The clinical training of gastroenterology-hepatology fellows takes place in the multidisciplinary environment of the James A. Clifton Center for Digestive Diseases at The University of Iowa, and at the adjacent Iowa City Veterans Affairs Medical Center. Medical students, residents, fellows, and faculty participate in patient care in both hospitals on a rotating basis. Outpatient clinics inpatient consultation services, state-of-the-art endoscopy units with active programs in endoscopic retrograde cholangio-pancreatography (ERCP), endoscopic ultrasonography exist and liver transplantation provide the framework for clinical training in gastroenterology and hepatology. Fellows become experienced in diagnostic and therapeutic endoscopic procedures as part of their clinical training. Additional clinical programs are tailored to the needs of fellows wishing to pursue specialized training in areas such as hepatology, transplantation, therapeutic ERCP or endoscopic ultrasonography. Ample opportunity exists to interact with colleagues in pediatric gastroenterology, pathology, surgery and radiology.