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Things to Consider in Your Final Years of GI Training

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Advanced Fellowships


<strong>Your</strong> Tra<strong>in</strong><strong>in</strong>g: Next StepsInterviews/MatchMov<strong>in</strong>gIM BoardsAhhh!!!MoreTra<strong>in</strong><strong>in</strong>gvs Job?Cl<strong>in</strong>icalCallResearchAdvancedTra<strong>in</strong><strong>in</strong>g ProcessResident 1 st yr Fellow 2 nd yr fellow 3rd yr fellow


Initial Career Choice byAdvanced Fellowship1993-2011100%90%80%70%60%50%40%30%20%10%0%Advanced d No AdvanceddFellowship FellowshipPrivate PracticeAcademics(n=55) (n=100) Mayo data only


Choice <strong>of</strong> Practice Based onType <strong>of</strong> Advanced Fellowship1993-2011100%90%80%70%60%50%40%30%20%10%0%Advanced d EndoOther AdvanceddFellowship FellowshipPrivate PracticeAcademics(n=20) (n=35) Mayo data only


Advanced Endoscopy• ASGE match process• Does not use the ERAS system• Process cont<strong>in</strong>ually ref<strong>in</strong>ed• Programs added/subtracted d/ t d yearly• Match data (2012)…..un<strong>of</strong>ficial:– 53 fellows matched <strong>to</strong> programs– 37 fellows did not match <strong>to</strong> programs


F<strong>in</strong>d the Various ProgramsLook by stateERCP, EUS, Bothhttp://www.asge.org/apps/aef/aef_ma<strong>in</strong>.aspx


Advanced Endoscopy Fellowship:Important Dates for 2014 SlotsProgram may have <strong>in</strong>dividual application deadl<strong>in</strong>es!!!


Advanced/TransplantHepa<strong>to</strong>logy (TH) Fellowships• 2 Types <strong>of</strong> Programs:– Accredited– Non-Accredited• Accredited Programs (n= 37)– Under the review <strong>of</strong> the ACGME– Need <strong>to</strong> have done <strong>GI</strong> fellowship 1 st– Allows you <strong>to</strong> take TH boards


http://www.aasld.org/education/Pages/Tra<strong>in</strong><strong>in</strong>gPrograms.aspx


ABIM Approved3-Year Comb<strong>in</strong>ed <strong>GI</strong>/TH Pilot


Advanced IBD Fellowships• Cedars-S<strong>in</strong>ai• Cleveland Cl<strong>in</strong>ic• Cornell Weill• MGH• Mayo• Mount S<strong>in</strong>ai• Robarts• UCSD• UCSF• Univ Chicago• Univ Maryland• Univ N. Carol<strong>in</strong>a• Univ Penn• UPMC• VCU• Beth Israel• Brigham & Women’s


<strong>GI</strong> Boards


<strong>Your</strong> Third YearNot <strong>to</strong>o early <strong>to</strong> start study<strong>in</strong>g!!!Job/House SearchBusy rotationsF<strong>in</strong>ish<strong>in</strong>g researchWrap-UpPack<strong>in</strong>gMov<strong>in</strong>gNew jobEXAM!!!NovJanMarMay July SeptNov2012 2013


Important <strong>GI</strong> ABIM Dates2013ItemDatesExam November 20, 2013Exam Dates (Accommodations) November 18-22, 2013Registration Opens March 1, 2013Deadl<strong>in</strong>e Registration May 1, 2013Late Registration May 2, 2013Deadl<strong>in</strong>e Late Registration June 1, 2013Deadl<strong>in</strong>e Cancellation September 1, 2013


First-Time Pass Rates: <strong>GI</strong>2007 2008 2009 2010 201195% 94% 97% 89% 94%


Categories on the ABIM ExamEsophagus (10%)Gastric/Duo (15%)Liver (25%)Bilary (8%)Pancreas (10%)Small llBowel l(10%)Colon (15%)General (7%)


The “General” Category:Topics <strong>to</strong> RememberTopics• Adolescence 0-2• Geriatrics 0-2• Endoscopy preparation 0-2• Multisystem disorders 0-2• Nutrition 0-2• Ethics 0-2• Statistics 0-2# <strong>of</strong> MCQs


Examples <strong>of</strong> Category Bluepr<strong>in</strong>tshttp://www.abim.org/exam/certification/gastroenterology.aspx


Take the Tu<strong>to</strong>rial!!!• Answer questions• Change answers• Make notes electronically• Access table <strong>of</strong> normal lab values• Mark questions for review


