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Mayo Clinic is an exciting place to learn and practice. Here is a snapshot of its environment, which gives you a look at what makes Mayo a world leader in medical education, research and health care.
The Learning Community
- 26 currentl GI fellows; 8-9 per year; 35 percent female.
- Up to 30 GI clinical scholar positions; three NIH positions.
- 18 residency programs represented.
- More than 1,700 residents, fellows, and predoctoral students at Mayo Clinic Rochester.
- More than 600 Internal Medicine faculty (no private attendings).
- 76 on staff in Gastroenterology and Hepatology; 20 percent female.
Patient Base and Care Environment
- On a typical day, approximately 4,000 patients receive care at Mayo Clinic Rochester.
- Approximately 80 percent of patients are from Minnesota, Iowa or Wisconsin.
- Approximately 33 percent of patients are covered by Medicare, and 10 to 15 percent of trainees’ patients are from underserved communities.
- Average of 44,000 outpatient Gastroenterology and Hepatology visits per year.
- Average number of procedures done at Mayo Clinic yearly:
- Colonoscopy 17,000
- EGD 12,800
- EUS 2,300
- ERCP 1,800
- Complex 3,000
- Mayo Clinic Rochester’s two hospitals and clinic buildings are all within walking distance.
- Multiple departments ranked in the 2007 U.S. News & World Report “National Top 10 Specialty Rankings”:
- GI #1
- Endocrinology #1
- Neurology #1
- Cardiology #2
- Pulmonary #2
- Rheumatology #2
- Nephrology #3
- Oncology #4
- Geriatrics #6
Fellowship Outcomes
- 2003-2007 American Board of Internal Medicine (ABIM) Certifying Examination Pass Rate of 95 percent (are 2004-2008 numbers better than this?). Keep as is as 2008 results are not out yet.
- Mean percentile rank In-Training Examination score for Mayo GI fellows 74 percent, nationally.
- Outcomes of GI fellows year after training: ~65 percent academics; ~35 percent private practice.
- Approximately one-third of fellows pursue advanced fellowship training.
- Mayo fellows have won national GI Jeopardy contest at American College of Gastroenterology (ACG) meeting three of the past four years.
Scholarship
- Research Funding - Extramural funding, including NIH awards, $17 million.
- 1,717 articles and 444 editorials/reviews for Gastroenterology and Hepatology faculty over past five years (greater than one paper per day).
- Average scholarly activity per fellow in 2008 class: eight presentations, eight publications, six abstracts.
- Fellows average four to six Mayo-sponsored trips for scientific presentation and one trip for attendance per trainee during 2nd or 3rd year.
- Access to Olmsted County patient database in order to perform population-based studies.
Fellowship Highlights
- Over three years, fellows spend on average 16 percent of their time in the outpatient settings, 22 percent inpatient, 22 percent procedures, 7 percent elective, and 33 percent research.
- Average procedures/fellow: EGDs-630, Colonoscopies-530, PEGs-25, Bleeders-90.
- No in-house call required on any rotation; 3.5 months home call; and six months need to be available by pager at night for infrequent questions by residents or teams requesting consultations, over the three-year fellowship.
- Elective opportunities (with travel and housing provided) are available at Mayo Clinic sites in Florida, Arizona or community practices at Mayo Health System sites.
- Rotations in viral hepatitis clinic and HIV clinic in standard curriculum.
- Dedicated bleeding team/emergency endoscopy rotation: Two months.
- One year of dedicated mentored research time in area of interest to the fellow.
- Annual research retreat allows fellows to meet with Gastroenterology and Hepatology faculty researchers.
- Stipends: PGY-4: $51,976, PGY-5: $54,218, PGY-6: $56,280, as of June 2008.
- Vacation: 15 days/year.
- Trip allowance: 10 days/year for presentation; one attendance-only trip during fellowship.
- Opportunity for attendance at Mayo Board Review Course on annual basis.
- Seven advanced fellowship programs: Endoscopy (two positions), Liver (three positions), Motility (one position), IBD (one position), Esophageal (one position), Pancreas (one position), GI Neoplasia (one position).
Innovations
- Industry leader for electronic medical record, which includes online X-ray viewing.
- Web-based electronic curriculum for each rotation.
- Up-to-date and extensive array of electronic textbooks provided free to trainees.
- Enhanced computer access, including clinical access from home.
- Consistently updated fellow Web site with quick navigation to schedules, etc.
- Web-based evaluations of faculty, rotations, and residents/students.
- Simulation Center state-of-the-art experiences. [http://www.mayo.edu/simulationcenter/]
- Competency-based training.
- Mayo Fellows Association.
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