Department of Internal Medicine

Gastroenterology Fellowship Program

The Gastroenterology fellowship training program at Wright State University is fully accredited and three years in duration. The primary emphasis is on training gastroenterology fellows in clinical and endoscopic gastroenterology, including hepatology. The primary teaching institutions are the Dayton Veterans Affairs Medical Center (VAMC), a 356-bed referral facility, and Miami Valley Hospital (MVH), a large community hospital actively affiliated with Wright State University. In addition, fellows rotate at Dayton Children’s Hospital to gain some experience in pediatric gastroenterology.

Our trainee fellows acquire competence in all aspects of gastroenterology and hepatology. They are trained to perform a broad range of endoscopic procedures and conduct clinical and translational research in gastroenterology and hepatology. Our three-year curriculum provides substantial experience in the clinical management and treatment of a wide spectrum of digestive diseases through the provision of direct care to patients in both hospital and ambulatory settings. Formal conferences with enthusiastic staff participating from departments of radiology, pathology, surgery and nuclear medicine provide an integrated learning experience in the study of gastroenterology. Opportunities exist for attending two major regional, national or international conferences during the training period. We expect fellows to become proficient in consultations, endoscopy and patient-oriented research. There is a well-equipped simulation center for training on artificial models designed for colonoscopy, upper endoscopy, and ERCP.

Qualified fellowship candidates must have U.S. citizenship or permanent residency. Our program supports diversity and seeks to be inclusive of all racial, religious, gender and ethnic groups. All applications must be submitted through the Electronic Residency Application Service (ERAS). Interviews are scheduled by invitation in September or October. Fellowship positions are filled through the match (NRMP).

Faculty

Sangeeta Agrawal, MBBS

Department:
Medicine
Title:
Professor, Internal Medicine; Gastroenterology Fellowship Director; Division Director, Gastroenterology
Address:
VA Medical Center (111), 4100 W 3rd St, Dayton, OH 45428-9000

Gregory J. Beck, MD

Department:
Internal Medicine
Title:
Clinical Associate Professor, Internal Medicine
Address:
75 Sylvania Dr, Beavercreek, OH 45440-3237

Padmini Krishnamurthy, MD

Title:
Assistant Professor, Internal Medicine
Address:
VA Medical Center (111), 4100 W 3rd St, Dayton, OH 45428-9000
Phone:
937-268-6511-2698

Mustafa N Musleh, MD

Title:
Clinical Assistant Professor, Internal Medicine
Address:
Digestive Specialist, 999 Brubaker Dr, Dayton, OH 45429-3588

Fellows

F3

Drew Triplett, D.O.

Address:
Miami Valley Hospital, Internal Medicine Residency, 128 E Apple St Wche 2, Dayton, OH 45409-2902

Melinda Wayde, M.C.

Address:
Miami Valley Hospital, Internal Medicine Residency, 128 E Apple St Wche 2, Dayton, OH 45409-2902
F2

Patrick Chen, DO

Address:
Miami Valley Hospital, Internal Medicine Residency, 128 E Apple St Wche 2, Dayton, OH 45409-2902
F1

David E. Mossad, M.D.

Address:
Miami Valley Hospital, Internal Medicine Residency, 128 E Apple St Wche 2, Dayton, OH 45409-2902

Rotations

Rotations

VA Inpatient Consult Service: This is a required rotation at the first F1 (6-8 months), second F2 (6-8 months), and third F3 (4-6 months) training levels. Fellows perform procedures at the VA hospital scheduled through the clinics and inpatient consult service. They are also responsible for seeing the inpatient consults assigned to them. The goal of the rotation is to enable the fellow to serve as a consultant in the recognition, evaluation, and proper treatment of patients with gastrointestinal, pancreatic, hepatobiliary and nutritional problems.

MVH Inpatient Consult Service: This is a required rotation at the F1 (3 months) , F2 (3-5 months), and F3 (3- 5months) training levels. Fellows are assigned to this site for a consult experience in a community hospital setting. They also perform endoscopic procedures needed for these patients.

Hepatology Outpatient: This is a required one-month rotation at the F1 level. During the dedicated hepatology month, fellows predominately see patients with a broad spectrum of liver diseases in an ambulatory setting at Dayton VA Medical Center. The fellow also attends the Hepatitis C clinic. The fellow is also required to attend the hepatobiliary tumor board conferences held at Dayton VA Medical Center and MVH once a month. These conferences involve case discussions with the gastroenterologists, surgeons and intervention radiologists.

Research: This is a required rotation for F1 (1 month), F2 (2 months), and F3 (2 months) training level. Fellows are required to complete a case report for journal submission and a clinical/basic science project under the direction of an attending of their choice. This rotation provides dedicated time for work on these requirements. Fellows are also required to be involved in a Quality improvement project under the supervision of a GI attending.