How Do You Prepare?• Regular read<strong>in</strong>g dur<strong>in</strong>g fellowship– Patient-centered read<strong>in</strong>g– Scheduled read<strong>in</strong>g <strong>of</strong> other <strong>to</strong>pics• Board review sessions at your program• Review your <strong>GI</strong>-ITE ITE results– Focus on content areas <strong>of</strong> weakness– Review objectives <strong>of</strong> questions missed• Practice multiple-choice questions


Board Review Courses/Books• Helps distill <strong>in</strong>formation down <strong>to</strong>highest yield for the exam• Not all-<strong>in</strong>clusive <strong>of</strong> exam content• Us<strong>in</strong>g and/or attend<strong>in</strong>g ≠ pass<strong>in</strong>g• Someth<strong>in</strong>g > Noth<strong>in</strong>g• <strong>Consider</strong> cost/time/learn<strong>in</strong>g needs


COURSES WilliamSte<strong>in</strong>bergStarted 1985MayoCl<strong>in</strong>icHarvardAdvancesBrighamRecord<strong>in</strong>g1985 2001 2004 ? 2010 2012Dates 2013 Oct 5-8 Sept 5-8 June 10-1313 Ends Sept ???# Days 5 35 3.5LocationCost (2012)FellowsArl<strong>in</strong>g<strong>to</strong>n,VACost (2012)$1399Staff MDsIncluded35 3.5 45 4.5 NA 4Chicago,ILBos<strong>to</strong>n,MAAnywhere$999 $725* $990 $895(video)ClevelandCl<strong>in</strong>icSan Diego,CA$799$1399 $995 $1475 NA $1199BreakfastSnacksPaperCDBreakfast??? Can buy:LunchAudio onlySnacksVideo onlyUSBBR BookBothBreakfastLunch x2SnacksOnl<strong>in</strong>e*scholarship program


Other Courses• ACG Post-Graduate Course– Friday: Pharmacology, Pathology, Imag<strong>in</strong>g• AGA Post-Graduate Course


Societal Board Review• SAT (ACG)Materials:– Self-Assessment Test• DDSEP (AGA)– Digestive Diseases Self-Education Program• GESAP (ASGE)– <strong>GI</strong> Endoscopy Self-Assessment Program


Other Board Review Resources• Mayo <strong>GI</strong> & Hepa<strong>to</strong>logy Board Review Book– Stephen Hauser


Other Board Review Resources• Mayo <strong>GI</strong> & Hepa<strong>to</strong>logy Board Review Book– Stephen Hauser• Ac<strong>in</strong>g the <strong>GI</strong> Board Exam– Brennan Spiegel


Other Board Review Resources• Mayo <strong>GI</strong> & Hepa<strong>to</strong>logy Board Review Book– Stephen Hauser• Ac<strong>in</strong>g the <strong>GI</strong> Board Exam– Brennan Spiegel• <strong>GI</strong>/Liver Secrets Plus– Peter McNally


Other Board Review Resources• Mayo <strong>GI</strong> & Hepa<strong>to</strong>logy Board Review Book– Stephen Hauser• Ac<strong>in</strong>g the <strong>GI</strong> Board Exam– Brennan Spiegel• <strong>GI</strong>/Liver Secrets Plus– Peter McNally• <strong>GI</strong> & Hepa<strong>to</strong>logy Board Review:Pearls <strong>of</strong> Wisdom– John DiBaise


Other Board Review Resources• Mayo <strong>GI</strong> & Hepa<strong>to</strong>logy Board Review Book– Stephen Hauser• Ac<strong>in</strong>g the <strong>GI</strong> Board Exam– Brennan Spiegel• <strong>GI</strong>/Liver Secrets Plus– Peter McNally• <strong>GI</strong> & Hepa<strong>to</strong>logy Board Review:Pearls <strong>of</strong> Wisdom– John DiBaise• Harrison’s, Yamada, SleisengerStudy Guides


And the 2 lucky w<strong>in</strong>ners <strong>of</strong>free <strong>GI</strong> board reviewmaterials……


• It is never <strong>to</strong>o earlySummary– To consider advanced fellowships– To study for boards• Don’t proceed bl<strong>in</strong>dly– Do your research on advanced programs– Understand what you will be tested on• Pick what is best for you– Not all programs will meet your needs– Pick study method(s) and know them well


Thank you!oxentenko.amy@mayo.edu

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