Art DeCross MD AGAF12 years as Program Director -University of Rochester Med Center

2001-05 SMALL program

5-6 fellows, 4-5 faculty

• Issues:– Faculty: stretched too thin

• Teaching

• Mentoring

• Scholarship

– Faculty: “’tag” you’re the hepatologist

– Fellows:

• cross coverage disruptive to research, electives, etc.

• Major Threat: Lose faculty.

2007-2013 MEDIUM program

9 fellows, now 11 faculty

• Issues:– Very few!

– Encouraging scholarship among clinical faculty

– Faculty participation in assessment process

• Major Threat: justify existence (funding cuts to 9 fellows; program mission)

Upstate New York, ~ 1 million catchment, only University in region, a 1 hospital program, 800 beds, Liver Tx program, on and off site office visits/endo suites.