Thi
Things
tto C
Consider
id in
i Your
Y
Final Years of GI Training
Amy S. Oxentenko, MD, FACP, FACG
Associate Professor of Medicine
Vice Chair of Education; Fellowship
p Program
g
Director
Gastroenterology and Hepatology
Mayo Clinic, Rochester
Outline
Advanced Fellowships
The rationale
The options
GI Boards
Timeline
What to study
How
H
tto study
t d
Disclosures
Advanced Fellowships
Program Director: Mayo Advanced Programs
GI Boards
Co
Co--Director: Mayo GI Board Review Course
Co
Co--Editor: Mayo GI Board Review Book
Advanced Fellowships
Your Training: Next Steps
More
Training
vs Job?
Ahhh!!!
Interviews/Match
Moving
g
IM Boards
Resident
1st yr Fellow
Clinical
Call
Research
Advanced
Training Process
2nd yr fellow
3rd yr fellow
Initial Career Choice by
Advanced Fellowship
1993--2011
1993
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Private Practice
Academics
Advanced
Ad
d
Fellowship
No Ad
N
Advanced
d
Fellowship
(n=55)
(n=100)
Mayo data only
Choice of Practice Based on
Type of Advanced Fellowship
1993--2011
1993
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Private Practice
Academics
Advanced
Ad
dE
Endo
d
Fellowship
(n=20)
Other Advanced
Oth
Ad
d
Fellowship
(n=35)
Mayo data only
Advanced Endoscopy
ASGE match process
Does not use the ERAS system
Process continually refined
P
Programs
added/subtracted
dd d/ bt t d yearly
l
Match data (2012)..unofficial:
53 fellows matched to programs
37 fellows did not match to programs
Find the Various Programs
Look by state
ERCP, EUS, Both
http://www.asge.org/apps/aef/aef_main.aspx
Advanced Endoscopy Fellowship:
Important Dates for 2014 Slots
Program may have individual application deadlines!!!
Advanced/Transplant
Hepatology (TH) Fellowships
2 Types of Programs:
Accredited
Non
Non--Accredited
Accredited Programs (n= 37)
Under the review of the ACGME
Need to have done GI fellowship 1st
Allows you to take TH boards
http://www.aasld.org/education/Pages/TrainingPrograms.aspx
ABIM Approved
pp
3-Year Combined GI/TH Pilot
Advanced IBD Fellowships
Cedars-Sinai
CedarsCleveland Clinic
Cornell Weill
MGH
Mayo
Mount Sinai
Robarts
UCSD
UCSF
Univ Chicago
y
Univ Maryland
Univ N. Carolina
Univ Penn
UPMC
VCU
Beth Israel
Brigham & Womens
Women s
Other Advanced Fellowships
Motility
Esophageal
Mayo
y
Mayo
Dartmouth
UNC
MGH
Northwestern
California Pacific
Nutrition
Univ Chicago
Cleveland Clinic
GI Neoplasia
Mayo
Pancreas
Mayo
Celiac
Beth Israel
Obesity
MGH
GI Boards
Your Third Year
Not too early to start studying!!!
Job/House Search
Busy rotations
Finishing research
Nov
2012
Jan
Mar
Wrap-Up
WrapPacking
Moving
New
N
jjob
b
May
July
Sept
EXAM!!!
Nov
2013
Important GI ABIM Dates
2013
Item
E am
Exam
Exam Dates (Accommodations)
Registration Opens
O
Deadline Registration
Late Registration
Deadline Late Registration
Deadline Cancellation
Dates
November
No ember 20,
20 2013
November 1818-22, 2013
March 1, 2013
May 1, 2013
May 2, 2013
June 1, 2013
September 1, 2013
First--Time Pass Rates: GI
First
2007
2008
2009
2010
2011
95%
94%
97%
89%
94%
Categories on the ABIM Exam
Esophagus (10%)
G
Gastric/Duo
/
(15%)
( %)
Liver (25%)
Bil
Bilary
(8%)
Pancreas (10%)
S
Small
ll Bowel
B
l (10%)
Colon (15%)
G
General
l (7%)
The General Category:
Topics to Remember
Topics
Adolescence
Geriatrics
Endoscopy
E d
preparation
ti
Multisystem disorders
Nutrition
Ethics
Statistics
# of MCQs
0-2
0-2
0-2
0-2
0-2
0-2
0-2
Examples of Category Blueprints
http://www.abim.org/exam/certification/gastroenterology.aspx
Take the Tutorial!!!
