Peds GI

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bowlofmushypeas

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Has anyone had more experience with this field? The elective my school had was entirely inpatient with a huge emphasis on transplant. I'm theoretically interested after residency, but don't feel like I know much about the day to day of the typical peds gastroenterologist (e.g. hours, cases, culture, etc). I'll probably try find some time to shadow, but would love to hear SDNer's experiences!
 
Residency classmate of mine:

"Peds GI/Psyche - someday they're just going to merge the fellowship"
 
Now now, although I have my ups and downs with the pedi GI folks, you might be getting an "incomplete" view of the field from the previous posts. Note that I didn't say "inaccurate" just, "incomplete".😛

In any case, unlike in adults, there aren't really "pedi GI" docs. The field is pediatric GI, nutrition and hepatology and trainees are involved in all of these. Now, as a career, what individuals do is highly variable. There is both academic and private practice in pedi GI and there are those who focus on one area and less on others. There are also those who are focused on specific disorders or processes (e.g. IBD, liver failure, obesity) and those who are not.

There are some things that pedi GI docs see that are common. These include obesity, functional abdominal pain 🙂scared🙂, constipation 🙂sleep🙂 and failure to thrive. But, they also get to care for eating disorders, liver disease, malnutrition secondary to cancer, CF, etc and the ever popular "my kid just swallowed a penny" disease.

There is a reasonable amount of both basic science (think microbiota, immunology, etc) and clinical research in the field but there are lots of pedi GI folks who do all clinical work.

The day to day existence is extremely variable based on where you are and how academic and specialized your practice is. Most pedi GI folks will see in-patients, both their own patients and consults. All will have outpatient clinics. Some only one or two a week, others much more common. Those who practice in settings with residents and med students will often do a lot of teaching both related to their field and often general in-patient wards.

On the whole, a good field and I believe there is still a shortage of pedi GI docs. It doesn't pay as well as the adult version, and has fewer procedures, but still has a balance of procedures and a lot of diverse disease to care for.

Functional abdominal pain and chronic constipation are, however, the field-killers for me.😉
 
As per routine, OBP described it perfectly. Peds GI is pretty cool because there are multiple components, and you can create your niche, particularly at a large referral center/academics. For example, in our Peds GI faculty, there's a go to person for each of the following: liver, eosinophilic esophagitis, IBD, chronic constipation (this person is a saint), long-term parenteral nutrition, the list goes on. They all do EGD/colon/liver biopsies in the OR.

For me the dealbreakers were the same as OBP, and every day I do anesthesia in the OR for the scopes, I realize I'm happy I'm on the anesthesia side of things, not the procedure side, especially when teenagers come in for disimpactions under general anesthesia. 🙁

Very diverse field, with several opportunities. definitely should be pursued due to a true passion for GI topics-- not lifestyle or money.
 
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