Advanced Training

Vocational Training - Gastroenterology and Hepatology


New Zealand Trainees must apply for a Selection Interview during the set application period (Monday 23 April 2018 and Sunday 20 May 2018) by sending your CV to Anna Pears at anna.pears@racp.org.nz
Download a CV template.

All registrations must be received by 5pm 20 May 2018. Interviews for both new and returning trainees are held on Thursday 5 July 2018 in Auckland.

Supervising Committee - Advanced Training Subcommittee (ATS) in Gastroenterology.

Please go to the RACP website  for more details.

RACP Contact: gastroenterology@racp.org.nz

Chair of New Zealand Advanced Training Subcommittee : Dr Adrian Claydon

Definition of Speciality

Gastroenterology and hepatology are branches of internal medicine (usually practised together) that are concerned with prevention, investigation and therapy of and research into illnesses involving the intestine, liver and other associated organs.

General Principles of Training

  1. Advanced training in gastroenterology should provide broad experience in as many aspects of gastroenterology and hepatology as possible including management of patients with a wide variety of gastrointestinal disorders; gastrointestinal endoscopic procedures; gastrointestinal and hepatic imaging; pathology and physiological investigations; clinical nutrition, and gastrointestinal surgery. It is desirable that trainees undertake supervised research during their advanced training. The majority or all of advanced training can be undertaken in hepatology. It is desirable that trainees spend no more than 2 years in one training position.
  2. Trainees are required, at the completion of advanced training, to have achieved levels of consultative and technical skills, which will allow independent practice as a gastroenterologist and/or hepatologist.
  3. New Zealand trainees are encouraged to undertake part of their training outside New Zealand.

Components of Training

Core Training

A minimum of 2 years must be spent in full time clinical training positions with responsibility for patient care under the supervision of a trained gastroenterologist. Training should include management of gastrointestinal and hepatological emergencies. A suitable training position should include the care of outpatients (ambulatory care) and inpatients in gastroenterology and hepatology at a training site that provides regular clinical meetings, QA activities and meetings with other departments particularly diagnostic and therapeutic imaging, histopathology and surgical groups.



It is desirable that trainees gain experience and exposure in as many as possible of the following areas:

• gastrointestinal motility disorders, diverticular disease and functional illnesses including oesophageal motility and intestinal transit studies; 

• acid-peptic disease;
• diseases of the pancreas and gastrointestinal hormones;
• gastrointestinal inflammatory disorders including idiopathic inflammatory bowel disease and disorders caused by infection including those associated with human immunodeficiency;
• malabsorption syndromes including breath gas analysis;
• gastrointestinal malignancy and premalignant disorders;
• disorders of the biliary tract and ERCP;
• viral hepatitis;
• immunological disorders of the hepatobiliary tract;
• drug-induced disorders of the liver and gastrointestinal tract;

• chronic liver disease, portal hypertension and liver biopsy;

• hepatobiliary malignancy;

• gastrointestinal endoscopy and gastrointestinal bleeding;
• clinical nutrition;

• alcoholism and drug addiction;

• imaging of the gastrointestinal and hepatobiliary systems including performance of abdominal ultrasound examinations; and 

• liver transplantation.

Non Core Training

The ATS may approve a maximum of one year of non core (elective) training which may be undertaken in clinical training in other disciplines (e.g. psychiatry, general medicine, immunology, microbiology, etc.), or research. In New Zealand the ATS will prospectively approve, on a case by case basis, only those rotations that are closely related to gastroenterology.

Procedural Skills

It is desirable that trainees should become proficient in upper gastrointestinal endoscopy and colonoscopy with polypectomy. Some trainees will also undertake training in ERCP and endoscopic ultrasound.



Trainees must, in addition to technical proficiency, have a clear understanding of the role of endoscopy in patient management achieved by attendance at radiological and histopathological teaching sessions and relevant operations. Trainees must develop an understanding of the principles and practice of disinfection and sterilization of modern endoscopic instruments. Training in gastrointestinal endoscopy is assessed independently by the Conjoint Committee for Recognition of Training in Gastrointestinal Endoscopy (NZCCRTGE), a national committee with representatives of the NZSG, RACP and the Royal Australasian College of Surgeons (RACS).

Research

Trainees are strongly encouraged to undertake a period of supervised research in basic or clinical sciences. All trainees will have to submit a project for assessment during there training period. Training in research can be conducted as a non core period of training and may be part of a research program conducted with the aim of achieving a doctorate (PhD, MD) or other higher degree(s). Up to one year of the 3 years of advanced training may be undertaken in research. Extended periods of research will not be regarded as part of core advanced training in gastroenterology and hepatology.

Training Sites

Any site for advanced training in gastroenterology and hepatology must provide the staff and facilities necessary to provide the content of the training program outlined above. This means that advanced core training will usually be undertaken in a level 3 teaching hospital but other positions will be considered individually and may be suitable for a period of training. Training sites will be visited by a member of the ATS and by a gastroenterologist from another institution at intervals of up to 5 years.