The DAVE Project - Gastroenterology

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I. General Considerations (Non organ specific) In Gastroenterology
A. Inflammatory Bowel Disease
1. Pathophysiology of IBD
2. Genetics of IBD
3. Intestinal and nonintestinal manifestations of IBD
4. IBD in pregnancy
5. Advances in IBD treatment
6. IBD related neoplasia
B. Diarrheal Disorder
1. Pathophysiology
C. Geriatric Gastroenterology
1. Changes in GI Functioning with age
2. Common GI disorders of the elderly
3. Age-related differences in presentation and management of GI disorders
4. Screening for GI malignancies in the elderly
5. Effect of aging on Nutrition
D. Hormones
E. Infectious Diseases
1. Bacterial infections
2. Viral infections in immunocompetent and immunocompromised hosts'
3. HIV related GI disorders
F. Motility
1. Functional Bowel Disorders
a. IBS
b. Physiology of GI Motility
c. Brain-Gut Axis and visceral sensation
d. Psychosocial aspects of functional bowel disorders
e. Usefulness, indications, and limitations of motility testing
f. Scleroderma and other major motor disorders
g. Dyssynergic Defecation
G. Neoplasia
1. Cancer family syndromes
2. Nutrition and GI Cancers
3. Prevention of GI cancers
4. Screening for GI neoplasia
H. Nutrition
1. Basic principles of nutritional requirements
2. Assessment of nutritional status
a. Parenteral and enteral nutritional support
b. Ethical and legal issues of nutritional support
3. Nutritional considerations in GI diseases
a. Short Gut syndrome
b. Inflammatory Bowel Disease
c. Nutrition in Obesity and after weight reduction surgery
I. Obesity
1. Pathophysiology, medical and surgical management of obesity
J. Pediatric GI - Age-related GI physiological and psychological variables of children and adults
1. Viral liver disease in children
2. Cystic fibrosis and GI manifestations
3. Management of GI bleeding in Children
4. Esophagitis and Gastritis in Children
5. Special considerations
K. Women's Health and GI
1. GI disorders in pregnancy
2. Gender differences in presentation of GI disorders
3. Complementary and alternative medicine
4. Liver disease in pregnancy


II. Conditions by Organ System
A. Esophagus
1. Achalasia
2. Barrett's Esophagus
3. Esophageal Neoplasia
4. Esophageal dismotility
5. GERD
6. Esophagitis
B. Stomach
1. Polyps and Tumors
2. Acid Peptic Disorders
a. Anatomy, physiology and pathophysiology of upper GI tract
b. Zollinger-Ellison Syndrome and other hypersecretory states
c. H pylori
d. NSAID induced GI disorders
e. Indication for testing of GI secretion
3. Gastroparesis
C. Duodenum
1. Sprue
D. Small Intestine
1. Crohn's Disease - see General Considerations above
2. Sprue - see Duodenum, sprue
3. Malabsorptive syndromes
4. Infectious disorders
E. Colon
1. Diverticular Disease
2. Clostridial Difficile Colitis
3. Inflammatory Bowel Disease
a. Pathophysiology of IBD
b. Genetics of IBD
c. Intestinal and nonintestinal manifestations of IBD
d. IBD in pregnancy
e. Advances in IBD treatment
4. Colorectal neoplasia
5. Ischemia
6. Miscellaneous disorders
F. Biliary
1. Evaluation of the biliary tree
2. Physiology of the biliary tract and pancreas
3. Pathology of benign and malignant biliary lesions
4. Miscellaneous biliary disorders
G. Pancreas
1. Evaluation of the pancreas
2. Physiology of the biliary tract and pancreas
3. Pancreatitis - acute and chronic
4. Pancreatic neoplasia - diagnostic test, serum tumor markers, treatments
5. HIV associated pancreatic disorders
6. Miscellaneous pancreatic disorders
H. Liver
1. Hepatic physiology
2. Benign and malignant hepatic lesions
3. Viral hepatitis B, C, D
a. Pathophysiology  
b. Treatment
c. Advances
4. Orthotopic liver transplantation- advances, challenges, new indications
5. Genetic liver disorders
6. Metabolic disorders of liver
7. Hemochromatosis
8. Ischemic liver injury
9. Fulminant hepatic failure
10. Complications of chronic liver disease: Portal hypertension
11. Gallstone disease
12. Hepatobiliary disorders of pregnancy
13. Hepatic pathology
14. Surgical risk stratification in patients with liver disease
15. Autoimmune liver disease
16. Cholestatic liver disease
17. Drug hepatotoxicity
18. NAFLD
19. Miscellaneous liver disease


III. Interventions in Gastroenterology
A. EGD
1. Management of Upper GI bleeding
2. Endoscopic management of GERD
B. ERCP
1. Indications and limitations of ERCP
C. Colon
1. Management of lower GI Bleeding
D. GI Rads
E. GI Surgery - Specific surgical techniques
1. Antireflux surgery
2. Ulcer surgery
3. Hepatobiliary operations
4. Surgery for IBD
5. Diverticular surgery
6. Stomas


IV. Issues in Gastroenterology Training
A. Endoscopy training
B. Core curriculum
C. Training in ACGME general competencies
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