All GIM fellows practice medicine in a continuity clinic, either at UIHC or at the VA Hospital. There are numerous opportunities for additional clinical skills. Fellows can arrange directly with the GI endoscopy service to perform flexible sigmoidoscopy. Rotations can be sought in medicine specialty clinics for fellows who wish further training in specific medical problems. Fellows who wish to gain experience in fields outside internal medicine can work with the Fellowship Director to identify appropriate venues. Members of GIM are helping to develop a Women's Health Center and fellows can rotate through this medical niche.
Fellows may choose to direct clinical attention towards the developing field of hospitalist medicine. Faculty members from GIM now supervise half of the medicine residency general ward experiences and a member of the division directs an active hospitalist program. Over a two-year period, enough experiences in hospitalist services can be gained to justifiably approach academic centers with credentials as a hospitalist. Similarly, a fellow interested in consultative general medicine can participate in the active General Medicine Consult Service.
All fellow continuity clinics function semi-autonomously with faculty interaction and advice readily available. Activity in other clinics or inpatient rotations occurs under varying degrees of supervision depending on the circumstances.
In addition to teaching assignments, fellows pursuing a clinician educator track can expect to be in clinics or on wards 50% time or more.