Fellowship Training at Boston Medical Center

Fellowship Training at Boston Medical Center

Boston Medical Center is a private, not-for-profit, 639-licensed bed, academic medical center located in Boston’s historic South End. The hospital is the primary teaching affiliate for Boston University School of Medicine. Boston Medical Center emphasizes community-based care, with its mission to provide consistently accessible health services to all. The largest safety net hospital in New England, Boston Medical Center provides a full spectrum of pediatric and adult care services, from primary to family medicine to advanced specialty care. Boston Medical Center is the largest 24-hour Level I trauma center in New England.

Boston Medical Center in comprised of two campuses, the Menino Pavilion and the Newton Pavilion.  The Menino Pavilion is a state-of-the-art inpatient facility with 40 intensive care unit beds and the emergency services. The clinical experience at the Menino Pavilion is focused around admissions from the emergency room.  Fellows will obtain experience in acute gastrointestinal bleeding, chronic liver disease, portal hypertension, acute and chronic pancreatitis, biliary and GI complications of HIV disease.  Fellows in the Menino consult service will see approximately 60-80 consults per month.  The Newton Pavilion now houses the majority of the Medical Intensive Care Unit beds and is also the site of the Coronary Care Unit, cardiothoracic surgery, renal medicine, hematology and oncology, geriatrics and is where the majority of patients with IBD undergo their care.  Hence the clinical experience at the East Newton Pavilion often involves the management of gastrointestinal problems in patients with co-morbid disease.  The outpatient clinics are currently located in the Moakley Building, adjacent to the Menino Pavilion.  This state-of-the-art facility houses several interdisciplinary ambulatory services including gastroenterology, surgery, and others involved in the management of individuals with digestive diseases.  Fellows are assigned one half-day outpatient clinic each week for the duration of their fellowship.  On average, fellows will see up to three new patients and three to six established patients scheduled per session.

The basic research expertise offered in the laboratories of Boston Medical Center in the Evans Medical Research Building includes stem cell research, studies of obesity in terms of fat cell metabolism, mitochondrial oxidative stress and relationship of fat metabolism to insulin secretion and glucose homeostasis.  Areas of translational research interest include the use of endoscopic spectroscopy to identify dysplasia in the colon and the serological markers of fibrosis to assess both liver fibrosis and prognosis.

Ongoing clinical research in the section include numerous studies of IBD, clinicopathological correlates of  colon polyps and dysplasia both in patients with and without IBD.   There is ongoing health services research into colorectal cancer screening, aimed at improving systems of care to improve physician and patient adherence to current recommendations. Epidemiological studies of Barrett’s esophagus and development of dysplasia are also being actively pursued.

Primary teaching affiliate
of BU School of Medicine