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UNC Center for Functional GI and Motility Disorders

Patient Care
Functional GI and Motility Disorders Clinic

Established and directed by Dr. Doug Drossman, the Functional GI and Motility Disorders Clinic at UNC Hospitals is the premier site, both nationally and internationally, for referral of patients with functional GI and motility disorders (FGID). The clinic's unique multi-disciplinary, patient-centered approach integrates medical, physiological and psychological factors in the evaluation, understanding and treatment of patients with these disorders. The clinic also serves as a leading tertiary referral site for patients who have difficult-to-diagnose illnesses or challenging disease/disorder management issues.

Clinic services are provided by the Center's clinicians and physician assistants. On some afternoons, the clinic is also staffed with a Fellow (gastroenterologist in training), who is supervised by Drs. Drossman and Ringel, who are certified gastroenterologists on the faculty of the Division of Gastroenterology and Hepatology. The Center's clinical personnel are also routinely involved with consulting on patients at UNC Hospitals with severe functional or motility disorders or with physicians who call for advice regarding their patients.

The clinic often has visiting gastroenterologists and trainees from other states and countries who are interested in learning more about the clinical approach, diagnosis and treatment of FGID patients. They also learn how to improve their interviewing and patient skills (see Visiting Scholars).

Clinical Case Conference

An important part of improving patient care is the Clinical Case Conference, facilitated by Dr. Y. Ringel and held every Thursday morning in the Functional GI and Motility Disorders Clinic. Clinicians have the opportunity to present difficult cases and exchange ideas regarding patient evaluation and treatment. Participants in the Clinical Case Conference address the physical, social and psychological factors that are relevant to the specific case, utilizing the group's overall expertise to maximize the impact on patient care. The Clinic often has visiting gastroenterologists and trainees from other states and countries who also attend the Clinical Case Conference. This weekly forum also provides a learning opportunity for resident fellows, investigators, and others interested in the clinical aspects of caring for patients with functional GI and motility disorders.

Clinic Staff

Douglas A. Drossman, MD, is the director of the Functional GI and Motility Disorders Clinic. Based on his long-standing interest in the evaluation of GI disorders that are difficult to diagnose and treat, he helps patients develop effective disease management and coping strategies, so they can regain a sense of control over their symptoms. Depending on the clinical case, he either sees patients on a one-to-one basis or in collaboration with a GI fellow or the Center's PAs (Christine Dalton or Danielle Maier).

Y. Ringel, MD, is an experienced internist and gastroenterologist with a special interest in functional GI and motility disorders. He incorporates knowledge and skills from his research on mechanisms of intestinal function and sensation, along with the psychosocial aspects of GI illness, into his clinical practice.

Duane D. Webb, MD, FACG, sees patients at the Clinic onc day a week, with the remainder of his time devoted to his private practice (Chapel Hill Internal Medicine). He is particularly interested in the relationship between upper GI disorders (such as non-ulcer dyspepsia) and lower GI motility disorders (including IBS).

Christine B. Dalton, PA-C, generally sees patients first and then collaborates with Dr. Drossman in the patient's ongoing care. She also handles telephone calls from patients, including ongoing medication management, addressing new or worsening symptoms, and other concerns. Her primary interests include management of treatment-resistant situations, and the care of patients who have experienced chronic GI symptoms for many years with little or no relief or understanding of their condition.

Danielle Maier, PA-C, works closely with Drs. Drossman, Ringel and Webb. Having completed intensive training in biopsychosocial care, Ms. Maier is now seeing follow-up patients on her own. Ms. Maier also handles calls from patients with regard to ongoing medication management, addressing new or worsening symptoms, and other concerns.

UNC School of Medicine