Many first-year GI fellows across the country have celebrated a milestone over the past few weeks: their first trip to the cecum. 🍩
Shoutout to my people @IndujaNimma@allisonchin_ & #NihalKhan on reaching that milestone!
Reaching the cecum is an accomplishment. It reflects practice, patience, and persistence.
But here’s what I remind our fellows:
The cecum isn’t the finish line. It’s the beginning.
From this point forward, your growth isn’t just about getting there. It’s about becoming an exceptional endoscopist and physician.
As you work with different faculty, don’t focus on finding the “perfect” attending. Instead, leave every endoscopy list asking yourself five questions:
⭐️ What did they see that I didn’t?
⭐️ Why did they make that decision?
⭐️ What technical habit do I want to adopt?
⭐️ How did they communicate with the patient and the team?
⭐️ What would I do differently, and what evidence or experience supports that?
Every attending has strengths.
- Some are master technicians.
- Some are exceptional teachers.
- Some model clinical judgment, efficiency, communication, or professionalism in ways that deserve to be emulated.
If you leave each day having learned one new technical pearl, one new way of thinking, or one new habit to adopt, you’ll eventually develop something even more valuable than someone else’s style.
You’ll develop your own.
Congratulations to all of the first-year GI fellows reaching the cecum over these past few weeks.
Enjoy the donut but keep learning tomorrow.
An absolute honor to serve as the course co-director for the @ASGEendoscopy First Year Fellows Course alongside @rmulkimd. We hosted 125 fellows this weekend and it's always so energizing to see the excitement and eagerness of the new fellows. Even more so, I'm so appreciative of all of the friends, colleagues, and mentors that gave time out of their schedules to help put on an amazing course! Very very thankful to my GI family 🙏🏼
One of my favorite traditions each year is returning to the @ASGEendoscopy First-Year Fellows Course.
It’s always a privilege to teach, but it’s even more meaningful when our own fellows are sitting in the audience. Watching them take their first steps into GI fellowship while having the opportunity to be a small part of that journey is incredibly rewarding.
Congratulations to @ASGEendoscopy & the outstanding course directors @TomTielleman@rmulkimd for an exceptional program. These courses don’t happen without countless hours of work behind the scenes.
Fellows - as you’re learning today, here’s one career goal you may not have imagined yet.
One day, you may be back, not as a learner, but as faculty. Standing beside colleagues who have become mentors, collaborators, and friends. Teaching the next generation. Those opportunities often begin long before you realize they’re possible.
Enjoy every moment. Your future in GI is just getting started.
Every time I listen to a lecture on Electrocautery I learn something new.
This year at @ASGEendoscopy FYF course @EndoscopyOthman & @HilarHolzy taught us the basics of ⚡️
Some high yield concepts:
⭐️ The pedal doesn’t determine the tissue effect.
⭐️ The selected generator mode primarily shapes the tissue effect by controlling the electrical waveform.
⭐️ The device then influences how that energy interacts with tissue through its design, contact, and current density.
Think of it this way:
✂️ Cut → Rapid tissue heating → Intracellular water vaporizes → Tissue divides
🩸 Coagulation → Slower tissue heating → Protein denaturation, desiccation, and vessel sealing
Once you understand this foundation, electrosurgical settings become much less about memorization and much more about understanding the desired tissue effect.
In the next post, we’ll build on this by comparing APC, bipolar probes, and hemostatic forceps - 3 devices that achieve hemostasis through very different mechanisms.
#GITwitter #MedEd #Endoscopy #Electrosurgery
Every July, our fellowship turns the page.
Not just because new fellows arrive.
Because they bring new ideas, new perspectives, new questions, and new energy.
Over the next three years, you’ll learn from us but we’ll learn from you, too.
That’s the best part of academic medicine.
Welcome to the @AdventHealthCFL GI family! @IndujaNimma #NihalKhan and #AllisonChin!
We’re excited for what we’ll build together.
One class taking the next step, another taking the first.
PGY-5 independent continuity clinic started today, followed by Endoscopy Bootcamp for our incoming fellows.
Grateful for faculty who always show up @MahamHayatMD@AMohammedMD@Meghs1119 and industry partners @Olympus_Corp@bostonsci@CookMedSurg #ERBE who make days like this possible.
#ACGCRJ Editorial of the Month!
GI is diet-driven, but nutrition training is limited.
From Crohn’s to GERD, food is therapy.
Time to shift GI fellowship from procedures ➡️ prevention. 🥗
🔗 https://t.co/pEF4HPJDeB
#Gastroenterology#MedEd
Still starstruck and grateful to learn from the thoughtfully curated panel of renowned experts in the field at the #GIHepUpdates2025 Conference! 💪
Thank you for this opportunity @AdventHealthCFL ✨
How is @AmCollegeGastro taking care of members at #ACG2024?🧐
Let me show you the ways!🤩
💪🏼Ergonomics assessment
🧘🏽♀️Morning yoga
🛋️ Networking lounges
👟Daily #DiversityInGI 5k run
🧸Childcare services
🙏🏿Multi-faith prayer room
🤱🏼Private nursing rooms
#ProudToBeACG#BOOM 💥
For #WomeninMedicineMonth ACG recognizes Prez-Elect Dr. @AmyOxentenkoMD who in 2021 delivered @AmJGastro Lecture and connected critical mass theory to #WomeninGI in her talk, "Hidden in Plain Sight: Bringing Women into the Scope of GI"
📕 MUST READ >> https://t.co/182EweW9Pa