasia and Neoplasia