thing to consider in your final year of gi training

7/23/2019 Thing to Consider in Your Final Year of GI Training

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ngs o ons er n ourngs o ons er n our

Am . xentenko MD FACP FACAm . xentenko MD FACP FAC

Associate Professor of MedicineAssociate Professor of Medicine

Vice Chair of Education; Fellowship Program DirectorVice Chair of Education; Fellowship Program Director

Gastroenterology and HepatologyGastroenterology and Hepatology

Mayo Clinic, RochesterMayo Clinic, Rochester


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OutlineOutline

Advanced FellowshipsAdvanced FellowshipsThe rationaleThe rationale

The optionsThe options

GI BoardsGI Boards

What to studyWhat to study

ow o s u yow o s u y


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DisclosuresDisclosures

Advanced FellowshipsAdvanced FellowshipsPro ram Director: Ma o Advanced Pro ramsPro ram Director: Ma o Advanced Pro rams

CoCo--Director: Mayo GI Board Review CourseDirector: Mayo GI Board Review Course

--


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MoreMore

ClinicalClinical

Ahhh!!!Ahhh!!!ra n ngra n ng

vs Job?vs Job?

Interviews/MatchInterviews/MatchMovingMoving

CallCallResearchResearch

stst ndnd rdrd

IM BoardsIM Boards Training ProcessTraining Process


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Initial Career Choice byInitial Career Choice by

19931993--20112011

90%100%

60%

70%

30%

40%Private Practice

Academics

0%

10%

vance

Fellowship

o vance

Fellowship(n=55) (n=100) Mayo data onlyMayo data only


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Choice of Practice Based onChoice of Practice Based on

19931993--20112011

90%100%

60%

70%

30%

40%Private Practice

Academics

0%

10%

vance n o

Fellowship

er vance

Fellowship(n=20) (n=35) Mayo data onlyMayo data only


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Advanced EndoscopyAdvanced Endoscopy

ASGE match processASGE match process

Process continually refinedProcess continually refined rograms a e su rac e year yrograms a e su rac e year y

Match data (2012)..unofficial:Match data (2012)..unofficial:

53 fellows matched to programs53 fellows matched to programs

37 fellows did not match to programs37 fellows did not match to programs


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Find the Various ProgramsFind the Various Programs

Look by stateLook by state ERCP, EUS, BothERCP, EUS, Both

http://www.asge.org/apps/aef/aef_main.aspxhttp://www.asge.org/apps/aef/aef_main.aspx


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Advanced Endoscopy Fellowship:Advanced Endoscopy Fellowship:

Program may have individual application deadlines!!!Program may have individual application deadlines!!!


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Hepatology (TH) FellowshipsHepatology (TH) Fellowships

2 Types of Programs:2 Types of Programs:AccreditedAccredited

NonNon--AccreditedAccredited

Under the review of the ACGMEUnder the review of the ACGME

Allows you to take TH boardsAllows you to take TH boards


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http://www.aasld.org/education/Pages/TrainingPrograms.aspxhttp://www.aasld.org/education/Pages/TrainingPrograms.aspx


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ABIM A rovedABIM A roved33--Year Combined GI/TH PilotYear Combined GI/TH Pilot


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Advanced IBD FellowshipsAdvanced IBD Fellowships

CedarsCedars--SinaiSinai Cleveland ClinicCleveland Clinic

Univ ChicagoUniv Chicago Univ Mar landUniv Mar land

Cornell WeillCornell Weill

MGHMGH

Univ N. CarolinaUniv N. Carolina

Univ PennUniv Penn

MayoMayo

UPMCUPMC

RobartsRobarts

Beth IsraelBeth Israel

UCSFUCSF


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Other Advanced FellowshipsOther Advanced Fellowships

MotilityMotility Ma oMa o

EsophagealEsophageal

GI NeoplasiaGI Neoplasia

DartmouthDartmouth

MGHMGH

UNCUNC

PancreasPancreas

California PacificCalifornia Pacific CeliacCeliac

Univ ChicagoUniv Chicago

ObesityObesity


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WrapWrap--UpUp

Job/House SearchJob/House SearchBusy rotationsBusy rotations MovingMoving

Finishing researchFinishing research ew oew o EXAM!!!EXAM!!!

