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Gastroenterology Fellowship (Minnesota)

Highlights

Gastroenterologist and Internal Medicine Residency Director Amy S. Oxentenko, M.D., discussing a case with fellows

Gastroenterologist and Internal Medicine Residency Director Amy S. Oxentenko, M.D., discussing a case with fellows

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.

Learning community

  • 37 current gastroenterology fellows and 10 advanced fellows
  • Up to 24 gastroenterology Clinical Scholar Track positions as well as up to 6 National Institutes of Health-Sponsored Track positions
  • More than 20 residency programs represented
  • More than 3,900 residents, fellows and students within the Mayo Clinic education community
  • More than 600 internal medicine faculty (no private attendings)
  • 80 faculty members within the Division of Gastroenterology and Hepatology

Patient base and care environment

  • On a typical day, approximately 5,700 patients receive care at Mayo Clinic's campus in Rochester, Minnesota.
  • 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 27,000 outpatient gastroenterology and hepatology visits a year.
  • Average number of procedures done at Mayo Clinic yearly:
    • Colonoscopy: 18,392
    • EGD: 17,104
    • EUS: 2,101
    • ERCP: 5,465
    • Complex: 8,300
    • Motility: 2,630
  • 10 subspecialty clinics within the Division of Gastroenterology and Hepatology:
    • GI neoplasia
    • IBD
    • Esophageal
    • Celiac
    • Motility
    • Pancreas
    • Viral hepatitis
    • Advanced liver
    • Liver transplant
    • General GI
  • Mayo Clinic and Mayo Clinic Hospital — Rochester (Saint Marys Campus and Methodist Campus) are all within walking distance.

Fellowship outcomes

  • 2009-2015 American Board of Internal Medicine (ABIM) Certification Examination pass rate of 100 percent.
  • Mean percentile rank In-Training Examination score for Mayo gastroenterology fellows is 94 percent, nationally.
  • Outcomes of 2015 gastroenterology fellows one year after training: 100% in academic medicine.
  • Approximately one-third of fellows pursue advanced fellowship training.
  • Mayo fellows have competed in the national GI Jeopardy contest at American College of Gastroenterology (ACG) meeting most years since the contest inception, winning on multiple occasions.

Scholarship

  • Research funding: Extramural funding, including NIH awards, is $22 million.
  • Over the past five years, 2,028 articles, editorials and reviews by Division of Gastroenterology and Hepatology faculty (more than one paper a day).
  • Average scholarly activity per fellow in 2015 class: 18 presentations, 16 publications and 18 abstracts. See selected fellow publications.
  • Fellows average 6 to 10 Mayo-sponsored trips for scientific presentations, with a yearly regional attendance trip per trainee and one trip for attendance per trainee during the second or third year.
  • Access to Olmsted County, Minnesota, patient database in order to perform population-based studies.
Gastroenterologist Lewis R. Roberts, M.B., Ch.B., Ph.D., discussing research strategies with fellows

Gastroenterologist Lewis R. Roberts, M.B., Ch.B., Ph.D., discussing research strategies with fellows

Fellowship highlights

  • During fellowship, fellows spend on average:
    • 16% in the outpatient setting
    • 22% in the inpatient setting
    • 22% performing procedures
    • 7% in elective rotations
    • 33% dedicated to research
  • No in-house call is required on any rotation. There are 3.5 months of home call, and 6 months when fellows need to be available by pager at night for infrequent questions by residents or teams requesting consultations, during the three-year fellowship.
  • Elective opportunities (with travel and housing provided) are available at the Mayo Clinic campuses in Arizona and Florida or in community practices at Mayo Clinic Health System sites.
  • There are rotations in the viral hepatitis clinic within the standard curriculum, with elective time available in the HIV clinic.
  • Dedicated bleeding team and emergency endoscopy rotation of two to three months.
  • One year of dedicated mentored research time in an area of interest to the fellow.
  • An annual research retreat allows fellows to meet with Division of Gastroenterology and Hepatology faculty researchers.
  • Stipends: See current stipend levels.
  • Vacation: 15 days a year.
  • Trip allowance: 10 days a year for presentations; one attendance-only trip during fellowship; yearly attendance for regional meeting.
  • Opportunity for attendance at Mayo Board Review Course on annual basis.
  • Many advanced fellowship opportunities

Innovations

  • Endoscopy simulators in our state-of-the-art Multidisciplinary Simulation Center
  • Animal farm with dedicated teaching on advanced endoscopic procedures
  • Camera system in clinic for direct observation feedback
  • ProVation
  • Transplant hepatology 3-year pilot
  • Web-based electronic curriculum for each rotation
  • Up-to-date and extensive array of electronic textbooks provided free to trainees
  • Exceptional EMR with enhanced computer access, including clinical access from home and on mobile devices
  • Consistently updated fellow website with quick navigation to schedules and more
  • Web-based evaluations of faculty, rotations, and residents and students
  • Competency-based training
  • Mayo Fellows Association
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