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!
oxentenko.amy@mayo.edu