Advanced Endoscopy Fellowship

Training in Advanced Endoscopy

Lahey Hospital & Medical Center (LHMC) is offering a one-year Advanced Endoscopy Fellowship in endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS). Applicants considered must be currently enrolled in or have completed an accredited three-year gastroenterology fellowship.

Located in Burlington, MA, LHMC is a nonprofit teaching hospital of Tufts University School of Medicine. The Division of Gastroenterology and Hepatology consists of 25 faculty members.

Over the last several years, the advanced endoscopy practice has grown tremendously. There are currently three physicians who perform advanced endoscopic procedures and one advanced endoscopy physician assistant. Our program is situated 25 miles northwest of Boston and is one of the busiest in the New England area. Our new state-of-the-art endoscopy unit contains two large fluoroscopy rooms.

We perform 2,000 advanced procedures per year which include 700 ERCPs and 600 EUSs per year.


The advanced fellow will learn cognitive aspects and technical skills in advanced endoscopy. Attendance in half a day of pancreaticobiliary clinic per week is recommended. The other day of the day will be doing general GI procedures as an attending physician. The advanced fellow will work with the general gastroenterology fellows to arrange inpatient procedures and facilitate procedures from our busy referral practice. There is no inpatient pancreaticobiliary service. In addition to clinical responsibilities, participation in clinical research is expected.

Endoscopic Curriculum
  • Diagnostic and therapeutic ERCP including biliary and pancreatic stone extraction, stenting, tissue acquisition techniques, cholangioscopy, pancreatoscopy, electrohydraulic lithotripsy, radiofrequency ablation, and ampullectomy
  • Diagnostic EUS with on-site cytology
  • Interventional EUS including pseudocyst and walled-off necrosis drainage, fiducial placement, gallbladder drainage, EUS-guided biliary access, and endoscopic gastrojejunostomy
  • Management of dysplastic Barrett’s esophagus and early esophageal cancer with training in endoscopic mucosal resection, radiofrequency ablation, and cryotherapy
  • Endoscopic mucosal resection of large colon polyps and early cancers
  • Enteral stent placement
  • Single-balloon enteroscopy
  • Endoscopic full-thickness resection
Fellowship Program Team

Ann Marie Joyce, MD
Director of Endoscopy
Advanced Endoscopy Fellowship Program Director

Dr. Joyce trained as a gastroenterology fellow at Lahey Hospital and Medical Center and did her advanced endoscopy fellowship at the University of Pennsylvania. Interests include complex ERCP, pancreatic cysts, and management of Barrett’s esophagus.

Dr. Nikola Natov trained as a gastroenterology fellow at Tufts Medical Center and did his advanced endoscopy fellowship at the University of Virginia. Interests include complex ERCP and advanced endoscopic resection techniques.

Dr. Mena Bakhit trained as a gastroenterology fellow at Brown University/Rhode Island Hospital and did his advanced endoscopic fellowship at Thomas Jefferson University Hospital. Interests include interventional EUS and endobariatrics.

Lindsey Sullivan, PA, trained at Gastroenterology Associates of Northern Virginia and Cambridge Health Alliance. She joined Lahey in 2020 with many years of GI experience.

How To Apply

Applicants should apply through the ASGE Match website.