Letter from the Editor

Dear colleagues,

Welcome to the May edition of The New Gastroenterologist, which is packed with a fantastic line-up of articles! The 1-year mark of the pandemic recently passed, and we now are gearing up for our second virtual Digestive Disease Week (DDW®). While we are all anxious to return to lives that have some semblance of normalcy, we continue to endure the ebbs and flows that characterize life in a pandemic. For over a year now, we spend our days caught in a constant battle between the risk and reward of activities we previously took for granted or considered mundane. Our moods vacillate with the continued rise and fall of COVID-19 cases, but the advent and distribution of vaccines have offered palpable hope for better outcomes.

I’m pleased to introduce this quarter’s content – beginning with our legal section. Dr. John Azizian (UCLA-Olive-View), Dr. James Tabibian (UCLA-Olive-View), Dr. Camellia Dalai (UCLA-Olive-View/University of New Mexico), and Dr. Megan Adams (University of Michigan) contribute a comprehensive piece on medical professional liability (MPL), a topic that is seldom discussed in training but has important implications in clinical practice. This article reviews basic legal concepts, recent trends and details on gastroenterology specific claims, and most importantly, advice on how to mitigate MPL risk as gastroenterologists.

Many trainees and early career gastroenterologists face microaggressions for a variety of different reasons. Dr. Oveia Aktopaire and Dr. Rachel Issaka (University of Washington) present a thought-provoking piece as they delve into structural racism in medicine and how microaggressions are a proxy for bias.

Dyssynergic defecation (DD) affects up to one-half of patients with chronic constipation. The “In Focus” feature for May provides an excellent review of DD written by international expert Dr. Satish Rao and Dr. Asad Jehangir (both, Medical College of Georgia/Augusta University). The article provides guidance on the diagnosis of DD, including high-yield features of physical and digital rectal exams, guidance on interpretation of anorectal manometry testing, and how these can dictate an effective therapeutic plan.

Meaningful mentorship is crucial for young gastroenterologists but at times the nature of the mentor-mentee relationship can be difficult to navigate. Dr. David Fessell and Bridger Rodoni (University of Michigan) explore this dynamic and discuss the notion of mentorship malpractice in a compelling addition to our ethics case series.

Abdominal wall pain is common yet often overlooked diagnosis and a great teaching point for trainees. Dr. Manish Singla (Uniformed Services University/Capital Digestive Care) and Dr. Brian Park (Naval Medical Center) discuss the diagnosis and management and how the early recognition of abdominal wall pain can save both patients and clinicians from a battery of unnecessary diagnostic testing.

The DHPA Private Practice Perspectives article this quarter, written by Dr. Aja McCutchen (Atlanta Gastroenterology Associates), addresses colorectal cancer screening, the disparities that exist, and the important role we have as gastroenterologists in reducing barriers to screening. Lastly, Dr. Bilal Asif (University of Maryland/National Institutes of Health) walks us through a fellow’s perspective on the AGA’s first virtual Advocacy Day – demonstrating that advocacy is still possible even as a trainee and in the setting of a pandemic.

If you have interest in contributing or have ideas for future TNG topics, please contact me ([email protected]) or Ryan Farrell ([email protected]), managing editor of TNG.

Stay well,

Vijaya L. Rao, MD
Editor in Chief
Assistant Professor of Medicine, University of Chicago, Section of Gastroenterology, Hepatology & Nutrition

Dear colleagues,

Welcome to the May edition of The New Gastroenterologist, which is packed with a fantastic line-up of articles! The 1-year mark of the pandemic recently passed, and we now are gearing up for our second virtual Digestive Disease Week (DDW®). While we are all anxious to return to lives that have some semblance of normalcy, we continue to endure the ebbs and flows that characterize life in a pandemic. For over a year now, we spend our days caught in a constant battle between the risk and reward of activities we previously took for granted or considered mundane. Our moods vacillate with the continued rise and fall of COVID-19 cases, but the advent and distribution of vaccines have offered palpable hope for better outcomes.

I’m pleased to introduce this quarter’s content – beginning with our legal section. Dr. John Azizian (UCLA-Olive-View), Dr. James Tabibian (UCLA-Olive-View), Dr. Camellia Dalai (UCLA-Olive-View/University of New Mexico), and Dr. Megan Adams (University of Michigan) contribute a comprehensive piece on medical professional liability (MPL), a topic that is seldom discussed in training but has important implications in clinical practice. This article reviews basic legal concepts, recent trends and details on gastroenterology specific claims, and most importantly, advice on how to mitigate MPL risk as gastroenterologists.

Many trainees and early career gastroenterologists face microaggressions for a variety of different reasons. Dr. Oveia Aktopaire and Dr. Rachel Issaka (University of Washington) present a thought-provoking piece as they delve into structural racism in medicine and how microaggressions are a proxy for bias.

Dyssynergic defecation (DD) affects up to one-half of patients with chronic constipation. The “In Focus” feature for May provides an excellent review of DD written by international expert Dr. Satish Rao and Dr. Asad Jehangir (both, Medical College of Georgia/Augusta University). The article provides guidance on the diagnosis of DD, including high-yield features of physical and digital rectal exams, guidance on interpretation of anorectal manometry testing, and how these can dictate an effective therapeutic plan.

Meaningful mentorship is crucial for young gastroenterologists but at times the nature of the mentor-mentee relationship can be difficult to navigate. Dr. David Fessell and Bridger Rodoni (University of Michigan) explore this dynamic and discuss the notion of mentorship malpractice in a compelling addition to our ethics case series.

Abdominal wall pain is common yet often overlooked diagnosis and a great teaching point for trainees. Dr. Manish Singla (Uniformed Services University/Capital Digestive Care) and Dr. Brian Park (Naval Medical Center) discuss the diagnosis and management and how the early recognition of abdominal wall pain can save both patients and clinicians from a battery of unnecessary diagnostic testing.

The DHPA Private Practice Perspectives article this quarter, written by Dr. Aja McCutchen (Atlanta Gastroenterology Associates), addresses colorectal cancer screening, the disparities that exist, and the important role we have as gastroenterologists in reducing barriers to screening. Lastly, Dr. Bilal Asif (University of Maryland/National Institutes of Health) walks us through a fellow’s perspective on the AGA’s first virtual Advocacy Day – demonstrating that advocacy is still possible even as a trainee and in the setting of a pandemic.

If you have interest in contributing or have ideas for future TNG topics, please contact me ([email protected]) or Ryan Farrell ([email protected]), managing editor of TNG.

Stay well,

Vijaya L. Rao, MD
Editor in Chief
Assistant Professor of Medicine, University of Chicago, Section of Gastroenterology, Hepatology & Nutrition

Dear colleagues,

Welcome to the May edition of The New Gastroenterologist, which is packed with a fantastic line-up of articles! The 1-year mark of the pandemic recently passed, and we now are gearing up for our second virtual Digestive Disease Week (DDW®). While we are all anxious to return to lives that have some semblance of normalcy, we continue to endure the ebbs and flows that characterize life in a pandemic. For over a year now, we spend our days caught in a constant battle between the risk and reward of activities we previously took for granted or considered mundane. Our moods vacillate with the continued rise and fall of COVID-19 cases, but the advent and distribution of vaccines have offered palpable hope for better outcomes.

I’m pleased to introduce this quarter’s content – beginning with our legal section. Dr. John Azizian (UCLA-Olive-View), Dr. James Tabibian (UCLA-Olive-View), Dr. Camellia Dalai (UCLA-Olive-View/University of New Mexico), and Dr. Megan Adams (University of Michigan) contribute a comprehensive piece on medical professional liability (MPL), a topic that is seldom discussed in training but has important implications in clinical practice. This article reviews basic legal concepts, recent trends and details on gastroenterology specific claims, and most importantly, advice on how to mitigate MPL risk as gastroenterologists.

Many trainees and early career gastroenterologists face microaggressions for a variety of different reasons. Dr. Oveia Aktopaire and Dr. Rachel Issaka (University of Washington) present a thought-provoking piece as they delve into structural racism in medicine and how microaggressions are a proxy for bias.

Dyssynergic defecation (DD) affects up to one-half of patients with chronic constipation. The “In Focus” feature for May provides an excellent review of DD written by international expert Dr. Satish Rao and Dr. Asad Jehangir (both, Medical College of Georgia/Augusta University). The article provides guidance on the diagnosis of DD, including high-yield features of physical and digital rectal exams, guidance on interpretation of anorectal manometry testing, and how these can dictate an effective therapeutic plan.

Meaningful mentorship is crucial for young gastroenterologists but at times the nature of the mentor-mentee relationship can be difficult to navigate. Dr. David Fessell and Bridger Rodoni (University of Michigan) explore this dynamic and discuss the notion of mentorship malpractice in a compelling addition to our ethics case series.

Abdominal wall pain is common yet often overlooked diagnosis and a great teaching point for trainees. Dr. Manish Singla (Uniformed Services University/Capital Digestive Care) and Dr. Brian Park (Naval Medical Center) discuss the diagnosis and management and how the early recognition of abdominal wall pain can save both patients and clinicians from a battery of unnecessary diagnostic testing.

The DHPA Private Practice Perspectives article this quarter, written by Dr. Aja McCutchen (Atlanta Gastroenterology Associates), addresses colorectal cancer screening, the disparities that exist, and the important role we have as gastroenterologists in reducing barriers to screening. Lastly, Dr. Bilal Asif (University of Maryland/National Institutes of Health) walks us through a fellow’s perspective on the AGA’s first virtual Advocacy Day – demonstrating that advocacy is still possible even as a trainee and in the setting of a pandemic.

