The proposed fellowship will provide training in the clinical and technical expertise for the performance of advanced endoscopic procedures. By the end of the fellowship, the trainee will achieve the cognitive clinical as well as technical competency to indepedently provide the ERCP endoscopic retrograde cholangiopancreatiography (ERCP) and Endoscopic Ultrasound (EUS).The fellowship experience will occur at two sites: Toronto General Hospital and Toront Western Hospital. The advanced endoscopy fellow is expected to participate with graduated responsibilities in cases involving ERCP and endoscopic ultrasound as well as other advanced endoscopic procedures deemed appropriate by the fellowship supervisors Dr. Paul James and Dr. Louis Liu. Duties will also include inpatient consultation and management of patients who may required advanced endoscopic procedures; outpatient clinical care and on-call consultation for the advanced endoscopy and gastroenterology services. Dedicated and protected research time and resources will be incorporated into the fellowship as outlined in the “Fellowship Objectives”. The advanced endoscopy trainee will be expected to present their research and co-author a peer-reviewed publication in the field of advanced endoscopy during their training period. This will be guided by their fellowship Supervisor Paul James.