post-fellowship training

[DJtiesto]

Can anyone tell me what are the reasons for pursuing a 1-year fellowship (such as advanced endoscopy, IBD)? Are these fellowships more appropriate for a career in academia? and do they help in private practice in any way (being able to bill more, being more attractive for employers, etc)?

thanks

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[IM2GI]

Can anyone tell me what are the reasons for pursuing a 1-year fellowship (such as advanced endoscopy, IBD)? Are these fellowships more appropriate for a career in academia? and do they help in private practice in any way (being able to bill more, being more attractive for employers, etc)?

thanks

Advanced Endo is the most popular and competitive. The trend in the majority of good programs is to not certify you to do advanced procedures in the traditional 3 year fellowship. In the past this was possible, and on the trail some programs will still tell you if you are a gunner and get in enough cases they *might* think about certifying you in 3 years but that is not a given. For one-additional year you will be certified to do ERCP/EUS, complicated polyp resections, EMR, etc. This will make you more attractive to both community and academic practices *if* they need an advanced guy. For the additional year, you really add a lot to your skill set. For the time being, these are also fairly lucrative procedures.

IBD is not very wide spread yet, and is mostly for career academics/research.

Hepatology/Transplant will be useful in both the community or academia.