If you have interest in contributing or have ideas for future TNG topics, please contact me ([email protected]) or Ryan Farrell ([email protected]), managing editor of TNG.

Stay well,

Vijaya L. Rao, MD
Editor in Chief
Assistant Professor of Medicine, University of Chicago, Section of Gastroenterology, Hepatology & Nutrition

Dear colleagues,

I’m pleased to introduce the winter edition of The New Gastroenterologist – the first issue of 2021! The start of the new year has been very much anticipated because many hope that this year will bring some resolution to the challenges we faced in 2020.

With the pandemic came the widespread use of telemedicine, a feature of patient care that is likely here to stay. As physicians, it is imperative that we understand the legal implications of virtual medicine. Experienced medical malpractice lawyers Ashton Hyde and Grace Johnson (Younker Hyde Macfarlane) offer advice on this rapidly evolving realm of medicine.

Early career gastroenterologists often fall victim to self-doubt in a phenomenon referred to as impostor syndrome. Dr. Kimberly Brown (Wayne State University) discusses this important topic: what it is, how to recognize it, and how to mitigate it. One way to temper the effects of impostor syndrome is utilizing the art of coaching. Dr. Ami N. Shah (Rush) takes us through her journey and reviews the personal and professional benefits of implementing coaching in medicine.

Consults about feedings tubes can be daunting because experience with the placement and management of feeding tubes can be limited during training. This quarter’s “In Focus” article, written by Dr. John Fang and Dr. Gregory Toy (University of Utah) reviews the indications for placement, type of tubes available, and common complications and how to troubleshoot them. This is an absolute must-read for any new gastroenterologist.

How do you approach the patient who shows up for an open access endoscopy, but a quick chart review leads you to the realization that the procedure, is in fact, not indicated? There tends to be a lot of inertia which prevents cancellation of cases like this because the patient is already in the endoscopy suite, prepped, and has planned for this procedure in the preceding weeks or months. Dr. Laurel R. Fisher (University of Pennsylvania) unpacks the ethical considerations of this familiar scenario in this fantastic addition to our ethics case series.

In our postfellowship pathways section, Dr. Rena Yadlapati (University of California San Diego) and Dr. Kelli DeLay (University of Colorado) guide us through the path to becoming an esophagologist. In the DHPA Private Practice Perspectives article this quarter, Dr. Nadeem Baig (Allied Digestive Care) and Kevin Harlen (Capital Digestive Care) explain how clinical productivity is measured and how this translates into compensation in practice.

A silver lining of the pandemic is the way in which social media has been used to connect colleagues around the world in fostering medical education. Dr. Sultan Mahmood (State University of New York at Buffalo), Dr. Atoosa Rabiee (Washington DC VA Medical Center), Dr. Sunil Amin (University of Miami), Dr. Allon Kahn (Mayo Clinic Scottsdale), and Dr. Ijlal Akbar Ali (University of Oklahoma) discuss the inception of @GIJournal, a Twitter-based online journal club, and how it has gained popularity in recent months.

The AGA launched a new podcast, “Small Talk, Big Topics,” geared toward trainees and early career gastroenterologists, and through a brief question and answer session, we get to know the hosts: Dr. Matthew Whitson (Zucker School of Medicine at Hofstra-Northwell), Dr. Nina Nandy (Presbyterian Medical Group), and Dr. C.S. Tse (Brown University).

Lastly, I’d like to take a moment to recognize Lora McGlade, who has been instrumental in The New Gastroenterologist as the Medical Communications Editor for our publisher, Frontline. She assumed a new role at the end of last year, and I cannot thank her enough for her contributions in making this publication a success.

If you have interest in contributing or have ideas for future TNG topics, please contact me ([email protected]) or Ryan Farrell ([email protected]), managing editor of TNG.
 

Stay well,

Vijaya L. Rao, MD
Editor-in-Chief
Assistant Professor of Medicine, University of Chicago, Section of Gastroenterology, Hepatology & Nutrition

Dear colleagues,

I’m pleased to introduce the winter edition of The New Gastroenterologist – the first issue of 2021! The start of the new year has been very much anticipated because many hope that this year will bring some resolution to the challenges we faced in 2020.

With the pandemic came the widespread use of telemedicine, a feature of patient care that is likely here to stay. As physicians, it is imperative that we understand the legal implications of virtual medicine. Experienced medical malpractice lawyers Ashton Hyde and Grace Johnson (Younker Hyde Macfarlane) offer advice on this rapidly evolving realm of medicine.

Early career gastroenterologists often fall victim to self-doubt in a phenomenon referred to as impostor syndrome. Dr. Kimberly Brown (Wayne State University) discusses this important topic: what it is, how to recognize it, and how to mitigate it. One way to temper the effects of impostor syndrome is utilizing the art of coaching. Dr. Ami N. Shah (Rush) takes us through her journey and reviews the personal and professional benefits of implementing coaching in medicine.

Consults about feedings tubes can be daunting because experience with the placement and management of feeding tubes can be limited during training. This quarter’s “In Focus” article, written by Dr. John Fang and Dr. Gregory Toy (University of Utah) reviews the indications for placement, type of tubes available, and common complications and how to troubleshoot them. This is an absolute must-read for any new gastroenterologist.

How do you approach the patient who shows up for an open access endoscopy, but a quick chart review leads you to the realization that the procedure, is in fact, not indicated? There tends to be a lot of inertia which prevents cancellation of cases like this because the patient is already in the endoscopy suite, prepped, and has planned for this procedure in the preceding weeks or months. Dr. Laurel R. Fisher (University of Pennsylvania) unpacks the ethical considerations of this familiar scenario in this fantastic addition to our ethics case series.

In our postfellowship pathways section, Dr. Rena Yadlapati (University of California San Diego) and Dr. Kelli DeLay (University of Colorado) guide us through the path to becoming an esophagologist. In the DHPA Private Practice Perspectives article this quarter, Dr. Nadeem Baig (Allied Digestive Care) and Kevin Harlen (Capital Digestive Care) explain how clinical productivity is measured and how this translates into compensation in practice.

A silver lining of the pandemic is the way in which social media has been used to connect colleagues around the world in fostering medical education. Dr. Sultan Mahmood (State University of New York at Buffalo), Dr. Atoosa Rabiee (Washington DC VA Medical Center), Dr. Sunil Amin (University of Miami), Dr. Allon Kahn (Mayo Clinic Scottsdale), and Dr. Ijlal Akbar Ali (University of Oklahoma) discuss the inception of @GIJournal, a Twitter-based online journal club, and how it has gained popularity in recent months.

The AGA launched a new podcast, “Small Talk, Big Topics,” geared toward trainees and early career gastroenterologists, and through a brief question and answer session, we get to know the hosts: Dr. Matthew Whitson (Zucker School of Medicine at Hofstra-Northwell), Dr. Nina Nandy (Presbyterian Medical Group), and Dr. C.S. Tse (Brown University).

Lastly, I’d like to take a moment to recognize Lora McGlade, who has been instrumental in The New Gastroenterologist as the Medical Communications Editor for our publisher, Frontline. She assumed a new role at the end of last year, and I cannot thank her enough for her contributions in making this publication a success.

If you have interest in contributing or have ideas for future TNG topics, please contact me ([email protected]) or Ryan Farrell ([email protected]), managing editor of TNG.
 

Stay well,

Vijaya L. Rao, MD
Editor-in-Chief
Assistant Professor of Medicine, University of Chicago, Section of Gastroenterology, Hepatology & Nutrition

Dear colleagues,

I’m pleased to introduce the winter edition of The New Gastroenterologist – the first issue of 2021! The start of the new year has been very much anticipated because many hope that this year will bring some resolution to the challenges we faced in 2020.

With the pandemic came the widespread use of telemedicine, a feature of patient care that is likely here to stay. As physicians, it is imperative that we understand the legal implications of virtual medicine. Experienced medical malpractice lawyers Ashton Hyde and Grace Johnson (Younker Hyde Macfarlane) offer advice on this rapidly evolving realm of medicine.

Early career gastroenterologists often fall victim to self-doubt in a phenomenon referred to as impostor syndrome. Dr. Kimberly Brown (Wayne State University) discusses this important topic: what it is, how to recognize it, and how to mitigate it. One way to temper the effects of impostor syndrome is utilizing the art of coaching. Dr. Ami N. Shah (Rush) takes us through her journey and reviews the personal and professional benefits of implementing coaching in medicine.

Consults about feedings tubes can be daunting because experience with the placement and management of feeding tubes can be limited during training. This quarter’s “In Focus” article, written by Dr. John Fang and Dr. Gregory Toy (University of Utah) reviews the indications for placement, type of tubes available, and common complications and how to troubleshoot them. This is an absolute must-read for any new gastroenterologist.

How do you approach the patient who shows up for an open access endoscopy, but a quick chart review leads you to the realization that the procedure, is in fact, not indicated? There tends to be a lot of inertia which prevents cancellation of cases like this because the patient is already in the endoscopy suite, prepped, and has planned for this procedure in the preceding weeks or months. Dr. Laurel R. Fisher (University of Pennsylvania) unpacks the ethical considerations of this familiar scenario in this fantastic addition to our ethics case series.

