Both ERCP & EUS

Virginia Mason Franciscan Health
1100 Ninth Ave.
Seattle, Washington 98101
206-515-5397 (V)


1 Position Available

Program Type: Both ERCP & EUS

Authorized Administrative Official: Terri Davis Smith (email)

Program Director: Rajesh Krishnamoorthi, MD (email)
Program Director Phone: (206) 223-2319 ext. 62791

Duration: 1 Year

Inclusive Dates of the Program: 7/25/2025 to 6/26/2026

Program Website: www.vmfh.org/residencies-fellowships-and-training/fellowship-opportunities-non-acgme/digestive-disease-fellowship-opportunities/advanced-endoscopy-fellowship.html

Accepts applicants from outside of North America? Yes

Accepts applicants with J1 visas? No

Accepts applicants with H1B visas? Yes

Accepts applicants with E3 visas? Yes

Supervised Procedures

Procedure		 Faculty Involved in AEF Training Total Annual Volume Annual Volume with hands-on AEF Involvement
ERCP 5 600 250
EUS 5 550 200
Lower GI EMR 5 275 75
Esophagogastroduodenal EMR 5 175 25
Esophagogastroduodenal ablation (e.g., RFA) 5 200 30
Small bowel enteroscopy 5 175 75
ESD 2 40 5
Bariatric endoscopy 1 50 10
POEM 2 40 0

Unsupervised Trainee Activities

Procedure		 Value
General GI procedures (per year) 225
Inpatient service (weeks/year) 0
Ambulatory clinics (per year) 0
Committed time for research (days/month) 2

Program Reporting Summary

The ASGE Training Committee requested that each AEF program voluntarily submit an annual report summarizing their advanced endoscopy procedure volume. You can view the provided report below.

Requirements for Application

  1. Standard ASGE Application Packet
    • ASGE Application
    • Post-Undergraduate Education
    • USMLE Scores
    • Certification of Completion of Residency
      1. Prior to appointment in the advanced endoscopy fellowship, fellows should have completed a three-year ACGME-accredited gastroenterology fellowship
      2. Fellows from non-ACGME-accredited programs must have completed at least three years of gastroenterology education prior to starting the fellowship
    • Personal Statement
    • Curriculum Vitae
    • 3 Letters of Reference

Additional Information about Program

Advanced Endoscopy Fellowship

Third-Tier Advanced Endoscopy Fellowship

The Section of Gastroenterology and the Center for Digestive Health at Virginia Mason Franciscan Health offers a one-year advanced fellowship opportunity offering extensive training in therapeutic endoscopy. The fellowship focuses on developing a broad knowledge base related to therapeutic endoscopy, an ability to generate relevant differential diagnoses based on history and physical examinations, an understanding of indications and contraindications of therapeutic procedures, and skill at performing these procedures safely and effectively, as well as an appreciation of the humanistic and ethical aspect of medicine.

The faculty consists of five physicians who have expertise in endoscopic retrograde cholangiopancreatography (ERCP) as well as therapeutic endoscopy, including stricture dilation, enteral stent placement, double-balloon enteroscopy, fistula closure and more. If training in endoscopic ultrasound is desired, the fellow will rotate with the five faculty who perform endoscopic ultrasound.

The third-tier advanced endoscopy fellow will have completed a three-year residency in internal medicine and an ACGME-approved fellowship in gastroenterology by the start date of the academic fellowship year. The fellow must be eligible for Washington state medical licensure and for privileges to perform routine endoscopic procedures at Virginia Mason, including EGD and colonoscopies. Candidates’ gastroenterology training director must provide a written attestation that the candidate is competent and qualified to perform and be credentialed in basic endoscopy at an independent level. We cannot consider applicants with J1 visa status.

The Advanced Endoscopy Fellowship for the 2024–2025 academic year is FILLED. The application period for the 2025-2026 year is now CLOSED. In December, we will begin accepting applications.

To apply, submission of TWO separate applications is required:

1.Submit an Advanced Endoscopy Training for Fellowship Common Application and required accompanying materials to ASGE via the ASGE website; AND

2.Submit (via scan/e-mail) a completed Virginia Mason Franciscan Health Center for Digestive Health Advanced Endoscopy Fellowship Application (please download from web page (https://www.vmfh.org/residencies-fellowships-and-training/fellowship-opportunities-non-acgme/digestive-disease-fellowship-opportunities/advanced-endoscopy-fellowship.html)to:

Terri Davis Smith, Academic Specialist
E-mail: [email protected]

If you have any questions, please contact Terri Davis Smith, Academic Specialist.

Please Note: All data in this program description is entered on a voluntary basis