The one-year Advanced Endoscopy Fellowship at Mayo Clinic's campus in Rochester, Minnesota, offers advanced training in diagnostic and therapeutic endoscopy. This fellowship is designed for physicians who are planning a career in gastroenterology as an investigative and consultative therapeutic endoscopist.
Endoscopic ultrasound (EUS) procedures
EUS and these procedures, among others:
- EUS fine-needle aspiration (FNA)
- EUS core biopsy
- EUS fine-needle injection (FNI)
- EUS-guided rendezvous procedures
- EUS-guided cyst drainage
- EUS-guided drainage of pancreatic necrosis
Endoscopic retrograde cholangiopancreatography (ERCP) procedures
- Biliary and pancreatic stone extraction
- Management of complicated biliary strictures
- Management of pancreatic pseudocysts and necrosis
- Rendezvous procedures
- Post-bariatric long-limb ERCP
- Intraductal ultrasonography
- Direct cholangioscopy
- Radiofrequency ablation and photodynamic therapy for cholangiocarcinoma
Other complex endoscopic procedures
- Endoscopic mucosal resection (EMR)
- Endoscopic submucosal dissection (ESD)
- Peroral endoscopic myotomy (POEM)
- Radiofrequency ablation
- Photodynamic therapy
- Double- and single-balloon enteroscopy
- Tissue apposition techniques: Ovesco, Endocinch, clips
- Volume laser endomicroscopy
- Confocal laser endomicroscopy
- Raman spectroscopy
This is a partial listing of procedures performed at Mayo Clinic. It is not possible to master all of these techniques in the course of one year, but the fellowship can be tailored to accomplish the goals of the successful applicant.
Like all advanced endoscopy training programs in the United States, this is an unaccredited one-year fellowship.
The current form of the Advanced Endoscopy Fellowship began in 2006, which resulted from combining Mayo Clinic's Gastrointestinal Endoscopic Ultrasound Fellowship (initially started in 2000) and the Advanced Gastrointestinal Endoscopy/ERCP Fellowship (initially started in 1994).
Collectively, there have been approximately 30 physicians who have completed their advanced endoscopic training at Mayo Clinic. It is anticipated that one fellow will complete this combined fellowship annually and that it will be filled yearly.