In our postfellowship pathways section, Dr. Rena Yadlapati (University of California San Diego) and Dr. Kelli DeLay (University of Colorado) guide us through the path to becoming an esophagologist. In the DHPA Private Practice Perspectives article this quarter, Dr. Nadeem Baig (Allied Digestive Care) and Kevin Harlen (Capital Digestive Care) explain how clinical productivity is measured and how this translates into compensation in practice.

A silver lining of the pandemic is the way in which social media has been used to connect colleagues around the world in fostering medical education. Dr. Sultan Mahmood (State University of New York at Buffalo), Dr. Atoosa Rabiee (Washington DC VA Medical Center), Dr. Sunil Amin (University of Miami), Dr. Allon Kahn (Mayo Clinic Scottsdale), and Dr. Ijlal Akbar Ali (University of Oklahoma) discuss the inception of @GIJournal, a Twitter-based online journal club, and how it has gained popularity in recent months.

The AGA launched a new podcast, “Small Talk, Big Topics,” geared toward trainees and early career gastroenterologists, and through a brief question and answer session, we get to know the hosts: Dr. Matthew Whitson (Zucker School of Medicine at Hofstra-Northwell), Dr. Nina Nandy (Presbyterian Medical Group), and Dr. C.S. Tse (Brown University).

Lastly, I’d like to take a moment to recognize Lora McGlade, who has been instrumental in The New Gastroenterologist as the Medical Communications Editor for our publisher, Frontline. She assumed a new role at the end of last year, and I cannot thank her enough for her contributions in making this publication a success.

If you have interest in contributing or have ideas for future TNG topics, please contact me ([email protected]) or Ryan Farrell ([email protected]), managing editor of TNG.
 

Stay well,

Vijaya L. Rao, MD
Editor-in-Chief
Assistant Professor of Medicine, University of Chicago, Section of Gastroenterology, Hepatology & Nutrition

Dear colleagues,

I’m excited to introduce the November issue of The New Gastroenterologist – the last edition of 2020 features a fantastic line-up of articles! As the year comes to a close, we reflect on what has certainly been an interesting year, defined by a set of unique challenges we have faced as a nation and as a specialty.

AGA Institute

The fellowship recruitment season is one that has looked starkly different as interviews have converted to a virtual format. Dr. Wissam Khan, Dr. Nada Al Masalmeh, Dr. Stephanie Judd, and Dr. Diane Levine (Wayne State University) compile a helpful list of tips and tricks on proper interview etiquette in the new era of web-based interviews.

Financial planning in the face of a pandemic is a formidable task – Jonathan Tudor (Fidelity Investments) offers valuable advice for gastroenterologists on how to remain secure in your finances even in uncertain circumstances.

This quarter’s “In Focus” feature, written by Dr. Yutaka Tomizawa (University of Washington), is a comprehensive piece elucidating the role of gastroenterologists in the management of gastric cancer. The article reviews the individual risk factors that exist for gastric cancer and provides guidance on how to stratify patients accordingly, which is critical in the ethnically diverse population of the United States.

Keeping a procedure log during fellowship can seem daunting and cumbersome, but it is important. Dr. Houman Rezaizadeh (University of Connecticut) shares his program’s experience with the AGA Procedure Log, a convenient online tracking tool, which can provide accurate and secure documentation of endoscopic procedures performed throughout fellowship.

Dr. Nazia Hasan (North Bay Health Care) and Dr. Allison Schulman (University of Michigan) broach an incredibly important topic: the paucity of women in interventional endoscopy. Dr. Hasan and Dr. Shulman candidly discuss the barriers women face in pursuing this subspecialty and offer practical solutions on how to approach these challenges – a piece that will surely resonate with many young gastroenterologists.

We wrap up our first year of TNG’s ethics series with two cases discussing the utilization of cannabis therapy in inflammatory bowel disease (IBD). Dr. Jami Kinnucan (University of Michigan) and Dr. Arun Swaminath (Lenox Hill Hospital) systematically review existing data on the efficacy of cannabis use in IBD, the risks associated with therapy, and legal implications for both physicians and patients.

Also in this issue is a high-yield clinical review on the endoscopic drainage of pancreatic fluid collections by Dr. Robert Moran and Dr. Joseph Elmunzer (Medical University of South Carolina). Dr. Manol Jovani (Johns Hopkins) teaches us about confounding – a critical concept to keep in mind when evaluating any manuscript. Lastly, our DHPA Private Practice Perspectives article, written by Dr. Mehul Lalani (US Digestive), reviews how quality measures and initiatives are tracked and implemented in private practice.

If you have interest in contributing or have ideas for future TNG topics, please contact me ([email protected]), or Ryan Farrell ([email protected]), managing editor of TNG.
 

Stay well,

Vijaya L. Rao, MD
Editor in Chief
Assistant Professor of Medicine, University of Chicago, Section of Gastroenterology, Hepatology & Nutrition

Dear colleagues,

I’m excited to introduce the November issue of The New Gastroenterologist – the last edition of 2020 features a fantastic line-up of articles! As the year comes to a close, we reflect on what has certainly been an interesting year, defined by a set of unique challenges we have faced as a nation and as a specialty.

AGA Institute

The fellowship recruitment season is one that has looked starkly different as interviews have converted to a virtual format. Dr. Wissam Khan, Dr. Nada Al Masalmeh, Dr. Stephanie Judd, and Dr. Diane Levine (Wayne State University) compile a helpful list of tips and tricks on proper interview etiquette in the new era of web-based interviews.

Financial planning in the face of a pandemic is a formidable task – Jonathan Tudor (Fidelity Investments) offers valuable advice for gastroenterologists on how to remain secure in your finances even in uncertain circumstances.

This quarter’s “In Focus” feature, written by Dr. Yutaka Tomizawa (University of Washington), is a comprehensive piece elucidating the role of gastroenterologists in the management of gastric cancer. The article reviews the individual risk factors that exist for gastric cancer and provides guidance on how to stratify patients accordingly, which is critical in the ethnically diverse population of the United States.

Keeping a procedure log during fellowship can seem daunting and cumbersome, but it is important. Dr. Houman Rezaizadeh (University of Connecticut) shares his program’s experience with the AGA Procedure Log, a convenient online tracking tool, which can provide accurate and secure documentation of endoscopic procedures performed throughout fellowship.

Dr. Nazia Hasan (North Bay Health Care) and Dr. Allison Schulman (University of Michigan) broach an incredibly important topic: the paucity of women in interventional endoscopy. Dr. Hasan and Dr. Shulman candidly discuss the barriers women face in pursuing this subspecialty and offer practical solutions on how to approach these challenges – a piece that will surely resonate with many young gastroenterologists.

We wrap up our first year of TNG’s ethics series with two cases discussing the utilization of cannabis therapy in inflammatory bowel disease (IBD). Dr. Jami Kinnucan (University of Michigan) and Dr. Arun Swaminath (Lenox Hill Hospital) systematically review existing data on the efficacy of cannabis use in IBD, the risks associated with therapy, and legal implications for both physicians and patients.

Also in this issue is a high-yield clinical review on the endoscopic drainage of pancreatic fluid collections by Dr. Robert Moran and Dr. Joseph Elmunzer (Medical University of South Carolina). Dr. Manol Jovani (Johns Hopkins) teaches us about confounding – a critical concept to keep in mind when evaluating any manuscript. Lastly, our DHPA Private Practice Perspectives article, written by Dr. Mehul Lalani (US Digestive), reviews how quality measures and initiatives are tracked and implemented in private practice.

If you have interest in contributing or have ideas for future TNG topics, please contact me ([email protected]), or Ryan Farrell ([email protected]), managing editor of TNG.
 

Stay well,

Vijaya L. Rao, MD
Editor in Chief
Assistant Professor of Medicine, University of Chicago, Section of Gastroenterology, Hepatology & Nutrition

Dear colleagues,

I’m excited to introduce the November issue of The New Gastroenterologist – the last edition of 2020 features a fantastic line-up of articles! As the year comes to a close, we reflect on what has certainly been an interesting year, defined by a set of unique challenges we have faced as a nation and as a specialty.

AGA Institute

The fellowship recruitment season is one that has looked starkly different as interviews have converted to a virtual format. Dr. Wissam Khan, Dr. Nada Al Masalmeh, Dr. Stephanie Judd, and Dr. Diane Levine (Wayne State University) compile a helpful list of tips and tricks on proper interview etiquette in the new era of web-based interviews.

Financial planning in the face of a pandemic is a formidable task – Jonathan Tudor (Fidelity Investments) offers valuable advice for gastroenterologists on how to remain secure in your finances even in uncertain circumstances.

This quarter’s “In Focus” feature, written by Dr. Yutaka Tomizawa (University of Washington), is a comprehensive piece elucidating the role of gastroenterologists in the management of gastric cancer. The article reviews the individual risk factors that exist for gastric cancer and provides guidance on how to stratify patients accordingly, which is critical in the ethnically diverse population of the United States.

Keeping a procedure log during fellowship can seem daunting and cumbersome, but it is important. Dr. Houman Rezaizadeh (University of Connecticut) shares his program’s experience with the AGA Procedure Log, a convenient online tracking tool, which can provide accurate and secure documentation of endoscopic procedures performed throughout fellowship.

Dr. Nazia Hasan (North Bay Health Care) and Dr. Allison Schulman (University of Michigan) broach an incredibly important topic: the paucity of women in interventional endoscopy. Dr. Hasan and Dr. Shulman candidly discuss the barriers women face in pursuing this subspecialty and offer practical solutions on how to approach these challenges – a piece that will surely resonate with many young gastroenterologists.

