Description | Curriculum |
Faculty | Application
The Beth Isarel Medical Center ERCP Fellowship program is
a one-year, unaccredited fellowship program for gastroenterologists
wishing to develop into a first-rate gastroenterology consultant
and therapeutic endoscopist capable of independent clinical
management and research activity in pancreaticobiliary diseases.
The fellowship is a 12 month sub-specialty training which
will include ambulatory procedures, inpatient hospital care
and ongoing research activity at the Beth Israel Medical Center.
The fellowship will provide the opportunity for the trainee
to provide excellent patient care as they achieve cognitive
knowledge and procedural skills and gain supervised practical
experience as a therapeutic pancreaticobiliary endoscopist.
This training will also allow appropriate breadth and depth
of training to pursue careers in academic medicine and/or
The fellow will be directly involved in performing
diagnostic and therapeutic ERCP, endoscopic ultrasound and
therapeutic upper and lower endoscopy under the direct supervision
of attending physicians Drs. Siegel, Cohen and Kasmin. Additionally,
the fellow will assist the attending physicians in directing
the inpatient care of any patients requiring post-procedure
hospital treatment, including but not limited to the management
of procedure-related complications and follow-up study and/or
therapy. Finally, the fellow will evaluate and treat with
the attending physicians any new inpatient general gastroenterology
consultations generated on hospitalized patients.
In addition to the aforementioned educational
instruction, the fellow will also be encouraged to attend
weekly Gastroenterology Grand Rounds at Beth Israel Medical
Center Petrie Division, NYSGE monthly conferences and the
Annual NYSGE meeting. The fellow will also be expected to
present lectures at the former two conferences.
Finally, under the guidance of the attending
physicians, the fellow will be responsible for generating
an original research project or participating in a previously
identified research study relating to the diagnosis and/or
treatment of pancreaticobiliary diseases. The intention of
such endeavor will be to present the research findings in
a formal setting to his or her peers at a major society meeting,
and ultimately submit a written paper for formal acceptance
to a peer-reviewed journal.
Over the course of the academic year and under the direct
instruction of the aforementioned attending physicians, the
fellow will be expected to become experienced, knowledgeable
and competent in the management of the following clinical
- The fellow should be competent in the evaluation and management
of hepatobiliary diseases, including but not limited to
cholangitis, choledocholithiasis, benign and malignant biliary
stricture, post-cholecystectomy injury and Sphincter of
Oddi dysfunction. Fellow should be capable of performing
diagnostic and therapeutic ERC in the appropriate settings,
including biliary stenting (plastic and SEMS), cytology
brushing and aspiration, crystal analysis, balloon dilation,
sphincterotomy (wire-guided and pre-cut), stone extraction
(balloon and basket extraction as well as mechanical lithotripsy)
and Sphincter of Oddi Manometry. The fellow should understand
the indications for and be able to successfully execute
prophylactic temporary biliary and pancreatic stenting.
The fellow should be able to recognize and manage procedural
complications, including but not limited to pancreatitis,
perforation, cholangitis and bleeding. The fellow should
demonstrate competence in interpreting and acting upon US,
CT, MR and cholangiographic imaging modalities. He or she
should know the limitations of endoscopic therapy in the
management of biliary diseases and understand and acknowledge
the indications for referral to surgery and interventional
- The fellow should be competent in the evaluation and
management of pancreatic diseases, including but not limited
to acute and chronic pancreatitis, biliary pancreatitis,
pancreatic strictures, pancreatic neoplasms (benign and
malignant), pancreas divisum and Sphincter of Oddi dysfunction.
The fellow should be capable of performing diagnostic and
therapeutic ERP in the appropriate settings, including pancreatic
stenting (short-term prophylaxis and longer-term therapy),
cytology brushing and aspiration, sphincterotomy (wire-guided
and pre-cut), Sphincter of Oddi Manometry and endoscopic
pseudocyst-enterostomy. The fellow should understand the
indications for and be able to successfully execute prophylactic
temporary pancreatic stenting. The fellow should be able
to recognize and manage procedural complications, including
but not limited to pancreatitis, perforation and bleeding.
The fellow should demonstrate competence in interpreting
and acting upon US, CT, MR and pancreatic imaging modalities.
He or she should know the limitations of endoscopic therapy
in the management of pancreatic diseases and understand
and acknowledge the indications for referral to surgery,
interventional radiology and pain management services.
- The fellow should be capable in the evaluation and management
of submucosal gastrointestinal masses, including but not
limited to esophageal, gastric, pancreatic, duodenal and
anorectal lesions. The fellow should demonstrate appropriate
cognitive ability in formulating differential diagnoses
of such lesions, and competently performing endoscopic ultrasound
when deemed necessary. He or she should be familiar with
indications for fine needle aspiration.
- The fellow should be capable of performing endoscopic
ultrasound examination on mucosal-based lesions in the upper
and lower gastrointestinal tracts, including pre-operative
staging on lesions deemed not amenable to endoscopic therapy.
Additionally, he or she should be capable of identifying
those lesions that are amenable to endoscopic removal, and
subsequently performing such endoscopic therapy successfully
(i.e., endosocpic ampullectomy and ablative therapy for
Requirements and Responsibilities
The fellow will be responsible for making rounds on all hospitalized
patients on a daily basis, and discussing and implementing
the management plans with their respective attending physicians.
Prior to all ambulatory endoscopic procedures, the fellow
will be responsible for interviewing and examining each patient
and preparing them for their subsequent examinations. The
fellow will be actively involved in each endoscopy, and will
admit or discharge each patient depending on their post-procedure
disposition. Any new emergency or inpatient consults that
may arise during the work day will also be seen by the fellow
and discussed with the attending physicians. Finally, the
fellow will be involved in any interdisciplinary actions (i.e.,
interventional radiology, surgery, pain management) that may
need to be undertaken on any of the subsequently admitted
ambulatory patients or otherwise hospitalized patients.
Henry C. Bodenheimer, Jr. M.D.
– Division Director
Franklin Kasmin, M.D – ERCP Fellowship
Jerome Siegel, M.D.
Seth Cohen, M.D.
Applicants must have completed their Gastroenterology
fellowship and have the ability to obtain a NY state license
can apply. To apply, please submit:
- Filled Application Form (we accept universal application
form from www.gastro.org)
- Curriculum Vitae
- Personal statement
- Three letters of recommendation (LOR).
Please submit your documents to:
Franklin Kasmin, MD
60 East End Avenue Ofc
New York, NY 10028
Telephone: (212) 734-8874