DIGEST: Developing innovative gastroenterology specialty training

Sarah Shrager Lusman, Drucy Borowitz, Bruce C. Marshall, Michael R. Narkewicz, Tanja Gonska, Richard J. Grand, Richard H. Simon, Maria R. Mascarenhas, Sarah Jane Schwarzenberg, Steven D. Freedman

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Individuals with cystic fibrosis (CF) now have an increased life expectancy, due to advances in care provided by a multidisciplinary team. The care model has expanded over time to include multiple subspecialties. The Cystic Fibrosis Foundation conducted a survey of Care Center Directors and identified a need for pediatric and adult gastroenterologists with expertise in the diagnosis and treatment of intestinal, pancreatic and hepatic complications of CF. To address this need, the Developing Innovative GastroEnterology Specialty Training (DIGEST) program was created. The development, implementation, and early results of this training program are reported herein.

Original languageEnglish (US)
Pages (from-to)586-590
Number of pages5
JournalJournal of Cystic Fibrosis
Issue number4
Early online dateJul 28 2020
StatePublished - Jul 1 2021

Bibliographical note

Funding Information:
We dedicate this manuscript to the memory of Dr. Peter Durie from the Hospital for Sick Children in Toronto, Canada for his enormous contributions during his lifetime that advanced our understanding of the gastrointestinal manifestations of cystic fibrosis.

Funding Information:
In 2013, a pediatric Center Director (D.B.) and an adult gastroenterologist (S.F.) with significant expertise in GI manifestations of CF explored creating a program to train gastroenterologists in CF care and research. The inspiration for this program came from the CFF Program for Adult Care Excellence (PACE) which had been successfully implemented to recruit and develop adult pulmonologists to care for the increasing number of adults with CF. The basic concepts of the PACE were adapted in the development of the GI-focused program. The initial focus was to develop adult CF-GI expertise; however, during subsequent discussions, it was decided that the program would be expanded to include both pediatric and adult gastroenterologists. The CFF provided financial support for a three-year training program named Developing Innovative GastroEnterologic Specialty Training (DIGEST).

Publisher Copyright:
© 2020


  • Gastroenterology
  • Hepatology
  • Nutrition
  • Training


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