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GI Fellowship Training—The Missing Piece

When I began GI fellowship, there was only one proton pump inhibitor available. Gallstones and bile duct calculi were being dissolved and pulverized. Endoscopic ultrasound was being promoted as a futuristic diagnostic tool, but was still a technique struggling to justify its existence. Campylobacter pyloridis (as Helicobacter pylori was named then) infection was heralded as a breakthrough in understanding the pathophysiology of peptic ulcer disease. Sonde enteroscopy was exploring the final alimentary frontier as it tortured patients suffering from presumed small bowel bleeding. Eager GI fellows like us, our program directors promised, could learn all that we needed to know in just 2 short years.