There is SO much to share from #ACG2026 already, but this one takes precedence. ❤️ @AdventHealthCFL GI showed up in a BIG way! So big, in fact, that we couldn’t even fit everyone into one picture! Looking at this group, I can’t help but think about how far we’ve come, what we’ve built together, and the incredible people who have been part of that journey. And the most exciting part? We’re only getting started. So proud of this team, our residents, our fellows, our faculty, and the future we’re building together. #AdventHealth #GIfellowship #ACG2026

Nashville, here we come! ⭐️ Proud of the @AdventHealth Orlando GI & Hepatology team heading to #ACG2026 @AmCollegeGastro 🔬 36 research presentations 🎓 Fellows, residents & students 🏆 ACG Outstanding Research Award 🎤 Faculty education & leadership We’ll be there Friday → Tuesday. Hope to see many friends and colleagues along the way!

The first-ever Scope-A-Cabana is officially in the books! 🌴🏆 What a fantastic inaugural event. More than 50 attendees, four incredible fellowship teams, and fellows who showed up ready to compete and left it all on the scope. 🔥 A huge thank you to @CookMedSurg and the @FLGastroSociety for creating an event that brought our GI community together for competition, connection, and a lot of fun. And congratulations to @UFHepGastro on taking home the first-ever Scope-A-Cabana trophy! 🏆 We’ll let you take it home this year… but enjoy it while you can. We’re coming for you in 2027. 😉 #ScopeACabana #FGS2026 #GIfellows #GITwitter #MedEd

September is Suicide Prevention Awareness Month, and September 17 is National Physician Suicide Awareness Day. As program directors and educators, this is one of the realities none of us ever wants to face: losing a resident, fellow, colleague, or friend to suicide. We spend years working alongside our trainees. We know them well. And yet, signs that someone is struggling can still be missed. So this is a reminder for all of us: check in. Check in with your residents and fellows. Check in with your colleagues. Make sure our trainees know what resources exist before they need them. And when something seems different, ask the question. Sometimes the most important thing we can do isn’t complicated. It is to notice, connect, and make sure someone is okay. We have a responsibility to build training environments where asking for help is safe, support is visible, and no one feels they have to struggle alone. Pause. Notice. Connect. #NPSADay #SuicidePreventionMonth #GME #PhysicianWellbeing

🚨 #GIfellows heading to #ACG2026 add this one to your registration @AmCollegeGastro For $25, the Trainee Luncheon is absolutely worth it. Beyond the Scope: Non-Traditional Paths in GI 📅 Sunday, October 11 ⏰ 12:20–1:35 PM CT GI careers can look like so much more than clinic + endoscopy. This is your chance to hear about different career paths, ask questions, make connections, and start thinking about what your version of a career in GI could look like. If you’re a fellow, I strongly recommend making the small additional investment and joining us. Come for lunch, leave with ideas, connections, and maybe a career path you hadn’t considered. @BilalMohammadMD @Meghs1119 @MccutchenDr @JasonDominitz & many others are looking foward to seeing you there! #ACG2026 #GITrainees #GIfellows #Gastroenterology #GIMentorship #GICareers

I think it’s quite possible the faculty had even more fun than the fellows at the @ASGEendoscopy 2nd & 3rd Year Fellows Course. Such a great weekend getting to teach, learn, reconnect with old friends, and make some new ones, including a brand-new text group that I have a feeling will live well beyond this weekend. The hands-on stations were incredibly high yield, with practical tips on everything from hemostasis and closure techniques to PEGs and ergonomics. I even got my own personal ergonomics assessment… and apparently I have some work to do. Grip strength & posture need some work 🫣 But some of the best learning happened outside the formal sessions - trading GI tips and tricks with colleagues, talking career development and finances, comparing how we approach cases, and picking up those little pearls you only get when you put a group of people who love teaching and endoscopy in the same room. I came to teach and left with new friends, new GI pearls, new financial tips, a few things to change in my own endoscopy practice… and a reminder that being faculty doesn’t mean you stop being a learner. Thank you, @ASGEendoscopy & course directors @ShergillMD @rmulkimd & #KalPatel for bringing together such a fantastic group of fellows and faculty. #ASGE #Gastroenterology #GIEducation #Endoscopy #MedEd #Mentorship #GITrainees

“More water, more food. More spice, less food.” It makes for an intriguing headline,but what do the studies actually show? Two recent laboratory studies found that: • People who drank more water during a meal also ate more, but water intake was not randomized, so this does not prove that water caused them to eat more. • Participants ate less and ate more slowly when served spicy rather than mild salsa, but this was one snack consumed during a brief, controlled experiment. Most importantly, neither study measured weight loss. So, should we stop drinking water with meals or start adding cayenne to everything? Not based on these data. My clinical takeaway: ✅ Continue prioritizing adequate hydration. ✅ If you already enjoy and tolerate spicy foods, they may help slow your eating. ✅ If spice worsens reflux or IBS symptoms, individualize accordingly. ✅ Focus on the more transferable lesson: eating rate may matter more than cayenne itself. I appreciated the opportunity to represent @AmerGastroAssn & contribute an evidence-based GI perspective to this @Medscape article. Read the article: medscape.com/viewarticle/mor… #Gastroenterology #Nutrition #EvidenceBasedMedicine #WeightManagement #AGA

The @FLGastroSociety Education Committee & Leadership are excited to bring a new revamped trainee-focused session to this year’s Florida Gastroenterologic Society meeting! Designed specifically for residents and GI fellows, we’re talking about the things that matter as you navigate the next step: 🎯 Standing out on the fellowship application trail 🎯 Interview tips and signaling 🎯 Understanding different GI practice models 🎯 Contract negotiations 🎯 Networking + a job fair 📅 Friday, September 18 📍 Orlando 💰 FREE registration Whether you’re trying to get into GI or figuring out where GI will take you next, this session is for you. You don’t want to miss this one.

