1GI Face Off: Issues Facing Small, Medium and Large

Programs:

The Large Program Perspective

(n=12+ fellows)

Jane E. Onken, MD, MHS, AGAF

Duke University Medical Center

2Issues Facing Large Programs

• Funding, funding, funding

• Fellow salaries/fringes (~$250K per fellow)

• Travel to meetings, posters, presentations, etc.

• Cost of GTE

• Identifying research projects and mentors for all

fellows – spreading the wealth

• Application process, logistics of interviewing

dozens of applicants with core committee

• Finding time to conduct semi-annual reviews, etc.

• Ensuring “quietest” fellows do not get lost

3Our Approaches

• Funding: • T32 training grant (3 slots)

• VAMC (4 slots)

• Industry/Endo (1-2 slots, variable year-to-year)

• Hospital (4 slots)

• AGA, ASGE, CCFA grants

• Application process: • Interviews on Saturdays for General GI

• Interviews based on faculty availability for Advanced positions (ERCP, EUS, Hepatology)

• Protected time commitment from hospital for PD

• Never underestimate the value of a great coordinator!!