We wrap up our first year of TNG’s ethics series with two cases discussing the utilization of cannabis therapy in inflammatory bowel disease (IBD). Dr. Jami Kinnucan (University of Michigan) and Dr. Arun Swaminath (Lenox Hill Hospital) systematically review existing data on the efficacy of cannabis use in IBD, the risks associated with therapy, and legal implications for both physicians and patients.

Also in this issue is a high-yield clinical review on the endoscopic drainage of pancreatic fluid collections by Dr. Robert Moran and Dr. Joseph Elmunzer (Medical University of South Carolina). Dr. Manol Jovani (Johns Hopkins) teaches us about confounding – a critical concept to keep in mind when evaluating any manuscript. Lastly, our DHPA Private Practice Perspectives article, written by Dr. Mehul Lalani (US Digestive), reviews how quality measures and initiatives are tracked and implemented in private practice.

If you have interest in contributing or have ideas for future TNG topics, please contact me ([email protected]), or Ryan Farrell ([email protected]), managing editor of TNG.
 

Stay well,

Vijaya L. Rao, MD
Editor in Chief
Assistant Professor of Medicine, University of Chicago, Section of Gastroenterology, Hepatology & Nutrition

Dear colleagues,

The August issue of The New Gastroenterologist has arrived! The summer of 2020 certainly looks different from years past, as the COVID-19 pandemic rages on and we continue to adjust to the new realities of our personal and professional lives. Our third-year fellows have graduated amidst these unusual circumstances, some facing an uncertain job landscape. Yet their hard work is not lost upon us – as we must step back to recognize their achievements and bid them congratulations on the culmination of several years of training.

AGA Institute

The pandemic has been pervasive in medical education with a profound effect on our training programs. Two very resourceful fellows, Indira Bhavsar-Burke and Claire Jansson-Knodell (Indiana University), share their experience with COVID-19 and how they used this time to create an online curriculum for medical students who were pulled from their gastroenterology clinical rotations.

As we remain socially distanced, connecting through virtual platforms and social media seems more important than ever, but digital media can be difficult to navigate as physicians. Austin Chiang (Thomas Jefferson University) offers a candid snapshot of the benefits and pitfalls of social media as a gastroenterologist, with advice on how to optimize one’s professional presence online.

This quarter’s “In Focus” feature is an excellent, high-yield review of eosinophilic esophagitis. Ronak Vashi Patel and Ikuo Hirano (Northwestern University) seek to answer frequently asked questions about diagnostic considerations and the approach to management by reviewing therapeutic options – a truly valuable clinical piece to guide any young gastroenterologist.

Our medical ethics series features a poignant piece written by Diana Anderson (University of California, San Francisco) and David Seres (Columbia University) on the role of nutritional support in patients with restrictive eating disorders. The article addresses the complex interplay between certain diagnoses and our emotive response as clinicians – a critical piece of patient care that is seldom discussed. The authors implore us to consider this difficult question: Could our unconscious partiality as physicians be worse than intentional harm?

Adjoa Anyane-Yeboa (Harvard University) discusses how her interest in health equity and health care policy led her to the Commonwealth Fund Fellowship in Minority Health Policy. Her passion for health care delivery reform and the care of vulnerable populations shines through as she describes how this post-GI fellowship pathway has been formative in shaping her career as a dynamic new gastroenterologist.

For those interested in serving as an expert witness, seasoned malpractice attorneys Daniel Mills and Courtney Lindbert (Cunningham, Meyer & Vedrine P.C.) offer a salient list of the “do’s and don’ts” of the medical expert. Finally, this summer’s DHPA Private Practice Perspectives article, written by Michael Weinstein (Capital Digestive Care), offers important considerations for evaluating independent GI practices and how their response to COVID-19 can dictate their preparedness for future crises.

If you have interest in contributing or have ideas for future TNG topics, please contact me ([email protected]), or Ryan Farrell ([email protected]), managing editor of TNG.
 

Stay well,

Vijaya L. Rao, MD
Editor-in-Chief
Assistant professor of medicine, University of Chicago, section of gastroenterology, hepatology & nutrition

Dear colleagues,

The August issue of The New Gastroenterologist has arrived! The summer of 2020 certainly looks different from years past, as the COVID-19 pandemic rages on and we continue to adjust to the new realities of our personal and professional lives. Our third-year fellows have graduated amidst these unusual circumstances, some facing an uncertain job landscape. Yet their hard work is not lost upon us – as we must step back to recognize their achievements and bid them congratulations on the culmination of several years of training.

AGA Institute

The pandemic has been pervasive in medical education with a profound effect on our training programs. Two very resourceful fellows, Indira Bhavsar-Burke and Claire Jansson-Knodell (Indiana University), share their experience with COVID-19 and how they used this time to create an online curriculum for medical students who were pulled from their gastroenterology clinical rotations.

As we remain socially distanced, connecting through virtual platforms and social media seems more important than ever, but digital media can be difficult to navigate as physicians. Austin Chiang (Thomas Jefferson University) offers a candid snapshot of the benefits and pitfalls of social media as a gastroenterologist, with advice on how to optimize one’s professional presence online.

This quarter’s “In Focus” feature is an excellent, high-yield review of eosinophilic esophagitis. Ronak Vashi Patel and Ikuo Hirano (Northwestern University) seek to answer frequently asked questions about diagnostic considerations and the approach to management by reviewing therapeutic options – a truly valuable clinical piece to guide any young gastroenterologist.

Our medical ethics series features a poignant piece written by Diana Anderson (University of California, San Francisco) and David Seres (Columbia University) on the role of nutritional support in patients with restrictive eating disorders. The article addresses the complex interplay between certain diagnoses and our emotive response as clinicians – a critical piece of patient care that is seldom discussed. The authors implore us to consider this difficult question: Could our unconscious partiality as physicians be worse than intentional harm?

Adjoa Anyane-Yeboa (Harvard University) discusses how her interest in health equity and health care policy led her to the Commonwealth Fund Fellowship in Minority Health Policy. Her passion for health care delivery reform and the care of vulnerable populations shines through as she describes how this post-GI fellowship pathway has been formative in shaping her career as a dynamic new gastroenterologist.

For those interested in serving as an expert witness, seasoned malpractice attorneys Daniel Mills and Courtney Lindbert (Cunningham, Meyer & Vedrine P.C.) offer a salient list of the “do’s and don’ts” of the medical expert. Finally, this summer’s DHPA Private Practice Perspectives article, written by Michael Weinstein (Capital Digestive Care), offers important considerations for evaluating independent GI practices and how their response to COVID-19 can dictate their preparedness for future crises.

If you have interest in contributing or have ideas for future TNG topics, please contact me ([email protected]), or Ryan Farrell ([email protected]), managing editor of TNG.
 

Stay well,

Vijaya L. Rao, MD
Editor-in-Chief
Assistant professor of medicine, University of Chicago, section of gastroenterology, hepatology & nutrition

Dear colleagues,

The August issue of The New Gastroenterologist has arrived! The summer of 2020 certainly looks different from years past, as the COVID-19 pandemic rages on and we continue to adjust to the new realities of our personal and professional lives. Our third-year fellows have graduated amidst these unusual circumstances, some facing an uncertain job landscape. Yet their hard work is not lost upon us – as we must step back to recognize their achievements and bid them congratulations on the culmination of several years of training.

AGA Institute

The pandemic has been pervasive in medical education with a profound effect on our training programs. Two very resourceful fellows, Indira Bhavsar-Burke and Claire Jansson-Knodell (Indiana University), share their experience with COVID-19 and how they used this time to create an online curriculum for medical students who were pulled from their gastroenterology clinical rotations.

As we remain socially distanced, connecting through virtual platforms and social media seems more important than ever, but digital media can be difficult to navigate as physicians. Austin Chiang (Thomas Jefferson University) offers a candid snapshot of the benefits and pitfalls of social media as a gastroenterologist, with advice on how to optimize one’s professional presence online.

This quarter’s “In Focus” feature is an excellent, high-yield review of eosinophilic esophagitis. Ronak Vashi Patel and Ikuo Hirano (Northwestern University) seek to answer frequently asked questions about diagnostic considerations and the approach to management by reviewing therapeutic options – a truly valuable clinical piece to guide any young gastroenterologist.

Our medical ethics series features a poignant piece written by Diana Anderson (University of California, San Francisco) and David Seres (Columbia University) on the role of nutritional support in patients with restrictive eating disorders. The article addresses the complex interplay between certain diagnoses and our emotive response as clinicians – a critical piece of patient care that is seldom discussed. The authors implore us to consider this difficult question: Could our unconscious partiality as physicians be worse than intentional harm?

Adjoa Anyane-Yeboa (Harvard University) discusses how her interest in health equity and health care policy led her to the Commonwealth Fund Fellowship in Minority Health Policy. Her passion for health care delivery reform and the care of vulnerable populations shines through as she describes how this post-GI fellowship pathway has been formative in shaping her career as a dynamic new gastroenterologist.

For those interested in serving as an expert witness, seasoned malpractice attorneys Daniel Mills and Courtney Lindbert (Cunningham, Meyer & Vedrine P.C.) offer a salient list of the “do’s and don’ts” of the medical expert. Finally, this summer’s DHPA Private Practice Perspectives article, written by Michael Weinstein (Capital Digestive Care), offers important considerations for evaluating independent GI practices and how their response to COVID-19 can dictate their preparedness for future crises.

If you have interest in contributing or have ideas for future TNG topics, please contact me ([email protected]), or Ryan Farrell ([email protected]), managing editor of TNG.
 

