Harborview Medical Center
Chris Surawicz, MD
Professor of Medicine
Section Head, Gastroenterology
325 9th Avenue
Seattle, WA 98104
Phone: (206) 341-4634
Overall Educational Purpose:
To learn to recognize and treat major and common GI problems including
upper and lower GI bleeding, acute and chronic diarrhea, GI tract cancer
and cancer screening, chronic liver disease including Hepatitis B, C,
and alcohol, biliary tract disease, and inflammatory bowel disease.
To determine proper use of endoscopy as a diagnostic and therapeutic
tool, as well as x-rays and other diagnostic tests.
1. GI Attending
2. GI Fellow (occasionally a 3rd year Surgery resident)
3. R2 or R3
4. Medical Student (sometimes)
Principal Teaching Methods
Case discussion and review
The fellow and faculty review each case and diagnosis with resident. Bedside
Conference Friday morning (7:30-10:00 am)
Mix of Diseases
Alcoholic liver disease
UGI & LGI bleeding
Liver disease, other liver toxicity
Peptic ulcer disease
Very varied, multicultural, many ethnic and socio-economic groups.
Types of Clinical Encounters
Inpatient and outpatient consults
Resident may learn flexible sigmoidoscopy, but in limited numbers.
Full spectrum of endoscopic procedures and advanced therapeutics. Endoscopy
is done daily. There is a Hepatology clinic each morning to which residents
are welcome to attend.
Rotation Specific Schedule
12:15-1:00 Pre Clinic Teaching Conference – 2nd Wednesday monthly
1:00-5:00 GI Clinic (3W-Clinic)
8:00-9:00 Grand Rounds (T-629)
9:15-10:15 Resident Teaching Conference (T-739)
7:30-10:00 Teaching Conference (K-069 Health Sciences)
Call and Weekend Responsibilities
Principle Educational Materials Used
GI texts and journals in conference room
Methods Used in Evaluating Resident and
At the end of the rotation, the resident is evaluated in writing and their
performance reviewed with them verbally by every attending and fellow
he or she has interacted with for a significant amount of time. The evaluator
rates the resident on a nine-point scale in each component of clinical
competence (i.e. patient care, medical knowledge, practice based learning
improvement, interpersonal and communication skills, professionalism,
system based learning, educational attitudes, leadership, overall clinical
The resident is given the opportunity to evaluate in writing the quality
of the curriculum and the extent to which the educational goals and objectives
of the rotation have been met. The resident also evaluates the teaching
competence of each attending and fellow with whom s/he has interacted
for a significant amount of time.
Explicit Lines of Responsibility for Care
of Patients on this Service
Primary responsibility for care is attending and fellow together.
Each outpatient seen in GI clinic is the responsibility of the attending
staff physician. That faculty physician sees, examines, and discusses
all new patients with the resident or fellow. Outpatients on return visits
are seen by the senior resident or fellow with a subsequent discussion
with the attending, who also sees the patient. We will try to give continuity
of care as much as possible.
The attending faculty member is responsible for every inpatient seen
by the resident. That faculty person will interview, examine and discuss
with the resident every new patient. Ongoing care will be provided by
the resident with discussion with the attending. All major changes in
status will have documented involvement by the attending faculty member.