i was perusing through some of the "more prestigious" private practices like Borland Grover clinic and some of the more lucrative ones in Northwest...most practices seem to hire people close to there geographic locations...all of them had people from programs I did not know much about....a handful of "non elite/less prestigious" programs that seemed to appear everywhere were university of rochester , William Beaumont , SUNY Downstate , UCSF fresno ,Geisenger and several others... A lot of these places are ultra-high volume (Beaumont for instance does 25k procedures/year in there endo suite, fresno and downstate have a very high number as well , geisenger does a ridiculous number of EUS/ERCPs) and have the ability to train general gi fellows in advance procedures meaningfully ...