Stay well,

Vijaya L. Rao, MD
Editor-in-Chief
Assistant professor of medicine, University of Chicago, section of gastroenterology, hepatology & nutrition

Dear colleagues,

We bring you the spring edition of The New Gastroenterologist amid a backdrop of uncertainty in the setting of the novel coronavirus disease 2019 (COVID-19) pandemic. As physicians, we are poised to view this unprecedented situation in modern medicine through a unique lens. At the time of this writing, we are experiencing significant interruptions to our work as gastroenterologists coupled with the possibility of reassignments in order to care for COVID-19 patients to meet the demand of the precipitous rise in cases. Weighing these responsibilities, along with the heightened concern about the threat of exposure to ourselves and our families, is a formidable challenge, but one that we can navigate together.

My sincere hope is that this quarter’s newsletter can provide, at the very least, a brief reprieve from some of these constant stressors. It is during times like this that remaining connected to our colleagues through digital platforms and publications such as The New Gastroenterologist remains of utmost importance.

That being said, I felt it was prudent to first address some common concerns regarding the COVID-19 pandemic, specifically, its implications within gastroenterology. In conjunction with Krishna Rao (University of Michigan), a specialist in infectious diseases, we attempt to shed some light on what is a rapidly evolving situation. For more resources from the American Gastroenterological Association (AGA) on up-to-date clinical guidance and research, you can also visit https://www.gastro.org/practice-guidance/practice-updates/covid-19.

Moving on to our “In Focus” feature, Thangam Ventakesan and Harrison Mooers (Medical College of Wisconsin) provide a comprehensive overview of cyclic vomiting syndrome. This is a valuable read as cyclic vomiting syndrome has been gaining increased recognition among adults, and Dr. Ventakesan and Dr. Mooers elucidate a thorough approach to the diagnosis and treatment of this disorder.

A facet of endoscopy that is extremely important, but frequently overlooked, is ergonomics. Manish Singla and Jared Magee (Walter Reed National Military Medical Center) compile a high-yield list of recommendations on the best practices to preserve our own safety and health as endoscopists.

We continue our medical ethics series with Jennifer Wang and Andrew Aronsohn (University of Chicago) who offer a thought-provoking discussion on the role of early liver transplantation for alcoholic hepatitis, including an analysis of the medical, psychosocial, and ethical considerations.

Also in this issue, Animesh Jain (University of North Carolina) gives us some excellent financial advice on student loan management, outlining a basic strategy of repayment with clear explanations of the available options including refinancing, public service loan forgiveness, and income-driven repayment.

Dilhana Badurdeen (Johns Hopkins), Aline Charabaty Pishvaian (Sibley Memorial Hospital), Miguel Malespin (University of South Florida), Ibironke Oduyebo (Midatlantic Permanente Medical Group), and Sandra Quezada (University of Maryland) give us an in-depth summary of the efforts of the AGA’s Diversity Committee, including publications, events, and future initiatives.

This quarter’s DHPA Private Practice Perspectives series features Paul Berggreen (Arizona Digestive Health), who reviews the advantages and disadvantages of pathology lab ownership as a gastroenterologist. Lastly, Sarah Ordway, Dawn Torres, Manish Singla, and Adam Tritsch (Walter Reed National Military Medical Center) broach the issue of fellowship burnout by providing guidance on how to identify signs and those at risk in addition to providing tangible solutions that any fellowship can incorporate.

Although the cancellation of the upcoming DDW meetings in Chicago is a disappointment, I hope that we can all take this time to prioritize the well-being of ourselves and our communities until we meet again.

As always, if you have interest in contributing or have ideas for future TNG topics, please contact me ([email protected]), or Ryan Farrell ([email protected]), managing editor of TNG.

Best wishes to stay safe and healthy.

Vijaya L. Rao, MD
Editor in Chief

Dr. Rao is assistant professor of medicine, University of Chicago, section of gastroenterology, hepatology & nutrition.

Dear colleagues,

We bring you the spring edition of The New Gastroenterologist amid a backdrop of uncertainty in the setting of the novel coronavirus disease 2019 (COVID-19) pandemic. As physicians, we are poised to view this unprecedented situation in modern medicine through a unique lens. At the time of this writing, we are experiencing significant interruptions to our work as gastroenterologists coupled with the possibility of reassignments in order to care for COVID-19 patients to meet the demand of the precipitous rise in cases. Weighing these responsibilities, along with the heightened concern about the threat of exposure to ourselves and our families, is a formidable challenge, but one that we can navigate together.

My sincere hope is that this quarter’s newsletter can provide, at the very least, a brief reprieve from some of these constant stressors. It is during times like this that remaining connected to our colleagues through digital platforms and publications such as The New Gastroenterologist remains of utmost importance.

That being said, I felt it was prudent to first address some common concerns regarding the COVID-19 pandemic, specifically, its implications within gastroenterology. In conjunction with Krishna Rao (University of Michigan), a specialist in infectious diseases, we attempt to shed some light on what is a rapidly evolving situation. For more resources from the American Gastroenterological Association (AGA) on up-to-date clinical guidance and research, you can also visit https://www.gastro.org/practice-guidance/practice-updates/covid-19.

Moving on to our “In Focus” feature, Thangam Ventakesan and Harrison Mooers (Medical College of Wisconsin) provide a comprehensive overview of cyclic vomiting syndrome. This is a valuable read as cyclic vomiting syndrome has been gaining increased recognition among adults, and Dr. Ventakesan and Dr. Mooers elucidate a thorough approach to the diagnosis and treatment of this disorder.

A facet of endoscopy that is extremely important, but frequently overlooked, is ergonomics. Manish Singla and Jared Magee (Walter Reed National Military Medical Center) compile a high-yield list of recommendations on the best practices to preserve our own safety and health as endoscopists.

We continue our medical ethics series with Jennifer Wang and Andrew Aronsohn (University of Chicago) who offer a thought-provoking discussion on the role of early liver transplantation for alcoholic hepatitis, including an analysis of the medical, psychosocial, and ethical considerations.

Also in this issue, Animesh Jain (University of North Carolina) gives us some excellent financial advice on student loan management, outlining a basic strategy of repayment with clear explanations of the available options including refinancing, public service loan forgiveness, and income-driven repayment.

Dilhana Badurdeen (Johns Hopkins), Aline Charabaty Pishvaian (Sibley Memorial Hospital), Miguel Malespin (University of South Florida), Ibironke Oduyebo (Midatlantic Permanente Medical Group), and Sandra Quezada (University of Maryland) give us an in-depth summary of the efforts of the AGA’s Diversity Committee, including publications, events, and future initiatives.

This quarter’s DHPA Private Practice Perspectives series features Paul Berggreen (Arizona Digestive Health), who reviews the advantages and disadvantages of pathology lab ownership as a gastroenterologist. Lastly, Sarah Ordway, Dawn Torres, Manish Singla, and Adam Tritsch (Walter Reed National Military Medical Center) broach the issue of fellowship burnout by providing guidance on how to identify signs and those at risk in addition to providing tangible solutions that any fellowship can incorporate.

Although the cancellation of the upcoming DDW meetings in Chicago is a disappointment, I hope that we can all take this time to prioritize the well-being of ourselves and our communities until we meet again.

As always, if you have interest in contributing or have ideas for future TNG topics, please contact me ([email protected]), or Ryan Farrell ([email protected]), managing editor of TNG.

Best wishes to stay safe and healthy.

Vijaya L. Rao, MD
Editor in Chief

Dr. Rao is assistant professor of medicine, University of Chicago, section of gastroenterology, hepatology & nutrition.

Dear colleagues,

We bring you the spring edition of The New Gastroenterologist amid a backdrop of uncertainty in the setting of the novel coronavirus disease 2019 (COVID-19) pandemic. As physicians, we are poised to view this unprecedented situation in modern medicine through a unique lens. At the time of this writing, we are experiencing significant interruptions to our work as gastroenterologists coupled with the possibility of reassignments in order to care for COVID-19 patients to meet the demand of the precipitous rise in cases. Weighing these responsibilities, along with the heightened concern about the threat of exposure to ourselves and our families, is a formidable challenge, but one that we can navigate together.

My sincere hope is that this quarter’s newsletter can provide, at the very least, a brief reprieve from some of these constant stressors. It is during times like this that remaining connected to our colleagues through digital platforms and publications such as The New Gastroenterologist remains of utmost importance.

That being said, I felt it was prudent to first address some common concerns regarding the COVID-19 pandemic, specifically, its implications within gastroenterology. In conjunction with Krishna Rao (University of Michigan), a specialist in infectious diseases, we attempt to shed some light on what is a rapidly evolving situation. For more resources from the American Gastroenterological Association (AGA) on up-to-date clinical guidance and research, you can also visit https://www.gastro.org/practice-guidance/practice-updates/covid-19.

Moving on to our “In Focus” feature, Thangam Ventakesan and Harrison Mooers (Medical College of Wisconsin) provide a comprehensive overview of cyclic vomiting syndrome. This is a valuable read as cyclic vomiting syndrome has been gaining increased recognition among adults, and Dr. Ventakesan and Dr. Mooers elucidate a thorough approach to the diagnosis and treatment of this disorder.

A facet of endoscopy that is extremely important, but frequently overlooked, is ergonomics. Manish Singla and Jared Magee (Walter Reed National Military Medical Center) compile a high-yield list of recommendations on the best practices to preserve our own safety and health as endoscopists.