Children’s Medical Center: This is a required rotation at the F1 (one half month) and F2 (one half month) training level. Fellows rotate in a pediatric gastroenterology clinic to get exposure to common cases in pediatric gastroenterology.

Continuity Clinics: All fellows do a half day of continuity clinic every week at the Dayton VA Medical Center. There is also a half day clinic every week at Miami Valley Hospital. In addition, they do liver and Hepatitis C clinic during their hepatology rotation.

Sample Rotation Schedule

Month

F1

F2

F3

Clinic coverage

July

VA

VA

MVH

F3

August

VA

MVH

VA

F1

September

VA

VA

MVH

F3

October

VA

MVH

Liver

F2

November

MVH

VA

Research

F1

December

VA

VA

MVH

F2

January

MVH

Research

VA

F3

February

VA

MVH

VA

F1

March

Research/DCH (1/2 month)

VA

MVH

F1

April

MVH

Liver

VA

F2

May

VA

MVH

Research

F2

June

Liver

VA

VA

F3

Sample Monthly Conference Schedule
(conferences are held once a week, August-July)

Week      

Week 1

Pathology

Critical Journal Review

Case Report

Week 2

Chapter 8

Journal Club

Case Report

Week 3

Pathology

Journal Club

Research Report: F3

Week 4

Chapter 21

Fellows Lecture: Diarrhea

Case Report

Participating Hospitals:

  • Dayton VA Medical Center (VA)
  • Miami Valley Hospital (MVH)
  • Dayton Children’s Hospital (DCH)

