Core Curriculum Topics


Congenital Abnormalities

  • Pierre-Robin Sequence, Treacher Collins
  • TEF/Esophageal Atresia
  • Esophageal Stenosis

Inflammatory Disorders

  • Infection eg., Candida, Herpes Simplex
  • Eosinophlic Esophagitis
  • Reflux Esophagitis

Gastroesophageal Reflux

  • Pathophysiology of GERD
  • Clinical Presentations/ Complications- Upper Airway, Lower Airway
  • Diagnosis
  • Therapy

Motor Disorders

  • Achalasia
  • Diffuse Esophageal Spasm
  • Nutcracker Esophagus
  • Non-Specific Esophageal Motor Disorders
  • Secondary Esophageal Motor Disorders eg., Collagen Vascular Disorders

Caustic Ingestions

Esophageal Foreign Bodies



Gastrointestinal (GI) Bleeding

  • Upper GI Bleeding, including Helicobactor Pylori disease
  • GI Bleeding Unique to Newborn eg., NEC, Hirschsprung’s Enterocolitis, Milk
  • Protein “Intolerance”
  • Portal Hypertension, Cirrhotic and Non-Cirrhotic Causes eg., Portal Vein Thrombosis and Congenital Hepatic Fibrosis
  • Lower GI Bleeding / Rectal Bleeding
    • Congenital Lesions eg., Meckel’s Diverticulum, Malrotation with Mid-gut Volvulus, Intussusception
    • Infection eg., Common Bacterial (Salmonella, E.coli 0157: H7; Parasitic (E. histolytica); Opportunistic (CMV, Aspergillosis)
    • “Ischemia” eg., Hemolytic-Uremic Syndrome, Henoch-Schoenlein Syndrome
    • Inflammatory Bowel Disease (IBD) eg., Ulcerative Colitis, Crohn’s Disease, Clostridium Difficile Colitis
      • Biologics and Beyond
      • When Medicine Does Not Work —- Surgery in IBD
      • Pouchitis
    • Polyposis Syndromes

Congenital Anomalies

  • Basics of Gastrointestinal Development
  • Stomach Anomalies
    • Abdominal Situs Inversus, Duplication, Gastric Web or Atresia
    • Pyloric Stenosis: Etiology, Presentation, Exam, Diagnosis
    • Gastroschisis and Omphalocele: Differentiating Features
  • Duodenal and Jejunal / Ileal
    • Duodenal Atresia, Stenosis, Web
    • Annular Pancreas
    • Malrotation: Presentation, Exam, Diagnosis, Anomalies Associated         with malrotation, Complications
    • Jejunal / Ileal Atresia, Stenosis, Duplications
  • Anomalies of the Omphalomesenteric Duct, Especially Meckel’s Diverticulum

GI Motility and Motor Dysfunction

  • Basic Concepts of Nerve and Muscle Function in the Gut
  • Physiology of Defecation and Colonic Transit
  • Normal Gastric and Small Intestinal Motility
  • Clinical Approaches to Specific Problems
    • Biofeedback Therapy for Constipation
    • Gastroparesis and Gastric Pacing
    • Intestinal Dysmotility /Pseudo obstruction
    • Videofluoroscopic Assessment in Children with Swallowing Problems
    • Endoscopic Therapy for GERD: Suturing, Enteryx, Etc.

Gastritis and Duodenitis

  • Pathogenesis of Gastritis and Peptic Ulcer
  • Atrophic Gastritis in Children – Causes include H. Pylori Gastritis, Autoimmune Disease (eg., Pernicious Anemia; and, Collagen Vascular Disease eg., Scleroderma)
  • Helicobacter Pylori and Gastric Carditis – (where to biopsy the stomach?)
  • Significance of Helicobacter Pylori in the Pathogenesis of Peptic Ulcer Disease

Peptic Ulcer Disease

  • Helicobacter Pylori – Associated vs. Non-Hp- Associated vs. Hypersecretory Conditions
  • Secondary Peptic Ulcer Disease
    • NSAIDS
    • Crohn’s Disease
    • Bile Gastropathy
    • Others: Stress, Autoimmune Disease, Eosinophilic Gastritis, etc

Abdominal Pain in Children and Adolescents

Constipation / Encopresis

  • Pelvic Floor Dysfunction / Incontinence

Irritable Bowel Syndrome (IBS)

  • Pathophysiology of IBS
  • Antidepressants for management of IBS and Visceral Pain
  • Newer Receptor Acting Agents: Tegaserod, Aloesetron, Clonidine, Asimadoline, etc.