We continue our medical ethics series with Jennifer Wang and Andrew Aronsohn (University of Chicago) who offer a thought-provoking discussion on the role of early liver transplantation for alcoholic hepatitis, including an analysis of the medical, psychosocial, and ethical considerations.

Also in this issue, Animesh Jain (University of North Carolina) gives us some excellent financial advice on student loan management, outlining a basic strategy of repayment with clear explanations of the available options including refinancing, public service loan forgiveness, and income-driven repayment.

Dilhana Badurdeen (Johns Hopkins), Aline Charabaty Pishvaian (Sibley Memorial Hospital), Miguel Malespin (University of South Florida), Ibironke Oduyebo (Midatlantic Permanente Medical Group), and Sandra Quezada (University of Maryland) give us an in-depth summary of the efforts of the AGA’s Diversity Committee, including publications, events, and future initiatives.

This quarter’s DHPA Private Practice Perspectives series features Paul Berggreen (Arizona Digestive Health), who reviews the advantages and disadvantages of pathology lab ownership as a gastroenterologist. Lastly, Sarah Ordway, Dawn Torres, Manish Singla, and Adam Tritsch (Walter Reed National Military Medical Center) broach the issue of fellowship burnout by providing guidance on how to identify signs and those at risk in addition to providing tangible solutions that any fellowship can incorporate.

Although the cancellation of the upcoming DDW meetings in Chicago is a disappointment, I hope that we can all take this time to prioritize the well-being of ourselves and our communities until we meet again.

As always, if you have interest in contributing or have ideas for future TNG topics, please contact me ([email protected]), or Ryan Farrell ([email protected]), managing editor of TNG.

Best wishes to stay safe and healthy.

Vijaya L. Rao, MD
Editor in Chief

Dr. Rao is assistant professor of medicine, University of Chicago, section of gastroenterology, hepatology & nutrition.

Dear colleagues,

The first issue of The New Gastroenterologist in 2020 consists of a particularly interesting array of articles and the introduction of a new medical ethics series!

This month’s “In Focus” article, brought to you by Jennifer Maratt (Indiana University) and Elena Stoffel (University of Michigan), provides a high yield overview of hereditary colorectal cancer and polyposis syndromes, with guidance on when a referral to a high risk cancer specialist and geneticist is warranted.

Daniel Mills (Cunningham, Meyer & Vedrine P.C.) gives us a valuable legal perspective of the role of electronic patient portals in the dissemination of information and medical advice to patients – such an important topic for everyone to be aware of as the nature of patient communication now strongly relies on electronic messaging.

R. Thomas Finn III (Palo Alto Medical Foundation) and David Leiman (Duke) nicely broach the issue of patient satisfaction. This is a timely topic as many institutions are not only publishing patient reviews online so that they are readily available to the public, but are also making financial incentives contingent on high patient ratings. The article discusses the evolution of the emphasis placed on patient satisfaction throughout the years with tips on how to navigate some of the distinct challenges within gastroenterology.

As part of our DHPA Private Practice Perspectives series, David Stokesberry (Digestive Disease Specialists Inc, Oklahoma City) discusses the nuts and bolts of ambulatory endoscopy centers and some of the challenges and benefits that accompany ownership of such centers.

An often overlooked aspect of gastroenterology training is nutrition. In our postfellowship pathways section, Dejan Micic (University of Chicago) outlines his decision to pursue a career in nutrition support, small bowel disorders, and the practice of deep enteroscopy.

Finally, this quarter’s newsletter features the start of a new section, which I am very excited to introduce – a case based series which will address issues in clinical medical ethics specific to gastroenterology. Lauren Feld (University of Washington) writes the inaugural piece for the section, providing a systematic approach to the patient with an existing do-not-resuscitate (DNR) order that is about to undergo endoscopy.

If you have interest in contributing or have ideas for future TNG topics, please contact me ([email protected]), or Ryan Farrell ([email protected]), managing editor of TNG.
 

Sincerely,

Vijaya L. Rao, MD
Editor in Chief

Dear colleagues,

The first issue of The New Gastroenterologist in 2020 consists of a particularly interesting array of articles and the introduction of a new medical ethics series!

This month’s “In Focus” article, brought to you by Jennifer Maratt (Indiana University) and Elena Stoffel (University of Michigan), provides a high yield overview of hereditary colorectal cancer and polyposis syndromes, with guidance on when a referral to a high risk cancer specialist and geneticist is warranted.

Daniel Mills (Cunningham, Meyer & Vedrine P.C.) gives us a valuable legal perspective of the role of electronic patient portals in the dissemination of information and medical advice to patients – such an important topic for everyone to be aware of as the nature of patient communication now strongly relies on electronic messaging.

R. Thomas Finn III (Palo Alto Medical Foundation) and David Leiman (Duke) nicely broach the issue of patient satisfaction. This is a timely topic as many institutions are not only publishing patient reviews online so that they are readily available to the public, but are also making financial incentives contingent on high patient ratings. The article discusses the evolution of the emphasis placed on patient satisfaction throughout the years with tips on how to navigate some of the distinct challenges within gastroenterology.

As part of our DHPA Private Practice Perspectives series, David Stokesberry (Digestive Disease Specialists Inc, Oklahoma City) discusses the nuts and bolts of ambulatory endoscopy centers and some of the challenges and benefits that accompany ownership of such centers.

An often overlooked aspect of gastroenterology training is nutrition. In our postfellowship pathways section, Dejan Micic (University of Chicago) outlines his decision to pursue a career in nutrition support, small bowel disorders, and the practice of deep enteroscopy.

Finally, this quarter’s newsletter features the start of a new section, which I am very excited to introduce – a case based series which will address issues in clinical medical ethics specific to gastroenterology. Lauren Feld (University of Washington) writes the inaugural piece for the section, providing a systematic approach to the patient with an existing do-not-resuscitate (DNR) order that is about to undergo endoscopy.

If you have interest in contributing or have ideas for future TNG topics, please contact me ([email protected]), or Ryan Farrell ([email protected]), managing editor of TNG.
 

Sincerely,

Vijaya L. Rao, MD
Editor in Chief

Dear colleagues,

The first issue of The New Gastroenterologist in 2020 consists of a particularly interesting array of articles and the introduction of a new medical ethics series!

This month’s “In Focus” article, brought to you by Jennifer Maratt (Indiana University) and Elena Stoffel (University of Michigan), provides a high yield overview of hereditary colorectal cancer and polyposis syndromes, with guidance on when a referral to a high risk cancer specialist and geneticist is warranted.

Daniel Mills (Cunningham, Meyer & Vedrine P.C.) gives us a valuable legal perspective of the role of electronic patient portals in the dissemination of information and medical advice to patients – such an important topic for everyone to be aware of as the nature of patient communication now strongly relies on electronic messaging.

R. Thomas Finn III (Palo Alto Medical Foundation) and David Leiman (Duke) nicely broach the issue of patient satisfaction. This is a timely topic as many institutions are not only publishing patient reviews online so that they are readily available to the public, but are also making financial incentives contingent on high patient ratings. The article discusses the evolution of the emphasis placed on patient satisfaction throughout the years with tips on how to navigate some of the distinct challenges within gastroenterology.

As part of our DHPA Private Practice Perspectives series, David Stokesberry (Digestive Disease Specialists Inc, Oklahoma City) discusses the nuts and bolts of ambulatory endoscopy centers and some of the challenges and benefits that accompany ownership of such centers.

An often overlooked aspect of gastroenterology training is nutrition. In our postfellowship pathways section, Dejan Micic (University of Chicago) outlines his decision to pursue a career in nutrition support, small bowel disorders, and the practice of deep enteroscopy.

Finally, this quarter’s newsletter features the start of a new section, which I am very excited to introduce – a case based series which will address issues in clinical medical ethics specific to gastroenterology. Lauren Feld (University of Washington) writes the inaugural piece for the section, providing a systematic approach to the patient with an existing do-not-resuscitate (DNR) order that is about to undergo endoscopy.

If you have interest in contributing or have ideas for future TNG topics, please contact me ([email protected]), or Ryan Farrell ([email protected]), managing editor of TNG.
 

Sincerely,

Vijaya L. Rao, MD
Editor in Chief

Dear colleagues,

I am excited to introduce the November issue of The New Gastroenterologist – which is also my first issue as the new Editor in Chief! First, I am incredibly grateful for this opportunity to be a part of the only existing publication tailored toward trainees and early-career gastroenterologists. Bryson Katona has done a remarkable job for the last 5 years as the publication’s inaugural EIC, as he has laid a great deal of groundwork and really set the standard going forward. Each issue has been a multifaceted compilation of salient clinical topics paired with brief but high-yield articles to help guide personal and professional growth; I hope to continue to do the same and maintain a high level of interest in our newsletter.

In this issue, the In Focus article, brought to you by Adeeti Chiplunker and Christina Ha (Cedars Sinai), discusses inpatient management of acute severe ulcerative colitis. It is an excellent review of the diagnostic workup and therapeutic options, and an important one, as therapies are quickly evolving in inflammatory bowel disease. We also have Manol Jovani (Johns Hopkins) help us navigate the daunting world of statistics, specifically focusing on the interpretation of the P value.

For those interested in or already pursuing careers in private practice but would not like to relinquish their research interests, Chris Fourment (Texas Digestive Disease Consultants) provides a series of helpful tips on how to be effective in conducting clinical research endeavors. In the realm of basic science, Melinda Engevik (Baylor College of Medicine) gives an informative breakdown on how to choose a lab that is the right fit for you.

