Didactic Activities

Structure & Weekly Format.

• Session Length: 1.5 to 2 hours weekly.
• Formats Rotated:
  • Faculty‐led didactic lecture
  • Case‐based conference
  • Journal club or guideline review
  • Board‐review Q&A (use question banks like ACG Q and DDSEP)
  • Path radiology correlation conference
  • Expert motility/endoscopy review
  • Research/case‐report meeting (for scholarly activity)
• Quarterly: M&M / QI case review
• Monthly: GI Grand Rounds (external expert), IBD conference, Pathology, Radiology, Motility
• Monthly: Board review with practice questions aligned to past core topic area

Weekly Didactic Topic Map (by system):

Esophagus & Upper GI

• Week 1: GERD – medical management
• Week 2: GERD – surgical & endoscopic
• Week 3: Barrett’s esophagus, dysplasia, surveillance
• Week 4: Motility disorders: achalasia, spasm, non cardiac chest pain
• Week 5: Functional upper GI: rumination, aerophagia, hiccups
• Week 6: Peptic ulcer disease, H. pylori, NSAID ulcer management

Stomach & Small Bowel

• Week 7: Gastroparesis & gastrectomy/post surgical issues
• Week 8: Gastric polyps and carcinoids
• Week 9: Celiac disease, malabsorption
• Week 10: Microbial overgrowth, SIBO
• Week 11: Chronic diarrhea (IBS subtypes)
• Week 12: Microscopic colitis, radiation enteritis, solitary rectal ulcer, diversion colitis

Colon & Colorectal

• Week 13: Colon cancer screening, polyp surveillance, serrated lesions
• Week 14: Familial CRC syndromes (Lynch, FAP)
• Week 15: Diverticular disease and complications
• Week 16: IBS, constipation, pelvic floor dysfunction
• Week 17: Colonic motility disorders & pseudo obstruction
• Week 18: Anal canal: hemorrhoids, fissures, incontinence, neoplastic disease

IBD (Inflammatory Bowel Disease)

• Week 19: IBD basics: epidemiology, presentation
• Week 20: Crohn’s disease diagnosis & medical management
• Week 21: Ulcerative colitis diagnosis & medical management
• Week 22: Biologics & immunomodulators – IBD therapy
• Week 23: IBD complications & surgical management
• Week 24: Surveillance strategies & dysplasia management in IBD

GI Bleeding & Vascular Disorders

• Week 25: Upper GI non variceal bleeding
• Week 26: Variceal bleeding: management, secondary prophylaxis
• Week 27: Lower GI bleeding + obscure bleeding (AVMs, obscure)
• Week 28: Mesenteric ischemia & chronic ischemic colitis
• Week 29: Portal vein thrombosis and portal hypertension complications
• Week 30: GI bleeding in elderly and comorbid settings

Hepatology

• Week 31: Approach to abnormal LFTs, hepatic mass evaluation
• Week 32: Acute & chronic viral hepatitis (A, B, C, E)
• Week 33: Alcoholic liver disease & NAFLD/NASH
• Week 34: Cirrhosis complications: ascites, SBP, HRS, encephalopathy
• Week 35: Portal hypertension: TIPS and variceal therapy
• Week 36: Autoimmune hepatitis, PSC, PBC, genetic disorders (Wilson’s, A 1 AT, hemochromatosis)

Liver Oncology, Transplant & Advanced Topics

• Week 37: Hepatocellular carcinoma & other hepatic malignancies
• Week 38: Liver transplant evaluation & MELD scoring
• Week 39: Post transplant care and immunosuppression
• Week 40: Drug induced liver injury and vascular liver diseases (Budd Chiari)
• Week 41: Pregnancy and hepatobiliary disorders
• Week 42: Cholestatic syndromes, pregnancy pharmacology, osteoporosis risk

Pancreas & Biliary

• Week 43: Acute & chronic pancreatitis
• Week 44: Pancreatic cysts, IPMN, neoplasms, function studies
• Week 45: Nutritional support & surgical aspects in pancreatitis
• Week 46: Sphincter of Oddi dysfunction, divisum, biliary dyskinesia
• Week 47: Gallstone disease, acute cholecystitis (calculous/acalculous)
• Week 48: Gallbladder and biliary track neoplasms

Nutrition, Pediatrics, Geriatrics, HIV

• Week 49: Nutrition support in critical illness, short bowel syndrome
• Week 50: Pediatric GI issues: neonatal jaundice, NEC, Meckel’s, IBD in children
• Week 51: Women’s health: GI issues in pregnancy, GYN GI interactions
• Week 52: HIV related GI manifestations, gastrointestinal infections
• Week 53: Geriatric GI care: gastrostomy, risks of endoscopy in elderly

Oncology & Advanced Endoscopy

• Week 54: GI lymphoma, NETs, GIST, anal & GI tract cancers
• Week 55: Chemotherapy and radiation therapy considerations
• Week 56: Endoluminal stenting, palliative techniques
• Week 57: Capsule endoscopy, enteroscopy, narrow band imaging
• Week 58: Advanced therapeutic endoscopy: EMR, ESD, EUS, ERCP
• Week 59: Foreign body management, sedation, complications, ileus, ICU GI care

Cross cutting, Ethics, Systems & Research

• Week 60: Professionalism, communication, systems based practice in GI
• Week 61: Practice based learning, cost effective care, guidelines uptake
• Week 62: Ethics in GI: nutrition, consent, surgical referrals
• Week 63: Quality improvement and morbidity & mortality cases
• Week 64: Research methodology: journal club, study design, biostatistics
• Week 65: Evidence based medicine and guideline implementation

Board Review Integration
Comprehensive Recap & Capstone

• Weel 73: GI/hepatology rapid review
• Week 74: Gastrointestinal oncology & emergencies
• Week 75: Nutrition, pediatrics, geriatrics, HIV review
• Week 76: Advanced endoscopy, imaging, motility
• Week 77: Ethics, systems practice, QI case wrap up
• Week 78: Final board prep Q&A, test strategy recap