The section of Gastroenterology includes 6 University affiliated gastroenterologists, 1 full time health economist, and 10 community practicing gastroenterologists. Fellows will also receive training from members of the section of Hepatology. We provide clinical service and teaching to the two major teaching hospitals in Winnipeg (Health Sciences Center [HSC] and St. Boniface General Hospital [SBGH]). HSC is a quaternary hospital that serves as a major referral site for Winnipeg, Northern Manitoba, Nunavut, parts of rural Manitoba and Northwestern Ontario. St. Boniface General Hospital is a tertiary care center that serves as a referral site for Winnipeg and many parts of rural Manitoba. In total we serve a referral area of over 1.2 million.
THE GASTROENTEROLOGY FELLOWSHIP PROGRAM
All trainees will have the benefit from significant exposure to the IBD Clinical and Research Center. Established in 1994 by Dr. Charles Bernstein, it has received both national and international recognition as being a center of excellence in terms of research and clinical management of IBD patients.
All trainees will also benefit from the numerous regularly scheduled teaching rounds including: Pathology rounds, Fellow’s seminar series, GI journal club, Physiology Rounds, CAG physiology lecture series, Clinical Case Rounds, City wide evening GI Journal Club, GI Literature Review & Critical Appraisal Rounds.
All GI endoscopic procedures are done using state of the art high definition video endoscopes. Trainees will become skilled and proficient in diagnostic and therapeutic endoscopy including but not limited to: Gastroscopy, colonoscopy, push enteroscopy, percutaneous entero-gastrostomy, polypectomy, chromoendoscopy, argon plasma coagualtion, variceal banding, hemostasis techniques, dilation, and narrow band imaging. Exposure to advanced endoscopy will be provided during a separate pancreatico-biliary rotation where ERCP and EUS will be introduced. Techniques such as sphincterotomy, temporary and permanent biliary and pancreatic stent placement, therapeutics for chronic pancreatitis, transgastric pseudocyst drainage, EUS-guided FNA, celiac plexus neurolysis, and endoscopic mucosal resection will be demonstrated. Exposure to capsule endoscopy and enteric stent placement is also available.
During their training, trainees can take advantage of our two state of the art endoscopic simulators housed in the new Clinical Learning and Simulation Facility – an 11,000 square foot ultra high-tech facility, one of Canada’s most comprehensive clinical learning and simulation centers. Gastroscopy, colonoscopy and ERCP are available simulator options. Early on in the GI Residency Training program, trainees will have teaching sessions on the simulators with direct faculty interaction.
Research may be further expanded during a third year where the trainee may also take advantage of the Diploma in Population Health Program offered through the Department of Community Health Sciences at the University of Manitoba. The Department of Community Health Sciences also offers Master’s (MSc and MPH) and PhD degree programs.
A brief summary of some of the research interests of our section include:
Dr. Charles Bernstein (IBD and Capsule endoscopy): IBD epidemiology and outcomes research; IBD etiology research; optimizing disease diagnostics and prognosticators in IBD; clinical trials in IBD and IBS. Colorectal cancer screening approaches.
Dr. Laura Targownik (GI bleeding outcomes research): Pharmacoepidemiology of proton pump inhibitor use; process of care issues regarding the management of gastrointestinal bleeding. Prevention of NSAID related gastrointestinal complications.
Dr. Michael Cantor (Endoscopic Ultrasound): Endoscopic ultrasound outcomes research. The role of endoscopic ultrasound in the diagnosis of pancreatic cysts and gastrointestinal subepithelial lesions.
Dr. Dana Moffatt (ERCP and therapeutic endoscopy): ERCP outcomes research, ERCP complication prevention research, gastrointestinal radiology/gastroenterology interface and endoscopy clinical trials.
Dr. Harminder Singh (Clinical outcomes research): Colorectal cancer screening, prevention, wait times, endoscopy outcomes, sedation for colonoscopy.
Dr. Don Duerksen (Nutrition): Celiac Disease, Nutrition Support and Home enteral and parenteral nutrition.
Dr. Alex Ilnyckyj (Motility and Functional GI disorders): Fecal incontinence. Therapeutics of IBS. Quality assurance pertaining to GI motility.
The Section of Gastroenterology has an extensive network of local collaborators from the fields of clinical epidemiology (Drs James Blanchard, Donna Kennedy, Alain Demers), clinical health psychology (Drs Lesley Graff and John Walker), bone health (Dr. William Leslie), nutrition (Ms. Kathy Vagianos) and an extensive network of national and international collaborators. These interactions can facilitate and expand trainees’ research endeavors.
Application Deadline: August 25th of the year preceding program commencement.
Remuneration: Residents will be paid according to the Professional Association of Residents of Manitoba (PARIM) agreement concerning remuneration of residents commensurate with their number of years of post-graduate training.