Also in this issue, Sadeea Abbasi (Cedars Sinai) provides an array of tangible ways for gastroenterologists to become involved in health policy advocacy. Byron Cryer (UT Southwestern), Jesus Rivera-Nieves (UCSD), and Celena NuQuay (AGA) describe how the AGA has been promoting workforce diversity in academic gastroenterology via the FORWARD (Fostering Opportunities Resulting in Workforce and Research Diversity) program.

Finally, as the submission deadline for DDW^® 2020 approaches, abstract reviewers for the fellow-directed quality improvement (QI) projects from this past year share helpful tips on crafting memorable QI abstracts (Mohammad Bilal, UT-Galveston; Chung Sang Tse, Brown University; Manol Jovani, Johns Hopkins; and Mer Mietzelfeld, AGA).

If you are interested in contributing or have ideas for future TNG topics, please contact me ([email protected]), or Ryan Farrell ([email protected]), managing editor of TNG.
 

Sincerely,

Vijaya L. Rao, MD
Editor in Chief

Dr. Rao is assistant professor of medicine, University of Chicago, section of gastroenterology, hepatology & nutrition.

Dear colleagues,

I am excited to introduce the November issue of The New Gastroenterologist – which is also my first issue as the new Editor in Chief! First, I am incredibly grateful for this opportunity to be a part of the only existing publication tailored toward trainees and early-career gastroenterologists. Bryson Katona has done a remarkable job for the last 5 years as the publication’s inaugural EIC, as he has laid a great deal of groundwork and really set the standard going forward. Each issue has been a multifaceted compilation of salient clinical topics paired with brief but high-yield articles to help guide personal and professional growth; I hope to continue to do the same and maintain a high level of interest in our newsletter.

In this issue, the In Focus article, brought to you by Adeeti Chiplunker and Christina Ha (Cedars Sinai), discusses inpatient management of acute severe ulcerative colitis. It is an excellent review of the diagnostic workup and therapeutic options, and an important one, as therapies are quickly evolving in inflammatory bowel disease. We also have Manol Jovani (Johns Hopkins) help us navigate the daunting world of statistics, specifically focusing on the interpretation of the P value.

For those interested in or already pursuing careers in private practice but would not like to relinquish their research interests, Chris Fourment (Texas Digestive Disease Consultants) provides a series of helpful tips on how to be effective in conducting clinical research endeavors. In the realm of basic science, Melinda Engevik (Baylor College of Medicine) gives an informative breakdown on how to choose a lab that is the right fit for you.

Also in this issue, Sadeea Abbasi (Cedars Sinai) provides an array of tangible ways for gastroenterologists to become involved in health policy advocacy. Byron Cryer (UT Southwestern), Jesus Rivera-Nieves (UCSD), and Celena NuQuay (AGA) describe how the AGA has been promoting workforce diversity in academic gastroenterology via the FORWARD (Fostering Opportunities Resulting in Workforce and Research Diversity) program.

Finally, as the submission deadline for DDW^® 2020 approaches, abstract reviewers for the fellow-directed quality improvement (QI) projects from this past year share helpful tips on crafting memorable QI abstracts (Mohammad Bilal, UT-Galveston; Chung Sang Tse, Brown University; Manol Jovani, Johns Hopkins; and Mer Mietzelfeld, AGA).

If you are interested in contributing or have ideas for future TNG topics, please contact me ([email protected]), or Ryan Farrell ([email protected]), managing editor of TNG.
 

Sincerely,

Vijaya L. Rao, MD
Editor in Chief

Dr. Rao is assistant professor of medicine, University of Chicago, section of gastroenterology, hepatology & nutrition.

Dear colleagues,

I am excited to introduce the November issue of The New Gastroenterologist – which is also my first issue as the new Editor in Chief! First, I am incredibly grateful for this opportunity to be a part of the only existing publication tailored toward trainees and early-career gastroenterologists. Bryson Katona has done a remarkable job for the last 5 years as the publication’s inaugural EIC, as he has laid a great deal of groundwork and really set the standard going forward. Each issue has been a multifaceted compilation of salient clinical topics paired with brief but high-yield articles to help guide personal and professional growth; I hope to continue to do the same and maintain a high level of interest in our newsletter.

In this issue, the In Focus article, brought to you by Adeeti Chiplunker and Christina Ha (Cedars Sinai), discusses inpatient management of acute severe ulcerative colitis. It is an excellent review of the diagnostic workup and therapeutic options, and an important one, as therapies are quickly evolving in inflammatory bowel disease. We also have Manol Jovani (Johns Hopkins) help us navigate the daunting world of statistics, specifically focusing on the interpretation of the P value.

For those interested in or already pursuing careers in private practice but would not like to relinquish their research interests, Chris Fourment (Texas Digestive Disease Consultants) provides a series of helpful tips on how to be effective in conducting clinical research endeavors. In the realm of basic science, Melinda Engevik (Baylor College of Medicine) gives an informative breakdown on how to choose a lab that is the right fit for you.

Also in this issue, Sadeea Abbasi (Cedars Sinai) provides an array of tangible ways for gastroenterologists to become involved in health policy advocacy. Byron Cryer (UT Southwestern), Jesus Rivera-Nieves (UCSD), and Celena NuQuay (AGA) describe how the AGA has been promoting workforce diversity in academic gastroenterology via the FORWARD (Fostering Opportunities Resulting in Workforce and Research Diversity) program.

Finally, as the submission deadline for DDW^® 2020 approaches, abstract reviewers for the fellow-directed quality improvement (QI) projects from this past year share helpful tips on crafting memorable QI abstracts (Mohammad Bilal, UT-Galveston; Chung Sang Tse, Brown University; Manol Jovani, Johns Hopkins; and Mer Mietzelfeld, AGA).

If you are interested in contributing or have ideas for future TNG topics, please contact me ([email protected]), or Ryan Farrell ([email protected]), managing editor of TNG.
 

Sincerely,

Vijaya L. Rao, MD
Editor in Chief

Dr. Rao is assistant professor of medicine, University of Chicago, section of gastroenterology, hepatology & nutrition.

Dear Colleagues,

It’s hard to believe that The New Gastroenterologist (TNG) is now in its 5th year of publication! Since the inception of TNG, it has been a true honor and pleasure to serve as the inaugural editor in chief (EIC), and it has been an experience that I will never forget. When the idea of TNG was first conceived nearly 5 years ago, the goal of the publication was to provide a dedicated home for content for early-career GIs and trainees, an area that was a clear void in the GI community. Over 4 years later, TNG remains a one-of-a-kind resource for our field, and I hope that you have enjoyed the content published.

As my term is ending soon, it is my pleasure to turn TNG over to the next EIC, Vijaya Rao from the University of Chicago. I have no doubt that Vijaya will do a fantastic job continuing TNG, and I am excited to see how she applies many of her innovative ideas to grow the publication and make it even more valuable to the early-career and trainee GI community. Finally, I would just like to thank all of the people who have made invaluable contributions to make TNG a success including Erin Landis and Ryan Farrell from the AGA; the staff of our publisher Frontline Medical Communications, especially Lora McGlade; and current editor in chief of GI & Hepatology News, John Allen.

As for this issue of TNG, my last issue as EIC, there is a fantastic line-up of content. The “In Focus” article, by Diana Curras-Martin and Susana Gonzalez (Cornell), addresses the controversial topic of gastric intestinal metaplasia, and will no doubt be very helpful for dealing with this condition when it’s encountered in clinical practice. Additionally, Edward Barnes (UNC Chapel Hill) covers the importance of mentoring during the early-career stage, while Josh Sloan (Hopkins) provides an overview of options for extra training in motility, including motility fellowships.

Also in this issue of TNG, Rishi Naik (Vanderbilt) outlines some of the important lessons he learned during his 1-year term as the Gastroenterology editorial fellow, and Latha Alaparthi (Gastroenterology Center of Connecticut) discusses tips for building an effective community practice as part of our “Private Practice Perspectives” section cosponsored by the Digestive Health Physicians Association. Finally, lawyers Matthew D’Emilio and Jeremy Riley cover estate planning, which is a topic that is important for all to be familiar with, regardless of age or current health status.

If you’re interested in contributing or have ideas for TNG, please contact me ([email protected]), incoming editor in chief Vijaya Rao ([email protected]), or Ryan Farrell (rfarrell@gastro.org), managing editor of TNG.

Thank you, this has been a true pleasure.

Sincerely,

Bryson W. Katona, MD, PhD
(outgoing) Editor in Chief

Dr. Katona is an assistant professor of medicine in the division of gastroenterology at the University of Pennsylvania, Philadelphia.

Dear Colleagues,

It’s hard to believe that The New Gastroenterologist (TNG) is now in its 5th year of publication! Since the inception of TNG, it has been a true honor and pleasure to serve as the inaugural editor in chief (EIC), and it has been an experience that I will never forget. When the idea of TNG was first conceived nearly 5 years ago, the goal of the publication was to provide a dedicated home for content for early-career GIs and trainees, an area that was a clear void in the GI community. Over 4 years later, TNG remains a one-of-a-kind resource for our field, and I hope that you have enjoyed the content published.

As my term is ending soon, it is my pleasure to turn TNG over to the next EIC, Vijaya Rao from the University of Chicago. I have no doubt that Vijaya will do a fantastic job continuing TNG, and I am excited to see how she applies many of her innovative ideas to grow the publication and make it even more valuable to the early-career and trainee GI community. Finally, I would just like to thank all of the people who have made invaluable contributions to make TNG a success including Erin Landis and Ryan Farrell from the AGA; the staff of our publisher Frontline Medical Communications, especially Lora McGlade; and current editor in chief of GI & Hepatology News, John Allen.

