Adult Gastroenterology Training Program

Royal College Goals & Objectives for Training



Gastroenterology is the medical specialty that deals specifically with the investigation, diagnosis and management of disorders of the digestive system including the pancreas and liver. The specialty is further defined by pediatric and adult disciplines based on differences in knowledge and technical skills. There is overlap in some aspects of the two disciplines at the adolescent transition.

General Objectives

Only candidates certificated by the Royal College of Physicians and Surgeons of Canada in Internal Medicine or Pediatrics may be eligible for the Certificate of Special Competence in Gastroenterology.

Specialists in Gastroenterology are expected to be competent consultants with well-founded knowledge of all aspects of Gastroenterology including relevant basic sciences, research and teaching and appropriate technical capabilities who are able to establish effective professional relationships with patients and their families and care givers. They must have sound knowledge of either general internal medicine or pediatrics and an appreciation and understanding of the close relationship that commonly exists between diseases of the digestive organs and of other organ systems. They are competent self-directed learners who can adapt practice patterns according to the general principles of evidence-based medicine.

Residents must demonstrate the knowledge, skills and attitudes relating to gender, culture and ethnicity pertinent to Gastroenterology. In addition, all residents must demonstrate an ability to incorporate gender, cultural and ethnic perspectives in research methodology, data presentation and analysis.


Upon completion of training, a resident is expected to be a competent subspecialist in Gastroenterology, capable of assuming a consultant’s role in the subspecialty. The resident must acquire a working knowledge of the theoretical basis of the subspecialty, including its foundations in the basic medical sciences and research.

Only candidates certified by the Royal College of Physicians and Surgeons of Canada in Internal Medicine or Pediatrics may be eligible for certification in Gastroenterology.

Residents must demonstrate the requisite knowledge, skills, and attitudes for effective patient-centered care and service to a diverse population. In all aspects of subspecialist practice, the graduate must be able to address issues of gender, sexual orientation, age, culture, ethnicity and ethics in a professional manner.

Gastroenterology Competencies

At the completion of training, the resident will have acquired the following competencies and will function effectively as a:

  1. Medical Expert
  2. Communicator
  3. Collaborator
  4. Manager
  5. Health Advocate
  6. Scholar
  7. Professional