Answer questions
Change answers
Make notes electronically
Access table of normal lab values
Mark questions for review
How Do You Prepare?
Regular
R
l reading
di during
d i fellowship
f ll
hi
Patient
Patient--centered reading
Scheduled reading of other topics
Board review sessions at your program
Review your GIGI-ITE results
Focus on content areas of weakness
Review objectives of questions missed
Practice multiplemultiple-choice questions
Board Review Courses/Books
Helps distill information down to
highest
g
yield
y
for the exam
Not allall-inclusive of exam content
Using and/or attending passing
Something > Nothing
Consider cost/time/learning needs
COURSES
William
Mayo
Steinberg Clinic
1985
S
Started
d
5-8
Dates 2013 Oct 55
# Days
Location
Arlington,
VA
Harvard
Brigham
Advances Recording
Cleveland
Clinic
2001
2004 ?
2012
Sept 5
5--8
June 1010-13 Ends Sept
???
35
3.5
45
4.5
NA
Chicago,
IL
Boston,
MA
Anywhere
San Diego,
CA
$895
(video)
$799
NA
$1199
Can buy:
Audio only
Video only
B th
Both
Breakfast
Lunch x2
Snacks
Online
$725
$725**
$990
Cost (2012) $999
Fellows
$995
$1475
C
Cost
(2012) $1399
Staff MDs
Breakfast Breakfast ???
Included
Snacks
Paper
CD
Lunch
Snacks
USB
BR Book
2010
*scholarship program
Other Courses
ACG PostPost-Graduate Course
Friday: Pharmacology, Pathology, Imaging
AGA Post
Post--Graduate Course
Societal Board Review
Materials:
SAT (ACG)
Self
Self--Assessment Test
DDSEP ((AGA))
Digestive Diseases SelfSelf-Education Program
GESAP (ASGE)
GI Endoscopy
E d
Self
SelfS lf-Assessment
A
tP
Program
Other Board Review Resources
Mayo GI & Hepatology Board Review Book
Stephen Hauser
Other Board Review Resources
Mayo GI & Hepatology Board Review Book
Stephen Hauser
Acing the GI Board Exam
Brennan Spiegel
Other Board Review Resources
Mayo GI & Hepatology Board Review Book
Stephen Hauser
Acing the GI Board Exam
Brennan Spiegel
GI/Liver Secrets Plus
Peter McNally
Other Board Review Resources
Mayo GI & Hepatology Board Review Book
Stephen Hauser
Acing the GI Board Exam
Brennan Spiegel
GI/Liver Secrets Plus
Peter McNally
GI & Hepatology Board Review:
P
Pearls
l off Wisdom
Wi d
John DiBaise
Other Board Review Resources
Mayo GI & Hepatology Board Review Book
Stephen Hauser
Acing the GI Board Exam
Brennan Spiegel
GI/Liver Secrets Plus
Peter McNally
GI & Hepatology Board Review:
P
Pearls
l off Wisdom
Wi d
John DiBaise
Harrisons,
H i
Yamada,
Y
d Sleisenger
Sl i
Study Guides
And the 2 lucky winners of
free GI board review
materials
Summary
It is never too early
y
To consider advanced fellowships
To study
y for boards
Dont proceed blindly
Do your research on advanced programs
Understand what you will be tested on
Pick what
hat is best for you
o
Not all programs will meet your needs
Pick study method(s) and know them well
Thank you!
[email protected]