Gastric intestinal metaplasia: finding it is only the beginning. An amazing talk by @AsadurRahman87 at @AdventHealthCFL #Foregut2026 GIM is common enough that most gastroenterologists will encounter it but not every patient with GIM carries the same gastric cancer risk. A few practical takeaways from this morning’s discussion: ⭐️ Risk stratify once GIM is identified. ⭐️Extensive GIM involving the antrum and body, incomplete histology, advanced OLGIM stage, and a first-degree relative with gastric cancer identify higher-risk patients. ⭐️Think beyond the pathology report. Country of origin, family history, age, tobacco exposure, and other gastric cancer risk factors matter. The quality of the EGD matters. ⭐️Mucosal cleansing, adequate inspection time, high-definition imaging with virtual chromoendoscopy, photodocumentation, and systematic mapping biopsies all improve the examination. ⭐️Surveillance should not be one-size-fits-all. The challenge is identifying the subgroup whose risk justifies longitudinal surveillance. ⭐️And perhaps most interestingly: gastric cancer prevention is moving upstream. Emerging U.S. guidance increasingly asks us to identify and screen people at elevated gastric cancer risk before GIM is incidentally discovered. The clinical question is evolving from “Does this patient have GIM?” to “What is this patient’s gastric cancer risk and what should I do about it?”

Start with the operative question, not the procedure.” Great first session at #Foregut2026 on getting pre-op patient selection right. 🔑 Symptoms + anatomy + objective reflux burden + motor function should point to the same therapeutic target. And a pearl worth remembering: HRM isn’t a GERD test—it helps prevent the wrong operation. The goal isn’t getting a patient to surgery. It’s getting the right patient to the right intervention.

Two @AdventHealthCFL super stars discussing a very important topic for all endoscopists! Details 👇 @ASGEendoscopy @MahamHayatMD @AndrewEldenMD @aiims2657 @AimenKhanMD @AMohammedMD @allisonchin_ @IndujaNimma @Kal_MD238

Many first-year GI fellows across the country have celebrated a milestone over the past few weeks: their first trip to the cecum. 🍩 Shoutout to my people @IndujaNimma @allisonchin_ & #NihalKhan on reaching that milestone! Reaching the cecum is an accomplishment. It reflects practice, patience, and persistence. But here’s what I remind our fellows: The cecum isn’t the finish line. It’s the beginning. From this point forward, your growth isn’t just about getting there. It’s about becoming an exceptional endoscopist and physician. As you work with different faculty, don’t focus on finding the “perfect” attending. Instead, leave every endoscopy list asking yourself five questions: ⭐️ What did they see that I didn’t? ⭐️ Why did they make that decision? ⭐️ What technical habit do I want to adopt? ⭐️ How did they communicate with the patient and the team? ⭐️ What would I do differently, and what evidence or experience supports that? Every attending has strengths. - Some are master technicians. - Some are exceptional teachers. - Some model clinical judgment, efficiency, communication, or professionalism in ways that deserve to be emulated. If you leave each day having learned one new technical pearl, one new way of thinking, or one new habit to adopt, you’ll eventually develop something even more valuable than someone else’s style. You’ll develop your own. Congratulations to all of the first-year GI fellows reaching the cecum over these past few weeks. Enjoy the donut but keep learning tomorrow.

One of the best parts of fellowship is learning together and sometimes a little friendly competition makes that even more fun. Best of luck to all the GI training programs participating in #GIJeopardy. Looking forward to seeing the top teams battle it out at #ACG2026

Every July, our fellowship turns the page. Not just because new fellows arrive. Because they bring new ideas, new perspectives, new questions, and new energy. Over the next three years, you’ll learn from us but we’ll learn from you, too. That’s the best part of academic medicine. Welcome to the @AdventHealthCFL GI family! @IndujaNimma #NihalKhan and #AllisonChin! We’re excited for what we’ll build together.

Three years ago, these physicians took a chance on a young fellowship program. Yesterday, we had the privilege of celebrating their graduation. A fellowship is about far more than procedures, conferences, and clinical training. It is about growth, resilience, relationships, and the impact we leave behind. One of the messages I shared last night was that each class inherits something from those who came before them, adds their own chapter, and then passes it on. Our graduates did exactly that. They helped shape this fellowship during some of its earliest years, and because of their contributions, the fellows who follow will inherit something stronger than what existed before. You arrived as fellows. You leave as colleagues. Congratulations, Class of 2026. @Meghs1119 @AndrewEldenMD @MahamHayatMD @m_arain1