Cleveland Clinic

Flexible Endoscopy



This hands-on training program is offered by the Cleveland Clinic Department of General Surgery under the preceptorship of John Rodriguez, MD. 

Through this experience, you will be exposed to basic and advanced elements of both diagnostic and therapeutic flexible endoscopy.
During this immersive training, you will observe and actually perform selected flexible endoscopy procedures. Each participant will have an opportunity to perform diagnostic and therapeutic upper endoscopy and lower endoscopy in the Surgical and Interventional Endoscopy suites.

Topics of discussion and procedures that can be observed include: 

  • Diagnostic upper endoscopy (with and without biopsy) 
  • Preoperative upper endoscopy evaluation prior to foregut and bariatric surgery 
  • Therapeutic upper endoscopy including dilation, stent placement and control of bleeding 
  • Feeding access including transnasal endoscopy, PEG, PEG-J and direct PEJ 
  • Intraoperative endoscopy 
  • Diagnostic colonoscopy 
  • Therapeutic colonoscopy including polypectomy and control of bleeding, and more
You may also have the opportunity for exposure to advanced endoscopic suturing techniques and ERCP. Specific requests should be made through us.

The curriculum also includes tours of Cleveland Clinic operating rooms, various endoscopy suites and bedside endoscopy as well as participation in all Department of General Surgery conferences.

Please note: Case volume is estimated and may vary depending on scheduling and staff availability.
Applicants must: 
  • Be board-certified or board-eligible general surgeons who routinely perform basic
  • laparoscopic procedures 
  • Be licensed in the state of Ohio or eligible to apply for a Special Activities Permit from the Ohio State Medical Board 
  • Have practicing privileges in their parent institution 
  • Provide a statement of goals and expectations, along with the application
International Applicants:
  • To participate, non-citizen physicians can only participate if they already have U.S. employment authorization e.g. Green Card, Temporary Protected Status, Refugee or Asylee status, or any other status which permits them to work in the U.S. without employer sponsorship.
  • If you do have current U.S. employment authorization, as an international physician, you must also be ECFMG certified, having taken USMLE 1-3, in order to participate.
  • If you only have ECFMG, then you will need to have actively practiced medicine in the U.S. for the last 2 years, or have been in an ACGME training program within the last 2 years.
  • If you have not done either of those items, then you must complete all parts of USMLE to be eligible for Special Activities License.
  • If you meet these qualificiations, then we can proceed with your application for the CAST program.
  • If not, you will be directed to the International Observership program and they will be able to explain the opportunities available to you there.


  • One week: $5,000
  • Two weeks: $10,000
  • Three weeks: $15,000
  • Four weeks: $20,000
  • Five weeks: $25, 000
  • Six weeks: $30,000
  • Seven weeks: $35,000
  • Eight weeks: $40,000
**Please note that you will have the option to split up your training weeks throughout the year, if necessary.

**In the event that you need to cancel after payment has been received, application has been approved, and onboarding has begun, you will incur a cancellation fee of 30% of your tuition. The remaining balance (70%) will be reimbursed back to you.
The first step is to complete and submit this pre-application form

Our office will contact you shortly thereafter.