Core Curriculum Topics

ESOPHAGUS

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

 

STOMACH / INTESTINES

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

Vomiting

Diarrhea

  • Acute
  • Chronic
  • Secretory

Malabsorption Syndromes

Short Bowel Syndrome

  • Breath Studies for Bacterial Overgrowth
  • Probiotics

Intestinal Infection

  • Bacteria
  • Parasites
  • Viruses

 

LIVER

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

PANCREAS

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

NUTRITION

Micronutrients – Vitamins and Minerals

Herbs and Supplements

Obesity

  • 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

OTHER MEDICAL TOPICS

Probiotics

GI Bacteria / Gas

Genetics in Gastroenterology

Capsule Endoscopy

Food-born Pathogens

Gall Bladder Disease in Children

Carcinoid Spectrum

NON-MEDICAL CORE TOPICS

Biostatistics

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

Bioethics

Professionalism