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Jones, an internationally renowned clinician, led the clinical activities in gastroenterology at the MGH, with a strong focus on esophageal and gastric motility. Isselbacher to develop and head the Gastrointestinal Unit. In succeeding Dr. Jones, the central focus of this GI unit was shifted to bring scientific rigor to the study of gastroenterology. In the 32 years that Dr. Isselbacher led the division and the training program, the MGH became recognized for its scientific accomplishments and, more importantly, its success in training GI academicians.
The more than alumni of this GI Unit from that period include more than 40 individuals who have gone on to head universities 1 , cancer centers 1 academic divisions 31 , departments of medicine and pediatrics 4 , epidemiology, biochemistry, cell biology, anatomy and pharmacology, and include presidents of the ASCI 2 , the AGA 5 and the AASLD 4. Most importantly, this program produced scores of productive investigators and educators.
In , Dr. Daniel K. Podolsky, himself a graduate of this training program, was appointed as the third Chief of the MGH GI Unit and served in that role until During that nearly year period, the GI Unit underwent a steady expansion of its research, clinical and training programs.
Clinical volume of outpatient and inpatient care as well as endoscopic procedures grew nearly fold. In parallel with the development of the clinical services, the GI Unit research programs underwent significant expansion with the increase from two NIH investigators to more than 17 NIH-funded investigators, as well as an additional 12 faculty funded by other grant mechanisms.
Over the ensuing years, the GI Unit and CSIBD gained international recognition for the important contributions by its investigators advancing understanding of the basic mechanisms underlying inflammatory bowel diseases. In addition to the many investigators within the GI Unit, the Center included participation of more than 60 other investigators from other departments within the MGH and other Harvard-affiliated institutions. During this period, the full-time faculty grew from 6 to Growth in clinical and research programs was associated with expanded gastroenterology fellowship and postdoctoral research fellowship activities as well as development of advanced fellowship training.
The MGH GI fellowship expanded over time from two to four fellows per year and became among the most highly competitive in the country.
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In addition, advanced fellowships were established in interventional endoscopy, hepatology and inflammatory bowel disease, which also rapidly attracted the very best trainees seeking advanced training experience. More than 70 fellows received GI fellowship training while Dr.
Podolsky was Chief of the Unit. Of these, a great majority are pursuing careers in academic medicine with the majority remaining active in peer review funded research.
Upper Gastrointestinal Endoscopy
These include 10 professors, 13 associate professors, 18 assistant professors, and 14 instructors at medical schools or research institutions in the United States. Nine former fellows are pursuing clinical practice outside academia and two have positions in industry. Five are now division chiefs. These fellows were from 16 countries and include five professors and five department chairmen.
Harrison's Principles of Internal Medicine, 20e
Important scientific contributions have been made in a broad array of fields, including basic mechanisms of intestinal mucosal immune response, epithelial biology, innate immunity, viral hepatitis, energy balance, GI hormone-gene regulation and GI tumorigenesis. In addition to robust programs of basic laboratory research, the GI Unit developed expanded clinical and translational research efforts.
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These included key roles in clinical trials defining better therapeutics for inflammatory bowel disease, anti-viral therapy for chronic hepatitis C, health services research, evaluation of new diagnostic modalities, and health disparities as well as endoscopic ultrasound and new endoscopic techniques. Research funding increased approximately fold during this period. When Dr. Bruce Sands, a senior member of the GI faculty and graduate of the MGH training program, succeeded him in an interim capacity.
In May , Dr.
Sands became the Chief of the Henry D. In January , Dr. Ramnik Xavier, who trained in internal medicine and gastroenterology at MGH, assumed the position of Chief of the Division of Gastroenterology.
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Under his leadership, the Division grew to more than 50 faculty, of which 24 are independent investigators, including 19 physician-investigators. In December , Dr. Goessling is a Robert H. Applicants must be enrolled in or have completed an American Council of Graduate Medical Education-accredited internal medicine residency.
All ABIM Research Pathway applicants must satisfactorily complete 24 months of accredited categorical ACGME internal medicine training, which includes a minimum of 20 months of direct patient care responsibility. Our clinical curriculum encompasses a minimum of 18 months of rigorous work in all aspects of digestive diseases. Our training program also affords opportunities for fellows to develop as clinical teachers for their colleagues, medical residents and Harvard medical students.
Fellows are offered broad exposure to specific clinical areas, including:. The hospital is consistently ranked among the top five hospitals in the nation by U. News and World Report. The main hospital is a more than bed medical center with more than 47, admissions annually.