The liver and gastrointestinal pathology fellowship is a one year program aimed at focusing on and training individuals for academic practice.
The liver/GI fellowship program was started at Washington University School of Medicine in July 2010 by Elizabeth Brunt, MD. Dr. Brunt was the program director until she retired in 2015. Jon Ritter, MD, is the current program director.
This is a heavily clinically-oriented program with three months of electives, including two weeks of clinical rotations and research time. The fellowship is designed to take advantage of the opportunities afforded by the presence of strong clinical programs in hepatology, GI, liver surgery and transplant, colorectal and hepatobiliary/pancreatic surgery sections at Washington University. The liver/GI fellow will spend two weeks rotating through clinical services of their choice; possibilities include liver surgery and/or transplant, GI surgery, HPB surgery, IBD clinic and/or surgery, advanced endoscopic procedures, etc.
Fellows will also be allowed to participate in the monthly to weekly interdisciplinary conferences shared amongst our departments. Fellows may attend additional GI research conferences to further expand their knowledge base in their field. By the end of this year, the fellow should be comfortable with the evaluation, clinical correlations and future research questions pertaining to a wide variety of specimens related to liver and gastrointestinal diseases.
The clinical material for the program includes all liver/pancreas/ luminal GI biopsy material at Barnes-Jewish Hospital, all inflammatory bowel disease biopsies from Barnes Jewish West County Hospital and a part of the “outside” referral biopsies. The material from St. Louis Children’s Hospital is separate, but the liver/GI fellow has an opportunity to avail themselves of pertinent material. There are over 7500 specimens and 1000 FS specimens for the adult and pediatric liver/GI services.
The liver/GI fellow will gain experience by, oversight and specimen handling of the GI/pancreatobiliary/liver specimens.
The liver/GI fellow will participate in the in-house liver/GI sign-outs, in liver transplant coverage (one or two weekends during the second half of the year with available back up) and in the weekly and monthly clinico-pathologic conferences involving hepatology, GI, hepatobiliary surgery, colorectal surgery and hepatic imaging. Consensus conferences for challenging liver/GI cases are held twice a week, although faculty members are available at any time for questions/consults.
Training for the fellowship occurs in state-of-the-art facilities at Washington University School of Medicine/Barnes Jewish Hospital/St. Louis Children’s Hospital. The liver/GI section is located in the 680,000 square-foot BJC Institute of Health (BJCIH) at Washington University School of Medicine, which is an 11-story research building housing laboratories and support facilities and is Washington University’s largest building.
Faculty and trainees
Department of Pathology & Immunology
Washington University School of Medicine
660 S. Euclid Ave., Box 8118
St. Louis, MO 63110