Publications

Publications

  1. Agrawal K, Markert R, Agrawal S. Risk factors for adenocarcinoma and squamous cell carcinoma of the esophagus and lung. AME Medical Journal 2018;3:35.
  2. Clark RJ, Craig M, Agrawal S, Kadakia M. microRNA involvement in the onset and progression of Barrett’s esophagus: a systematic review. Oncotarget, 2018;9(8): 8179-8196.
  3. Mossad D, Dinh B, Markert R. Musleh M, Agrawal S. Predictors of In-Hospital Mortality in Acute Pancreatitis. Journal of the Pancreas, Sep 2017; 18(6).
  4. Ansari J, Anwar S, Agrawal S. Acute Pancreatitis: A Complication of Jejunostomy Tube. Austin Journal of Clinical Case Reports, 2017; 4(2): 1117
  5. Krishnamurthy P, Brown M, Agrawal S, Short R. Acute Pancreatitis as a Complication of Trans-arterial Chemoembolization of Hepatocellular Cancer- Case Report and Review of Literature. Journal of Gastrointestinal Oncology, Feb 2017; 8(1): E26-E30. Doi:10.21037/jgo.2017.01.15.
  6. Dinh B, Ball K, Agrawal S. Hyperammonemic Encephalopathy Induced by Valproic Acid – Don’t blame the liver this time. Consultant 360; 56(9):802-803.
  7. Triplett D, Hazratjee N, Agrawal S. Eosinophilic Gastroenteritis Presenting as Gastric Pneumatosis. Practical Gastroenterology, August 2016; XL (8): 56-60.
  8. Triplett D, Murphy T, Sajjad MK, Agrawal S. Gastric Intestinal Metaplasia and Helicobacter Pylori Testing. Gastroenterology and Hepatology: Open Access, May 2016; 4(6): http://medcraveonline.com/GHOA/GHOA-04-00121.
  9. Chen P, Reddy N, Loesch E, Agrawal S. Appropriateness of Stress Ulcer Prophylaxis in Hospitalized Patients. Journal of Gastric Disorders and Therapy, May 2016; 2(3): http://dx.doi.org/10.16966/2381-8689.122.
  10. Issak A, Venkatesh R, Agrawal S. Quality of Care Assessment in Hospitalized Patients with Upper Gastrointestinal Bleeding. Journal of Gastric Disorders and Therapy, March 2016; 2(2): http://dx.doi.org/10.16966/2381-8689.118.
  11. Triplett D, Musleh M, Agrawal S. Intraductal Papillary Mucinous Neoplasm of the Pancreas Penetrating Three Adjacent Organs. Journal of Pancreas 2016; 17(3):318-321.http://pancreas.imedpub.com/-Vol.17 No.3-May 2016 [ISSN 1590-8577]
  12. Issak A, Agrawal S. Extramedullary Involvement of Sigmoid Colon with Acute Lymphocytic Leukemia. Journal of Gastrointestinal Cancer. May 2016. DOI 10.1007/s12029-016-9832-6. ISSN 1941-6628. PMID: 27189376
  13. Krishnamurthy P, Hazratjee N, Opris D, Agrawal S, Markert R. Is exposure to Agent Orange a risk factor for hepatocellular cancer?: A single-center retrospective study in the U.S. veteran population. Journal of Gastrointestinal Oncology 2016; 7(3):426-432.doi:10.21037/jgo.2016.01.09. PMID: 27284476
  14. Chen P, Agrawal S. Hyperplastic Gastric Polyp –An Unusual Cause of Hematemesis. Journal of Gastric Disorders and Therapy, November 2015; 1 (2): Extramedullary Involvement of Sigmoid Colon with Acute Lymphocytic Leukemiahttp://dx.doi.org/10.16966/jgdt.109.
  15. Agrawal K, Kumar P, Markert R, Agrawal S. Risk Factors for 30-day Readmissions of Individuals with Decompensated Cirrhosis. Southern Medical Journal. November 2015; 108 (11):  682-687. PMID:26539950
  16. Agrawal S, Patel P, Agrawal A, Makhijani N, Markert R, Deidrich W. Metformin Use and the Risk of Esophageal Cancer in Barrett’s Esophagus. Southern Medical Journal. December 2014; 107 (12): 774-779. PMID: 25502158
  17. Gupta A, Aggarwal S, Agrawal S. Pancreatic Adenocarcinoma: An Analysis of Drug Therapy Options through Interaction Maps and Graph Theory. Journal of Emerging Investigators, Jan 30, 2014.
  18. Baber JR, Anusionwu C, Nanavaty N, Agrawal S. Anatomical Distribution of Colorectal Cancer over a 10 year period in a Veterans Medical Center. Southern Medical Journal, July 2014; 107 (7): 443-7. PMID: 25010587
  19. Khalil Q, Gopalswamy N, Agrawal S. Missed Esophageal & Gastric Cancers after Esophagogastroduodenoscopy in a Midwestern Military Veteran Population. Southern Medical Journal, April 2014; 107(4):225-228.PMID: 24937515.
  20. Baber J, Diedrich W, Agrawal S. Synchronous Colonic Masses as Initial Presentation of Metastatic Lung Cancer. Journal of Gastrointestinal Cancer, Dec 2013; 44(4): 460-2.PMID: 23325396.
  21. Khalil Q, Anusionwu C, Agrawal S. Giardiasis – An Unusual Cause of Iron Deficiency Anemia. The Journal of the Arkansas Medical Society, June 2012, Vol. 108 No.13. PMID: 22799132
  22. Poland E, Abbass K, Markert R, Agrawal S, Akram S. Gastrointestinal Stromal Tumor Masquerading as a Spontaneous Rectal Hematoma. Journal of Gastrointestinal Cancer, 2012, September; 43(1): 38-41. PMID: 21484078
  23. Khalil Q, Abbass K, Kibria R, Agrawal S. Disseminated Histoplasmosis Causing Spelnic Rupture in a Patient Receiving Infliximab. Letter to the editor. Acta Gastro-Enterologica Belgica, Vol.LXXIV, January-March 2011; 74(1). PMID: 21563665
  24. Agrawal S, Bhupinderjit A, Bhutani M, Boardman L, Nguyen C, Romero Y, Srinivasan R, Figueroa-Moseley C. Colorectal Cancer in African Americans. American Journal of Gastroenterology 2005, March; 100(3): 515-523.
  25. Thakore J, Mustafa M, Suryaprasad S, Agrawal S. Percutaneous Endoscopic Gastrostomy Associated Gastric Metastasis.  Journal of Clinical Gastroenterology 2003 Oct; 37(4): 307-311.
  26. Mustafa M, Sandhir S, Agrawal S. Endoscopic Diagnosis of Biliary Pneumocystis Carinii. Gastrointestinal Endoscopy 2002; 56(6): 937-939.
  27. Agrawal S, Jonnalagadda S. Gallstones, from Gallbladder to Gut: Management Options for Diverse Complications. Postgraduate Medicine 2000; 108(3): 143-153. PMID: 11004941
  28.  Trivedi MH, Agrawal S, Metzler, Marshall JB. High grade, Synchronous Colon Cancer After Renal Transplantation; Were Immunosuppressive Drugs to Blame? American Journal of Gastroenterology 1999; 94(11): 3359-61.
  29. Agrawal S, Trivedi MH, Leukens F, Moon C, Ingram E, Barthel JS. Anaplastic and Sarcomatoid Carcinoma of the Small Intestine: An Unusual Tumor. Journal of Clinical Gastroenterology 1999;29(1):99-101.
  30. Nadir A, Agrawal S, King PD, Marshall JB. Acute Hepatitis Associated with the use of a Chinese Herbal Product, Ma-huang. American Journal of Gastroenterology 1996; 7:1436-38.
  31. Mahajan R, Agrawal S, Barthel JS, Marshall JB. Are Patients who Undergo Open-access Endoscopy more Anxious about their Procedures than Patients Referred from the GI Clinic? American Journal of Gastroenterology 1996; 12:2505-2508.
Last edited on 06/22/2018.