20122012 20132013


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20132013

ItemItem DatesDates

xamxam ovem er ,ovem er ,

Exam DatesExam Dates(Accommodations)(Accommodations)

November 18November 18--22, 201322, 2013Registration OpensRegistration Opens March 1, 2013March 1, 2013

Deadline RegistrationDeadline Registration May 1, 2013May 1, 2013

Late RegistrationLate Registration May 2, 2013May 2, 2013Deadline Late RegistrationDeadline Late Registration June 1, 2013June 1, 2013

Deadline CancellationDeadline Cancellation September 1, 2013September 1, 2013


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FirstFirst--Time Pass Rates: GITime Pass Rates: GI

20072007 20082008 20092009 20102010 20112011

95%95% 94%94% 97%97% 89%89% 94%94%


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Categories on the ABIM ExamCategories on the ABIM Exam

Esophagus (10%)

Gastric/Duo (15%)

Liver (25%)ary

Pancreas (10%)

ma oweColon (15%)

enera


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The General Category:The General Category:Topics to RememberTopics to Remember

TopicsTopics # of MCQs# of MCQs --

GeriatricsGeriatrics 00--22

n oscopy prepara onn oscopy prepara on --

Multisystem disordersMultisystem disorders 00--22

NutritionNutrition 00--22

--

StatisticsStatistics 00--22


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Examples of Category BlueprintsExamples of Category Blueprints

http://www.abim.org/exam/certification/gastroenterology.aspxhttp://www.abim.org/exam/certification/gastroenterology.aspx


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Take the Tutorial!!!Take the Tutorial!!!

Answer questionsAnswer questions

Make notes electronicallyMake notes electronically Access table of normal lab valuesAccess table of normal lab values


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How Do You Prepare?How Do You Prepare?

egu ar rea ng ur ng e ows pegu ar rea ng ur ng e ows p

PatientPatient--centered readingcentered reading

Scheduled reading of other topicsScheduled reading of other topics

Board review sessions at your programBoard review sessions at your program Review your GIReview your GI--ITE resultsITE results

Review objectives of questions missedReview objectives of questions missed

--


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Board Review Courses/BooksBoard Review Courses/Books

Helps distill information down toHelps distill information down tohi hest ield for the examhi hest ield for the exam

Not allNot all--inclusive of exam contentinclusive of exam content

Something > NothingSomething > Nothing

Consider cost/time/learning needsConsider cost/time/learning needs


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COURSESCOURSES WilliamWilliamSteinbergSteinberg

MayoMayoClinicClinic

HarvardHarvardAdvancesAdvances

BrighamBrighamRecordingRecording

ClevelandClevelandClinicClinic

StartedStarted

Dates 2013Dates 2013 Oct 5Oct 5--88 Sept 5Sept 5--88 June 10June 10--1313 Ends SeptEnds Sept ??????

.. ..

LocationLocation Arlington,Arlington,VAVA

Chicago,Chicago,ILIL

Boston,Boston,MAMA

AnywhereAnywhere San Diego,San Diego,CACA

Cost (2012)Cost (2012)

FellowsFellows

$999$999 $725$725** $990$990 $895$895

(video)(video)

$799$799

Cost (2012)Cost (2012)

Staff MDsStaff MDs

SnacksSnacks

PaperPaper

LunchLunch

SnacksSnacks

Audio onlyAudio only

Video onlyVideo onlyLunch x2Lunch x2

SnacksSnacks

CDCD USBUSB

BR BookBR Book

oo OnlineOnline

*scholarship program*scholarship program


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Other CoursesOther Courses

ACG PostACG Post--Graduate CourseGraduate CourseFrida : Pharmacolo Patholo Ima inFrida : Pharmacolo Patholo Ima in

--


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Societal Board ReviewSocietal Board ReviewMaterials:Materials:

SelfSelf--Assessment TestAssessment Test

DDSEP AGADDSEP AGADigestive Diseases SelfDigestive Diseases Self--Education ProgramEducation Program

GESAP (ASGE)GESAP (ASGE)

n oscopy en oscopy e -- ssessmen rogramssessmen rogram


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Other Board Review ResourcesOther Board Review Resources Mayo GI & Hepatology Board Review BookMayo GI & Hepatology Board Review Book

Stephen HauserStephen Hauser


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Acing the GI Board ExamAcing the GI Board Exam

Brennan SpiegelBrennan Spiegel


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GI/Liver Secrets PlusGI/Liver Secrets PlusPeter McNallyPeter McNally


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GI & Hepatology Board Review:GI & Hepatology Board Review:

ear s o s omear s o s omJohn DiBaiseJohn DiBaise


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GI & Hepatology Board Review:GI & Hepatology Board Review:

ear s o s omear s o s omJohn DiBaiseJohn DiBaise

arr son s, ama a, e sengerarr son s, ama a, e senger

Study GuidesStudy Guides


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And the 2 lucky winners ofAnd the 2 lucky winners of

materialsmaterials


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It is never too earlyIt is never too early

To consider advanced fellowshipsTo consider advanced fellowshipsTo stud for boardsTo stud for boards

Dont proceed blindlyDont proceed blindly

Understand what you will be tested onUnderstand what you will be tested on

w y uw y uNot all programs will meet your needsNot all programs will meet your needs

Pick study method(s) and know them wellPick study method(s) and know them well


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[email protected]@mayo.edu

thing to consider in your final year of gi training

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