Master gastroenterology at the level of a consultant

If you're reading this, you already know the feeling. You're managing a patient with decompensated cirrhosis and a rising creatinine, or fielding a question from a fellow about whether to scope a patient on dual antiplatelet therapy, and you want to be certain — not just confident — that your reasoning is airtight and your plan reflects the best current evidence. You've done the training. You've read the guidelines. But medicine moves fast, and GI and hepatology move faster than most.

This school exists for that gap.

I built this curriculum the way I wish someone had taught me on rounds — not as a catalog of facts to memorize, but as a structured way of thinking through the cases that actually challenge you. When do you add a biologic versus optimizing 5-ASA? How do you differentiate early cholangitis from a benign post-ERCP fever, and what's the threshold for intervention? What does this polyp's pathology actually mean for the surveillance interval, and how do you explain that to a patient who already lost a sibling to colon cancer? These are the questions this curriculum is built to answer.

I've been deliberate about anchoring every section in landmark trial data and current society guidelines — not because guidelines are gospel, but because you need to know exactly what they say before you can reason around them with clinical judgment. The IBD sections walk through treat-to-target strategy and the pharmacological escalation decisions that define modern IBD management. The hepatology modules cover the full arc from cirrhosis staging and prophylaxis through the acute management of variceal hemorrhage and acute liver failure. The procedural section is designed to sharpen the judgment that separates a good endoscopist from a great consulting physician — when to scope, how to counsel, and when the right answer is to pick up the phone for surgery or IR.

I've also included the topics that often get shortchanged in traditional training: capsule endoscopy interpretation, hereditary GI cancer syndromes beyond basic Lynch screening, GI pathology essentials for the non-pathologist, and shared decision-making in high-stakes procedural conversations. These are the competencies that distinguish the physician patients and colleagues trust with their hardest cases.

If you're a resident or fellow in the middle of training, this will help you build the clinical architecture that transforms experience into expertise. If you're an attending who wants to practice with more certainty and less second-guessing, you'll find this curriculum both validating and genuinely expanding. Either way, I'm glad you're here. Let's get to work.