As for this issue of TNG, my last issue as EIC, there is a fantastic line-up of content. The “In Focus” article, by Diana Curras-Martin and Susana Gonzalez (Cornell), addresses the controversial topic of gastric intestinal metaplasia, and will no doubt be very helpful for dealing with this condition when it’s encountered in clinical practice. Additionally, Edward Barnes (UNC Chapel Hill) covers the importance of mentoring during the early-career stage, while Josh Sloan (Hopkins) provides an overview of options for extra training in motility, including motility fellowships.

Also in this issue of TNG, Rishi Naik (Vanderbilt) outlines some of the important lessons he learned during his 1-year term as the Gastroenterology editorial fellow, and Latha Alaparthi (Gastroenterology Center of Connecticut) discusses tips for building an effective community practice as part of our “Private Practice Perspectives” section cosponsored by the Digestive Health Physicians Association. Finally, lawyers Matthew D’Emilio and Jeremy Riley cover estate planning, which is a topic that is important for all to be familiar with, regardless of age or current health status.

If you’re interested in contributing or have ideas for TNG, please contact me ([email protected]), incoming editor in chief Vijaya Rao ([email protected]), or Ryan Farrell (rfarrell@gastro.org), managing editor of TNG.

Thank you, this has been a true pleasure.

Sincerely,

Bryson W. Katona, MD, PhD
(outgoing) Editor in Chief

Dr. Katona is an assistant professor of medicine in the division of gastroenterology at the University of Pennsylvania, Philadelphia.

Dear Colleagues,

It’s hard to believe that The New Gastroenterologist (TNG) is now in its 5th year of publication! Since the inception of TNG, it has been a true honor and pleasure to serve as the inaugural editor in chief (EIC), and it has been an experience that I will never forget. When the idea of TNG was first conceived nearly 5 years ago, the goal of the publication was to provide a dedicated home for content for early-career GIs and trainees, an area that was a clear void in the GI community. Over 4 years later, TNG remains a one-of-a-kind resource for our field, and I hope that you have enjoyed the content published.

As my term is ending soon, it is my pleasure to turn TNG over to the next EIC, Vijaya Rao from the University of Chicago. I have no doubt that Vijaya will do a fantastic job continuing TNG, and I am excited to see how she applies many of her innovative ideas to grow the publication and make it even more valuable to the early-career and trainee GI community. Finally, I would just like to thank all of the people who have made invaluable contributions to make TNG a success including Erin Landis and Ryan Farrell from the AGA; the staff of our publisher Frontline Medical Communications, especially Lora McGlade; and current editor in chief of GI & Hepatology News, John Allen.

As for this issue of TNG, my last issue as EIC, there is a fantastic line-up of content. The “In Focus” article, by Diana Curras-Martin and Susana Gonzalez (Cornell), addresses the controversial topic of gastric intestinal metaplasia, and will no doubt be very helpful for dealing with this condition when it’s encountered in clinical practice. Additionally, Edward Barnes (UNC Chapel Hill) covers the importance of mentoring during the early-career stage, while Josh Sloan (Hopkins) provides an overview of options for extra training in motility, including motility fellowships.

Also in this issue of TNG, Rishi Naik (Vanderbilt) outlines some of the important lessons he learned during his 1-year term as the Gastroenterology editorial fellow, and Latha Alaparthi (Gastroenterology Center of Connecticut) discusses tips for building an effective community practice as part of our “Private Practice Perspectives” section cosponsored by the Digestive Health Physicians Association. Finally, lawyers Matthew D’Emilio and Jeremy Riley cover estate planning, which is a topic that is important for all to be familiar with, regardless of age or current health status.

If you’re interested in contributing or have ideas for TNG, please contact me ([email protected]), incoming editor in chief Vijaya Rao ([email protected]), or Ryan Farrell (rfarrell@gastro.org), managing editor of TNG.

Thank you, this has been a true pleasure.

Sincerely,

Bryson W. Katona, MD, PhD
(outgoing) Editor in Chief

Dr. Katona is an assistant professor of medicine in the division of gastroenterology at the University of Pennsylvania, Philadelphia.

As many of us see patients with abdominal pain on an almost daily basis, it becomes easy to overlook the substantial long-term effects this chronic pain can have on patients. In this quarter’s In Focus article, Emily Weaver and Eva Szigethy (UPMC) explore how to utilize a multidisciplinary approach to effectively treat chronic abdominal pain, and they also highlight how chronic abdominal pain can truly be a traumatic experience for patients. This article is definitely a must-read for all practitioners.

Also in this issue of The New Gastroenterologist, Matthew Whitson (Hofstra-Northwell) provides some advice on becoming an effective educator, which is critically important, especially when making the transition from being a trainee to now having to teach trainees. Additionally, Erica Cohen and Gil Melmed (Cedars-Sinai) provide some important lessons about attempting to start an investigator-led clinical trial, which is a difficult task regardless of what career stage you’re in.

In this quarter’s DHPA-cosponsored private practice perspective, Marc Sonenshine (Atlanta Gastroenterology Associates) provides some tips for how to develop a specialized niche in private practice. And in our postfellowship pathway section, Mark Sostek (Orphomed) provides an enlightening overview of some career options in industry.

Finally, Kathleen Mueller (AskMueller Consulting, LLC) gives an overview of some coding basics, which is important knowledge, especially for trainees, and Latha Alaparthi (Gastroenterology Center of Connecticut/Yale/Quinnipiac) provides an overview of some advanced degree programs you may consider when contemplating a career change.

Interested in contributing to The New Gastroenterologist? Have ideas for future issues? If so, please contact me at [email protected] or the managing editor, Ryan Farrell, at [email protected].
 

Sincerely,
Bryson W. Katona, MD, PhD
Editor in Chief

Dr. Katona is an assistant professor of medicine in the division of gastroenterology at the University of Pennsylvania, Philadelphia.

As many of us see patients with abdominal pain on an almost daily basis, it becomes easy to overlook the substantial long-term effects this chronic pain can have on patients. In this quarter’s In Focus article, Emily Weaver and Eva Szigethy (UPMC) explore how to utilize a multidisciplinary approach to effectively treat chronic abdominal pain, and they also highlight how chronic abdominal pain can truly be a traumatic experience for patients. This article is definitely a must-read for all practitioners.

Also in this issue of The New Gastroenterologist, Matthew Whitson (Hofstra-Northwell) provides some advice on becoming an effective educator, which is critically important, especially when making the transition from being a trainee to now having to teach trainees. Additionally, Erica Cohen and Gil Melmed (Cedars-Sinai) provide some important lessons about attempting to start an investigator-led clinical trial, which is a difficult task regardless of what career stage you’re in.

In this quarter’s DHPA-cosponsored private practice perspective, Marc Sonenshine (Atlanta Gastroenterology Associates) provides some tips for how to develop a specialized niche in private practice. And in our postfellowship pathway section, Mark Sostek (Orphomed) provides an enlightening overview of some career options in industry.

Finally, Kathleen Mueller (AskMueller Consulting, LLC) gives an overview of some coding basics, which is important knowledge, especially for trainees, and Latha Alaparthi (Gastroenterology Center of Connecticut/Yale/Quinnipiac) provides an overview of some advanced degree programs you may consider when contemplating a career change.

Interested in contributing to The New Gastroenterologist? Have ideas for future issues? If so, please contact me at [email protected] or the managing editor, Ryan Farrell, at [email protected].
 

Sincerely,
Bryson W. Katona, MD, PhD
Editor in Chief

Dr. Katona is an assistant professor of medicine in the division of gastroenterology at the University of Pennsylvania, Philadelphia.

As many of us see patients with abdominal pain on an almost daily basis, it becomes easy to overlook the substantial long-term effects this chronic pain can have on patients. In this quarter’s In Focus article, Emily Weaver and Eva Szigethy (UPMC) explore how to utilize a multidisciplinary approach to effectively treat chronic abdominal pain, and they also highlight how chronic abdominal pain can truly be a traumatic experience for patients. This article is definitely a must-read for all practitioners.

Also in this issue of The New Gastroenterologist, Matthew Whitson (Hofstra-Northwell) provides some advice on becoming an effective educator, which is critically important, especially when making the transition from being a trainee to now having to teach trainees. Additionally, Erica Cohen and Gil Melmed (Cedars-Sinai) provide some important lessons about attempting to start an investigator-led clinical trial, which is a difficult task regardless of what career stage you’re in.

In this quarter’s DHPA-cosponsored private practice perspective, Marc Sonenshine (Atlanta Gastroenterology Associates) provides some tips for how to develop a specialized niche in private practice. And in our postfellowship pathway section, Mark Sostek (Orphomed) provides an enlightening overview of some career options in industry.

Finally, Kathleen Mueller (AskMueller Consulting, LLC) gives an overview of some coding basics, which is important knowledge, especially for trainees, and Latha Alaparthi (Gastroenterology Center of Connecticut/Yale/Quinnipiac) provides an overview of some advanced degree programs you may consider when contemplating a career change.

Interested in contributing to The New Gastroenterologist? Have ideas for future issues? If so, please contact me at [email protected] or the managing editor, Ryan Farrell, at [email protected].
 

Sincerely,
Bryson W. Katona, MD, PhD
Editor in Chief

Dr. Katona is an assistant professor of medicine in the division of gastroenterology at the University of Pennsylvania, Philadelphia.