Our fellows receive a strong and comprehensive clinical foundation through direct patient care in diverse health care settings and extensive didactic sessions and conferences.  UCSF Fresno is the tertiary level medical center for the California Central Valley and fellows benefit from exposure to both common and complex cases referred for advanced care and endoscopic treatment.

Fellows spend significant time on the inpatient consult services where they learn how to manage a wide array of GI and liver diseases.  Fellows are expected to serve in a junior attending role to residents and students on service.  Fellows also have extensive outpatient experiences which include their weekly continuity clinic and multispecialty clinics focused on general gastroenterology, hepatology, biliary & pancreatic disease, inflammatory bowel disease, and motility.  Fellows also receive two months of training devoted to transplant hepatology at UCSF, one of the nation’s top transplant centers.

Fellows receive ample training in endoscopic procedures that far exceeds basic ACGME requirements.  All procedures are performed under the direct supervision of a faculty attending.  Additionally, senior fellows have significant exposure to advanced therapeutic endoscopy and endoscopic ultrasound procedures. Community Regional Medical Center, the primary training site, has recently built a state-of-art endoscopy unit providing the latest technologies and excellent facilities for endoscopy.

Didactics include: Core Curriculum lectures, Journal Club, Morbidity & Mortality conference, Radiology conference, Pathology conference, Surgery conference, Hepatobiliary & GI Oncology conference and Research & Quality Improvement conference.  Additionally, Internal Medicine Grand Rounds bring visiting scholars & academic leaders in the field to teach and interact with the fellows and faculty.
All fellows are expected to engage in scholarly activities and quality improvement.  Dedicated research time is built into the 3 year GI curriculum. Fellows will work under the guidance of their research mentor with the expectation of submitting their work for publication and presentation at national meetings.