Celiac Disease

  • Biopsy or Serology?
  • Spectrum of Presentation



  • Acute
  • Chronic
  • Secretory

Malabsorption Syndromes

Short Bowel Syndrome

  • Breath Studies for Bacterial Overgrowth
  • Probiotics

Intestinal Infection

  • Bacteria
  • Parasites
  • Viruses



Liver Anatomy and Physiology

Liver Function– Approach to the Patient with Abnormal LFT’s

 Neonatal Cholestasis- Differenteal Diagnosis and Evaluation

  • Non-Cholestatic Juandice eg., Gilbert’s Syndrome, Crigler-Najjar/ Arias Syndrome, Roter Syndrome, Dubin Johnson Syndrome
  • Hepatocellular Cholestasis
  • Extrahepatic Cholestasis – Biliary Atresia, Choledochal Cyst
  • Metabolic Causes of Cholestasis
    • Galactosemia
    • Hereditary Fructose Intolerance
    • Tyrosinemia
    • Antitrypsin Deficiency
    • Neonatal Iron Storage Disease
    • Bile Acid Synthesis Defects

Wilson’s  Disease

Alagille’s Syndrome

Autoimmune Liver Disease

  • Type 1 (ASMA,ANA)
  • Type 2 (Anti-LKM)

Viral Hepatitis

  • Hepatitis A
  • Hepatitis B
    • Pathogensis of Hepatitis
    • Treatment
  • Hepatitis C
    • Co-Infection with HIV and HCV and Liver Manifestations
    • Anti-Viral Mechanisms of Interferon and Ribaviron
    • Pathobiology: Understanding HCV- Induced Immunopathology and Viral Replication

Portal Hypertension

  • Intrahepatic Etiology
    • Cirrhosis
    • Congential Hepatic Fibrosis
    • Veno-occlusive Disease
    • Infiltrative or Inflammatory Disease
    • Nodular Regenerative Hyperplasia
  • Post Hepatic Etiology
    • Budd-Chiari Syndrome
    • Constrictive Pericarditis
  • Complications
    • Ascites / Spontaneous Bacterial Peritonitis
    • Variceal  Bleeding
    • Encephalopathy
  • Surgical Portosystemic Shunt

Liver Transplantation

  • Allograft Rejection (Acute, Chronic)
  • Lymphoproliferative Disease  (PTLD)
  • Long  Term  Complications
  • Liver Failure
    • Acute
    • Acetaminophen Toxicity
    • Drug Induced Liver Toxicity
  • Liver Transplant Organ Allocation: How Is PELD Working?

Drug Induced Liver Injury

  • Antituberculous Drugs
  • Anticonvulsants
  • Methotrexate
  • Herbal (Remedies) eg., Kava Kava
  • Troglitazone / Rosiglitazone

Non-Alcoholic Fatty Liver Disease  (NAFLD)

Hepatic Tumors in Children

Hepatic Fibrosis


Development and Physiology

Pancreatic Function Tests

Inherited Disorders of Pancreatic Function

  • Cystic Fibrosis
  • Shwachman- Diamond Syndrome
  • Johnson- Blizzard Syndrome

Acquired Disorders of Pancreatic Dysfunction

  • Malnutrition
  • Surgical Resection
  • Enteropathy
  • Chronic pancreatitis

Acute Pancreatitis

  • ERCP in the Evaluation and Management of Idiopathic Acute Pancreatitis


Micronutrients – Vitamins and Minerals

Herbs and Supplements


  • Gastrointestinal and Liver Manifestations of Obesity

Home TPN

Failure to Thrive – Poor Feeders and Picky Eaters

Food Allergy

Nutritional Management of Allergic Bowel Disease

Eating Disorders



GI Bacteria / Gas

Genetics in Gastroenterology

Capsule Endoscopy

Food-born Pathogens

Gall Bladder Disease in Children

Carcinoid Spectrum



Clinical and Laboratory Research Methodology

Study Design and Ethical Principles Involving Clinical Research

Preparation of Application for FundiCritical Literature Review and Principles of Evidence-Based Medicine

Basics of Writing a Manuscript for Peer Review

Proficiency in Teaching